? ? The broad, long-term objectives of this 5-year career development program are (1) to define more clearly relationships of dietary fatty acids with cardiovascular health; and (2) to gain the further training, knowledge, and funding necessary for success as an independent research investigator. The research objectives will be achieved via investigation using prospectively collected data from the Health Professionals Follow-up Study (HPFS), the Nurses Health Study (NHS), the Nurses Health Study 2 (NHS2), the Cardiovascular Health Study (CHS), the Estrogen Replacement and Atherosclerosis (ERA) trial, and the Heart Failure Study (HFS). The training objectives will be achieved via formal coursework in nutritional and cardiovascular epidemiology in the doctorate (DrPH) program in epidemiology; participation in conferences, seminars, and national meetings; and mentoring by recognized leaders in the fields of nutritional and cardiovascular epidemiology. An outstanding team of mentors and collaborators will facilitate and guide the candidate's research and career development. The primary mentor for the candidate's scientific development is Dr. Eric Rimm, a leader in the field of nutritional cardiovascular epidemiology. To further enhance the training, the career development program has enlisted the expertise of Dr. David Siscovick, a leader in research on fatty acids and cardiovascular disease; Dr. David Herrington, a leader in research on cardiovascular risk with expertise in assessment of angiographic progression; and Dr. Wayne Levy, a cardiologist with extensive research experience in heart failure and a particular interest in immune and inflammatory activation.
The specific aims of this proposal are (1) to investigate whether polyunsaturated fat, monounsaturated fat, carbohydrate, or protein is the most effective replacement for saturated fat with regards to progression of coronary atherosclerosis and risk of coronary heart disease (CHD) events; (2) to investigate the separate and combined effects of n-6, n-3, and trans-fatty acids on progression of coronary atherosclerosis, risk of CHD events, and markers of immune and inflammatory activation related to cardiovascular disease; and (3) to begin preliminary investigation of relationships of n-3 fatty acids with atrial fibrillation and heart failure, about which very little is known. The Channing Laboratory in the Department of Medicine at Harvard Medical School and the Harvard School of Public Health provide an ideal environment for training this candidate for a career in independent research investigation, combining leading researchers in nutritional and cardiovascular epidemiology, an exceptional fund of high-quality data being generated in several large, long-running cohort studies, and advanced training in nutritional, biostatistical, and epidemiologic methodology. (End of Abstract) ? ? ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Clinical Investigator Award (CIA) (K08)
Project #
5K08HL075628-02
Application #
6948807
Study Section
Special Emphasis Panel (ZHL1-CSR-M (O1))
Program Officer
Nelson, Cheryl R
Project Start
2004-09-15
Project End
2009-07-31
Budget Start
2005-08-01
Budget End
2006-07-31
Support Year
2
Fiscal Year
2005
Total Cost
$133,920
Indirect Cost
Name
Brigham and Women's Hospital
Department
Type
DUNS #
030811269
City
Boston
State
MA
Country
United States
Zip Code
02115
Kalantarian, Shadi; Rimm, Eric B; Herrington, David M et al. (2014) Dietary macronutrients, genetic variation, and progression of coronary atherosclerosis among women. Am Heart J 167:627-635.e1
Mozaffarian, D; Clarke, R (2009) Quantitative effects on cardiovascular risk factors and coronary heart disease risk of replacing partially hydrogenated vegetable oils with other fats and oils. Eur J Clin Nutr 63 Suppl 2:S22-33
Mozaffarian, Dariush (2009) Meat intake and mortality: evidence for harm, no effect, or benefit? Arch Intern Med 169:1537-8; author reply 1539
Mozaffarian, D; Aro, A; Willett, W C (2009) Health effects of trans-fatty acids: experimental and observational evidence. Eur J Clin Nutr 63 Suppl 2:S5-21
Ratnayake, W M N; L'Abbe, M R; Mozaffarian, D (2009) Nationwide product reformulations to reduce trans fatty acids in Canada: when trans fat goes out, what goes in? Eur J Clin Nutr 63:808-11
Mozaffarian, Dariush; Kamineni, Aruna; Carnethon, Mercedes et al. (2009) Lifestyle risk factors and new-onset diabetes mellitus in older adults: the cardiovascular health study. Arch Intern Med 169:798-807
Mozaffarian, Dariush (2009) Fish, mercury, selenium and cardiovascular risk: current evidence and unanswered questions. Int J Environ Res Public Health 6:1894-916
Mozaffarian, Dariush; Kamineni, Aruna; Prineas, Ronald J et al. (2008) Metabolic syndrome and mortality in older adults: the Cardiovascular Health Study. Arch Intern Med 168:969-78
Mozaffarian, Dariush; Stein, Phyllis K; Prineas, Ronald J et al. (2008) Dietary fish and omega-3 fatty acid consumption and heart rate variability in US adults. Circulation 117:1130-7
de Ferranti, Sarah; Mozaffarian, Dariush (2008) The perfect storm: obesity, adipocyte dysfunction, and metabolic consequences. Clin Chem 54:945-55

Showing the most recent 10 out of 35 publications