Prevention & lipidsResearch article

Plasma heart-type fatty acid-binding protein, omega-3 fatty acids and adverse cardiac events in the general population

HeartPublished

  • Multivariable Cox regression in the UK Biobank

Authors' conclusion

Higher plasma levels of H-FABP were associated with a higher risk of CHD and HF in the general population, predominantly among individuals with low levels of omega-3 FAs.

Study context

Population
UK Biobank participants free of coronary heart disease (CHD) and heart failure (HF) at baseline
Participants
42,392 participants
Comparison
associations of H-FABP with incident CHD and HF, considering potential interaction with omega-3 fatty acids (FAs)

Main finding

As reported in the abstract

CHD, MI, CHD-related mortality and HF
CHD
HR 1.29; P-trend values <0.001
Myocardial infarction (MI)
HR 1.54; P-trend values <0.001
CHD-related mortality
HR 2.04; P-trend values <0.001
HF
HR 1.95; P-trend values <0.001

Further findings

OutcomeHR (95% CI)
CHD and MI by plasma omega-3 FAs (effect modification) — T3 vs T1 · CHD, lower omega-3 FAs1.41 (1.15–1.74)
CHD and MI by plasma omega-3 FAs (effect modification) — T3 vs T1 · MI, lower omega-3 FAs2.23 (1.57–3.15)
CHD and MI by plasma omega-3 FAs (effect modification) — T3 vs T1 · CHD, higher omega-3 FAs1.15 (0.96–1.38)
CHD and MI by plasma omega-3 FAs (effect modification) — T3 vs T1 · MI, higher omega-3 FAs1.11 (0.83–1.50)
  • CHD and MI by plasma omega-3 FAs (effect modification): P-interaction=0.014 (CHD)
  • CHD and MI by plasma omega-3 FAs (effect modification): P-interaction=0.003 (MI)

Original publication

Plasma heart-type fatty acid-binding protein, omega-3 fatty acids and adverse cardiac events in the general population. Heart. Published 1 October 2026. doi:10.1136/heartjnl-2026-327893

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