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Effects of Monounsaturated Fatty Acids on Cardiovascular Risk Factors: A Systematic Review and Meta-Analysis
Abstract
The appropriate pattern of macronutrient distribution for dietary protocols aimed at treating or preventing obesity and its associated cardiovascular diseases is still a controversial topic of discussion. Recommendations considering a specific percentage or range for monounsaturated fatty acids (MUFA) are rare. It was the aim of this study to analyze long-term, randomized, controlled dietary intervention trials and to investigate the effects of MUFA on the biomarkers of obesity and cardiovascular risk factors. Dietary regimens with a high amount of MUFA (>12%) were compared to those with ≤12%. The biomarkers taken into account were weight, waist circumference, fat mass, total cholesterol, LDL cholesterol, HDL cholesterol, triacylglycerols, systolic and diastolic blood pressure, as well as C-reactive protein. A total of 12 studies met the inclusion criteria. Data analysis was performed using the Review Manager 5.0.25 software. Significant differences between high- and low-MUFA protocols could be observed with respect to fat mass [–1.94 kg (confidence interval –3.72, –0.17), p = 0.03], systolic blood pressure [–2.26 mm Hg (confidence interval –4.28, –0.25), p = 0.03] and diastolic blood pressure [–1.15 mm Hg (confidence interval –1.96, –0.34), p = 0.005] favoring the dietary protocols with >12% MUFA. Therefore, MUFA might represent a useful tool in the design of dietary regimens for obesity and cardiovascular disease.
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“Monounsaturated fat improves BP and cholesterol353 and, when consumed in place of saturated fat, lowers glucose among those predisposed to insulin resistance.354”
From Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity: A Comprehensive Review (2016) · cites this paper as [354]
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Capítulo 6 - Tratamento não medicamentoso
Malachias, M. V. B., Souza, W., Plavnik, F. L., Rodrigues, C., Brandão, A., Neves, M. F., Bortolotto, L. A., Franco, R., Figueiredo, C., Jardim, P., et al. (2016) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20160156 · Cited by 15
Oki, É., Norde, M. M., Carioca, A. A. F., de Souza, J. M. P., Castro, I. A., Marchioni, D. M. L., Fisberg, R. M., & Rogero, M. M. (2017) · British Journal Of Nutrition · doi:10.1017/s0007114517001416 · Cited by 14
Lee, H., Jang, H. B., Yoo, M., Chung, K., & Lee, H.-J. (2019) · Nutrients · doi:10.3390/nu11081928 · Cited by 12
Kaikkonen, J., Jula, A., Mikkilä, V., Juonala, M., Viikari, J. S. A., Moilanen, T. P. S., Nikkari, T., Kähönen, M. A. P., Lehtimäki, T. J., & Raitakari, O. T. (2013) · Journal of Nutrition · doi:10.3945/jn.112.172866 · Cited by 12
Rincón‐Cervera, M. Á., Bravo, R., Freitas, R. A. M. S., López‐Arana, S., & de Camargo, A. C. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-823569-0.00005-9 · Cited by 11
The Role of Diet in the Prevention and Treatment of Cardiovascular Disease
Richter, C. K., Skulas‐Ray, A. C., & Kris‐Etherton, P. M. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-802928-2.00027-8 · Cited by 13
Godhamgaonkar, A. A., Wadhwani, N. S., Randhir, K., Selukar, S. S., Dalvi, S., Dangat, K. D., Wagh, G. N., Lalwani, S. K., Chandhiok, N., Kulkarni, B., et al. (2023) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2023.102583 · Cited by 10
Wang, N. C., Bagheri, M., Olszewski, T., Friese, K. A., Smith, H., Robles, M. E., Wang, C., Brooks, A., Bordenstein, S. R., Ferguson, J. F., et al. (2021) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2021.05.013 · Cited by 11
Olive Oil Lipophenols Induce Insulin Secretion in 832/13 β-Cell Models
Caroleo, M. C., Plastina, P., Fazio, A., Torre, C. L., Manetti, F., & Cione, E. (2021) · Pharmaceutics · doi:10.3390/pharmaceutics13071085 · Cited by 10
Henderson, G. C., Evans, N. P., Grange, R. W., & Tuazon, M. A. (2014) · British Journal Of Nutrition · doi:10.1017/s0007114514000129 · Cited by 10
Capítulo 10 - Hipertensão na Criança e no Adolescente
Malachias, M. V. B., Souza, W., Plavnik, F. L., Rodrigues, C., Brandão, A., Neves, M. F., Bortolotto, L. A., Franco, R., Figueiredo, C., Jardim, P., et al. (2016) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20160160 · Cited by 9
Bioactive lipids: Chemistry, biochemistry, and biological properties
Salsinha, A. S., Machado, M., Rodríguez-Alcalá, L. M., Gomes, A., & Pintado, M. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-824043-4.00014-2 · Cited by 12
Nikolay, S., Schubert, M., Erlenbusch, N., Weber, L., Smit, I., & Matthäus, B. (2025) · European Journal of Lipid Science and Technology · doi:10.1002/ejlt.202400005 · Cited by 8
Kouvari, M., Notara, V., Panagiotakos, D. B., Michalopoulou, M., Vassileiou, N., Papataxiarchis, E., Tzanoglou, D., Mantas, Y., Kogias, Y., Stravopodis, P., et al. (2015) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.12324 · Cited by 8
Serum fatty acids profile and association with early-onset coronary artery disease
Xuan, C., Tian, Q., Li, H., Guo, J., He, G., & Lun, L. (2021) · Therapeutic Advances in Chronic Disease · doi:10.1177/20406223211033102 · Cited by 8
Metadata
- Authors
- Schwingshackl, L., Strasser, B., & Hoffmann, G.
- Affiliations
- UMIT TIROL - Private University for Health Sciences and Health Technology (AT)
- Venue
- Annals of Nutrition and Metabolism
- Publisher
- S. Karger AG
- Published
- 2011
- Volume
- 59
- Issue
- 2-4
- Pages
- 176-186
- ISSN
- 0250-6807 (ISSN-L)
- 1421-9697
- OpenAlex
- W2014433485
- Cited by
- 150
- References
- 53
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 7 · 2023: 6 · 2022: 13 · 2021: 15 · 2020: 6 · 2019: 9 · 2018: 12 · 2017: 11 · 2016: 15 · 2015: 14 · 2014: 12 · 2013: 14 · 2012: 4
- FWCI
- 1.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Nutrition and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nuts composition and effects
- Keywords
- monounsaturated fatty acids, dietary fat composition, obesity, cardiovascular risk factors, weight loss, fat mass, waist circumference, blood pressure, cholesterol, triglycerides, C-reactive protein, dietary intervention, macronutrient distribution
- MeSH terms
- Adipose Tissue, Blood Pressure, Body Weight, C-Reactive Protein, Energy Intake, Cardiovascular Diseases, Dietary Fats, Unsaturated, Fatty Acids, Monounsaturated, Humans, Cholesterol, HDL, Cholesterol, LDL, Obesity, Risk Factors, Triglycerides, Biomarkers, Randomized Controlled Trials as Topic, Waist Circumference
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