Acute effects of plant stanol esters on postprandial metabolism and its relation with changes in serum lipids after chronic intake

Background/objectives: Plant stanol esters lower serum low-density lipoprotein (LDL)-cholesterol (LDL-C), but responses between individuals vary widely. As the ability of subjects to respond to acute dietary challenges may reflect the flexibility to adapt to changes on the longer term, we related su...

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Veröffentlicht in:European journal of clinical nutrition 2015-01, Vol.69 (1), p.127-133
Hauptverfasser: De Smet, E, Mensink, R P, Lütjohann, D, Plat, J
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container_title European journal of clinical nutrition
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creator De Smet, E
Mensink, R P
Lütjohann, D
Plat, J
description Background/objectives: Plant stanol esters lower serum low-density lipoprotein (LDL)-cholesterol (LDL-C), but responses between individuals vary widely. As the ability of subjects to respond to acute dietary challenges may reflect the flexibility to adapt to changes on the longer term, we related subjects' acute postprandial metabolic changes to changes in serum lipoproteins after chronic intake of plant stanol esters. Subjects/methods: In a double-blind crossover design, 20 healthy subjects received in random order a high-fat shake enriched with or without plant stanol esters (4 g). Blood samples were taken during 4 h to examine lipid, glucose and lipoprotein profiles. Two subjects dropped out. For the 3 weeks after this postprandial test, the subjects who received the shake with plant stanol esters continued the consumption of plant stanol-enriched (3g/day) margarine and subjects receiving the control shake in the postprandial test consumed for the next 3 weeks a control margarine. After the washout period, subjects received the other shake and margarines. Results: The margarine enriched with plant stanol esters lowered concentrations of total cholesterol by 7.3% ( P
doi_str_mv 10.1038/ejcn.2014.200
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As the ability of subjects to respond to acute dietary challenges may reflect the flexibility to adapt to changes on the longer term, we related subjects' acute postprandial metabolic changes to changes in serum lipoproteins after chronic intake of plant stanol esters. Subjects/methods: In a double-blind crossover design, 20 healthy subjects received in random order a high-fat shake enriched with or without plant stanol esters (4 g). Blood samples were taken during 4 h to examine lipid, glucose and lipoprotein profiles. Two subjects dropped out. For the 3 weeks after this postprandial test, the subjects who received the shake with plant stanol esters continued the consumption of plant stanol-enriched (3g/day) margarine and subjects receiving the control shake in the postprandial test consumed for the next 3 weeks a control margarine. After the washout period, subjects received the other shake and margarines. Results: The margarine enriched with plant stanol esters lowered concentrations of total cholesterol by 7.3% ( P &lt;0.01), LDL-C by 9.5% ( P &lt;0.01) and apoB100 by 8.6% ( P &lt;0.01). Furthermore, particle concentrations of total very low-density lipoprotein (VLDL), small VLDL and large LDL were reduced by 26.6% ( P =0.02), 27.6% ( P =0.02) and 12.3% ( P =0.04), respectively. Plant stanol esters did not affect parameters related to lipid and glucose metabolism during the postprandial phase. However, the incremental area under the curve (iAUC) of the postprandial glucose concentration after consuming the control shake correlated positively with changes in fasting concentrations of total cholesterol, LDL-C, apoB100, total VLDL, small VLDL and intermediate-density lipoprotein after 3 weeks. Conclusions: A single dose of plant stanol esters does not change postprandial lipid and lipoprotein profiles. However, postprandial glucose responses may predict the effects of chronic plant stanol ester consumption.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/ejcn.2014.200</identifier><identifier>PMID: 25271015</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>59/57 ; 631/443/319 ; 692/699/317 ; 692/700/2814 ; 82/58 ; Acute effects ; Adult ; Blood ; Blood Glucose - analysis ; Cholesterol ; Cholesterol, LDL ; Clinical Nutrition ; Consumption ; Cross-Over Studies ; Crossovers ; Density ; Diet ; Double-Blind Method ; Enrichment ; Epidemiology ; Esters ; Female ; Food, Fortified ; Glucose ; Glucose metabolism ; Health aspects ; Humans ; Internal Medicine ; Lipid metabolism ; Lipid Metabolism - drug effects ; Lipids ; Lipids - blood ; Lipoproteins ; Lipoproteins (very low density) ; Lipoproteins - blood ; Low density lipoprotein ; Male ; Margarine ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Metabolism ; Nutrition research ; original-article ; Phytochemicals ; Postprandial Period ; Protein research ; Public Health ; Serum lipids ; Sitosterols - administration &amp; dosage ; Young Adult</subject><ispartof>European journal of clinical nutrition, 2015-01, Vol.69 (1), p.127-133</ispartof><rights>Macmillan Publishers Limited 2015</rights><rights>COPYRIGHT 2015 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jan 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c596t-8931d3ba2e742c3a69cc8a1a0fc1ae32c66a6da83d5e653764f73db3564219643</citedby><cites>FETCH-LOGICAL-c596t-8931d3ba2e742c3a69cc8a1a0fc1ae32c66a6da83d5e653764f73db3564219643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/ejcn.2014.200$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/ejcn.2014.200$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25271015$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>De Smet, E</creatorcontrib><creatorcontrib>Mensink, R P</creatorcontrib><creatorcontrib>Lütjohann, D</creatorcontrib><creatorcontrib>Plat, J</creatorcontrib><title>Acute effects of plant stanol esters on postprandial metabolism and its relation with changes in serum lipids after chronic intake</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background/objectives: Plant stanol esters lower serum low-density lipoprotein (LDL)-cholesterol (LDL-C), but responses between individuals vary widely. As the ability of subjects to respond to acute dietary challenges may reflect the flexibility to adapt to changes on the longer term, we related subjects' acute postprandial metabolic changes to changes in serum lipoproteins after chronic intake of plant stanol esters. Subjects/methods: In a double-blind crossover design, 20 healthy subjects received in random order a high-fat shake enriched with or without plant stanol esters (4 g). Blood samples were taken during 4 h to examine lipid, glucose and lipoprotein profiles. Two subjects dropped out. For the 3 weeks after this postprandial test, the subjects who received the shake with plant stanol esters continued the consumption of plant stanol-enriched (3g/day) margarine and subjects receiving the control shake in the postprandial test consumed for the next 3 weeks a control margarine. After the washout period, subjects received the other shake and margarines. 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As the ability of subjects to respond to acute dietary challenges may reflect the flexibility to adapt to changes on the longer term, we related subjects' acute postprandial metabolic changes to changes in serum lipoproteins after chronic intake of plant stanol esters. Subjects/methods: In a double-blind crossover design, 20 healthy subjects received in random order a high-fat shake enriched with or without plant stanol esters (4 g). Blood samples were taken during 4 h to examine lipid, glucose and lipoprotein profiles. Two subjects dropped out. For the 3 weeks after this postprandial test, the subjects who received the shake with plant stanol esters continued the consumption of plant stanol-enriched (3g/day) margarine and subjects receiving the control shake in the postprandial test consumed for the next 3 weeks a control margarine. After the washout period, subjects received the other shake and margarines. Results: The margarine enriched with plant stanol esters lowered concentrations of total cholesterol by 7.3% ( P &lt;0.01), LDL-C by 9.5% ( P &lt;0.01) and apoB100 by 8.6% ( P &lt;0.01). Furthermore, particle concentrations of total very low-density lipoprotein (VLDL), small VLDL and large LDL were reduced by 26.6% ( P =0.02), 27.6% ( P =0.02) and 12.3% ( P =0.04), respectively. Plant stanol esters did not affect parameters related to lipid and glucose metabolism during the postprandial phase. However, the incremental area under the curve (iAUC) of the postprandial glucose concentration after consuming the control shake correlated positively with changes in fasting concentrations of total cholesterol, LDL-C, apoB100, total VLDL, small VLDL and intermediate-density lipoprotein after 3 weeks. Conclusions: A single dose of plant stanol esters does not change postprandial lipid and lipoprotein profiles. However, postprandial glucose responses may predict the effects of chronic plant stanol ester consumption.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>25271015</pmid><doi>10.1038/ejcn.2014.200</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects 59/57
631/443/319
692/699/317
692/700/2814
82/58
Acute effects
Adult
Blood
Blood Glucose - analysis
Cholesterol
Cholesterol, LDL
Clinical Nutrition
Consumption
Cross-Over Studies
Crossovers
Density
Diet
Double-Blind Method
Enrichment
Epidemiology
Esters
Female
Food, Fortified
Glucose
Glucose metabolism
Health aspects
Humans
Internal Medicine
Lipid metabolism
Lipid Metabolism - drug effects
Lipids
Lipids - blood
Lipoproteins
Lipoproteins (very low density)
Lipoproteins - blood
Low density lipoprotein
Male
Margarine
Medicine
Medicine & Public Health
Metabolic Diseases
Metabolism
Nutrition research
original-article
Phytochemicals
Postprandial Period
Protein research
Public Health
Serum lipids
Sitosterols - administration & dosage
Young Adult
title Acute effects of plant stanol esters on postprandial metabolism and its relation with changes in serum lipids after chronic intake
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