The four-volume Encyclopedia of Global Studies covers the field of global studies and subjects related to it, such as globalization, transnational activity and themes of global society. This encyclopedia is written for the educated general reader as well as students and professionals working in the field of global studies. It is the first encyclopedia of its kind, and aims to become the internationally-recognized reference work for academics, policymakers, and practitioners interested in the various dimensions of globalization. It provides succinct summaries of concepts and theories, definitions of terms, biographical entries, and organizational profiles; offers a guide to sources of information; and establishes an overview of Global Studies in different parts of the world and across cultures and historical periods.  The wide range of subjects covered include the following:
            - intellectual approaches, such as global sociology, political economy, world systems theory, peace and conflict studies, and communications;
            - global and transnational topics, such as cross-border conflicts and terrorism, worldwide health crises and climate disruption, the planetary immigration patterns and new cultural diasporas, and the seemingly boundless global market, rapid communications, and transnational cyberspaces devised by technology and new media.

The four-volume Encyclopedia of Global Studies covers the field of global studies and subjects related to it, such as globalization, transnational activity and themes of global society. This encyclopedia is written for the educated general reader as well as students and professionals working in the field of global studies. It is the first encyclopedia of its kind, and aims to become the internationally-recognized reference work for academics, policymakers, and practitioners interested in the various dimensions of globalization. It provides succinct summaries of concepts and theories, definitions of terms, biographical entries, and organizational profiles; offers a guide to sources of information; and establishes an overview of Global Studies in different parts of the world and across cultures and historical periods.  The wide range of subjects covered include the following:
            - intellectual approaches, such as global sociology, political economy, world systems theory, peace and conflict studies, and communications;
            - global and transnational topics, such as cross-border conflicts and terrorism, worldwide health crises and climate disruption, the planetary immigration patterns and new cultural diasporas, and the seemingly boundless global market, rapid communications, and transnational cyberspaces devised by technology and new media.

The four-volume Encyclopedia of Global Studies covers the field of global studies and subjects related to it, such as globalization, transnational activity and themes of global society. This encyclopedia is written for the educated general reader as well as students and professionals working in the field of global studies. It is the first encyclopedia of its kind, and aims to become the internationally-recognized reference work for academics, policymakers, and practitioners interested in the various dimensions of globalization. It provides succinct summaries of concepts and theories, definitions of terms, biographical entries, and organizational profiles; offers a guide to sources of information; and establishes an overview of Global Studies in different parts of the world and across cultures and historical periods.  The wide range of subjects covered include the following:
            - intellectual approaches, such as global sociology, political economy, world systems theory, peace and conflict studies, and communications;
            - global and transnational topics, such as cross-border conflicts and terrorism, worldwide health crises and climate disruption, the planetary immigration patterns and new cultural diasporas, and the seemingly boundless global market, rapid communications, and transnational cyberspaces devised by technology and new media.

Background

Cardiovascular diseases represent an increasing share of the global disease burden. There is concern that increased consumption of palm oil could exacerbate mortality from ischemic heart disease (IHD) and stroke, particularly in developing countries where it represents a major nutritional source of saturated fat.

Methods

The study analyzed country-level data from 1980-1997 derived from the World Health Organization's Mortality Database, U.S. Department of Agriculture international estimates, and the World Bank (234 annual observations; 23 countries). Outcomes included mortality from IHD and stroke for adults aged 50 and older. Predictors included per-capita consumption of palm oil and cigarettes and per-capita Gross Domestic Product as well as time trends and an interaction between palm oil consumption and country economic development level. Analyses examined changes in country-level outcomes over time employing linear panel regressions with country-level fixed effects, population weighting, and robust standard errors clustered by country. Sensitivity analyses included further adjustment for other major dietary sources of saturated fat.

Results

In developing countries, for every additional kilogram of palm oil consumed per-capita annually, IHD mortality rates increased by 68 deaths per 100,000 (95% CI [21-115]), whereas, in similar settings, stroke mortality rates increased by 19 deaths per 100,000 (95% CI [-12-49]) but were not significant. For historically high-income countries, changes in IHD and stroke mortality rates from palm oil consumption were smaller (IHD: 17 deaths per 100,000 (95% CI [5.3-29]); stroke: 5.1 deaths per 100,000 (95% CI [-1.2-11.0])). Inclusion of other major saturated fat sources including beef, pork, chicken, coconut oil, milk cheese, and butter did not substantially change the differentially higher relationship between palm oil and IHD mortality in developing countries.

Conclusions

Increased palm oil consumption is related to higher IHD mortality rates in developing countries. Palm oil consumption represents a saturated fat source relevant for policies aimed at reducing cardiovascular disease burdens.