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Tabl e 2.

Sum mar y of pros pect ive coho rt stud ies exa mini ng asso ciati ons bet wee n dair y fat inta ke and CVD (n=

6).X Stud

y Locati on

Study popul

ation Follo w-up

Dairy Fat Intake Measures

(Definitions) Outco mes

Dietar y Assess ment Metho

ds Adjustments Significant

Findings Conclusion s

Bern USA 84,13 26y High-fat dairy CVD 61 Age, smoking The relative High-fat

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stein et al, 201 027

6 wom en (30- 55 y old)

(whole milk, ice cream, full- fat/hard/cream cheese, cream, sour cream, butter) and low-fat dairy (skim/1%/2%

milk, low-

fat/cottage/rico tta cheese)

(myoca rdial infarcti on or death due to CVD)

item FFQ (initial ), 118 FFQ (final)

status, total energy intake, cereal fiber intake, alcohol, trans fat, BMI, unsaturated fatty acids, menopausal status, parental history of

myocardial Infarction,

multivitamin use, vitamin E

supplementation, weekly aspirin usage, and physical activity

risk of CVD was 1.03 for each

additional serving per day of high-fat dairy with an overall

positively correlated trend (p<.01)

dairy intake was

significantl y

associated with

increased risk of CVD.

Lars son et al, 201 231

Swed

en 74,96

1 men and wom en (45- 83 y old)

10y High-fat dairy (full-fat

milk/sour milk/yogurt/ch eese, ice cream, cream, and crème fraiche) and low-fat dairy (skim/1.5%

milk, low-fat sour

milk/yogurt/ch eese, cottage cheese)

CVD (stroke, cerebr al infarcti on, hemorr hagic stroke)

350 item FFQ

Age, sex, smoking, education, BMI, physical activity, aspirin use, history of hypertension, history of diabetes, family history of myocardial

infarction, energy, alcohol, coffee, fresh red meat, processed red meat, fish, fruit and vegetable intake

The relative risk of stroke was .88 for those who consumed the highest

quintile of low-fat dairy compared to those who consumed the lowest with an overall

inversely correlated trend (p<.05)

Higher low- fat dairy intakes were

associated with lower risk of stroke.

Soe Engla 4,526 10y High-fat dairy T2DM, 114 Age, ethnicity, Intakes of

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dam ah- Mut hu et al, 201 237

nd men

and wom en (33-55 y old)

(full-fat cheese, yogurt, milk puddings, whole/Channel Islands milk) and low-fat dairy (cottage cheese, semi- skimmed/skim med milk, milk- based hot drinks)

CVD (myoca rdial infarcti on)

item

FFQ employment grade, smoking status, BMI, physical activity, family history, alcohol intake, intakes of:

fruits, vegetables, bread, meat, fish, coffee, tea and total energy

total dairy and types of dairy products showed no consistent relationship with

incident diabetes or coronary heart disease Son

estedt et al, 201 138

Swed

en 26,44

5 men and wom en (44- 74 y old)

12y High-fat milk (>2.4% fat) and low-fat milk (≤2.4%

fat)

CVD (corona ry/strok e

event)

7 day lunch and dinner diary and 168 item FFQ

Age, sex, season, energy, BMI, smoking, alcohol, leisure physical activity, education, hypertension risk, cholesterol risk, fruit and vegetable intake, fish, meat, coffee, whole grain foods intake,

substantial dietary change

No association between risk of CVD and high-fat or low-fat milk intake.

There was no association between risk of CVD and high- fat or low- fat milk intake.

Von Rues ten et al, 201 340

Germ

any 23,53 1 men and wom en (35-

8y High-fat dairy (milk/yogurt

>1.5% fat, regular curd cheese, cream) and low-fat dairy

CVD (myoca rdial infarcti on and stroke), T2DM

148 item FFQ

Age, sex, smoking status, pack-years of smoking, alcohol intake, physical activity, BMI, waist to hip ratio,

hypertension, high

No association between risk of CVD or T2DM and high-fat or low-fat dairy intake.

There was no

association between risk of T2DM or CVD and

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63 y

old) (milk/yogurt

≤1.5% fat, soured milk, low-fat curd cheese)

blood lipids,

education, vitamin supplementation, total energy intake, other food groups

high-fat or low-fat dairy intake.

War ensj ö et al, 201 041

Swed

en 1,000

men and wom en (30- 70 y old)

4y Serum

pentadecanoic acid and

heptadecanoic acid

CVD (myoca rdial infarcti on)

64-66 item FFQ

Age, sex, date of health survey, geographic region, physical activity, BMI, smoking status, education, SBP, apo-ratio, diabetes, servings per day of fruit, vegetable, alcohol, fish, meat

No

associations between risk of CVD and serum

pentadecanoi c or

heptadecanoi c acid

There was no

association between risk of CVD and serum pentadecan oic or

heptadecan oic acid.

Abbreviations: CVD, cardiovascular disease; T2DM, type II diabetes mellitus; FFQ, food frequency questionnaire;

BMI, body mass index

27Bernstein AM, Sun Q, Hu FB, Stampfer MJ, Manson JE, Willett WC. Major dietary protein sources and risk of coronary heart disease in women.

Circulation. 2010;122(9):876-883 Medline. doi:10.1161/CIRCULATIONAHA.109.915165

31Larsson SC, Virtamo J, Wolk A. Dairy consumption and risk of stroke in Swedish women and men. Stroke. 2012;43(7):1775-1780 Medline.

doi:10.1161/STROKEAHA.111.641944

37Soedamah-Muthu SS, Masset G, Verberne L, Geleijnse JM, Brunner EJ. Consumption of dairy products and associations with incident diabetes, CHD and mortality in the Whitehall II study. Br J Nutr. 2013;109(04):718-726 Medline. doi:10.1017/S0007114512001845

38Sonestedt E, Wirfält E, Wallström P, Gullberg B, Orho-Melander M, Hedblad B. Dairy products and its association with incidence of cardiovascular disease: the Malmö diet and cancer cohort. Eur J Epidemiol. 2011;26(8):609-618 Medline. doi:10.1007/s10654-011-9589-y

40von Ruesten A, Feller S, Bergmann MM, Boeing H. Diet and risk of chronic diseases: results from the first 8 years of follow-up in the EPIC- Potsdam study. Eur J Clin Nutr. 2013;67(4):412-419 Medline. doi:10.1038/ejcn.2013.7

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41Warensjö E, Jansson JH, Cederholm T, et al. Biomarkers of milk fat and the risk of myocardial infarction in men and women: a prospective, matched case-control study. Am J Clin Nutr. 2010;92(1):194-202 Medline. doi:10.3945/ajcn.2009.29054

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