| For medical practitioners and the general public - Cholesterol Journal Article Catalog. |
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| Dietary predictors of serum cholesterol in men: the Framingham cohort population Sonnenberg, L. M., B. M. Posner, et al. (1992), J Clin Epidemiol 45(4): 413-8. Abstract: This study examines the cross-sectional relationships between diet and serum cholesterol in a sample of 413 Framingham cohort males, ages 37-70. Regression analyses controlling for age, calories, and coronary heart disease risk factors showed that the direct predictors of serum cholesterol included: fat (g) (p less than 0.05), cholesterol (mg/1000 calories) (p less than 0.05), protein (g and calorie density) (p less than 0.05 and p less than 0.001, respectively), Metropolitan relative weight (p less than 0.05), and systolic blood pressure (p less than 0.001). Fat (calorie density) and cholesterol (mg) were marginally significant direct positive predictors (0.05 less than or equal to p less than or equal to 0.10). Inverse correlates of serum cholesterol were total carbohydrate (g and calorie density) and simple carbohydrate (calorie density) (p less than 0.001). A marginally inverse correlate of serum cholesterol was complex carbohydrate (calorie density) (0.05 less than or equal to p less than or equal to 0.10). These cross-sectional results show that dietary variables predict serum cholesterol levels in men independent of other coronary heart disease risk factors. |
| Dietary probucol preserves endothelial function in cholesterol-fed rabbits by limiting vascular oxidative stress and superoxide generation Keaney, J. F., Jr., A. Xu, et al. (1995), J Clin Invest 95(6): 2520-9. Abstract: Excess vascular oxidative stress and the local formation of oxidized LDL (ox-LDL) have been implicated in the development of impaired endothelium-dependent arterial relaxation in hypercholesterolemia and atherosclerosis. Dietary antioxidants limit LDL oxidation in vitro and treatment of cholesterol-fed rabbits with dietary antioxidants preserves endothelium-derived relaxing factor (EDRF) action. To investigate the mechanism(s) responsible for these observations, we examined EDRF action, vascular oxidative stress, and antioxidant protection in male New Zealand White rabbits using four dietary treatments. Animals consumed standard chow (chow group) or chow supplemented with: (a) 0.5% cholesterol (0.5% cholesterol group); (b) 1% cholesterol (1% cholesterol group); or (c) 1% cholesterol and 1% probucol (probucol group). After 28 d of dietary treatment, segments of thoracic aorta from the 0.5 and 1% cholesterol groups demonstrated impairment of acetylcholine-mediated endothelium-dependent arterial relaxation compared to chow-fed animals (57 +/- 11% and 45 +/- 9% vs 78 +/- 3%, respectively; P < 0.05). In contrast, vessels from the probucol group demonstrated normal relaxation to acetylcholine (83 +/- 5%). Plasma cholesterol levels and the extent of atherosclerosis were similar among all cholesterol-fed groups. Probucol treatment was associated a threefold increase in LDL resistance to copper-induced oxidative modification (P < 0.05) and a reduction in tissue lipid peroxidation (as assessed by thiobarbituric acid-reactive substances; P < 0.05) compared to animals fed cholesterol alone. Most importantly, both of these changes were strongly correlated with preserved EDRF action. Moreover, cholesterol feeding was associated with a dose-dependent increase in vascular superoxide generation and lysophosphatidylcholine content, both of which were prevented by probucol treatment. From these findings, we conclude that probucol, a lipid-soluble antioxidant, preserves EDRF action in cholesterol-fed rabbits in association with limiting vascular oxidative stress and superoxide generation. |
| Dietary protein and cholesterol metabolism in small intestines Ramakrishnan, S., A. V. Rao, et al. (1993), Indian J Exp Biol 31(3): 294-6. Abstract: Effect of quality and quantity of dietary protein on blood cholesterol and cholesterol metabolism in small intestines of rat was examined. Compared to casein, bengalgram in the diet decreased blood and intestinal cholesterol. It is suggested that this effect may be due to low levels of leucine in bengalgram protein and less release of insulin, an activator of HMG CoA Reductase. Low casein in the diet (12%) caused a decrease of blood and intestinal cholesterol while high casein in the diet (24%) caused a decrease of intestinal cholesterol only. It is suggested that both qualitywise and quantitywise, dietary protein influences body cholesterol. It is known that the nature and the quality of dietary fat and carbohydrates directly influence the metabolism of cholesterol. The dietary proteins might also have a significant role. Proteins are needed for the synthesis of enzymes required for the anabolism and catabolism of cholesterol and a few protein-aminoacids like leucine have a direct influence on cholesterol metabolism. Bengalgram was chosen for studying the effect of the quality of protein on cholesterol metabolism as there are reports in the literature that bengalgram feeding reduces blood cholesterol. Different amounts of casein-containing diet were used in a separate set of experiments to investigate the effects of low and high protein diets on cholesterol metabolism i.e. quantitative effects of dietary protein. For many years, liver was enjoying the privilege of maintaining the homeostasis of blood cholesterol. Recently it has been shown that small intestines also synthesises considerable amounts of cholesterol. Hence, cholesterol metabolism was investigated separately in duodenum, jejunum and ileum. |
| Dietary protein and cholesterol metabolism--interaction of minerals Roberts, D. C. and S. Samman (1990), J Nutr Sci Vitaminol (Tokyo) 36 Suppl 2: S119-24. Abstract: Increased dietary zinc has been shown to reduce plasma total cholesterol in rabbits fed casein. However, the mechanism is not clear. The minerals associated with casein and soya protein are different and present in amounts which can alter the overall mineral composition of the diet. In particular, casein has a much higher ratio of zinc/copper than soy protein. Utilising a range of copper concentrations (2-80 micrograms/g diet) in 14 experiments with casein diets showed a linear relationship between the cholesterolaemic response and copper concentration (when both log transformed) in groups (n = 6) of rabbits fed for 12 weeks (r = -0.70, p less than 0.05). The lower the copper, the greater the response. In no case was the copper content deficient, indicating some interaction must be reducing its availability. Similar analysis utilising the range of zinc (10-125 micrograms/g) in the diets also showed an enhanced response at low intakes (r = -0.85, p less than 0.05). To elucidate the mechanism, 2 groups of rabbits were fed casein diets containing 21 and 68 mg zinc/kg diet for 12 weeks. Low density apolipoprotein B (LDL-apoB) turnover was carried out using 125I labelled LDL-apoB and data was fitted to the 2 pool model. The production of LDL-apoB was reduced in animals fed the higher dietary zinc. Zinc appears to act by enhancing the production of LDL-apoB in casein fed animals, perhaps by reducing the availability of copper. |
| Dietary protein control of serum cholesterol by insulin and glucagon Hubbard, R. W. and A. Sanchez (1990), Monogr Atheroscler 16: 139-47. |
| Dietary protein modifies oxidized cholesterol-induced alterations of linoleic acid and cholesterol metabolism in rats Osada, K., T. Kodama, et al. (1996), J Nutr 126(6): 1635-43. Abstract: Effects of dietary protein on oxidized cholesterol-induced alterations in linoleic acid and cholesterol metabolism were studied in 4-wk-old male Sprague-Dawley rats, using casein and soybean protein as dietary protein sources. The rats were fed one of the two proteins in cholesterol-free, 0.3% cholesterol or 0.3% oxidized cholesterol mixture diets using a pair-feeding protocol for 3 wk. In the soybean protein-fed group, rats fed oxidized cholesterol did not have lower activity of liver microsomal delta6 desaturase, the rate-limiting enzyme in the metabolism of linoleic acid to arachidonic acid, compared with rats fed cholesterol-free diet, whereas in the casein-fed group the desaturase activity was significantly greater in rats fed oxidized cholesterol than in those fed cholesterol-free diet. This was in contrast to a significant reduction in liver microsomal delta6 desaturase activity by cholesterol, irrespective of protein source. In general, these changes were reflected in the desaturation indices of liver phospholipids. Furthermore, soybean protein significantly increased the fecal excretion of neutral and acidic steroids and tended to reduce (P = 0.082) the accumulation of oxidized cholesterols in the liver. Thus, soybean protein partly modified some of the undesirable effects of oxidized cholesterol through its hypocholesterolemic effect and possibly through the modulation of hepatic delta6 desaturase activity. |
| Dietary protein, cholesterol and atherosclerosis: a review of the early history Kritchevsky, D. (1995), J Nutr 125(3 Suppl): 589S-593S. Abstract: The first purely nutritional investigation into experimental atherosclerosis was carried out by Ignatowski in 1908. Believing that a toxic metabolite of animal protein led to atherosclerosis, he fed meat to adult rabbits and milk and egg yolk to weanling rabbits and caused atherosclerosis. For the next two decades experimental efforts from many laboratories were directed at determining which, if any, animal protein was the most atherogenic. The discovery in 1912 that dietary cholesterol per se was atherogenic turned attention to fat and cholesterol, eclipsing work on dietary protein. In 1926 Clarkson and Newburgh showed that the amount of cholesterol present in the animal protein they fed was insufficient to be atherogenic, demonstrating that some factor other than lipid determined atherogenicity. In 1940 Meeker and Kesten showed that animal protein (casein) was more atherogenic that plant protein (soy). Carroll and his co-workers showed that most proteins of animal origin were more cholesterolemic for rabbits than were proteins of vegetable origin, although there was some overlap. Cholesterol turnover is slower and fecal excretion of cholesterol is reduced in rabbits fed casein as opposed to those fed soy protein. The mechanisms underlying this effect are moot. |
| Dietary proteins, cholesterol and thyroxine: a proposed mechanism Forsythe, W. A., 3rd (1990), J Nutr Sci Vitaminol (Tokyo) 36 Suppl 2: S101-4. Abstract: The effects of dietary protein sources on plasma cholesterol concentrations are well-documented: animal proteins are hypercholesterolemic relative to plant proteins. While this effect of dietary proteins has been shown in many species, the mechanism is not known. This review will explore the relation between dietary proteins and plasma thyroxine concentrations. Data will be presented showing that feeding dietary animal proteins consistently depresses plasma thyroxine levels. Furthermore, the effects of thyroxine on cholesterol metabolism is consistent with the effects of dietary proteins on cholesterol metabolism. Although evidence is not conclusive, data support the hypothesis that dietary proteins may affect plasma cholesterol levels through changes in plasma thyroxine concentrations. To elucidate the mechanism by which this happens will be the basis for future research. |
| Dietary raw peas (Pisum sativum L.) reduce plasma total and LDL cholesterol and hepatic esterified cholesterol in intact and ileorectal anastomosed pigs fed cholesterol-rich diets Martins, J. M., M. Riottot, et al. (2004), J Nutr 134(12): 3305-12. Abstract: Previous studies demonstrated the cholesterol-lowering effect of dietary legumes (mainly soybeans) in animals and humans, but the mechanisms by which they exert this effect are not completely understood. The contribution of the hindgut to this hypocholesterolemic effect is also not well documented. The present work was undertaken to investigate the effect of cholesterol-enriched (2.8 g/kg) casein (C) and raw pea seed (RP) diets on the cholesterol metabolism of intact (I) and ileorectal anastomosed (IRA) growing pigs. Four groups of 6 pigs were allocated to the treatments (C-I, C-IRA, RP-I, and RP-IRA pigs) for 3 wk. Plasma total cholesterol was lowered by the RP diet through a significant decrease in LDL cholesterol. The RP diet also decreased the hepatic concentration of esterified cholesterol and increased 3-hydroxy-3-methylglutaryl CoA reductase activity and LDL receptor synthesis. The biliary total cholesterol and bile acid concentrations were greater in RP- than in C-fed pigs. In addition, fecal bile acid output was higher in RP-fed pigs. The cecum-colon by-pass inhibited cholesterol and beta-sitosterol microbial transformation, lowered the bile acid output, and increased the primary to secondary bile acid output ratio, but its influence on cholesterolemia was negligible. These results suggest a hypocholesterolemic effect of the raw pea diet probably due to increased fecal bile acid output and an increased biliary bile acid concentration. |
| Dietary reduction of serum cholesterol concentration Ramsay, L. E., W. W. Yeo, et al. (1991), Bmj 303(6816): 1551. |
| Dietary reduction of serum cholesterol concentration: time to think again Ramsay, L. E., W. W. Yeo, et al. (1991), Bmj 303(6808): 953-7. Abstract: OBJECTIVE--To evaluate the long term efficacy of diets in lowering serum cholesterol concentration. DESIGN--Descriptive overview of 16 published controlled trials of six months' duration or longer. SETTING--Trials had been conducted in hospital clinics (6), industry (3), mental hospitals or institutions (3), and in general populations (4). PATIENTS--Trials had been conducted in high risk subjects (5), in unselected healthy subjects (6), or for secondary prevention in patients with coronary heart disease (5). Women were included in only four trials. INTERVENTIONS--Diets equivalent to the step 1 diet were employed in eight trials, with individual intervention by dietitians (3) or occupational physicians (2) or with population advice (3). Intensive diets which were more rigorous than the step 2 diet were employed in eight trials. MAIN OUTCOME MEASURES--Net change in serum total cholesterol concentration in subjects receiving treatment with diet compared with values in control subjects after six months to 10 years. RESULTS--In five trials with the step 1 diet as individual intervention the net reduction in serum cholesterol concentration ranged from 0% to 4.0% over six months to six years. In trials with population education reductions in cholesterol concentrations were 0.6-2.0% over five to 10 years. When population and individual dietary advice were combined changes in cholesterol concentration ranged from a fall of 2.1% to a rise of 1.0% over four to 10 years. Diets more intensive than the step 2 diet reduced serum cholesterol concentration by 13% over five years in selected high risk men in the population; by 6.5-15.1% over two to five years in hospital outpatients; and by 12.8-15.5% over one to four and a half years in patients in institutions. CONCLUSIONS--The response to a step 1 diet is too small to have any value in the clinical management of adults with serum cholesterol concentrations above 6.5 mmol/l. Current guidelines recommend screening of serum cholesterol concentration in healthy subjects, followed by treatment with a step 1 diet. The guidelines should be reviewed to provide a more realistic estimate of the effect of a step 1 diet and of the likely need for lipid lowering drugs. |
| Dietary regulation of cholesterol esterase mRNA level in rat pancreas Brodt-Eppley, J. and D. Y. Hui (1994), J Lipid Res 35(1): 27-35. Abstract: This study investigates the effect of a high fat/high cholesterol diet on cholesterol esterase biosynthesis in rat pancreas. Results showed that rats fed a high fat/high cholesterol diet, with or without bile salt supplementation, exhibited increased levels of pancreatic cholesterol esterase mRNA. An average of a 2-fold increase in cholesterol esterase mRNA was observed after 1 day of feeding the atherogenic diet. A maximal 3- to 4-fold induction was observed after 4 days on the special diet. The level of pancreatic cholesterol esterase mRNA declined subsequently, resulting in a new steady state level that remained significantly higher than cholesterol esterase mRNA level in control rat pancreas. The feeding of high fat diet without cholesterol, or high cholesterol diet without high fat content, did not result in significant increase in pancreatic cholesterol esterase mRNA when compared to that observed in control chow-fed animals. The increase in cholesterol esterase mRNA after high fat/high cholesterol feeding paralleled the increased in pancreatic lipase mRNA. The high fat/high cholesterol-induced increase in cholesterol esterase mRNA was due to increase rate of transcription, as demonstrated by nuclear run-on assays. Additionally, in vitro incubation experiments of pancreatic lobules with 35Smethionine showed higher rates of 35S-labeled cholesterol esterase synthesis with lobules from the high fat/high cholesterol-fed animals. Taken together, these results demonstrated that high fat/high cholesterol diets increased cholesterol esterase mRNA level and enzyme biosynthesis in rat pancreas. The coordinated regulation of cholesterol esterase with another lipid digestive enzyme, the pancreatic lipase, suggested an important role for these proteins in dietary lipid absorption through the gastrointestinal tract. |
| Dietary regulation of maternal and fetal cholesterol metabolism in the guinea pig Yount, N. Y. and D. J. McNamara (1991), Biochim Biophys Acta 1085(1): 82-90. Abstract: Studies to determine the effects of pre-natal interventions on maternal and fetal cholesterol homeostasis were carried out in the guinea pig. Guinea pig dams were fed either non-purified guinea pig diet or diet supplemented with either 1.1% of the bile acid binding resin cholestyramine or 0.25% cholesterol. Whole body rates of endogenous cholesterol synthesis were determined by quantitation of 3Hwater incorporation into digitonin precipitable sterols in non-pregnant animals and at 40 and 60 days of gestation in the dam and fetus. Maternal hepatic cholesterol synthesis was reduced 87% by dietary cholesterol and was increased 3.5-fold with cholestyramine feeding. Fetal hepatic and peripheral tissue cholesterol synthesis rates peaked at 40 days gestation when peripheral tissue cholesterol synthesis was 5.7-fold higher and hepatic synthesis 6.2-fold greater than the near adult levels observed at 60 days. Cholesterol synthesis in the fetus was relatively insensitive to dietary manipulations; however, maternal cholestyramine treatment did result in a 1.4-fold increase in fetal carcass cholesterol synthesis at 60 days gestation. These data demonstrate that maternal cholesterogenic systems maintain responsiveness to dietary regulation during pregnancy; whereas fetal cholesterol homeostasis is relatively insensitive to dietary cholesterol throughout gestation yet may respond to induction by maternal cholestyramine treatment during the late gestation period. |
| Dietary restriction counteracts age-related changes in cholesterol metabolism in the rat Mulas, M. F., G. Demuro, et al. (2005), Mech Ageing Dev 126(6-7): 648-54. Abstract: The effects of ageing on the metabolism of cholesterol were examined in three different organs (liver, aorta and brain) of 6-, 12- and 24-month-old male Sprague-Dawley rats. Ageing was associated with a significant increase in intracellular cholesterol esters in all three organs. Steady state mRNA levels of multidrug resistance protein (MDR) and acylCoA:cholesterol acyl transferase (ACAT), enzymes involved in cholesterol import and esterification, were also increased. By contrast, expression of mRNA for neutral cholesterol ester hydrolase (nCEH) and caveolin-1, proteins involved in cholesterol ester hydrolysis and export, were significantly reduced. Dietary restriction is the only intervention shown to extend lifespan and retard age-related declines in function in mammals. To further explore the possible correlation between changes in cholesterol esterification and ageing, we analysed cholesterol metabolism in liver, aorta, and brain of aged rats exposed to two dietary restriction regimens: intermittent (alternate-day) fasting (IF) and food intake restriction (60% of ad libitum feeding). Both dietary regimens attenuated the age-related changes in cholesterol esters and in the expression of genes involved in cholesterol metabolism. These results provide evidence that distinctive age-associated changes in intracellular cholesterol metabolism occur in rats. Furthermore, these modifications can be partially reversed by dietary restriction, a condition known to affect the ageing process. Age-related changes in cholesterol metabolism may play a role in triggering and/or aggravating senescence-related disorders characterized by altered cholesterol homeostasis. |
| Dietary restriction of saturated fat and cholesterol decreases HDL ApoA-I secretion Velez-Carrasco, W., A. H. Lichtenstein, et al. (1999), Arterioscler Thromb Vasc Biol 19(4): 918-24. Abstract: We examined the mechanisms responsible for the decrease in HDL cholesterol (HDL-C) levels after the consumption of a diet low in total fat, saturated fat, and cholesterol. Twenty-one subjects with a mean age of 58+/-12 years were placed on a baseline isocaloric diet (15% protein, 49% carbohydrate, 36% fat, and 150 mg/1000 kcals of cholesterol) and then switched to an NCEP Step 2 diet (15% protein, 60% carbohydrate, 25% fat, and 45 mg/1000 kcals of cholesterol). After 6 or 24 weeks on each diet, subjects received a 15-hour primed-constant infusion of 5,5,5-2H3-L-leucine. HDL apoA-I and apoA-II tracer curves were determined by gas chromatography-mass spectrometry and fitted to a monoexponential equation. Compared with the baseline diet, consumption of the Step 2 diet lowered HDL-C mean levels by 15% (1.03+/-0.23 to 0.88+/-0.16 mmol/L, P<0.001), apoA-I by 12% (1.25+/-0.15 to 1.10+/-0.13 g/L, P<0. 001) and the TC/HDL-C ratio by 5% (0.145+/-0.04 to 0.137+/-0.03). No significant changes were observed in apoA-II levels and HDL particle size with diet. HDL apoA-I fractional catabolic rate did not change (0.219+/-0.052 to 0.220+/-0.043 pools/day, P=0.91) but HDL apoA-I secretion rate decreased by 8% (12.26+/-3.07 to 10.84+/-2.11 mg. kg-1. day-1, P=0.03) during consumption of the Step 2 diet. There was no effect of diet on apoA-II fractional catabolic rate or secretion rate. Our results indicate that the decrease in HDL-C and apoA-I levels during the isocaloric consumption of a Step 2 diet paralleled the reductions in apoA-I secretion rate. |
| Dietary rhubarb (Rheum rhaponticum) stalk fibre does not lower plasma cholesterol levels in diabetic rats Cheema, S. K., V. Goel, et al. (2003), Br J Nutr 89(2): 201-6. Abstract: Rhubarb (Rheum rhapontiam) stalk fibre was previously shown to be hypolipidaemic under clinical and experimental conditions. The present study was undertaken to investigate whether rhubarb stalk fibre has a hypolipidaemic effect under diabetic conditions. Two models of diabetic rats were used: streptozotocin-induced diabetic rats, and diabetes-prone BB (BBdp) rats. The plasma cholesterol and triacylglycerol concentrations were elevated after the onset of diabetes in BBdp rats, but not in sterptozotocin-induced diabetic rats. The rhubarb-fibre diet had no effect on the plasma cholesterol or triacylglycerol concentrations of diabetic rats. The hypolipidaemic effect of rhubarb stalk fibre has been suggested to be due to the bile-acid-binding capacity of rhubarb fibre, which in turn up regulates cholesterol 7alpha-hydroxylase (cyp7a) activity. cyp7a is the first and the rate-limiting enzyme in the breakdown of cholesterol to bile acids. We measured the cyp7a activity and mRNA levels in control and diabetic rats fed rhubarb- and cellulose-fibre diets. The cyp7a activity and mRNA abundance were increased in both diabetic rat models, indicating that bile acid synthesis is enhanced in diabetes. Feeding a diet enriched with rhubarb fibre caused a slight but significant increase (P<0.05) in cyp7a enzyme activity in BBdp rats, but no change in cyp7a mRNA abundance was detected. These results suggest that although a rhubarb-fibre-enriched diet increased cyp7a activity in BBdp rats, there was no apparent therapeutic benefit in terms of lowering plasma cholesterol concentrations. |
| Dietary rhubarb (Rheum rhaponticum) stalk fibre stimulates cholesterol 7 alpha-hydroxylase gene expression and bile acid excretion in cholesterol-fed C57BL/6J mice Goel, V., S. K. Cheema, et al. (1999), Br J Nutr 81(1): 65-71. Abstract: Both experimental and clinical studies have indicated that a novel source of dietary fibre, produced from rhubarb (Rheum rhaponticum) stalks, is potentially hypolipidaemic. The present study, using C57BL/6J mice, was undertaken to examine if this fibre source affects cholesterol degradation. Mice were maintained on semi-purified diets containing 50 g rhubarb fibre or cellulose/kg with or without 5 g cholesterol/kg for 4 weeks. In cholesterol-supplemented mice, rhubarb fibre caused significant lowering of plasma cholesterol (-13%) and the hepatic concentrations of total cholesterol (-34%) and cholesteryl esters (-34%). In parallel to the reduction of hepatic cholesteryl ester content, animals fed on rhubarb fibre had significantly lower activity of acyl CoA: cholesterol acyltransferase (EC 2.3.1.26) than the mice maintained on a diet containing cellulose and cholesterol. Rhubarb-fibre feeding accelerated the faecal bile-acid loss and diminished the gall-bladder bile-acid pool in both the normal and the cholesterol-fed mice. The increase in the bile-acid excretion was positively correlated with an increased activity as well as mRNA abundance of cholesterol 7 alpha-hydroxylase (EC 1.14.13.17). The increased excretion of bile acids and induction of cholesterol 7 alpha-hydroxylase activity may account for the hypocholesterolaemic effect of rhubarb fibre. |
| Dietary saturated and trans fatty acids and cholesterol and 25-year mortality from coronary heart disease: the Seven Countries Study Kromhout, D., A. Menotti, et al. (1995), Prev Med 24(3): 308-15. Abstract: BACKGROUND. In the Seven Countries Study associations between intake of individual fatty acids and dietary cholesterol were studied in relation to serum cholesterol and 25-year mortality from coronary heart disease. All analyses concern only intercohort comparisons. METHODS. In the baseline surveys carried out between 1958 and 1964, risk factors for coronary heart disease were measured among 12,763 middle-aged men constituting 16 cohorts in seven countries. In 1987 and 1988 equivalent food composites representing the average food intake of each cohort at baseline were collected locally and analyzed in a central laboratory. The vital status of all participants was verified at regular intervals during 25 years of follow-up. RESULTS. Of the individual saturated fatty acids, the average population intake of lauric and myristic acid was most strongly related to the average serum cholesterol level (r > 0.8, P < 0.001). Strong positive associations were observed between 25-year death rates from coronary heart disease and average intake of the four major saturated fatty acids, lauric, myristic, palmitic, and stearic acid (r > 0.8, P < 0.001); the trans fatty acid elaidic acid (r = 0.78, P < 0.001); and dietary cholesterol (r = 0.55, P < 0.05). CONCLUSIONS. Interpreted in the light of experimental and clinical studies, the results of these cross-cultural analyses suggest that dietary saturated and trans fatty acids and dietary cholesterol are important determinants of differences in population rates of coronary heart disease death. |
| Dietary saturated fats and cholesterol concentrations Holmqvist, O. H. (1995), Am J Clin Nutr 61(6): 1305-6. |
| Dietary saturated fatty acids (12:0, 14:0, 16:0) differ in their impact on plasma cholesterol and lipoproteins in nonhuman primates Hayes, K. C., A. Pronczuk, et al. (1991), Am J Clin Nutr 53(2): 491-8. Abstract: Three species of monkey (rhesus, cebus, and squirrel) were rotated through five purified diets containing 31% energy as various fat blends (P:S between 0.1 and 1.0) for 12-wk periods to compare the impact of specific dietary fatty acids on plasma lipids and lipoproteins. As 12:0 + 14:0 was replaced by 16:0, a significant decrease occurred in total and LDL cholesterol, whereas slight increases in total cholesterol and the LDL-HDL ratio occurred when 16:0 replaced 18:2. Hegsted and Keys regression equations provided a good fit for the observed data, but the predicted total cholesterol response was perfect (r = 0.995) for both equations when 16:0 was considered neutral. Thus, under these conditions 16:0 was less cholesterolemic than 12:0 + 14:0 and only slightly cholesterolemic compared with 18:2. |