Monounsaturated fatty acids and atherosclerosis: Opposing views from epidemiology and experimental animal models

被引:33
作者
Brown J.M. [1 ]
Shelness G.S. [1 ]
Rudel L.L. [1 ]
机构
[1] Department of Pathology, Section on Lipid Science, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1040, Medical Center Boulevard
基金
美国国家卫生研究院;
关键词
Coronary Heart Disease Risk; Mediterranean Diet; Monounsaturated Fatty Acid; Arterioscler Thromb Vasc Biol; Aortic Atherosclerosis;
D O I
10.1007/s11883-007-0066-8
中图分类号
学科分类号
摘要
A substantial body of epidemiologic data has shed light on the potential protective effects of the Mediterranean diet against atherosclerosis in humans. Many believe the reason the Mediterranean diet is atheroprotective is the elevated consumption of olive oil, an oil poor in saturated fatty acids (SFA) and highly enriched in monounsaturated fatty acids (MUFA). Based on human feeding studies, the American Heart Association and the US Food and Drug Administration have advocated for the consumption of MUFA as a more healthy replacement for SFA. However, using experimental animal models in which extent of atherosclerosis can be directly measured following dietary intervention, it has been demonstrated that MUFA-enriched diets are not atheroprotective when compared with SFA-enriched diets. Hence, the current body of experimental evidence refutes the idea that MUFAs per se are atheroprotective; therefore much additional work is needed to determine which aspects of the Mediterranean diet are indeed heart healthy. Copyright © 2007 by Current Medicine Group LLC.
引用
收藏
页码:494 / 500
页数:6
相关论文
共 42 条
[1]
Keys A., Coronary heart disease in seven countries, Circulation, 41, SUPPL. 1, pp. 1-211, (1970)
[2]
Mensink R.P., Katan M.B., Effects of dietary fatty acids on serum lipids and lipoproteins. A meta-anlaysis of 27 trials, Arterioscler Thromb, 12, pp. 911-919, (1992)
[3]
Gardner C.D., Kraemer H.C., Monounsaturated versus poly-unsaturated dietary fat and serum lipids. A meta-analysis, Arterioscler Thromb Vasc Biol, 15, pp. 1917-1927, (1995)
[4]
Artaud-Wild S.M., Connor S.L., Sexton G., Connor W.E., Differences in coronary mortality can be explained by differences in cholesterol and saturated fat intakes in 40 countries but not in France and Finland: A paradox, Circulation, 88, pp. 2771-2779, (1993)
[5]
Pietinen P., Ascherio A., Korhonen P., Et al., Intake of fatty acids and risk of coronary heart disease in a cohort of Finnish men: The Alpha-Tocopherol, Beta-Carotene Cancer Preventative Study, Am J Epidemiol, 145, pp. 876-887, (1997)
[6]
Hu F.B., Stampfer M.J., Manson J.E., Et al., Dietary fat intake and the risk of coronary heart disease in women, N Engl J Med, 337, pp. 1491-1499, (1997)
[7]
Mattson F.H., Grundy S.M., Comparison of dietary saturated, monounsaturated, and polyunsaturated fatty acids on plasma lipids and lipoproteins in man, J Lipid Res, 26, pp. 194-202, (1985)
[8]
Mensink R.P., Katan M.B., Effect of monounsaturated fatty acids versus complex carbohydrates on high-density lipoproteins in healthy men and women, Lancet, 1, pp. 122-125, (1987)
[9]
Grundy S.M., Comparison of monounsaturated fatty acids and carbohydrates for lowering plasma cholesterol, N Engl J Med, 314, pp. 745-748, (1986)
[10]
Kris-Etherton P.M., AHA Science Advisory. Monounsaturated fatty acids and risk of cardiovascular disease. American Heart Association Nutrition Committee, Circulation, 100, pp. 1253-1258, (1999)