Cochrane · systematic review · CD011737

Reduction in saturated fat intake for cardiovascular disease

Hooper, L, Martin, N, Jimoh, OF, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Heart3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 37.5%Low 2 · 25%Moderate 3 · 37.5%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Effect of reducing saturated fat compared to usual saturated fat on CVD risk in adults (note: for the full set of GRADE tables see additional tables 24 to 28)

Population: people at any baseline risk of CVD
8 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Effect of reducing saturated fat vs usual saturated fat on CVD risk
RR 0.96 [0.9, 1.03]12 studies · 55858 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Cardiovascular mortality
Effect of reducing saturated fat vs usual saturated fat on CVD risk
RR 0.94 [0.78, 1.13]11 studies · 53421 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Combined cardiovascular events
Effect of reducing saturated fat vs usual saturated fat on CVD risk
RR 0.83 [0.7, 0.98]13 studies · 53758 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Myocardial infarctions
Effect of reducing saturated fat vs usual saturated fat on CVD risk
RR 0.9 [0.8, 1.01]11 studies · 53167 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Non‐fatal MI
Effect of reducing saturated fat vs usual saturated fat on CVD risk
RR 0.97 [0.87, 1.07]8 studies · 52834 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
Stroke
Effect of reducing saturated fat vs usual saturated fat on CVD risk
RR 0.92 [0.68, 1.25]7 studies · 50952 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
CHD mortality
Effect of reducing saturated fat vs usual saturated fat on CVD risk
RR 0.97 [0.82, 1.16]9 studies · 53159 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias
CHD events
Effect of reducing saturated fat vs usual saturated fat on CVD risk
RR 0.83 [0.68, 1.01]11 studies · 53199 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias