Details of correction: reformatted Table 2 supplied
Existing text:
See Table 2
Table 2.
Prospective human studies investigating the associations between circulating levels of odd-chain or trans-fatty acids and incident CVD, CVD mortality or incident type 2 diabetes (T2D)
| Reference | Fatty acid(s) of interest | biological fraction measured | Reported study and overall participants characteristics (e.g. n, sex, mean age, mean BMI) | Study design and mean follow-up | Outcomes | No. cases and/or no. of deaths | Confounders included | Summary of observed associations by fatty acid of interest* |
|---|---|---|---|---|---|---|---|---|
| Incident CVD and CVD mortality | ||||||||
| De Oliveira Otto et al. (2018)(74) | 15:0, 17:0, tPA (5th v. 1st quintile) |
Plasma phospholipids | Cardiovascular Health Study (USA) n 2907 (36 % M, 64 % F) Age: 74·8 y |
Prospective cohort study, 22 y |
Incident CVD, CHD and stroke total and CVD mortality |
1301 CVD 876 CHD 529 strokes |
Age, sex, race, education, enrolment site at baseline, smoking status, alcohol, PA, BMI, drug-related hypertension, self-reported general health, circulating total trans-FA, consumption of dairy, dietary fibre, fruits, vegetables and red meat | C15:0, C:17:0 tPA ↔ CVD risk ↔ CHD risk ↔ Stroke risk |
| 2428 deaths 614 CVD deaths |
C15:0, tPA ↔ Total mortality ↔ CVD mortality C17:0 ↔ Total mortality ↓ CVD mortality (HR = 0·77 (95 % CI 0·61, 0·98)) |
|||||||
| Laursen et al. (2018)(75) | 15:0, 17:0, tVA (95th percentile v. 5thpercentile) |
Adipose tissue | Danish Diet, Cancer and Health (Denmark) Cases (incident stroke) n 2108 (60·5 % M, 39·5 % F) Age: 60·5 y BMI: 26·2 kg/m2 Non-cases n 3186 (54 % M, 46 % F) Age: 56·3 y, BMI: 25·8 kg/m2 |
Case-cohort study, 12·8 y |
incident stroke and stroke subtypes | 2108 total strokes 1745 ischaemic strokes 249 intracerebral haemorrhages (IH) 102 subarachnoid haemorrhages (SH) |
Sex, date of inclusion, education, BMI, waist circumference, PA, smoking status, alcohol intake, baseline hypertension, hypercholesterolemia, diabetes and myocardial infarction | C15:0 ↓ Total stroke (HR = 0·59 (95 % CI 0·47, 0·74)) ↓ Ischaemic stroke (HR = 0·55 (95 % CI 0·43, 0·71)) ↔ IH, SH C17:0 ↔ Total stroke, IH, SH ↓ Ischaemic stroke (HR = 0·74 (95 % CI 0·58, 0·94)) tVA ↓Total stroke (HR = 0·34 (95 % CI 0·27, 0·44)) ↓ Ischaemic stroke (HR = 0·30; 95 % CI (0·24, 0·39)) ↓ IH (HR = 0·45; 95 % CI (0·26, 0·78)) ↔ SH |
| Kleber et al. (2016)(78) | tPA (3rd v. 1st tertile) |
Erythrocytes | Ludwigshafen Risk and Cardiovascular Health Study (Germany) n 3259 (69·7 % M, 30·3 % F) Age: 62·7 y BMI: 27·5 kg/m2 Patients hospitalised for coronary angiography |
Prospective cohort study, 10 y |
All-cause and CVD mortality | 975 deaths 614 CVD deaths 254 sudden cardiac deaths |
Age, sex, BMI, LDL-C, HDL-C, log-transformed TAG, log-transformed fibrinogen, smoking status, hypertension, diabetes, lipid-lowering therapy, glomerular filtration rate, HbA1c, anti-hypertensive medication, alcohol intake | tPA ↔ All-cause mortality, CVD mortality ↓ Sudden cardiac death (HR = 0·65; 95 % CI (0·47, 0·90)) |
| Warensjö et al. (2003)(70) | C15:0, C170 | C15:0 + C17:0 (continuous) |
Serum cholesteryl esters, Serum phospholipids |
Northern Sweden Health and Disease Study n 1000 (61·5 % M, 38·5 % F) Age: 49–64y BMI: 23·2–29·4 kg/m2 |
Nested prospective case–control study, 3·1–3·9 y |
Incident myocardial infarction | 444 cases 556 controls |
|
| PA, BMI, smoking status, intakes of fruits and vegetables, education, ApoB/ApoA-I ratio, systolic blood pressure, BMI, prevalence of diabetes | C15:0, C170 | C15:0 + C17:0 ↔ Myocardial infarction risk |
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| Incident T2D | ||||||||
| Liu et al. (2018)(77) | C15:0, C17:0 | C15:0 + C17:0 (continuous) |
Calculated dietary intakes from FFQ | European Prospective Investigation into Cancer and Nutrition-Netherlands n 37 421 (25·6 % M, 74·4 % F) Age: 49 y BMI: 25·3–26·0 kg/m2 across quartiles of dietary SFA |
Prospective cohort study, 10·1 y |
Incident T2D | 893 T2D cases | |
| Sex, age, sum of other SFA, education, smoking status, PA, BMI, waist circumference, energy-adjusted dietary intakes of: alcohol, animal protein, vegetable protein, trans-FA, vitamin E, fibre, cholesterol | C15:0 ↔ T2D C17:0 ↓ T2D (HR = 0·84; 95 % CI (0·73, 0·97)) C15:0 + C17:0 ↓ T2D (HR = 0·88; 95 % CI (0·79, 0·99)) |
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| Liu et al. (2018)(79) | tPA, tVA (5th v. 1st quintile) |
Plasma total lipids | National Health and Nutrition Examination Survey (USA) n 3801 (48 % M, 52 % F) Age: 50·1 y (M), 50·0 y (F) |
Prospective cohort study, 11 y |
Incident T2D | 505 T2D cases | Age, gender, race/ethnicity, education, family income, smoking status, PA, alcohol intake, family history of diabetes, total energy intake, Healthy Eating Index-2010, BMI | Tpa ↔ T2D (OR = 1·37; 95 % CI (0·90, 2·06)) tVA ↔ T2D (OR = 1·37; 95 % CI (0·95, 1·99)) |
C15:0, pentadecanoic acid; C17:0, heptadecanoic acid; tPA, trans-palmitoleic acid; M, male; F, female; y, year; T2D, type 2 diabetes; IH, intracerebral haemorrhage; SH, subarachnoid haemorrhage; Apo, apolipoprotein; FA, fatty acids; PA, physical activity; ↑, direct association; ↓, inverse association; ↔, no association.
HR and OR presented as estimate (95 % confidence interval).
Corrected text should read:
See updated and reformatted Table 2
Table 2.
Prospective human studies investigating the associations between circulating levels of odd-chain or trans-fatty acids and incident CVD, CVD mortality or incident type 2 diabetes (T2D)
| Reference | Fatty acid(s) of interest | biological fraction measured | Reported study and overall participants characteristics (e.g. n, sex, mean age, mean BMI) | Study design and mean follow-up | Outcomes | No. cases and/or no. of deaths | Confounders included | Summary of observed associations by fatty acid of interest* |
|---|---|---|---|---|---|---|---|---|
| Incident CVD and CVD mortality | ||||||||
| De Oliveira Otto et al. (2018)(74) | 15:0, 17:0, tPA (5th v. 1st quintile) |
Plasma phospholipids | Cardiovascular Health Study (USA) n 2907 (36 % M, 64 % F) Age: 74·8 y |
Prospective cohort study, 22 y |
Incident CVD, CHD and stroke total and CVD mortality |
1301 CVD 876 CHD 529 strokes |
Age, sex, race, education, enrolment site at baseline, smoking status, alcohol, PA, BMI, drug-related hypertension, self-reported general health, circulating total trans-FA, consumption of dairy, dietary fibre, fruits, vegetables and red meat | C15:0, C:17:0 tPA ↔ CVD risk ↔ CHD risk ↔ Stroke risk |
| 2428 deaths 614 CVD deaths |
C15:0, tPA ↔ Total mortality ↔ CVD mortality C17:0 ↔ Total mortality ↓ CVD mortality (HR = 0·77 (95 % CI 0·61, 0·98)) |
|||||||
| Laursen et al. (2018)(75) | 15:0, 17:0, tVA (95th percentile v. 5thpercentile) |
Adipose tissue | Danish Diet, Cancer and Health (Denmark) Cases (incident stroke) n 2108 (60·5 % M, 39·5 % F) Age: 60·5 y BMI: 26·2 kg/m2 Non-cases n 3186 (54 % M, 46 % F) Age: 56·3 y, BMI: 25·8 kg/m2 |
Case-cohort study, 12·8 y |
incident stroke and stroke subtypes | 2108 total strokes 1745 ischaemic strokes 249 intracerebral haemorrhages (IH) 102 subarachnoid haemorrhages (SH) |
Sex, date of inclusion, education, BMI, waist circumference, PA, smoking status, alcohol intake, baseline hypertension, hypercholesterolemia, diabetes and myocardial infarction | C15:0 ↓ Total stroke (HR = 0·59 (95 % CI 0·47, 0·74)) ↓ Ischaemic stroke (HR = 0·55 (95 % CI 0·43, 0·71)) ↔ IH, SH C17:0 ↔ Total stroke, IH, SH ↓ Ischaemic stroke (HR = 0·74 (95 % CI 0·58, 0·94)) tVA ↓Total stroke (HR = 0·34 (95 % CI 0·27, 0·44)) ↓ Ischaemic stroke (HR = 0·30; 95 % CI (0·24, 0·39)) ↓ IH (HR = 0·45; 95 % CI (0·26, 0·78)) ↔ SH |
| Kleber et al. (2016)(78) | tPA (3rd v. 1st tertile) |
Erythrocytes | Ludwigshafen Risk and Cardiovascular Health Study (Germany) n 3259 (69·7 % M, 30·3 % F) Age: 62·7 y BMI: 27·5 kg/m2 Patients hospitalised for coronary angiography |
Prospective cohort study, 10 y |
All-cause and CVD mortality | 975 deaths 614 CVD deaths 254 sudden cardiac deaths |
Age, sex, BMI, LDL-C, HDL-C, log-transformed TAG, log-transformed fibrinogen, smoking status, hypertension, diabetes, lipid-lowering therapy, glomerular filtration rate, HbA1c, anti-hypertensive medication, alcohol intake | tPA ↔ All-cause mortality, CVD mortality ↓ Sudden cardiac death (HR = 0·65; 95 % CI (0·47, 0·90)) |
| Warensjö et al. (2003)(70) | C15:0, C170, C15:0 + C17:0 (continuous) |
Serum cholesteryl esters, Serum phospholipids |
Northern Sweden Health and Disease Study n 1000 (61·5 % M, 38·5 % F) Age: 49–64y BMI: 23·2–29·4 kg/m2 |
Nested prospective case–control study, 3·1–3·9 y |
Incident myocardial infarction | 444 cases 556 controls |
PA, BMI, smoking status, intakes of fruits and vegetables, education, ApoB/ApoA-I ratio, systolic blood pressure, BMI, prevalence of diabetes | C15:0, C170, C15:0 + C17:0 ↔ Myocardial infarction risk |
| Incident T2D | ||||||||
| Liu et al. (2018)(77) | C15:0, C17:0, C15:0 + C17:0 (continuous) |
Calculated dietary intakes from FFQ | European Prospective Investigation into Cancer and Nutrition-Netherlands n 37 421 (25·6 % M, 74·4 % F) Age: 49 y BMI: 25·3–26·0 kg/m2 across quartiles of dietary SFA |
Prospective cohort study, 10·1 y |
Incident T2D | 893 T2D cases | Sex, age, sum of other SFA, education, smoking status, PA, BMI, waist circumference, energy-adjusted dietary intakes of: alcohol, animal protein, vegetable protein, trans-FA, vitamin E, fibre, cholesterol | C15:0 ↔ T2D C17:0 ↓ T2D (HR = 0·84; 95 % CI (0·73, 0·97)) C15:0 + C17:0 ↓ T2D (HR = 0·88; 95 % CI (0·79, 0·99)) |
| Liu et al. (2018)(79) | tPA, tVA (5th v. 1st quintile) |
Plasma total lipids | National Health and Nutrition Examination Survey (USA) n 3801 (48 % M, 52 % F) Age: 50·1 y (M), 50·0 y (F) |
Prospective cohort study, 11 y |
Incident T2D | 505 T2D cases | Age, gender, race/ethnicity, education, family income, smoking status, PA, alcohol intake, family history of diabetes, total energy intake, Healthy Eating Index-2010, BMI | Tpa ↔ T2D (OR = 1·37; 95 % CI (0·90, 2·06)) tVA ↔ T2D (OR = 1·37; 95 % CI (0·95, 1·99)) |
C15:0, pentadecanoic acid; C17:0, heptadecanoic acid; tPA, trans-palmitoleic acid; M, male; F, female; y, year; T2D, type 2 diabetes; IH, intracerebral haemorrhage; SH, subarachnoid haemorrhage; Apo, apolipoprotein; FA, fatty acids; PA, physical activity; ↑, direct association; ↓, inverse association; ↔, no association.
HR and OR presented as estimate (95 % confidence interval).
