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Fried food intake linked to heightened heart disease and stroke risk

Fried-food intake is linked to a heightened risk of major heart disease and stroke, finds a pooled analysis of the available research data study in The BMJ. And the risk rises with each additional 114 g weekly serving, the analysis by researchers at the Shenzhen University Health Science Centre, Shenzhen University School of Medicine, and Zhengzhou University, indicates.

It’s clear that the Western diet doesn’t promote good cardiovascular health, but it’s not clear exactly what contribution fried food might make to the risks of serious heart disease and stroke, say the researchers.

To shed some light on this, they trawled research databases, looking for relevant studies published up to April 2020, and found 19.

They pooled the data from 17, involving 562,445 participants and 36,727 major cardiovascular “events”, such as a heart attack or stroke, to assess cardiovascular disease risk.

And they pooled the data from six, involving 754,873 participants and 85,906 deaths over an average monitoring period of 9.5 years, to assess the potential link between fried food consumption and deaths from cardiovascular disease and from any cause.

Their analysis showed that compared with the lowest category of weekly fried food consumption, the highest was associated with a 28% heightened risk of major cardiovascular events; a 22% heightened risk of coronary heart disease; and a 37% heightened risk of heart failure.

These associations held true when stratified by various study and participant characteristics. What’s more, a linear association emerged between fried food consumption and major cardiovascular events, coronary heart disease, and heart failure.
These risks substantially increased by 3%, 2%, and 12%, respectively, in tandem with each additional 114 g weekly serving.

Several studies included only one type of fried food, such as fried fish, potatoes, or snacks, rather than total fried food intake, which may have underestimated the associations found, suggest the researchers.

No associations were found for deaths from cardiovascular disease or from any cause, but this might be because of the relatively small numbers involved, say the researchers. The design of the included studies varied considerably, added to which, they all relied on memory – factors that should be taken into consideration when interpreting the results, caution the researchers.

And how exactly fried foods might influence the development of cardiovascular disease isn’t entirely clear, they point out, but suggesting several possible explanations.

Fried foods boost energy intake because of their fat content and they generate harmful trans fatty acids from the hydrogenated vegetable oils often used to cook them.

Frying also boosts the production of chemical by-products involved in the body’s inflammatory response, while foods, such as fried chicken and French fries, are usually high in added salt, and often accompanied by sugar-sweetened drinks, particularly when served in fast food restaurants, they say.

 

Study details
Fried-food consumption and risk of cardiovascular disease and all-cause mortality: a meta-analysis of observational studies

Pei Qin, Ming Zhang, Minghui Han, Dechen Liu, Xinping Luo, Lidan Xu, Yunhong Zeng, Qing Chen, Tieqiang Wang, Xiaoliang Chen, Qionggui Zhou, Quanman Li, Ranran Qie, Xiaoyan Wu, Yang Li, Yanyan Zhang, Yuying Wu, Dongsheng Hu, Fulan Hu

Published in Heart in December 2020

Abstract
Objective
We performed a meta-analysis, including dose–response analysis, to quantitatively determine the association of fried-food consumption and risk of cardiovascular disease and all-cause mortality in the general adult population.
Methods
We searched PubMed, EMBASE and Web of Science for all articles before 11 April 2020. Random-effects models were used to estimate the summary relative risks (RRs) and 95% CIs.
Results
In comparing the highest with lowest fried-food intake, summary RRs (95% CIs) were 1.28 (1.15 to 1.43; n=17, I2=82.0%) for major cardiovascular events (prospective: 1.24 (1.12 to 1.38), n=13, I2=75.7%; case–control: 1.91 (1.15 to 3.17), n=4, I2=92.1%); 1.22 (1.07 to 1.40; n=11, I2=77.9%) for coronary heart disease (prospective: 1.16 (1.05 to 1.29), n=8, I2=44.6%; case–control: 1.91 (1.05 to 3.47), n=3, I2=93.9%); 1.37 (0.97 to 1.94; n=4, I2=80.7%) for stroke (cohort: 1.21 (0.87 to 1.69), n=3, I2=77.3%; case–control: 2.01 (1.27 to 3.19), n=1); 1.37 (1.07 to 1.75; n=4, I2=80.0%) for heart failure; 1.02 (0.93 to 1.14; n=3, I2=27.3%) for cardiovascular mortality; and 1.03 (95% CI 0.96 to 1.12; n=6, I2=38.0%) for all-cause mortality. The association was linear for major cardiovascular events, coronary heart disease and heart failure.
Conclusions
Fried-food consumption may increase the risk of cardiovascular disease and presents a linear dose–response relation. However, the high heterogeneity and potential recall and misclassification biases for fried-food consumption from the original studies should be considered.

 

[link url="https://heart.bmj.com/content/early/2021/01/07/heartjnl-2020-317883"]Heart study (Open access)[/link]

 

See also MedicalBrief archives:

 

[link url="https://www.medicalbrief.co.za/archives/trans-fatty-acid-bans-improving-heart-health/"]Trans fatty acid bans improving heart health[/link]

 

[link url="https://www.medicalbrief.co.za/archives/substantial-role-dietary-factors-heart-stroke-diabetes-deaths/"]Substantial role of dietary factors in heart, stroke and diabetes deaths[/link]

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