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The Study

Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. A consensus statement from the European Atherosclerosis Society Consensus Panel

In simple terms

This study doesn’t do a new experiment. Instead, it looks at many other studies — like hundreds of big medical trials and genetic research — and puts all the results together. It’s like checking 100 weather reports to prove it rains more when the sky is dark. Because so many different kinds of studies all show the same thing, we can be very sure that high LDL (the 'bad' cholesterol) causes heart disease.

32%

Analysis score

32/ 100

Maximum 100 for a systematic review with meta-analysis.

Where the score came from

Reporting0
Methodology13
Publication100
Statistical31
Study type (basis of the score)
Systematic Review with Meta-Analysis
Level 2a - Systematic review of cohort studies
What’s the bottom line?

Yes, tiny fat particles called LDL (bad cholesterol) cause heart disease by building up in blood vessels over time. The more and longer you have them, the higher your risk.

Where does this study sit?

Systematic Reviews & Meta-analyses

Max 100

Randomized Trials

Max 90

Cohort Studies

Max 72

Case-Control

Max 58

Cross-Sectional

Max 44

Case Reports & Series

Max 30

Expert Opinion

Max 5
StrongerWeaker
Cohort Studies
Level 2
32

32 / 100

Quality score

Groups of people are followed over time to see who develops an outcome. Strong for identifying risk factors and associations, but cannot prove causation as firmly as RCTs.

Can establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1This means keeping LDL low from an early age is very important to prevent heart attacks and strokes later in life.
  2. 2Every 1 mmol/L increase in LDL-C raises heart disease risk steadily.
  3. 3Lowering LDL-C by that amount cuts risk by 22% in 5 years and up to 54% over 40 years.
  4. 4Drugs that lower LDL particle number work, but some that only lower cholesterol readings without reducing particle count do not.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

European Heart Journal

Year

2017

Authors

B. Ference, H. Ginsberg, I. Graham, K. Ray, C. Packard, E. Bruckert, R. Hegele, R. Krauss, F. Raal, H. Schunkert, G. Watts, J. Borén, S. Fazio, J. Horton, L. Masana, S. Nicholls, B. Nordestgaard, B. Nordestgaard, B. Sluis, M. Taskinen, L. Tokgozoglu, U. Landmesser, U. Landmesser, U. Landmesser, U. Laufs, Olov Wiklund, Olov Wiklund, Jane K. Stock, M. Chapman, A. Catapano

Open Access
3165 citations
Analysis v3
Fit Body Science verdict — we translate health studies into clear verdicts backed by peer-reviewed research.

Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.