Letters Saturated fat is not the major issue

Evidence favours an association between saturated fat intake and coronary heart disease

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f6851 (Published 19 November 2013) Cite this as: BMJ 2013;347:f6851
  1. Jim Mann, professor1,
  2. Rachael McLean, senior lecturer2,
  3. Lisa Te Morenga, research fellow3
  1. 1Departments of Human Nutrition and Medicine, and Edgar National Centre for Diabetes and Obesity Research, University of Otago, Dunedin 9054, New Zealand
  2. 2Departments of Human Nutrition and Preventive and Social Medicine, University of Otago, Dunedin 9054, New Zealand
  3. 3Department of Human Nutrition, and Riddet Institute, University of Otago, Dunedin 9054, New Zealand
  1. jim.mann{at}otago.ac.nz

Malhotra provides useful reminders about the causes of coronary heart disease (CHD),1 which are complex, with no single factor being “the major issue.”1 Many patients who now present with myocardial infarction are overweight and have features of the metabolic syndrome.

However, contrary to Malhotra’s statement that “advice [to reduce saturated fat intake] has, paradoxically, increased our cardiovascular …

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