Box 44.11Poland: A Dramatic Decline in Heart Disease

After Poland's transition to a democratic government in the early 1990s, the government removed large subsidies for butter and lard, and consumption of nonhydrogenated vegetable fat increased rapidly (Zatonski, McMichael, and Powles 1998). The ratio of dietary polyunsaturated to saturated fat increased from 0.33 in 1990 to 0.56 in 1999, and during this period mortality rates from CAD dropped by 28 percent (data provided by W. Zatonski). Changes in smoking and in the consumption of fruits and vegetables probably played a minor role in this decrease (see figure).

Image ch44fu2

Risk of Coronary Heart Disease According to Polyunsaturated to Saturated Fat Ratio

From: Chapter 44, Prevention of Chronic Disease by Means of Diet and Lifestyle Changes

Cover of Disease Control Priorities in Developing Countries
Disease Control Priorities in Developing Countries. 2nd edition.
Jamison DT, Breman JG, Measham AR, et al., editors.
Washington (DC): World Bank; 2006.
Copyright © 2006, The International Bank for Reconstruction and Development/The World Bank Group.

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