Evidence map›Paper›PMID 26180251›Full record

Observational studyThe Journal of nutrition2015

Dietary Fat Intake Is Differentially Associated with Risk of Paroxysmal Compared with Sustained Atrial Fibrillation in Women.

Stephanie E Chiuve, Roopinder K Sandhu, M Vinayaga Moorthy, Robert J Glynn, Christine M Albert

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The Journal of nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00000479 (Women's Health Study of Low-dose Aspirin and Vitamin E in Apparently Healthy Women), which is not on this map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00000479 phase3completednot on this map

Women's Health Study of Low-dose Aspirin and Vitamin E in Apparently Healthy Women

TypeinterventionalSponsorBrigham and Women's HospitalRan1992 to 2005Enrolled39,876ConditionsCardiovascular Diseases, Cerebrovascular Disorders, Coronary Disease, Heart DiseasesArmsAspirin, Vitamin E, Placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Review
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  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 3 countries.

Stephanie E ChiuveCenter for Arrhythmia Prevention, Division of Preventive Medicine, and Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA; and schiuve@hsph.harvard.edu.
Roopinder K SandhuDivision of Preventive Medicine, and Division of Cardiology, University of Alberta, Edmonton, Canada.
M Vinayaga MoorthyDivision of Preventive Medicine, and.
Robert J GlynnDivision of Preventive Medicine, and.
Christine M AlbertCenter for Arrhythmia Prevention, Division of Preventive Medicine, and Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA;
Brigham and Women's Hospital · US

Funding

Women's Health Study: Continued Follow-upR01CA047988 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 1991 to 2014
$28.2M
Women's Health Study: Continued Follow-UpR01HL080467 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E. · 2005 to 2010
$4.5M
The Women's Health Study: Infrastructure Support for Continued Cohort Follow-upUM1CA182913 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 2014 to 2018
$4.0M
The VITAL Rhythm StudyR01HL116690 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ALBERT, CHRISTINE M · 2013 to 2020
$3.5M
TRIAL OF VITAMIN E, BETA-CAROTENE &ASPRIN IN WOMENR01HL043851 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E · 1991 to 2000
$1.6M
The Women's Health Study: Addition of New Data to Maximize its Research ImpactRC1HL099355 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E. · 2009 to 2010
$992k
Role of fatty acid metabolism for the prevention of sudden cardiac deathR00HL097068 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI CHIUVE, STEPHANIE ELIZABETH · 2013 to 2015
$736k
Predisposing Factors for the Development of Atrial Fibrillation Among WomenR21HL093613 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ALBERT, CHRISTINE M · 2009 to 2010
$347k
Role of fatty acid metabolism for the prevention of sudden cardiac deathK99HL097068 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI CHIUVE, STEPHANIE ELIZABETH · 2010 to 2011
$232k
NCI NIH HHS CA047988NCI NIH HHS UM1 CA182913NHLBI NIH HHS HL043851NHLBI NIH HHS HL080467NHLBI NIH HHS HL093613NHLBI NIH HHS HL099355NHLBI NIH HHS K99 HL097068NHLBI NIH HHS R00 HL097068NHLBI NIH HHS R01 HL116690
6 · The paper itself

Abstract

backgroundDietary fats have effects on biological pathways that may influence the development and maintenance of atrial fibrillation (AF). However, associations between n-3 (ω-3) polyunsaturated fatty acids and AF are inconsistent, and data on other dietary fats and AF risk are sparse.

objectivesWe examined the association between dietary fatty acid (FA) subclasses and risk of incident AF and explored whether these associations differed for sustained and paroxysmal AF.

methodsWe conducted a prospective cohort study in 33,665 women ≥45 y old without cardiovascular disease (CVD) and AF at baseline in 1993. Fat intake was estimated from food frequency questionnaires at baseline and in 2004. Incident AF was confirmed by medical records through October 2013. AF patterns were classified according to the most sustained form of AF within 2 y of diagnosis. Cox proportional hazards models with the use of a competing risk model approach estimated the RR.

resultsOver 19.2 y, 1441 cases of incident AF (929 paroxysmal and 467 persistent/chronic) were confirmed. Intakes of total fat and FA subclasses were not associated with risk of AF. Saturated fatty acids (SFAs) and monounsaturated fatty acids (MUFAs) were differentially associated with AF patterns. The RR for a 5% increment of energy from SFAs was 1.47 (95% CI: 1.04, 2.09) for persistent/chronic and 0.85 (95% CI: 0.66, 1.08) for paroxysmal AF (P-difference = 0.01). For MUFAs, the RR for a 5% increment was 0.67 (95% CI: 0.46, 0.98) for persistent/chronic and 1.03 (95% CI: 0.78, 1.34) for paroxysmal AF, although the difference between patterns was not significant (P-difference = 0.07).

conclusionsDietary fat was not associated with risk of incident AF in women without established CVD or AF. High SFA and low MUFA intakes were associated with greater risk of persistent or chronic, but not paroxysmal, AF. Improving dietary fat quality may play a role in the prevention of sustained forms of AF. The Women's Health Study was registered at clinicaltrials.gov as NCT00000479.

Indexed as

Atrial FibrillationDietary FatsFatty AcidsFatty Acids, MonounsaturatedFatty Acids, Omega-3Fatty Acids, Omega-6FemaleFollow-Up StudiesHumansMiddle AgedProportional Hazards ModelsProspective StudiesRandomized Controlled Trials as TopicRisk FactorsSurveys and QuestionnairesDietary FatsFatty AcidsFatty Acids, MonounsaturatedFatty Acids, Omega-3Fatty Acids, Omega-6atrial fibrillationepidemiologymonounsaturated fatty acidssaturated fatty acidswomen

Identifiers

PMID26180251
PMCPMC4548164
OpenAlexW1891979912

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.