How could diet affect coronary artery disease?

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    Last Updated: October 25, 2023

    There’s a big connection, although there’s still some controversy around the details, such as whether or not limiting saturated fat without considering what it’s being replaced with will do much.[1][2][3] Just like with atherosclerosis, guidelines suggest that a diet abundant in vegetables, fruits, legumes, nuts, whole grains, can help reduce the risk of CAD.[4] Weight loss for people with higher BMIs may also play a role in preventing CAD, although the current evidence suggests that modest weight loss (in the 5-10 kg range) may have limited benefits.[5]

    References

    1. ^Arne Astrup, Faidon Magkos, Dennis M Bier, J Thomas Brenna, Marcia C de Oliveira Otto, James O Hill, Janet C King, Andrew Mente, Jose M Ordovas, Jeff S Volek, Salim Yusuf, Ronald M KraussSaturated Fats and Health: A Reassessment and Proposal for Food-Based Recommendations: JACC State-of-the-Art ReviewJ Am Coll Cardiol.(2020 Aug 18)
    2. ^Penny M Kris-Etherton, Ronald M KraussPublic health guidelines should recommend reducing saturated fat consumption as much as possible: YESAm J Clin Nutr.(2020 Jul 1)
    3. ^Lee Hooper, Nicole Martin, Oluseyi F Jimoh, Christian Kirk, Eve Foster, Asmaa S AbdelhamidReduction in saturated fat intake for cardiovascular diseaseCochrane Database Syst Rev.(2020 May 19)
    4. ^Donna K Arnett, Roger S Blumenthal, Michelle A Albert, Andrew B Buroker, Zachary D Goldberger, Ellen J Hahn, Cheryl Dennison Himmelfarb, Amit Khera, Donald Lloyd-Jones, J William McEvoy, Erin D Michos, Michael D Miedema, Daniel Muñoz, Sidney C Smith Jr, Salim S Virani, Kim A Williams Sr, Joseph Yeboah, Boback Ziaeian2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice GuidelinesCirculation.(2019 Sep 10)
    5. ^Tiffany M Powell-Wiley, Paul Poirier, Lora E Burke, Jean-Pierre Després, Penny Gordon-Larsen, Carl J Lavie, Scott A Lear, Chiadi E Ndumele, Ian J Neeland, Prashanthan Sanders, Marie-Pierre St-Onge, American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Epidemiology and Prevention; and Stroke CouncilObesity and Cardiovascular Disease: A Scientific Statement From the American Heart AssociationCirculation.(2021 May 25)