Does reducing saturated fat actually prevent heart attacks?For decades, saturated fat from foods like butter, red meat, cheese, coconut oil, and full-fat dairy has been treated as something to reduce. But the new USDA/HHS dietary guidelines and the inverted food pyramid have made the message a lot less clear.In part two of this series, we look into three of the major randomized controlled trials behind the meta-anlayses: the Minnesota Coronary Experiment, the Sydney Diet Heart Study, and the LA Veterans Trial. Along the way, we also discuss relative risk vs absolute risk, what an ideal saturated-fat trial would look like, why these old trials are so hard to interpret, and how issues like trans fats, adherence, short duration, and missing data complicate the conclusions.Hopefully, there’s also something useful here about how to think through studies, evidence, and nutrition claims when the answer is not as clean as it first seems.This is the second in a series of videos on the subject. Slides:https://www.jsdatascience.com/saturated_fat_meta-analyses_RCTs/Papers:Steen et al. 2025 https://pubmed.ncbi.nlm.nih.gov/41397264/Yamada et al. 2025 https://pubmed.ncbi.nlm.nih.gov/40416032/Frantz et al. 1989 https://pubmed.ncbi.nlm.nih.gov/2643423/Ramsden et al. 2016 https://pubmed.ncbi.nlm.nih.gov/27071971/Woodhill et al. 1978 https://pubmed.ncbi.nlm.nih.gov/727035/Ramsden et al. 2013 https://pubmed.ncbi.nlm.nih.gov/23386268/Dayton et al. 1968 https://pubmed.ncbi.nlm.nih.gov/4176868/Dayton et al. 1969 https://www.ahajournals.org/doi/10.1161/01.cir.40.1s2.ii-1Wilkins et al. 2012 https://pubmed.ncbi.nlm.nih.gov/23117780/