Evidence map›Paper›PMID 40885400›Full record

SynthesisAdvances in nutrition (Bethesda, Md.)2025

Dietary Polyunsaturated to Saturated Fatty Acid Ratio as an Indicator for LDL Cholesterol Response: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.

Tricia L Hart, Janhavi J Damani, Zachary S DiMattia, Kayla E Tate, Fatemeh Jafari, Kristina S Petersen

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Advances in nutrition (Bethesda, Md.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Bromatological Profile of Fruits fromAntioxidants (Basel, Switzerland) · 2026
    Article
  9. Article
  10. Article
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

6 authors.

Tricia L HartDepartment of Nutritional Sciences, Pennsylvania State University, University Park, PA, United States.
Janhavi J DamaniDepartment of Nutritional Sciences, Pennsylvania State University, University Park, PA, United States.
Zachary S DiMattiaDepartment of Nutritional Sciences, Pennsylvania State University, University Park, PA, United States.
Kayla E TateDepartment of Nutritional Sciences, Pennsylvania State University, University Park, PA, United States.
Fatemeh JafariDepartment of Nutritional Sciences, Pennsylvania State University, University Park, PA, United States.
Kristina S PetersenDepartment of Nutritional Sciences, Pennsylvania State University, University Park, PA, United States. Electronic address: kup63@psu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDietary guidelines recommend limiting saturated fatty acid (SFA) intake by replacing SFA with polyunsaturated fatty acid (PUFA). PUFA and SFA have opposing effects on low density lipoprotein (LDL) cholesterol, and therefore, the dietary ratio of PUFA to SFA (P:S) may be a better indicator of LDL cholesterol response than SFA alone.

objectivesA systematic review and meta-analysis of randomized clinical trials was conducted to examine LDL cholesterol responses to higher P:S ratio diets compared with isoenergetic, total fat-matched diets with lower P:S ratios in healthy adults.

methodsA systematic search of PubMed, Cochrane Central, and Web of Science was conducted. Randomized complete feeding trials lasting ≥3 wk, including 2 test diets with P:S ratios differing by >0.3 that were matched for energy, fiber, and total fat, were included. Random effects meta-analysis was used to evaluate the mean difference (MD) in LDL cholesterol with higher P:S ratio diets compared to lower P:S ratio diets. Heterogeneity in the effect of the P:S ratio by SFA content of the test diets was also evaluated.

resultsIn total, 1001 publications were identified, and 24 publications reporting 24 trials (n = 1011) were eligible. Higher P:S ratio diets (median P:S ratio 1.2; PUFA 10.6% kcal; SFA 8.0% kcal; and MUFA 12.6% kcal) lowered LDL cholesterol [MD -9.83 mg/dL; 95% confidence interval (CI): -13.63, -6.04; I

conclusionsCompared with lower P:S ratio diets, higher P:S ratio diets were associated with greater LDL cholesterol reductions in generally healthy adults, and this effect was stronger when PUFA replaced SFA. This trial was registered at Prospective Register of Systematic Reviews (PROSPERO) as CRD42023452550.

Indexed as

Cholesterol, LDLDietDietary FatsFatty AcidsFatty Acids, UnsaturatedAdultFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicCholesterol, LDLDietary FatsFatty AcidsFatty Acids, UnsaturatedLDL cholesterolmeta-analysispolyunsaturated fatty acidsPUFA:SFA ratiosaturated fatty acids

Identifiers

PMID40885400
PMCPMC12483678

What OpenQuestion holds

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Registered trials

None linked

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.