Cardiometabolic & kidneyMeta-analysis

Erythrocyte odd-chain fatty acids and the risk of cardiometabolic diseases: a prospective study and updated meta-analysis

Eur J Prev CardiolPublished

  • Prospective cohort study and updated meta-analysis of prospective studies

Authors' conclusion

Our findings supported favorable associations between OCFAs and CMDs among populations with varied dietary sources and intake levels

Study context

Population
Adults in the 2nd resurvey of the China Kadoorie Biobank (CKB), 2013–14 (38% men, mean age 58.1 years)950 incident CMD
Participants
8,185 adults
Comparison
Erythrocyte odd-chain fatty acid levels: top vs bottom tertile
Outcome
Incident cardiometabolic diseases (ischemic heart disease (IHD), diabetes, stroke)
Follow-up
about 5-year follow-up

Pooled result

As reported in the abstract

Incident IHD, diabetes and total CMDs by erythrocyte 15:0 and 17:0 (CKB)
IHD; adjusted
Hazard ratio (95% CI)
15:0 top tertile vs bottom tertile
0.72(0.59–0.89)
17:0 top tertile vs bottom tertile
0.69(0.56–0.86)
17:0 inversely associated with incident diabetes, HR
0.41 [0.27-0.62]
17:0 inversely associated with total cardiometabolic diseases (CMDs), HR
0.85 [0.74-0.97]

Further pooled results

Outcomepooled RR (CI)
Diabetes and IHD, updated meta-analysis (33 additional prospective studies, 112,193 participants) — 15:0 · diabetes, per 10th-90th percentile range0.74 (0.68–0.80)
Diabetes and IHD, updated meta-analysis (33 additional prospective studies, 112,193 participants) — 17:0 · diabetes, per 10th-90th percentile range0.65 (0.61–0.71)
Diabetes and IHD, updated meta-analysis (33 additional prospective studies, 112,193 participants) — 17:0 vs Bottom tertile · incident IHD0.87 (0.77–0.97)

Dietary correlates of odd-chain fatty acids (OCFAs) (CKB)

OCFAs significantly correlated with intakes of dairy products, wheat and coarse grains, and fish/seafood

Original publication

Erythrocyte odd-chain fatty acids and the risk of cardiometabolic diseases: a prospective study and updated meta-analysis. Eur J Prev Cardiol. Published 24 September 2025. doi:10.1093/eurjpc/zwaf601

Summarised from the published abstract; every number is checked against it