, including nonfatal myocardial infarction and fatal CHD, were evaluated using Cox proportional hazards regression models. Over 5,517,993 person-years, 8,725 CHD cases were documented. Comparing extreme quintiles, pooled hazard ratios (95% CIs) of CHD were 0.93 (0.86, 1.01; P-trend=0.16) for total phytosterols, 0.89 (0.82, 0.96; P-trend=0.05) for campesterol, 0.95 (0.88, 1.02; P-trend=0.10) for stigmasterol , and 0.92 (0.85, 1.00; P-trend=0.09) for beta-sitosterol. Nonlinear associations were observed for total phytosterols, campesterol, and beta-sitosterol: the risk reduction plateaued at intakes above ∼180 mg/day, 30 mg/day, and 130 mg/day, respectively (P-nonlinearity<0.001). In a subset of participants (N range between 11,983 and 22,039), phytosterol intake was inversely associated with plasma levels