ArticleBulletin of the World Health Organization2008
Estimating the cardiovascular mortality burden attributable to the European Common Agricultural Policy on dietary saturated fats.
Article in Bulletin of the World Health Organization, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prophylactic lidocaine for myocardial infarction.The Cochrane database of systematic reviews · 2015Pooled it
- Systematic review of reducing population meat consumption to reduce greenhouse gas emissions and obtain health benefits: effectiveness and models assessments.International journal of public health · 2013Pooled it
- Effectiveness of a quality improvement intervention targeting cardiovascular risk factors: are patients responsive to information and encouragement by mail or post?Vascular health and risk management · 2013Trial
- Early combined parenteral and enteral nutrition support for patients over 80 years old with non-operative intestinal obstruction.Frontiers in nutrition · 2026Article
- The potential impact of policies and structural interventions in reducing cardiovascular disease and mortality: a systematic review of simulation-based studies.Health technology assessment (Winchester, England) · 2025Article
- Position Statement on Fat Consumption and Cardiovascular Health - 2021.Arquivos brasileiros de cardiologia · 2021Article
- Guidelines for parenteral and enteral nutrition in geriatric patients in China.Aging medicine (Milton (N.S.W)) · 2020Article
- Substituting polyunsaturated fat for saturated fat: A health impact assessment of a fat tax in seven European countries.PloS one · 2019Article
- Article
- Cardiovascular disease and hypertension in sub-Saharan Africa: burden, risk and interventions.Internal and emergency medicine · 2016Review
- Food and Agriculture Policy in Europe.AIMS public health · 2016Article
- Emerging nutrition science on fatty acids and cardiovascular disease: nutritionists' perspectives.Advances in nutrition (Bethesda, Md.) · 2015Review
- The food environment of youth baseball.Childhood obesity (Print) · 2014Article
- The growing price gap between more and less healthy foods: analysis of a novel longitudinal UK dataset.PloS one · 2014Article
- Twentieth anniversary of the European Union health mandate: taking stock of perceived achievements, failures and missed opportunities - a qualitative study.BMC public health · 2013Article
- The nitrogen cascade from agricultural soils to the sea: modelling nitrogen transfers at regional watershed and global scales.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2013Article
- The new EU directive on the use of animals for research and the value of moral consistency.Journal of bioethical inquiry · 2012Article
- Potential cardiovascular mortality reductions with stricter food policies in the United Kingdom of Great Britain and Northern Ireland.Bulletin of the World Health Organization · 2012Article
- Cardiovascular disease in low- and middle-income countries: an urgent priority.Ethnicity & health · 2012Article
- The role of reducing intakes of saturated fat in the prevention of cardiovascular disease: where does the evidence stand in 2010?The American journal of clinical nutrition · 2011Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo estimate the burden of cardiovascular disease within 15 European Union countries (before the 2004 enlargement) as a result of excess dietary saturated fats attributable to the Common Agricultural Policy (CAP).
methodsA spreadsheet model was developed to synthesize data on population, diet, cholesterol levels and mortality rates. A conservative estimate of a reduction in saturated fat consumption of just 2.2 g was chosen, representing 1% of daily energy intake. The fall in serum cholesterol concentration was then calculated, assuming that this 1% reduction in saturated fat consumption was replaced with 0.5% monounsaturated and 0.5% polyunsaturated fats. The resulting reduction in cardiovascular and stroke deaths was then estimated, and a sensitivity analysis conducted.
findingsReducing saturated fat consumption by 1% and increasing monounsaturated and polyunsaturated fat by 0.5% each would lower blood cholesterol levels by approximately 0.06 mmol/l, resulting in approximately 9800 fewer coronary heart disease deaths and 3000 fewer stroke deaths each year.
conclusionThe cardiovascular disease burden attributable to CAP appears substantial. Furthermore, these calculations were conservative estimates, and the true mortality burden may be higher. The analysis contributes to the current wider debate concerning the relationship between CAP, health and chronic disease across Europe, together with recent international developments and commitments to reduce chronic diseases. The reported mortality estimates should be considered in relation to the current CAP and any future reforms.
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