2020
DOI: 10.3389/fnut.2020.00123
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Monounsaturated Fatty Acid Levels May Not Affect Cardiovascular Events: Results From a Mendelian Randomization Analysis

Abstract: Background/Aim: Several observational studies evaluated the links between serum monounsaturated fatty acids (MUFAs) and cardiovascular events with controversial results. In the present study, Mendelian randomization (MR) analysis was applied to obtain unconfounded estimates of the causal associations of genetically determined serum MUFAs with coronary heart disease (CHD), myocardial infarction (MI), cardioembolic stroke (CS), and ischemic stroke (IS). Methods: Four MUFAs were… Show more

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Cited by 16 publications
(11 citation statements)
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“…[ 6,17–19 ] A recent mendelian randomization analysis suggested that serum POA levels was not associated with cardiovascular events such as coronary heart disease, myocardial infarction, cardioembolic stroke, and ischemic stroke. [ 20 ] Particularly, if POA was a lipid hormone that protects against hypertension, circulating POA would be closely correlated with BP or risk of hypertension, whereas findings from observational studies are inconclusive and even controversial. Both in the PREDIMED study [ 5 ] and the Paris Prospective Study 2, [ 6 ] serum POA was found to be positively correlated with BP.…”
Section: Discussionmentioning
confidence: 99%
“…[ 6,17–19 ] A recent mendelian randomization analysis suggested that serum POA levels was not associated with cardiovascular events such as coronary heart disease, myocardial infarction, cardioembolic stroke, and ischemic stroke. [ 20 ] Particularly, if POA was a lipid hormone that protects against hypertension, circulating POA would be closely correlated with BP or risk of hypertension, whereas findings from observational studies are inconclusive and even controversial. Both in the PREDIMED study [ 5 ] and the Paris Prospective Study 2, [ 6 ] serum POA was found to be positively correlated with BP.…”
Section: Discussionmentioning
confidence: 99%
“…Overall, there is conflicting and limited evidence about the links between serum MUFAs and atherosclerotic cardiovascular disease (CVD) [23,24,25,26]. In this study, we showed that myocardial diastolic dysfunction progressed with an SFA-rich diet and that switching from an SFA-rich diet to a MUFA (oleate)-rich diet improved diastolic P r e p r i n t dysfunction.…”
Section: Discussionmentioning
confidence: 65%
“…The incorporation of nutrigenetic data into human studies might help to reduce this confounding factor. Genomics might be used for Mendelian randomization studies aimed to demonstrate causal effects of lipids on human health and diseases, reducing confounding and reverse causation [209]. Finally, a better understanding of the role of the microbiome and of metabolites that it produces (still only partially characterized because of the complexity of the system and the large inter-individual variations) might help to elucidate how it modulates the effect of dietary lipids in each individual.…”
Section: Discussionmentioning
confidence: 99%