Effects of changes in fat, fish, and fibre intakes on death and myocardial reinfarction: diet and reinfarction trial (DART)

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Lancet 1989 Sep 30;2(8666):757-61 Related Articles, Books, LinkOut

Lancet. 1989 Dec 16;2(8677):1450-2

Effects of changes in fat, fish, and fibre intakes on death and myocardial

reinfarction: diet and reinfarction trial

(DART)

Burr ML, Fehily AM, Gilbert JF, S, Holliday RM, Sweetnam PM, Elwood PC,

Deadman NM.

MRC Epidemiology Unit, Cardiff.

A randomised controlled trial with a factorial design was done to examine the

effects of dietary intervention in the

secondary prevention of myocardial infarction (MI). 2033 men who had recovered

from MI were allocated to receive or not

to receive advice on each of three dietary factors:

1) A reduction in fat intake and an increase in the ratio of polyunsaturated to

saturated fat.

2) An increase in fatty fish intake.

3) An increase in cereal fibre intake.

The advice on fat (1) was not associated with any difference in mortality,

perhaps because it produced only a small

reduction (3-4%) in serum cholesterol.

The subjects advised to eat fatty fish (2) had a 29% reduction in 2 year

all-cause mortality compared with those not so

advised.

This effect, which was significant, was not altered by adjusting for ten

potential confounding factors.

Subjects given fibre advice (3) had a slightly higher mortality than other

subjects (not significant).

The 2 year incidence of reinfarction plus death from ischaemic heart disease was

not significantly affected by any of

the dietary regimens. A modest intake of fatty fish (two or three portions per

week) may reduce mortality in men who

have recovered from MI.

PMID: 2571009 [PubMed - indexed for MEDLINE]

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Another clear win for dietary EPA. So if you don't eat fish and don't fancy

standard fish oil capsules, use the high

EPA 92 % OmegaBrite capsules.

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Good Health & Long Life,

Greg ,

http://www.ozemail.com.au/~gowatson

gowatson@...