A matter of fat : Epidemiological studies of dietary and plasma fatty acids in coronary heart disease

In countries like the Netherlands, patients surviving a myocardial infarction (MI) form a growing part of the population. This thesis evaluates how types of unsaturated fatty acids in the diet and their blood biomarkers are related to diabetes and long-term mortality risk after MI. Most studies were done in the Alpha Omega Cohort of 4837 post-MI patients. Higher intakes and blood levels of omega-3 fatty acids from fish were associated with a 30% lower risk of fatal coronary heart disease. A low blood level of linoleic acid predicted type 2 diabetes, although the utility of this biomarker in clinical practice is not yet clear. Odd-chain fatty acids in the blood, which reflect dairy intake, were affected by dietary fiber intake in post-MI patients. This may explain favourable associations with diabetes reported in the literature. This thesis provides important evidence for dietary guidelines for patients with coronary heart disease. 

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Bibliographic Details
Main Author: Pertiwi, Kamalita
Other Authors: Geleijnse, J.M.
Format: Doctoral thesis biblioteca
Language:English
Published: Wageningen University
Subjects:Life Science,
Online Access:https://research.wur.nl/en/publications/a-matter-of-fat-epidemiological-studies-of-dietary-and-plasma-fat
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