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WHO draft guidelines on dietary saturated and trans fatty acids: time for a new approach?
- Source :
- BMJ, BMJ, 2019, 366, pp.l4137. ⟨10.1136/bmj.l4137⟩, BMJ, British Medical Journal, 366:4137. BRITISH MED JOURNAL PUBL GROUP, Astrup, A, Bertram, H C S, Bonjour, J-P, de Groot, L, Otto, M C D O, Feeney, E, Garg, M L, Givens, I, Kok, F J, Krauss, R M, Lamarche, B, Lecerf, J-M, LeGrand, P, McKinley, M, Micha, R, Michalski, M-C, Mozaffarian, D & Soedamah-Muthu, S S 2019, ' WHO draft guidelines on dietary saturated and trans fatty acids: time for a new approach? ', B M J, vol. 366, I4137 . https://doi.org/10.1136/bmj.l4137, BMJ (Online), 366, Astrup, A, Bertram, H C S, Bonjour, J-P, de Groot, L CP, de Oliviera Otto, M C, Feeney, E L, Garg, M L, Givens, D I, K, F J, Krauss, R M, Lamarche, B, Lecerf, J-M, Legrand, P, McKinley, M, Micha, R, Michalski, M-C & Mozaffarian, D 2019, ' WHO draft guidelines on dietary saturated and trans fatty acids : time for a new approach? ', B M J, vol. 366, l4137 . https://doi.org/10.1136/bmj.l4137, BMJ, Vol. 366, No l4137 (2019), BMJ (Online) 366 (2019)
- Publication Year :
- 2019
- Publisher :
- BMJ Publishing Group Ltd, 2019.
-
Abstract
- While revising this Analysis article (BMJ 2019;366:l4137, doi:10.1136/bmj.l4137) the authors mistakenly included a section on the reanalysis of the Minnesota Coronary Experiment. The authors had originally agreed among themselves not to include the section in the final manuscript for two reasons. First, the key message of the article is to move from recommendations of single nutrients into food based recommendations because saturated fat is a heterogeneous group of fatty acids with divergent health effects, and the effect is furthermore dependent on the food matrix they exist in. For that reason, the authors felt the section was redundant. Second, for a discussion of the health effects of polyunsaturated fat, the authors did not feel that the section provided a balanced and complete analysis of the issue. Soon after publication the authors contacted The BMJ to notify the journal of the mistake and request correction of the article by removing the following paragraphs, which does not substantially change the message or argument of the Analysis: “Reanalysis of the Minnesota Coronary Experiment (a double blind randomised controlled trial that tested whether replacing saturated fat with polyunsaturated fat reduced coronary heart disease and death) also supports the claim that serum cholesterol is not a valid surrogate biomarker for cardiovascular disease risk when making dietary changes.10 Despite the finding that the polyunsaturated fat diet produced a 13% greater reduction in serum cholesterol than the saturated fat diet, there was no reduction in cardiovascular disease endpoints.10 “The reanalysis found a 22% higher mortality for each 0.78 mmol/L reduction in serum cholesterol caused by the polyunsaturated diet.10 A meta-analysis found that cholesterol lowering using polyunsaturated fat diets did not show any evidence of benefit on mortality from coronary heart disease (1.13, 0.83 to 1.54) or all cause mortality (1.07, 0.90 to 1.27).10” These paragraphs have been removed from the article online.
- Subjects :
- l'Economie Laitiere (CNIEL)
Federation Francaise
Canola Council of Canada
publication of results. J-ML: Works for the Centre National Interprofessionnel de
Dairy Management. BL: chair of nutrition at Laval University
Disease
in the process related to data analysis and interpretation
La Banque Royale du Canada
law.invention
Arla Foods Amba
EMF
consultancies for CNIEL (French Dairy Interbranch Sector) and for different food
0302 clinical medicine
member of scientific advisory board of Agence pour la Recherche et l'Information
Medicine
Food science
travel expenses for presentations given at conferences organised by the Dairy
questions
America's Test Kitchen
Human Nutrition & Health
ddc:616
expenses and honorariums in connection with meetings and lectures from Danone
Fatty Acids
Humane Voeding & Gezondheid
Council and the European Milk Forum. MLG: None. IG: Estonian BioCompetance Centre
Lactalis Alliance 4
European Natural Soyfoods Association
General Medicine
ASSOCIATION
Trans Fatty Acids
Nutritional Biology
3. Good health
Provigo-Loblaws. None of these organisations are involved in the research
Arla Foods Ingredients Group P/S
and Arla Food for Health (a
a dairy
CARDIOVASCULAR-DISEASE
technology centre part financed by Enterprise Ireland and partly by dairy
programme supported by the Dairy Farmers of Canada
all outside the submitted work. SSS-M: received funding
exploring the effects of dairy fats and cheese consumption on human health. The
medicine.medical_specialty
the Natural Sciences and Engineering
Merck Frosst
Omada Health
student's internship project was partly funded by the Dutch Dairy Organisation
education
honorariums in connection with meetings and lectures from the Dairy Council
Federation. FJK: None. RMK: Grant funding from Almond Board of California and
Guidelines as Topic
and
and from Unilever
World Health Organization
European Milk Foundation for projects conducted at the University of Copenhagen
and Global Dairy Platform
Observatoire CNIEL des Habitudes
and Danone
03 medical and health sciences
Political science
Humans
conducted by BL and his team. BL has received funding in the past five years from
en Fruits et Legumes
METAANALYSIS
VLAG
Acasti Pharma
Global Nutrition
Wereldvoeding
personal fees from GOED
Dairy Interbranch Sector)
Dairy Research Institute and Dairy Australia for
Global Dairy Platform and the International Dairy
MORTALITY
Australia
and is co-supervisor of a PhD student seconded from Institut des Corps
the Canadian Institutes for Health Research
LESAFFRE
a meta-analysis on cheese and blood lipids (2012) and a meta-analysis of dairy
and personal fees from World Bank
PREVENTION
Communications
and DayTwo
have received travel expenses and
Global Dairy Platform
products and cardiometabolic disease
Dutch Dairy Association
interests and declare the following: AA: has received financial support from
Disease risk
Prize from the Dutch Dairy Association's (NZO) Utrecht Group. In 2017
by private endowments from Pfizer
the Danish Dairy Research Foundation
Institut Olga Triballat. PL: None. MM: Receipt of honorarium and
CHOCOLATE CONSUMPTION
All cause mortality
and chapter
and dairy companies
from the Global Dairy Platform
interest). DM: Research funding from the National Institutes of Health and the
and Atrium Innovations. All support is investigator
NIH/NHLBI R01 HL130735
Foods amba
Saturated fat
Denmark
[SDV]Life Sciences [q-bio]
Clinic Foundation
Council for Northern Ireland and the European Milk Forum. RM: reports grants from
030204 cardiovascular system & hematology
research laboratory received funding from CNIEL (French
NUTRIENTS
Alimentaires
Polyunsaturated fat
Yoplait
Randomized controlled trial
law
ELF: has received research funding from Food for Health Ireland
Bunge
030212 general & internal medicine
Amarin
and Global Dairy Platform. HCSB: through employment at Aarhus
with no influence of the organisations in defining the research
Nutricia Research
RISK
Danish Dairy Foundation
has received financial support for research activities from Arla
18 COUNTRIES
companies in Ireland. ELF has received speaking expenses from the National Dairy
consortium between Arla Foods amba
Nutrition Impact
and mortality (2015). She received The Wiebe Visser International Dairy Nutrition
of Healthy Dairy Products
outside the submitted work. M-CM: Paid
Biomarker (medicine)
consultant to the Dairy Council on fats in dairy
University and University of Copenhagen). J-PB: None. LCPdeG: None. MCdeOO: None
Pollock
LIPIDS
Elysium Health (with stock options)
royalties from UpToDate
Agriculture and Agri-Food Canada (Growing Forward
Diet
Dairy
Aarhus
Internal medicine
Research Council of Canada
Life Science
Gates Foundation
Arla Foods
European Milk Foundation (EMF) sponsored the Expert Symposium on the Dairy Matrix
Gras (ITERG). Member of the scientific committee of ITERG (non-financial
initiated
Sodiaal-Candia R&D
Flax Council of Canada
University
Cleveland
business.industry
the Bill and Melinda Gates Foundation
Research
Cholesterol lowering
Syndifrais
which is supported
Dow Agrosciences)
scientific advisory board
Danone
Dairy Research Institute
Indigo Agriculture
business
organised by AA and co-chaired by AA and IG. AA has received travel
des Industriels Charcutiers Traiteurs
Subjects
Details
- Language :
- English
- ISSN :
- 14685833, 09598138, and 09598146
- Database :
- OpenAIRE
- Journal :
- BMJ, BMJ, 2019, 366, pp.l4137. ⟨10.1136/bmj.l4137⟩, BMJ, British Medical Journal, 366:4137. BRITISH MED JOURNAL PUBL GROUP, Astrup, A, Bertram, H C S, Bonjour, J-P, de Groot, L, Otto, M C D O, Feeney, E, Garg, M L, Givens, I, Kok, F J, Krauss, R M, Lamarche, B, Lecerf, J-M, LeGrand, P, McKinley, M, Micha, R, Michalski, M-C, Mozaffarian, D & Soedamah-Muthu, S S 2019, ' WHO draft guidelines on dietary saturated and trans fatty acids: time for a new approach? ', B M J, vol. 366, I4137 . https://doi.org/10.1136/bmj.l4137, BMJ (Online), 366, Astrup, A, Bertram, H C S, Bonjour, J-P, de Groot, L CP, de Oliviera Otto, M C, Feeney, E L, Garg, M L, Givens, D I, K, F J, Krauss, R M, Lamarche, B, Lecerf, J-M, Legrand, P, McKinley, M, Micha, R, Michalski, M-C & Mozaffarian, D 2019, ' WHO draft guidelines on dietary saturated and trans fatty acids : time for a new approach? ', B M J, vol. 366, l4137 . https://doi.org/10.1136/bmj.l4137, BMJ, Vol. 366, No l4137 (2019), BMJ (Online) 366 (2019)
- Accession number :
- edsair.doi.dedup.....326f1783c0760404bb9a5c0842807011