Swapping 2% of your diet’s bad fats (trans fats) for healthy oils like soybean or corn oil lowers your cholesterol ratio more than swapping them for bread or pasta.
Scientific Claim
Isocaloric replacement of 2% of dietary calories from trans fatty acids (TFA) with polyunsaturated fatty acids (PUFA) is associated with a greater reduction in the total cholesterol to HDL-C ratio than replacement with carbohydrates (-0.13 vs. -0.07).
Original Statement
“Isocaloric replacement of TFA (2% calories) by PUFA had twice the effect on total/HDL ratio than by carbohydrate (-0.13 [0.03] vs -0.07 [0.02]).”
Evidence Quality Assessment
Claim Status
appropriately stated
Study Design Support
Design supports claim
Appropriate Language Strength
association
Can only show association/correlation
Assessment Explanation
The effect sizes are derived from controlled feeding trials, but original studies’ randomization status is unknown. Thus, the verb 'is associated with' correctly reflects the evidence level under GRADE rules.
Evidence from Studies
Supporting (1)
Abstract 18256: Importance of Controlling Dietary Intake of Saturated Fat for Prevention of Coronary Heart Disease: Lessons From the Metabolic Ward Studies
Replacing a small amount of unhealthy trans fats with healthy fats like those in fish or nuts lowers bad cholesterol more than replacing them with carbs like bread or sugar.