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植物甾醇的摄入量和膳食脂肪的减少在降低血浆低密度脂蛋白胆固醇的能力方面是独立且具有相加作用的。

Phytosterol intake and dietary fat reduction are independent and additive in their ability to reduce plasma LDL cholesterol.

作者信息

Chen Shirley C, Judd Joseph T, Kramer Matthew, Meijer Gert W, Clevidence Beverly A, Baer David J

机构信息

Food Components and Health Laboratory, Beltsville Human Nutrition Research Center, USDA, ARS, Beltsville, MD, USA.

出版信息

Lipids. 2009 Mar;44(3):273-81. doi: 10.1007/s11745-008-3278-y. Epub 2009 Jan 15.

DOI:10.1007/s11745-008-3278-y
PMID:19145455
Abstract

We studied the interrelationship of diet and plant sterols (PS) on plasma lipids, lipoproteins and carotenoids. Mildly hypercholesterolemic men (n = 13) and postmenopausal women (n = 9) underwent four randomized, crossover, double-blind, controlled feeding periods of 23 days each. The design consisted of two levels of PS (0 and 3.3 g/day) and two background diets having fat content either typical of the American diet (total and saturated fat at 33.5 and 13.2% of energy, respectively), or a Step 1 type of diet (total and saturated fat at 26.4 and 7.7% of energy, respectively). Plasma total cholesterol (TC), high density lipoprotein (HDL) cholesterol, low density lipoprotein (LDL) cholesterol, Apo A1 and Apo B were 4.3, 5.3, 4.5, 2.8 and 2.5% lower, respectively (P <or= 0.0001; <0.0001, 0.0016, 0.0006, and 0.0069), with the Step 1 diet than with the typical American diet. Diet had no effect on TC/HDL cholesterol (P = 0.1062). Plant sterol intake lowered TC, LDL cholesterol, and Apo B by 9.0, 12.4 and 6.1% and TC/HDLC by 9.6% (P <or= 0.0001 for all), respectively, without affecting HDL cholesterol and Apo A1 (P = 0.2831 and 0.732). The PS effect in lowering plasma TC and LDL cholesterol was independent of and additive to the effect due to dietary fat reduction. Responses of plasma carotenoids to PS intake were consistent with the literature.

摘要

我们研究了饮食与植物甾醇(PS)对血浆脂质、脂蛋白和类胡萝卜素的相互关系。轻度高胆固醇血症男性(n = 13)和绝经后女性(n = 9)进行了四个随机、交叉、双盲、对照喂养期,每期23天。设计包括两个PS水平(0和3.3克/天)以及两种背景饮食,一种脂肪含量为典型美国饮食(总脂肪和饱和脂肪分别占能量的33.5%和13.2%),另一种为1级饮食(总脂肪和饱和脂肪分别占能量的26.4%和7.7%)。与典型美国饮食相比,1级饮食使血浆总胆固醇(TC)、高密度脂蛋白(HDL)胆固醇、低密度脂蛋白(LDL)胆固醇、载脂蛋白A1和载脂蛋白B分别降低了4.3%、5.3%、4.5%、2.8%和2.5%(P≤0.0001;<0.0001、0.0016、0.0006和0.0069)。饮食对TC/HDL胆固醇无影响(P = 0.1062)。植物甾醇摄入量使TC、LDL胆固醇和载脂蛋白B分别降低了9.0%、12.4%和6.1%,使TC/HDLC降低了9.6%(所有P≤0.0001),而不影响HDL胆固醇和载脂蛋白A1(P = 0.2831和0.732)。PS降低血浆TC和LDL胆固醇的作用独立于饮食脂肪减少的作用且具有相加性。血浆类胡萝卜素对PS摄入的反应与文献一致。

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本文引用的文献

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Plant stanol and sterol esters in the control of blood cholesterol levels: mechanism and safety aspects.植物甾烷醇和甾醇酯对血液胆固醇水平的控制:作用机制及安全性方面
Am J Cardiol. 2005 Jul 4;96(1A):15D-22D. doi: 10.1016/j.amjcard.2005.03.015.
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The apoB/apoA-I ratio is better than the cholesterol ratios to estimate the balance between plasma proatherogenic and antiatherogenic lipoproteins and to predict coronary risk.载脂蛋白B/载脂蛋白A-I比值在评估血浆促动脉粥样硬化和抗动脉粥样硬化脂蛋白之间的平衡以及预测冠心病风险方面优于胆固醇比值。
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Both free and esterified plant sterols reduce cholesterol absorption and the bioavailability of beta-carotene and alpha-tocopherol in normocholesterolemic humans.
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Eur J Nutr. 2017 Apr;56(3):909-923. doi: 10.1007/s00394-016-1289-7. Epub 2016 Sep 3.
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The effect of plant sterols on serum triglyceride concentrations is dependent on baseline concentrations: a pooled analysis of 12 randomised controlled trials.植物固醇对血清三酰甘油浓度的影响取决于基线浓度:12 项随机对照试验的汇总分析。
Eur J Nutr. 2013 Feb;52(1):153-60. doi: 10.1007/s00394-011-0297-x. Epub 2012 Jan 18.
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Effects of high adherence to mediterranean or low-fat diets in medicated secondary prevention patients.药物二级预防患者高遵从地中海饮食或低脂饮食的效果。
Am J Cardiol. 2011 Dec 1;108(11):1523-9. doi: 10.1016/j.amjcard.2011.07.008. Epub 2011 Sep 3.
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Am J Clin Nutr. 2004 Jul;80(1):171-7. doi: 10.1093/ajcn/80.1.171.
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Efficacy and safety of plant stanols and sterols in the management of blood cholesterol levels.植物甾醇和甾烷醇在控制血液胆固醇水平方面的疗效与安全性。
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Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report.美国国家胆固醇教育计划(NCEP)成人高血胆固醇检测、评估与治疗专家小组第三次报告(成人治疗小组第三次报告)最终报告。
Circulation. 2002 Dec 17;106(25):3143-421.
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Unesterified plant sterols and stanols lower LDL-cholesterol concentrations equivalently in hypercholesterolemic persons.在高胆固醇血症患者中,未酯化的植物甾醇和甾烷醇降低低密度脂蛋白胆固醇浓度的效果相当。
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Annu Rev Nutr. 2002;22:533-49. doi: 10.1146/annurev.nutr.22.020702.075220. Epub 2002 Apr 4.
8
Plant sterol esters lower plasma lipids and most carotenoids in mildly hypercholesterolemic adults.植物甾醇酯可降低轻度高胆固醇血症成年人的血浆脂质及大多数类胡萝卜素水平。
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Plant sterols and blood lipid levels.
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Cholesterol-lowering effects of plant sterol esters and non-esterified stanols in margarine, butter and low-fat foods.植物甾醇酯和非酯化甾烷醇在人造黄油、黄油和低脂食品中的降胆固醇作用。
Eur J Clin Nutr. 2001 Dec;55(12):1084-90. doi: 10.1038/sj.ejcn.1601264.