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[Correspondence] Associations of fats and carbohydrates with cardiovascular disease and mortality—PURE and simple?

The Prospective Urban Rural Epidemiological (PURE) study1 has attracted considerable attention in both academia and the public domain. The conclusions of the study challenge the dietary advice and guidelines people have adhered to for decades. Scholars have questioned the accuracy of macronutrient distribution data reported in the PURE study for the Chinese population. The study reported that about 77% of the population in China consume at least 60% of energy from carbohydrate and 43% of individuals consume at least 70% of energy from carbohydrate, with a mean of 67·0% energy derived from carbohydrate and 17·7% from fat.

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