Macro partitioning
Higher intake of fish and shellfish, dietary fiber, and saturated fatty acids (SFA) is independently associated with a reduced risk of incident atherosclerotic cardiovascular disease (ACVD).
Ensure you are eating at least 300g of fish and shellfish per week and consuming enough dietary fiber (≥2.4g per megajoule of energy). Do not fear saturated fats from whole food sources like dairy, as this study suggests they may be protective when part of a high-quality diet. Focus on the quality of your fats and fibers rather than eliminating them.
Intake of fish and shellfish (HR 0.95 per SD increment...), dietary fiber (HR 0.93 per SD increment...), and SFA (HR 0.96 per SD increment...) was associated with reduced risk of ACVD in the multivariable Cox regression analysis including mutual adjustment for the six diet quality index components.
Why this rating
Same high-quality cohort data as N1, with mutual adjustment for other diet components.
Source
Diet and Lifestyle Factors and Risk of Atherosclerotic Cardiovascular Disease—A Prospective Cohort Study
Stefan Acosta et al. · Nutrients · 2021
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