Intended for healthcare professionals

Letters Saturated fat is not the major issue

Author’s reply to Lichtenstein, Tedstone and Pyne, Mann and colleagues, Lim, and Clifton

BMJ 2013; 347 doi: (Published 19 November 2013) Cite this as: BMJ 2013;347:f6855
  1. Aseem Malhotra, interventional cardiology specialist registrar1
  1. 1Croydon University Hospital, London, UK
  1. aseem_malhotra{at}

Saturated fat is known to increase low density lipoprotein (LDL)-cholesterol. However, unlike carbohydrates, saturated fat also raises high density lipoprotein (HDL)-cholesterol and reduces triglycerides, with little effect on total cholesterol:HDL ratio—thought to be a better predictor of coronary heart disease (CHD) events than total cholesterol alone.1 2

The food source of saturated fat may be more important. A recent multi-ethnic study found that high intake of dairy saturated fat was associated with a lower CVD risk but high meat intake …

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