Lipids & metabolic liver disease

Non-Esterified Fatty Acid Profiles and Cause-Specific Mortality: The Cardiovascular Health Study

J Clin Endocrinol MetabPublished Population-based cohort study

Authors' conclusion

Individual fasting NEFAs represent attractive candidates for medical and public health interventions aimed at improving survivorship in older adults and should be investigated further.

Study context

Population
Community-dwelling adults >64 years from 4 US communities (Cardiovascular Health Study); mean age 78 years, 60.5% female1,678 died
Participants
1,996 adults
Exposure
Fasting and post-load total non-esterified fatty acid (NEFA), NEFA subclasses and individual NEFA vs mortality
Outcome
All-cause mortality
Follow-up
median 11-year follow-up
Methodological details4 US communities
  • 4 US communities

Main finding

As reported in the abstract

Total fasting NEFA (aHR per SD), 95% CI 1.10-1.23

1.17

Observational data: associations, not effects.

Further findings

Total mortality by NEFA subclass

Only monounsaturated fatty acid (MUFA) associated with total mortality (aHR), 95% CI 1.09-1.41
1.24

All-cause mortality by individual NEFA

Nervonic acid (aHR), 95% CI 1.01-1.12
1.06
Petroselaidic acid (aHR), 95% CI 1.03-1.42
1.21
Eicosapentaenoic acid (aHR), 95% CI 0.82-0.99
0.90

Original publication

Non-Esterified Fatty Acid Profiles and Cause-Specific Mortality: The Cardiovascular Health Study. J Clin Endocrinol Metab. Published 24 March 2025. doi:10.1210/clinem/dgaf182

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