A study involving nearly 200,000 participants over multiple decades reveals that food quality is as important as macronutrient composition in influencing heart disease risk, surpassing the impact of low-carb or low-fat content.
High-quality foods like whole grains, fruits, vegetables, nuts, and legumes within low-carb or low-fat diets offer better protection against coronary heart disease compared to diets with unhealthy food sources.
The research integrates dietary intake data with clinical endpoints from long-term cohort studies, highlighting the significant role of food quality in modulating heart health.
Diets rich in plant-based, minimally processed foods are associated with reduced heart disease risk, while diets high in refined carbohydrates, saturated fats, and animal-based proteins elevate the risk.
Data from three cohorts with detailed dietary information and cardiovascular outcomes support the analysis of diet quality indices within low-carb and low-fat patterns.
Quality scores for low-carb and low-fat diets were assigned based on food sources, showing that subtle variations in diet composition can impact metabolic health and cardiovascular risk.
Healthy versions of both low-carb and low-fat diets reduce coronary heart disease risk by around 15%, emphasizing the importance of food quality over nutrient quantity.
The study recommends emphasizing whole, minimally processed foods and reducing intake of refined grains and processed animal products for heart disease prevention, regardless of following a low-carb or low-fat framework.
Consumer education on food labels and ingredients is essential to empower individuals to make informed choices for long-term cardiovascular health.
The research findings challenge conventional dietary paradigms by emphasizing the crucial role of food quality in promoting cardiovascular wellness over macronutrient manipulation alone.
Dr. Wu will present the findings at NUTRITION 2025, highlighting the potential for these insights to shape future dietary guidelines and public health interventions.