Strong Support
correlational
Analysis v1
History

Coronary heart disease became a leading cause of death around the same time that industrially refined seed oils started being widely added to human diets.

38
Pro
0
Against

Mechanism

Synthesis from 3 studies

How it works

When people started eating more processed vegetable oils, they also started consuming a harmful type of fat called trans fat. This fat damaged the lining of their blood vessels, caused swelling in their bodies, and led to clogs in heart arteries, which caused more heart attacks. The evidence for this is stronger than for other possible reasons.

Most probable mechanism

In Simple Terms

When people ate more processed oils, their bodies got exposed to a type of fat called trans fat that doesn't exist naturally. This fat made the inside of blood vessels less healthy, caused more swelling in the body, and led to buildup of sticky plaque in arteries, which eventually blocked blood flow and caused heart attacks.

Causal chain
1

Industrial processing of seed oils generates trans fatty acids that are absorbed into the bloodstream and incorporated into cell membranes

which leads to
2

Incorporation of trans fatty acids into endothelial cell membranes impairs nitric oxide production and increases oxidative stress

which leads to
3

Endothelial dysfunction triggers chronic low-grade inflammation, increasing adhesion molecule expression and monocyte recruitment

which leads to
4

Inflammatory mediators promote oxidation of LDL cholesterol and its accumulation in arterial walls, initiating atherosclerotic plaque formation

which leads to
5

Progressive plaque growth and instability lead to coronary artery occlusion, myocardial ischemia, and increased risk of fatal cardiac events

Less supported by current evidence, but not ruled out

In Simple Terms

Eating large amounts of certain vegetable oils increases a fat called linoleic acid, which the body turns into chemicals that cause more inflammation and blood clotting, making heart disease more likely.

Causal chain
1

Dietary intake of linoleic acid from refined seed oils increases its concentration in plasma phospholipids and arterial tissue

which leads to
2

Elevated linoleic acid is metabolized into arachidonic acid, which is converted into pro-inflammatory eicosanoids such as prostaglandins and leukotrienes

which leads to
3

Increased eicosanoid production enhances vascular permeability, platelet aggregation, and smooth muscle proliferation, accelerating atherosclerosis

Evidence from Studies

Contradicting (0)

0

Community contributions welcome

No contradicting evidence found

Gold Standard Evidence Needed

According to GRADE and EBM methodology, here is what ideal scientific evidence would look like to definitively prove or disprove this specific claim, ordered from strongest to weakest evidence.

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Did the introduction of refined seed oils cause the rise in coronary heart disease? | Scientific Fact Check | Fit Body Science