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In blood and tissues, dietary and endogenously generated fatty acids (FAs) occur in free form or as part of complex lipid molecules that collectively represent the lipidome of the respective tissue. The study assessed associations of plasma lipids derived from high-resolution lipidomics with incident cardiometabolic diseases and subsequently tested if the identified risk-associated lipids were sensitive to dietary fat modification. 69 lipids associated (false discovery rate (FDR) <0.05) with at least one outcome (both=8, only CVD=49, only T2D=12). The study identified several lipids associated with cardiometabolic disease risk. A subset was beneficially altered by a dietary fat intervention, which supports the substitution of saturated dietary FAs with unsaturated FAs as a potential tool for primary disease prevention.
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