TY - JOUR AU - Shi, Fanchao AU - Chowdhury, Rajiv AU - Sofianopoulou, Eleni AU - Koulman, Albert AU - Sun, Luanluan AU - Steur, Marinka AU - Aleksandrova, Krasimira AU - Dahm, Christina C AU - Schulze, Matthias B AU - van der Schouw, Yvonne T AU - Agnoli, Claudia AU - Amiano, Pilar AU - Boer, Jolanda M A AU - Bork, Christian S AU - Cabrera-Castro, Natalia AU - Eichelmann, Fabian AU - Elbaz, Alexis AU - Farràs, Marta AU - Heath, Alicia K AU - Kaaks, Rudolf AU - Katzke, Verena AU - Keski-Rahkonen, Pekka AU - Masala, Giovanna AU - Moreno-Iribas, Conchi AU - Panico, Salvatore AU - Papier, Keren AU - Petrova, Dafina AU - Quirós, J Ramón AU - Ricceri, Fulvio AU - Severi, Gianluca AU - Tjønneland, Anne AU - Tong, Tammy Y N AU - Tumino, Rosario AU - Wareham, Nick AU - Weiderpass, Elisabete AU - Di Angelantonio, Emanuele AU - Forouhi, Nita AU - Danesh, John AU - Butterworth, Adam S AU - Kaptoge, Stephen TI - Association of circulating fatty acids with cardiovascular disease risk: Analysis of individual-level data in three large prospective cohorts and updated meta-analysis. JO - European journal of preventive cardiology VL - 32 IS - 3 SN - 2047-4873 CY - Oxford PB - Oxford University Press M1 - DKFZ-2024-02000 SP - 233-246 PY - 2025 N1 - 2025 Feb 18;32(3):233-246 AB - Associations of saturated and unsaturated fatty acids (FAs) with cardiovascular disease (CVD) remain controversial. We therefore aimed to investigate the prospective associations of objectively measured FAs with CVD, including incident coronary heart disease (CHD) and stroke, as well as CVD mortality.Circulating FA concentrations expressed as the percentage of total FAs were assayed in 172,891 participants without prior vascular disease at baseline from the European Prospective Investigation into Cancer and Nutrition-CVD (EPIC-CVD) (7,343 CHD; 6,499 stroke), UK Biobank (1,825; 1,474), and INTERVAL (285; 209) cohort studies. Hazard ratio (HR) per 1-standard deviation (SD) higher FA concentrations was estimated using Cox regression models and pooled by random-effects meta-analysis. Systematic reviews with meta-analysis published by 6 May 2023 on associations between FAs and CVDs were systematically searched and updated meta-analyses using random-effects model were conducted. Evidence from randomized controlled trials (RCTs) was also summarized.Higher concentrations of total saturated FAs (SFAs) were associated with higher cardiovascular risks in the combined analysis, with differential findings noted for SFA subtypes in further analysis restricted to EPIC-CVD: positive associations for even-chain SFA [HR for CHD 1.24 (95 LB - PUB:(DE-HGF)16 C6 - pmid:39365172 DO - DOI:10.1093/eurjpc/zwae315 UR - https://inrepo02.dkfz.de/record/293933 ER -