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Food Sources of Saturated Fat and the Association With Mortality: A Meta-Analysis
Open accessAbstract
We summarized the data related to foods high in saturated fat and risk of mortality. We searched Cochrane Library, MEDLINE, EMBASE, and ProQuest for studies from January 1952 to May 2012. We identified 26 publications with individual dietary data and all-cause, total cancer, or cardiovascular mortality as endpoints. Pooled relative risk estimates demonstrated that high intakes of milk, cheese, yogurt, and butter were not associated with a significantly increased risk of mortality compared with low intakes. High intakes of meat and processed meat were significantly associated with an increased risk of mortality but were associated with a decreased risk in a subanalysis of Asian studies. The overall quality of studies was variable. Associations varied by food group and population. This may be because of factors outside saturated fat content of individual foods. There is an ongoing need for improvement in assessment tools and methods that investigate food sources of saturated fat and mortality to inform dietary guidelines.
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“Butter consumption is also not significantly associated with incident CHD,223 stroke,222 or total mortality58 (Figure 6).”
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BackgroundProduction, Composition and Nutritional Properties of Organic Milk: A Critical Review
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“Red meats, and processed and fried foods contain highlevelsof long-chain saturated FAs, whereas dairy products, such as milk andcheese, arerichinmedium-chainsaturatedFAs (97).”
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“For example, meta-analyses of observational studies have failed to show an association between higher intake of SFAs or their food sources and increased risk of overall mortality (1) or cardiovascular diseases (2).”
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“Methods: The review was guided by a protocol agreed a priori and informed by an extensive literature search conducted in November 2013.”
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“Saturated fat is associated with cardiovascular disease and mortality, 37 and generally related to an unhealthy lifestyle, since w Correlation significant at p o 0.05 (two-tailed).”
InfluentialAdherence to the MIND diet is associated with 12-year all-cause mortality in older adults
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“This is an important feature in our analyses, because food-mortality associations tend to be nonlinear (Johansson, 1994; O’Sullivan et al., 2013).”
BackgroundMilk and dairy products – a scoping review for Nordic Nutrition Recommendations 2023
Holven, K. B., & Sonestedt, E. (2024) · Food & Nutrition Research · doi:10.29219/fnr.v68.10486 · Cited by 20
Kızılarslanoğlu, M. C., Kilic, M. K., Gokce, D., Şakalar, T., & Ülger, Z. (2016) · The journal of nutrition health & aging · doi:10.1007/s12603-016-0744-8 · Cited by 18
Onni, A. T., Balakrishna, R., Perillo, M., Amato, M., Arjmand, E. J., Thomassen, L. M., Lorenzini, A., & Fadnes, L. T. (2025) · Advances in Nutrition · doi:10.1016/j.advnut.2025.100393 · Cited by 23
Rajendiran, E., Lamarche, B., She, Y., Ramprasath, V. R., Eck, P., Brassard, D., Gigleux, I., Levy, E. H., Tremblay, A., Couture, P., et al. (2021) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqab064 · Cited by 19
Habitual Yogurt Consumption and Health-Related Quality of Life: A Prospective Cohort Study
López‐García, E., León-Muñoz, L. M., Guallar‐Castillón, P., & Rodríguez‐Artalejo, F. (2014) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2014.05.013 · Cited by 17
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“According to O’Sullivan et al.(60), studies using quantitative dietary assessments, such as multiple 24 h recalls, diet histories or diet records with sufficient length of follow-up and sufficient personal and lifestyle data to adequately adjust for potential confounders, are necessary to clarify the scientific eviden…”
BackgroundNutrition and public health economic evaluations under the lenses of post normal science
Piano, S. L., & Robinson, M. (2019) · Futures · doi:10.1016/j.futures.2019.06.008 · Cited by 17
Bard, J., Drouet, L. O., Lairon, D., Cazaubiel, M., Marmonier, C., Ninio, E., Sollier, C. B. D., Martin, J., Boyer, C., Bobin‐Dubigeon, C., et al. (2019) · European Journal of Clinical Nutrition · doi:10.1038/s41430-019-0528-4 · Cited by 18
Wojda, A., Janczy, A., & Małgorzewicz, S. (2021) · Acta Biochimica Polonica · doi:10.18388/abp.2020_5515 · Cited by 17
“It may be suggested that plant-based diet may be more beneficial for reducing CVD risk, however LC-SFA can be also found in plant delivered oils such as coconut (USDA, 2019), palm (Forouhi et al., 2018) and cocoa (Nettleton et al., 2017).”
BackgroundInfluentialLes effets des nutriments dépendent-ils des aliments qui les portent ? L’effet matrice
Lecerf, J. M., & Legrand, P. (2015) · Cahiers de Nutrition et de Diététique · doi:10.1016/j.cnd.2014.12.003 · Cited by 17
Hyatt, J. R., Zhang, S., & Akoh, C. C. (2023) · Food Chemistry · doi:10.1016/j.foodchem.2023.135835 · Cited by 16
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Parys, A. V., Sæle, J., Puaschitz, N. G., Anfinsen, Å. M., Karlsson, T., Olsén, T., Haugsgjerd, T. R., Vinknes, K. J., Holven, K. B., Dierkes, J., et al. (2022) · European Journal of Preventive Cardiology · doi:10.1093/eurjpc/zwac217 · Cited by 16
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White, G. R. T., Parfitt, S., Lee, C., & Mason-Jones, R. K. (2016) · Strategic Change · doi:10.1002/jsc.2061 · Cited by 15
Relations between dairy product intake and blood pressure
Aljuraiban, G. S., Stamler, J., Chan, Q. M., Horn, L. V., Daviglus, M. L., Elliott, P., & Griep, L. M. O. (2018) · Journal of Hypertension · doi:10.1097/hjh.0000000000001779 · Cited by 15
“These findings are compatible with previous systematic reviews of prospective cohort studies showing no association of total dairy intake with CVD mortality [39,40], but an inverse association with”
Shahid, M., Gaines, A., Coyle, D. H., Alessandrini, R., Finnigan, T. J. A., Frost, G. S., Marklund, M., & Neal, B. C. (2023) · American Journal of Clinical Nutrition · doi:10.1016/j.ajcnut.2023.03.019 · Cited by 16
Martin, J., Berton, A., Giniès, C., Bott, R., Scheercousse, P., Saddi, A., Gripois, D., Landrier, J., Dalemans, D., Alessi, M., et al. (2015) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00032.2015 · Cited by 14
O’Sullivan, T. A., Bremner, A., Mori, T. A., Beilin, L. J., Wilson, C., Hafekost, K., Ambrosini, G. L., Huang, R. C., & Oddy, W. H. (2016) · Nutrients · doi:10.3390/nu8010022 · Cited by 14
Self-citationEffectiveness of Changes in Diet Composition on Reducing the Incidence of Cardiovascular Disease
Calabrese, I., & Riccardi, G. (2019) · Current Cardiology Reports · doi:10.1007/s11886-019-1176-y · Cited by 14
Lu, Y., Sugawara, Y., Matsuyama, S., Fukao, A., & Tsuji, I. (2021) · European Journal of Nutrition · doi:10.1007/s00394-021-02734-6 · Cited by 13
“Numerous metaanalyses generally reported null associations [16, 18, 19, 21, 22, 24], but studies conducted in Asian populations showed controversial results [27, 44, 46, 47].”
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Coconut and sunflower oil ratios in ice cream influence subsequent food selection and intake
Rizzo, G., Masic, U., Harrold, J. A., Norton, J. E., & Halford, J. C. G. (2016) · Physiology & Behavior · doi:10.1016/j.physbeh.2016.05.040 · Cited by 13
“Moreover, current trends suggest that the recommended fat intake of 30% energy per day is being exceeded in the UK with poor quality saturated fats such as butter (Harwood et al., 2007) which has been reported to be harmful to health (O'Sullivan et al., 2013).”
BackgroundAcides gras saturés et risque cardio-métabolique
Lecerf, J. (2016) · Médecine des Maladies Métaboliques · doi:10.1016/s1957-2557(16)30141-9 · Cited by 13
Stasinopoulos, L. C., Zhou, A., & Hyppönen, E. (2019) · British Journal Of Nutrition · doi:10.1017/s0007114519003076 · Cited by 13
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Metadata
- Authors
- O’Sullivan, T. A., Hafekost, K., Mitrou, F., & Lawrence, D.
- Affiliations
- Edith Cowan University (AU)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2013-09
- Volume
- 103
- Issue
- 9
- Pages
- e31-e42
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC3966685
- OpenAlex
- W2113368413
- Cited by
- 168
- References
- 58
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 8 · 2023: 10 · 2022: 18 · 2021: 16 · 2020: 14 · 2019: 20 · 2018: 13 · 2017: 12 · 2016: 21 · 2015: 16 · 2014: 7
- FWCI
- 2.10
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Research Online (Edith Cowan University) (submittedVersion)
- Funders
- Dairy Innovation Australia Limited
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Keywords
- saturated fat, mortality, all-cause mortality, cancer mortality, cardiovascular mortality, dairy products, milk, cheese, yogurt, butter, meat consumption, processed meat, dietary assessment, dietary guidelines
- MeSH terms
- Dairy Products, Dietary Fats, Food, Food Analysis, Humans, Mortality, Risk Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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