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Milk and meat in our diet: good or bad for health?

Published online by Cambridge University Press:  16 July 2010

D. I. Givens
D. I. Givens*
Affiliation:
Faculty of Life Sciences, Animal Sciences Research Group, School of Agriculture, Policy and Development, University of Reading, Reading RG6 6AR, UK
*
†E-mail: [email protected]
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Abstract

Foods derived from animals are an important source of nutrients in the diet but there is considerable uncertainty about whether or not these foods contribute to increased risk of various chronic diseases. For milk in particular there appears to be an enormous mismatch between both the advice given on milk/dairy foods items by various authorities and public perceptions of harm from the consumption of milk and dairy products, and the evidence from long-term prospective cohort studies. Such studies provide convincing evidence that increased consumption of milk can lead to reductions in the risk of vascular disease and possibly some cancers and of an overall survival advantage from the consumption of milk, although the relative effect of milk products is unclear. Accordingly, simply reducing milk consumption in order to reduce saturated fatty acid (SFA) intake is not likely to produce benefits overall though the production of dairy products with reduced SFA contents is likely to be helpful. For red meat there is no evidence of increased risk of vascular diseases though processed meat appears to increase the risk substantially. There is still conflicting and inconsistent evidence on the relationship between consumption of red meat and the development of colorectal cancer, but this topic should not be ignored. Likewise, the role of poultry meat and its products as sources of dietary fat and fatty acids is not fully clear. There is concern about the likely increase in the prevalence of dementia but there are few data on the possible benefits or risks from milk and meat consumption. The future role of animal nutrition in creating foods closer to the optimum composition for long-term human health will be increasingly important. Overall, the case for increased milk consumption seems convincing, although the case for high-fat dairy products and red meat is not. Processed meat products do seem to have negative effects on long-term health and although more research is required, these effects do need to be put into the context of other risk factors to long-term health such as obesity, smoking and alcohol consumption.

Keywords

milkmeatchronic diseaseanimal nutrition
Type
BSAS 2009 Hammond Lecture
Information
animal , Volume 4 , Issue 12 , December 2010 , pp. 1941 - 1952
Copyright
Copyright © The Animal Consortium 2010

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References

Alexander, DD, Cushing, CA, Lowe, KA, Sceurman, B, Roberts, MA 2009. Meta-analysis of animal fat or animal protein intake and colo-rectal cancer. American Journal of Clinical Nutrition 89, 1402–1409.CrossRefGoogle ScholarPubMed
Albanese, E, Dangour, AD, Uauy, R, Acosta, D, Guerra, M, Gallardo Guerra, SS, Huang, Y, Jacob, KS, Llibre de Rodriguez, J, Hernandex Noriega, L, Salas, A, Sosa, AL, Sousa, RM, Williams, J, Ferri Cleusa, P, Prince, MJ 2009. Dietary fish and meat intake and dementia in Latin America, China, and India: a 10/66 Dementia Research Group population-based study. American Journal of Clinical Nutrition 90, 392–400.CrossRefGoogle Scholar
Allender, S, Scarborough, P, Peto, V, Raynor, M, Leal, J, Luengo-Fernández, R, Gray, A 2008. European Cardiovascular Disease Statistics, 2008 edition. European Heart Network. Retrieved June 2, 2009, from http://www.ehnheart.orgGoogle Scholar
Alvarez-Leon, E-E, Roman-Vinas, B, Serra-Majem, LS 2006. Dairy products and health: a review of the epidemiological evidence. British Journal of Nutrition 96 (suppl. 1), S94–S99.Google Scholar
AmealPeptide 2009. AmealPeptide: A complete lactotripeptide. Retrieved July 2, 2010, from http://www.amealpeptide.comGoogle Scholar
AVEC 2009. The Association of Poultry Processors and Poultry Trade in the EU countries. Retrieved December 18, 2009, from http://www.avec-poultry.eu/Google Scholar
Bang, HO, Dyerberg, J, Sinclair, HM 1980. The composition of the Eskimo food in north western Greenland. American Journal of Clinical Nutrition 33, 2657–2661.CrossRefGoogle ScholarPubMed
Bates, B, Lennox, A, Swan, G 2010. National Diet and Nutrition Survey, Headline results from Year 1 of the Rolling Programme (2008/2009). Retrieved May 28, 2010, from www.food.gov.uk/science/dietarysurveys/ndnsdocuments/ndns0809year1Google Scholar
Barberger-Gateau, P, Letenneur, L, Deschamps, V, Peres, K, Dartigues, JF, Renaud, S 2002. Fish, meat, and risk of dementia: cohort study. British Medical Journal 325, 932–933.CrossRefGoogle ScholarPubMed
Bassett, CMC, Edel, AL, Patenaude, AF, McCullough, RS, Blackwood, DP, Chouinard, PY, Pacquin, P, Lamarche, B, Pierce, GN 2010. Dietary vaccenic acid has antiatherogenic effects in LDLr−/− mice. The Journal of Nutrition 140, 18–24.CrossRefGoogle ScholarPubMed
Burdge, GC, Calder, PC 2005. Conversion of α-linolenic acid to longer-chain polyunsaturated fatty acids in human adults. Reproduction Nutrition Development 45, 581–597.Google ScholarPubMed
Burdge, GC, Finnegan, YE, Minihane, AM, Williams, CM, Wootton, SA 2003. Effect of n-3 fatty acid intake upon plasma lipid fatty acid composition, conversion of [13C] alpha-linolenic acid to longer-chain fatty acids and partitioning towards beta-oxidation in older men. British Journal of Nutrition 90, 311–321.CrossRefGoogle ScholarPubMed
Butland, B, Jebb, S, Kopelman, P, McPherson, K, Thomas, S, Mardell, J, Parry, V 2007. Foresight Future Choices – Project Report Tackling Obesities: 2nd edition. Retrieved June 2, 2009, from www.foresight.gov.ukGoogle Scholar
Carone, G, Costello, D 2006. Can Europe afford to grow old? Finance and Development 43, 3. Retrieved June 5, 2009, from http://www.imf.org/external/pubs/ft/fandd/2006/09/carone.htmGoogle Scholar
Chardigny, J-M, Destaillats, F, Malpuech-Brugère, C, Moulin, J, Bauman, DE, Lock, AL, Barbano, DM, Mensink, RP, Bezelgues, J-B, Chaumont, P, Combe, N, Cristiani, I, Joffre, F, German, JB, Dionisi, F, Boirie, Y, Sébédio, J-L 2008. Do trans fatty acids from industrially produced sources and from natural sources have the same effect on cardiovascular disease risk factors in healthy subjects? Results of the trans Fatty Acids Collaboration (TRANSFACT) study. American Journal of Clinical Nutrition 87, 558–566.CrossRefGoogle ScholarPubMed
Chilliard, Y, Ferlay, A, Mansbridge, RM, Doreau, M 2000. Ruminant milk fat plasticity: nutritional control of saturated, polyunsaturated, trans and conjugated fatty acids. Annales de Zootechnie 49, 181–205.CrossRefGoogle Scholar
Clare, DA, Swainsgood, HE 2000. Bioactive milk peptides: a prospectus. Journal of Dairy Science 83, 1187–1195.CrossRefGoogle ScholarPubMed
DEFRA (Department for Environment, Food and Rural Affairs) 2010. Family food. A report on the 2008 family food module of the living costs and food survey. The Stationery Office, London, 66pp.Google Scholar
Devore, EF, Grodstein, F, van Rooij, FJA, Hofman, A, Rosner, B, Stampfer, MJ, Witteman, JCM, Breteler, MMB 2009. Dietary intake of fish and omega-3 fatty acids in relation to long-term dementia risk. American Journal of Clinical Nutrition 90, 170–176.Google ScholarPubMed
Ditchfield, B, Keller, B, Jahreis, G 2005. Cholesterol metabolism is affected by calcium phosphate supplementation in humans. Journal of Nutrition 135, 1678–1682.Google Scholar
Dyerberg, J, Bang, HO, Hjorne, N 1975. Fatty acid composition of plasma lipids in Greenland Eskimos. American Journal of Clinical Nutrition 28, 958–966.CrossRefGoogle ScholarPubMed
EFSA ( European Food Safety Authority) 2009. Labelling reference intake values for n-3 and n-6 polyunsaturated fatty acids. The EFSA Journal 1176, 1–11.Google Scholar
Elwood, PC, Pickering, JE, Givens, DI, Gallacher, J 2010. The consumption of milk and dairy foods and the incidence of vascular disease and diabetes: an overview of the evidence. Lipids, Published online April 16, 2010, doi:10.1007/s11745-010-3412-5CrossRefGoogle ScholarPubMed
Elwood, PC, Givens, DI, Beswick, AD, Fehily, AM, Pickering, JE, Gallacher, J 2008. The survival advantage of milk and dairy consumption: an overview of evidence from cohort studies of vascular diseases, diabetes and cancer. Journal of the American College of Nutrition 27, 723S–734S.CrossRefGoogle ScholarPubMed
Engberink, MF, Hendriksen, MAH, Schouten, EG, van Rooij, FJA, Hofman, A, Witteman, JCM, Geleijnse, JM 2009. Inverse association between dairy intake and hypertension: the Rotterdam Study. American Journal of Clinical Nutrition 89, 1877–1883.CrossRefGoogle ScholarPubMed
Feskens, EJM, Kromhout, D 1990. Habitual dietary intake and glucose tolerance euglycaemic men: the Zutphen Study. International Journal of Endocrinology 19, 953–959.Google ScholarPubMed
Feskens, EJM, Virtanen, SM, Rasanen, L, Tuomilehto, J, Stengard, J, Pekkanen, J, Nissinen, A, Kromhout, DA 1995. 20-year follow-up of the Finnish and Dutch cohorts of the Seven Countries Study. Diabetes Care 18, 1104–1112.CrossRefGoogle ScholarPubMed
Fishmeal Information Network 2007. Retrieved November 27, 2007, from www.gafta.com/fin/index.php?pge_id=18Google Scholar
Fleming, EC, Fisher, C, McAdam, J 2007. Genetic progress in broiler traits, implications for body composition. Proceedings of the British Society of Animal Science 2007. BSAS Annual Conference, Southport, UK, April 2007. Abstract 067.CrossRefGoogle Scholar
Gibson, RA, Makrides, M, Smithers, LG, Voevodin, M, Sinclair, AJ 2009. The effect of dairy foods on CHD: a systematic review of prospective cohort studies. British Journal of Nutrition 102, 1267–1275.CrossRefGoogle ScholarPubMed
Givens, DI 2005. The role of animal nutrition in improving the nutritive value of animal-derived foods in relation to chronic disease. Proceedings of the Nutrition Society 64, 395–402.CrossRefGoogle ScholarPubMed
Givens, DI 2008. Impact on CVD risk of modifying milk fat to decrease intake of saturated fatty acids and increase intake of cis-monounsaturates. Proceedings of the Nutrition Society 67, 419–427.CrossRefGoogle Scholar
Givens, DI, Gibbs, RA 2006. Very long chain n-3 polyunsaturated fatty acids in the food chain in the UK and the potential of animal-derived foods to increase intake. Nutrition Bulletin 31, 104–110.CrossRefGoogle Scholar
Givens, DI, Shingfield, KJ 2006. Optimising dairy milk fatty acid composition. In Improving the fat content of foods (ed. CM Williams and J Buttriss), pp. 252–280, Woodhead Publishing Ltd., Cambridge, UK.CrossRefGoogle Scholar
Givens, DI, Gibbs, RA 2008. Current intakes of EPA and DHA in European populations and the potential of animal-derived foods to increase them. Proceedings of the Nutrition Society 67, 273–280.CrossRefGoogle Scholar
Givens, DI, Kliem, KE 2009. Improving the nutritional quality of milk. In Functional and speciality beverage technology (ed. P Paquin), pp. 135–169, Woodhead Publishing Ltd., Cambridge, UK.CrossRefGoogle Scholar
Givens, DI, Minihane, AM 2009. Dairy products: their role in the diet and effects on cardiovascular disease. In Fatty acids in health promotion and disease causation (ed. RR Watson), pp. 865 AOCS Publications, Urbana, USA.Google Scholar
Givens, DI, Morgan, R, Elwood, PC 2008. Relationship between milk consumption and prostate cancer: a short review. Nutrition Bulletin 33, 279–286.CrossRefGoogle Scholar
Givens, DI, Gibbs, RA, Brown, R 2010. Effect of intensive vs. free range production on the fat and fatty acid composition of whole birds and edible portions of UK retail chickens. Proceedings of the World’s Poultry Science Association (UK Branch) Annual Meeting, April 13–14, 2010, 13 pp. (abstract).Google Scholar
Gregory, J, Lowe, S, Bates, CJ, Prentice, A, Jackson, LV, Smithers, G, Wenlock, R, Farron, M 2000. National diet and nutrition survey: young people aged 4 to 18 years. Vol. 1: report of the diet and nutrition survey. The Stationery Office, London, UK.Google Scholar
Harris, WS, Mozaffarian, D, Lefevre, M, Toner, CD, Colombo, J, Cunnane, SC, Holden, JM, Klurfeld, DM, Morris, MC, Whelan, J 2009. Towards establishing dietary reference intakes for eicosapentaenoic and docosahexaenoic acids. Journal of Nutrition 139, 804S–819S.CrossRefGoogle ScholarPubMed
Havenstein, GB, Ferket, PR, Qureshi, MA 2003. Carcass composition and yield of 1957 versus 2001 broilers when fed representative 1957 and 2001 broiler diets. Poultry Science 82, 1509–1518.CrossRefGoogle ScholarPubMed
Henderson, L, Gregory, J, Irving, K, Swan, G 2003. The national diet and nutrition survey: adults aged 19–64 years. Volume 2: energy, protein, carbohydrate, fat and alcohol intake. The Stationery Office, London 98 pp.Google Scholar
House of Commons 2009. Securing food supplies up to 2050: the challenges faced by the UK. Environment, Food and Rural Affairs Committee, Fourth Report of Session 2008–09, vol. I. The Stationery Office Limited, London, 68 pp.Google Scholar
Hulshof, KFAM, van Erp-Baart, MA, Anttolainen, M, Becker, W, Church, SM, Couet, C, Hermann-Kunz, E, Kesteloot, H, Leth, T, Martins, I, Moreiras, O, Moschandreas, J, Pizzoferrato, L, Rimestad, AH, Thorgeirsdottir, H, van Amelsvoort, JMM, Aro, A, Kafatos, AG, Lanzmann-Petithory, D, van Poppel, G 1999. Intake of fatty acids in Western Europe with emphasis on trans fatty acids: the TRANSFAIR study. European Journal of Clinical Nutrition 53, 143–157.CrossRefGoogle ScholarPubMed
Huncharek, M, Muscat, J, Kupelnick, B 2008. Dairy products, dietary calcium and vitamin D intake as risk factors for prostate cancer: a meta-analysis of 26,769 cases from 45 observational studies. Nutrition and Cancer 60, 421–441.CrossRefGoogle Scholar
Jakobsen, MU, Bysted, A, Andersen, NL, Heitmann, BL, Hartkopp, HB, Leth, T, Overvad, K, Dyerberg, L 2006. Intake of ruminant trans fatty acids and risk of coronary heart disease. Atherosclerosis Supplements 7, 9–11.CrossRefGoogle ScholarPubMed
Jagger, C, Matthews, R, Lindesay, J, Robinson, T, Croft, P, Brayne, C 2009. The effect of dementia trends and treatments on longevity and disability: a simulation model based on the MRC cognitive function and ageing study (MRC CFAS). Age and Ageing 38, 319–325.CrossRefGoogle ScholarPubMed
Kinjo, Y, Beral, V, Akiba, S, Key, T, Mizuno, S, Appleby, P, Yamaguchi, N, Watanabe, S, Doll, R 1999. Possible protective effect of milk, meat and fish for cerebrovascular disease mortality in Japan. Journal of Epidemiology 9, 268–274.CrossRefGoogle ScholarPubMed
Kröger, E, Verreault, R, Carmichael, P-H, Lindsay, J, Julien, P, Dewailly, E, Ayotte, P, Laurin, D 2009. Omega-3 fatty acids and risk of dementia: the Canadian study of health and aging. American Journal of Clinical Nutrition 90, 184–192.Google ScholarPubMed
MAFF 2001. Household Consumption of Selected Foods from 1942 onwards. The National Food Survey. Retrieved March 2, 2006, from www.defra.gov.uk/evidence/statistics/foodfarm/food/familyfood/nationalfoodsurvey/index.htmGoogle Scholar
McAfee, AJ, McSorley, EM, Cuskelly, GJ, Moss, BW, Wallace, JMW, Bonham, MP, Fearon, AM 2010. Red meat consumption: an overview of the risks and benefits. Meat Science 84, 1–13.CrossRefGoogle ScholarPubMed
Mensink, RP, Zock, PL, Kester, AD, Katan, MB 2003. Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol and on serum lipids and apolipoproteins: a meta-analysis of 60 controlled trials. American Journal of Clinical Nutrition 77, 1146–1155.CrossRefGoogle ScholarPubMed
Micha, R, Wallace, SK, Mozaffarian, D 2010. Red and processed meat consumption and risk of incident coronary heart disease, stroke, and diabetes mellitus. A systematic review and meta-analysis. Circulation 121, 2271–2283.CrossRefGoogle ScholarPubMed
Nicholls, SJ, Lundman, P, Harmer, JA, Cutri, B, Griffiths, KA, Rye, K-A, Barter, PJ, Celermajer, DS 2006. Consumption of saturated fat impairs the anti-inflammatory properties of high density lipoproteins and endothelial function. Journal of the American College of Cardiology 48, 715–720.CrossRefGoogle ScholarPubMed
Nugent, AP 2004. The metabolic syndrome. Nutrition Bulletin 29, 36–43.Google Scholar
Oomen, CM, Ocke, MC, Feskens, EJ, van Erp-Baart, MA, Kok, FJ, Kromhout, D 2001. Association between trans fatty acid intake and 10-year risk of coronary heart disease in the Zutphen Elderly Study: a prospective population-based study. Lancet 357, 746–751.CrossRefGoogle ScholarPubMed
Pala, V, Krogh, V, Berrino, F, Sieri, S, Grioni, S, Tjønneland, A, Olsen, A, Jakobsen, MU, Overvad, K, Clavel-Chapelon, F, Boutron-Ruault, MC, Romieu, I, Linseisen, J, Rohrmann, S, Boeing, H, Steffen, A, Trichopoulou, A, Benetou, V, Naska, A, Vineis, P, Tumino, R, Panico, S, Masala, G, Agnoli, C, Engeset, D, Skeie, G, Lund, E, Ardanaz, E, Navarro, C, Sánchez, MJ, Amiano, P, Svatetz, CA, Rodriguez, L, Wirfält, E, Manjer, J, Lenner, P, Hallmans, G, Peeters, PH, van Gils, CH, Bueno-de-Mesquita, HB, van Duijnhoven, FJ, Key, TJ, Spencer, E, Bingham, S, Khaw, KT, Ferrari, P, Byrnes, G, Rinaldi, S, Norat, T, Michaud, DS, Riboli, E 2009. Meat, eggs, dairy products, and risk of breast cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. American Journal of Clinical Nutrition 90, 602–612.Google ScholarPubMed
Parker, DR, Weiss, ST, Troisi, R, Cassano, PA, Vokonas, PS, Landsberg, L 1993. Relationship of dietary saturated fatty acids and body habitus to serum insulin concentrations: the Normative Aging Study. American Journal of Clinical Nutrition 58, 129–136.CrossRefGoogle ScholarPubMed
Parodi, PW 2005. Dairy product consumption and the risk of breast cancer. Journal of the American College of Nutrition 24, 556S–568S.CrossRefGoogle ScholarPubMed
Parodi, PW 2009. Dairy product consumption and the risk of prostate cancer. International Dairy Journal 19, 551–565.Google Scholar
Pietinen, P, Ascherio, A, Korhonen, P, Hartman, AM, Willett, WC, Albanes, D, Virtamo, J 1997. Intake of fatty acids and risk of coronary heart disease in a cohort of Finnish men: the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study. American Journal of Epidemiology 145, 876–887.Google Scholar
Pisulewski, PM, Franczyk, M, Kostogrys, RB 2005. Health-related effects of nutritionally modified foods of animal origin. Journal of Animal and Feed Sciences 14 (suppl. 1), 71–85.CrossRefGoogle Scholar
Pufulete, M 2008. Intake of dairy products and risk of colo-rectal neoplasia. Nutrition Research Reviews 21, 56–67.CrossRefGoogle Scholar
Tierney, AC, McMonagle, J, Shaw, DI, Gulseth, HL, Defoort, C, Saris, WHM, Paniagua, JA, bek-Leszczyńska, I, Larion, D, Williams, CM, Karsltrom, B, Vessby, B, Dembinska-Kiec, A, Lopez Miranda, J, Blaak, E, Drevon, CA, Gibney, MJ, Lovegrove, JA, Roche, HM 2008. Effects of dietary fat modifications on insulin sensitivity and metabolic markers of the metabolic syndrome. Lipgene – a randomised European dietary intervention study. Proceedings of Lipgene Workshop, UCD, Dublin December 2008, 30pp. Retrieved June 21, 2010, from www.ucd.ie/lipgene/downloads/lipgene_booklet/LipGene_booklet.pdfCrossRefGoogle Scholar
Ruidavets, JB, Bongard, V, Simon, C, Dallongevill, J, Ducimetière, P, Arveiler, D, Amouyel, P, Bingham, A, Ferrières, J 2006. Independent contribution of dairy products and calcium intake to blood pressure variations at a population level. Journal of Hypertension 24, 671–681.CrossRefGoogle ScholarPubMed
SACN/COT 2004. Scientific Advisory Committee on Nutrition (SACN) and Committee on Toxicity (COT), advice on fish consumption: benefits and risks. Norwich. The Stationery Office, London, UK, 204 pp.Google Scholar
Sioen, IA, Pynaert, I, Matthys, C, De Backer, G, Van Camp, J, De Henauw, S 2006. Dietary intakes and food sources of fatty acids for Belgian women, focused on n-6 and n-3 polyunsaturated fatty acids. Lipids 41, 415–422.CrossRefGoogle ScholarPubMed
Sustainable Development Commission 2009. Setting the Table. Advice to Government on Priority Elements of Sustainable Diets. Retrieved May 8, 2010, from www.sd-commission.org.uk/publications.php?id=1033Google Scholar
Toledo, E, Delgado-Rodŕıguez, M, Estruch, R, Salas-Salvadó, J, Corella, D, Gomez-Gracia, E, Fiol, M, Lamuela-Raventós, RM, Schröder, H, Arós, F, Ros, E, Ruíz-Gutiérrez, V, Lapetra, J, Conde-Herrera, M, Sáez, G, Vinyoles, E, Martínez-González, MA 2009. Low-fat dairy products and blood pressure: follow-up of 2290 older persons at high cardiovascular risk participating in the PREDIMED study. British Journal of Nutrition 101, 59–67.CrossRefGoogle ScholarPubMed
Ungoed-Thomas, J 2005. ‘Healthy’ chicken piles on the fat. Sunday Times, April 3, 2005.Google Scholar
Umesawa, M, Iso, H, Date, C, Yamamoto, A, Toyoshima, H, Watanabe, Y, Kikuchi, S, Koizumi, A, Kondo, T, Inaba, Y, Tanabe, N, Tamakoshi, A 2006. Dietary intake of calcium in relation to mortality from cardiovascular disease: the JACC study. Stroke 37, 20–26.CrossRefGoogle ScholarPubMed
van der Pols, JC, Gunnell, D, Williams, GM, Holly, JMP, Bain, C, Martin, RM 2009. Childhood dairy and calcium intake and cardiovascular mortality in adulthood: 65-year follow-up of the Boyd-Orr cohort. Heart 95, 1600–1606.CrossRefGoogle ScholarPubMed
van Gelder, BM, Tijhuis, M, Kalmijn, S, Kromhout, D 2007. Fish consumption, n-3 fatty acids, and subsequent 5-y cognitive decline in elderly men: the Zutphen Elderly Study. American Journal of Clinical Nutrition 85, 1142–1147.CrossRefGoogle ScholarPubMed
Vessby, B, Uusitupa, M, Hermansen, K, Riccardi, G, Rivellese, AA, Tapsell, LC, Nälsén, C, Berglund, L, Louheranta, A, Rasmussen, BM, Calvert, GD, Maffetone, A, Pedersen, E, Gustafsson, L-B, Storlien, LH 2001. Substituting dietary saturated for monounsaturated fat impairs insulin sensitivity in healthy men and women. Diabetologia 44, 312–319.CrossRefGoogle ScholarPubMed
Wang, Y, Lehane, C, Ghebremeskel, K, Crawford, MA 2009. Modern organic and broiler chickens sold for human consumption provide more energy from fat than protein. Public Health Nutrition 13, 400–408.CrossRefGoogle ScholarPubMed
Wang, C, Harris, WS, Chung, M, Lichtenstein, AH, Balk, EM, Kupelnick, B, Jordan, HS, Lau, J 2006. n-3 Fatty acids from fish or fish oil supplements, but not α-linolenic acid, benefit cardiovascular disease outcomes in primary- and secondary-prevention studies: a systematic review. American Journal of Clinical Nutrition 84, 5–17.CrossRefGoogle Scholar
Warensjö, E, Sundström, J, Vessby, B, Cederholm, T, Risérus, U 2008. Markers of dietary fat quality and fatty acid desaturation as predictors of total and cardiovascular mortality: a population-based prospective study. American Journal of Clinical Nutrition 88, 203–209.CrossRefGoogle ScholarPubMed
WCRF 1997. World Cancer Research Fund/American Institute for Cancer Research: food, nutrition, physical activity and the prevention of cancer: a global perspective. AICR (American Institute for Cancer Research), Washington, DC, 670 pp.Google Scholar
WCRF 2007. World Cancer Research Fund/American Institute for Cancer Research: food, nutrition, physical activity and the prevention of cancer: a global perspective, pp. 129–132, AICR (American Institute for Cancer Research), Washington DC.Google Scholar
WHO/FAO (World Health Organization/Food Agricultural Organization) 2003. Diet, nutrition and the prevention of chronic diseases. Report of a joint WHO/FAO Expert Consultation. WHO Technical Report series 916, Geneva, Switzerland, WHO, 148 pp.Google Scholar
Willett, WC, Stampfer, MJ, Manson, JE, Colditz, GA, Speizer, FE, Rosner, BA, Sampson, LA, Hennekens, CH 1993. Intake of trans fatty acids and risk of coronary heart disease among women. Lancet 341, 581–585.CrossRefGoogle ScholarPubMed
Yamada, M, Kasagi, F, Sasaki, H, Masunari, N, Mimori, Y, Suzuki, G 2003. Association between dementia and midlife risk factors: the radiation effects research foundation Adult Health Study. Journal of the American Geriatrics Society 51, 410–414.CrossRefGoogle ScholarPubMed
Zock, PL 2006. Health problems associated with saturated and trans fatty acids intake. In Improving the fat content of foods (ed. CM Williams and J Buttriss), pp. 3–24, Woodhead Publishing Ltd., Cambridge, UK.CrossRefGoogle Scholar