Trans fatty acids raise plasma low-density lipoprotein (LDL) cholester
ol levels in volunteers when exchanged for cis unsaturated fatty acids
in the diet. In addition, trans fatty acids may lower high-density li
poprotein (HDL) cholesterol levels and raise triglyceride and lipoprot
ein(a) levels in plasma. Trans and cis unsaturated fatty acids are thu
s not equivalent, and diets aimed at reducing the risk of coronary hea
rt disease should be low in both trans and saturated fatty acids.