Plant Sterol-Fortified Orange Juice Effectively Lowers Cholesterol Levels in Mildly Hypercholesterolemic Healthy Individuals

OBJECTIVE—Hypercholesterolemia is a major risk factor for coronary artery disease. Therapeutic lifestyle changes include dietary modifications such as inclusion of phytosterols, which effectively lowers low-density lipoprotein (LDL) cholesterol in margarines and other fats. Their effectiveness in no...

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Veröffentlicht in:Arteriosclerosis, thrombosis, and vascular biology thrombosis, and vascular biology, 2004-03, Vol.24 (3), p.e25-e28
Hauptverfasser: Devaraj, Sridevi, Jialal, Ishwarlal, Vega-López, Sonia
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container_issue 3
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container_title Arteriosclerosis, thrombosis, and vascular biology
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creator Devaraj, Sridevi
Jialal, Ishwarlal
Vega-López, Sonia
description OBJECTIVE—Hypercholesterolemia is a major risk factor for coronary artery disease. Therapeutic lifestyle changes include dietary modifications such as inclusion of phytosterols, which effectively lowers low-density lipoprotein (LDL) cholesterol in margarines and other fats. Their effectiveness in nonfat moieties is not yet established. The aim of this study was to examine if phytosterols alter the plasma lipoprotein profile when incorporated into nonfat orange juice. METHODS AND RESULTS—After a 2-week run-in phase with orange juice, 72 mildly hypercholesterolemic healthy subjects were randomized to receive either placebo orange juice (placebo OJ) or plant sterol-fortified orange juice (sterol OJ) (2g/d) for 8 weeks. Fasting blood was obtained at baseline, after 2 weeks of OJ, and after 8 weeks of placebo/sterol-OJ supplementation. Sterol OJ supplementation significantly decreased total (7.2%), LDL (12.4%), and non-high-density lipoprotein (HDL) cholesterol (7.8%) compared with baseline and compared with placebo OJ (P
doi_str_mv 10.1161/01.ATV.0000120784.08823.99
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Therapeutic lifestyle changes include dietary modifications such as inclusion of phytosterols, which effectively lowers low-density lipoprotein (LDL) cholesterol in margarines and other fats. Their effectiveness in nonfat moieties is not yet established. The aim of this study was to examine if phytosterols alter the plasma lipoprotein profile when incorporated into nonfat orange juice. METHODS AND RESULTS—After a 2-week run-in phase with orange juice, 72 mildly hypercholesterolemic healthy subjects were randomized to receive either placebo orange juice (placebo OJ) or plant sterol-fortified orange juice (sterol OJ) (2g/d) for 8 weeks. Fasting blood was obtained at baseline, after 2 weeks of OJ, and after 8 weeks of placebo/sterol-OJ supplementation. Sterol OJ supplementation significantly decreased total (7.2%), LDL (12.4%), and non-high-density lipoprotein (HDL) cholesterol (7.8%) compared with baseline and compared with placebo OJ (P &lt;0.01). Apolipoprotein B levels were significantly decreased (9.5%) with sterol OJ. There were no significant changes in HDL cholesterol or triglycerides with the sterol OJ. While folate and B12 levels significantly increased, homocysteine levels were unchanged. CONCLUSIONS—Orange juice fortified with plant sterols are effective in reducing LDL cholesterol and could easily be incorporated into the therapeutic lifestyle changes dietary regimen.</description><identifier>ISSN: 1079-5642</identifier><identifier>EISSN: 1524-4636</identifier><identifier>DOI: 10.1161/01.ATV.0000120784.08823.99</identifier><identifier>PMID: 14764424</identifier><language>eng</language><publisher>United States: American Heart Association, Inc</publisher><subject>Adult ; Aged ; Apolipoproteins B - blood ; Beverages ; Cholesterol - administration &amp; dosage ; Cholesterol - analogs &amp; derivatives ; Cholesterol - therapeutic use ; Cholesterol, LDL - blood ; Citrus ; Double-Blind Method ; Female ; Folic Acid - blood ; Food, Fortified ; Homocysteine - blood ; Humans ; Hypercholesterolemia - blood ; Hypercholesterolemia - drug therapy ; Male ; Middle Aged ; Phytosterols - administration &amp; dosage ; Phytosterols - therapeutic use ; Sitosterols - administration &amp; dosage ; Sitosterols - therapeutic use ; Stigmasterol - administration &amp; dosage ; Stigmasterol - therapeutic use ; Treatment Outcome ; Vitamin B 12 - blood</subject><ispartof>Arteriosclerosis, thrombosis, and vascular biology, 2004-03, Vol.24 (3), p.e25-e28</ispartof><rights>2004 American Heart Association, Inc.</rights><rights>Copyright American Heart Association, Inc. 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Therapeutic lifestyle changes include dietary modifications such as inclusion of phytosterols, which effectively lowers low-density lipoprotein (LDL) cholesterol in margarines and other fats. Their effectiveness in nonfat moieties is not yet established. The aim of this study was to examine if phytosterols alter the plasma lipoprotein profile when incorporated into nonfat orange juice. METHODS AND RESULTS—After a 2-week run-in phase with orange juice, 72 mildly hypercholesterolemic healthy subjects were randomized to receive either placebo orange juice (placebo OJ) or plant sterol-fortified orange juice (sterol OJ) (2g/d) for 8 weeks. Fasting blood was obtained at baseline, after 2 weeks of OJ, and after 8 weeks of placebo/sterol-OJ supplementation. Sterol OJ supplementation significantly decreased total (7.2%), LDL (12.4%), and non-high-density lipoprotein (HDL) cholesterol (7.8%) compared with baseline and compared with placebo OJ (P &lt;0.01). Apolipoprotein B levels were significantly decreased (9.5%) with sterol OJ. There were no significant changes in HDL cholesterol or triglycerides with the sterol OJ. While folate and B12 levels significantly increased, homocysteine levels were unchanged. CONCLUSIONS—Orange juice fortified with plant sterols are effective in reducing LDL cholesterol and could easily be incorporated into the therapeutic lifestyle changes dietary regimen.</description><subject>Adult</subject><subject>Aged</subject><subject>Apolipoproteins B - blood</subject><subject>Beverages</subject><subject>Cholesterol - administration &amp; dosage</subject><subject>Cholesterol - analogs &amp; derivatives</subject><subject>Cholesterol - therapeutic use</subject><subject>Cholesterol, LDL - blood</subject><subject>Citrus</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Folic Acid - blood</subject><subject>Food, Fortified</subject><subject>Homocysteine - blood</subject><subject>Humans</subject><subject>Hypercholesterolemia - blood</subject><subject>Hypercholesterolemia - drug therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Phytosterols - administration &amp; dosage</subject><subject>Phytosterols - therapeutic use</subject><subject>Sitosterols - administration &amp; dosage</subject><subject>Sitosterols - therapeutic use</subject><subject>Stigmasterol - administration &amp; dosage</subject><subject>Stigmasterol - therapeutic use</subject><subject>Treatment Outcome</subject><subject>Vitamin B 12 - blood</subject><issn>1079-5642</issn><issn>1524-4636</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkdtu1DAQhiMEoqXwCsjqBXdJfYwd7qpVy7ZaVCQKt1bWGbMu3mSxk1Yr8fDMHqSV8M2M5W8O_v-iuGS0YqxmV5RV148_K4qHcaqNrKgxXFRN86o4Z4rLUtaifo051U2pasnPinc5PyEvOadvizMmdS0ll-fF32-x7UfyfYQ0xPJ2SGPwATrykNr-F5D7KTggN96DG8MzxC1ZDC-QMpmthgh5X0UWgC-ZhJ58DbFDZr7dQHInAtbBkTm0cVxtyV3fhefQTW3M74s3HgN8OMaL4sftzeNsXi4evtzNrhelk5qbUrfUS-nNsl16b2pQvJGe0Vq0ygnvndeglXGea5DQNVQz3S3BmFrh2qJ14qL4dOi7ScOfCZey65AdRPw6DFO2WECVEgzBy__Ap2FKPe5mOWpntFESoc8HyKUh5wTeblJYt2lrGbU7gyxlFg2yJ4Ps3iDbNFj88ThhWq6hO5UeHUFAHoCXIaJ4-XecUHC72qu3aylFTVXJMaECr-VuiBH_AK0Enqw</recordid><startdate>200403</startdate><enddate>200403</enddate><creator>Devaraj, Sridevi</creator><creator>Jialal, Ishwarlal</creator><creator>Vega-López, Sonia</creator><general>American Heart Association, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200403</creationdate><title>Plant Sterol-Fortified Orange Juice Effectively Lowers Cholesterol Levels in Mildly Hypercholesterolemic Healthy Individuals</title><author>Devaraj, Sridevi ; 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dosage</topic><topic>Sitosterols - therapeutic use</topic><topic>Stigmasterol - administration &amp; dosage</topic><topic>Stigmasterol - therapeutic use</topic><topic>Treatment Outcome</topic><topic>Vitamin B 12 - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Devaraj, Sridevi</creatorcontrib><creatorcontrib>Jialal, Ishwarlal</creatorcontrib><creatorcontrib>Vega-López, Sonia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Arteriosclerosis, thrombosis, and vascular biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Devaraj, Sridevi</au><au>Jialal, Ishwarlal</au><au>Vega-López, Sonia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plant Sterol-Fortified Orange Juice Effectively Lowers Cholesterol Levels in Mildly Hypercholesterolemic Healthy Individuals</atitle><jtitle>Arteriosclerosis, thrombosis, and vascular biology</jtitle><addtitle>Arterioscler Thromb Vasc Biol</addtitle><date>2004-03</date><risdate>2004</risdate><volume>24</volume><issue>3</issue><spage>e25</spage><epage>e28</epage><pages>e25-e28</pages><issn>1079-5642</issn><eissn>1524-4636</eissn><abstract>OBJECTIVE—Hypercholesterolemia is a major risk factor for coronary artery disease. Therapeutic lifestyle changes include dietary modifications such as inclusion of phytosterols, which effectively lowers low-density lipoprotein (LDL) cholesterol in margarines and other fats. Their effectiveness in nonfat moieties is not yet established. The aim of this study was to examine if phytosterols alter the plasma lipoprotein profile when incorporated into nonfat orange juice. METHODS AND RESULTS—After a 2-week run-in phase with orange juice, 72 mildly hypercholesterolemic healthy subjects were randomized to receive either placebo orange juice (placebo OJ) or plant sterol-fortified orange juice (sterol OJ) (2g/d) for 8 weeks. Fasting blood was obtained at baseline, after 2 weeks of OJ, and after 8 weeks of placebo/sterol-OJ supplementation. Sterol OJ supplementation significantly decreased total (7.2%), LDL (12.4%), and non-high-density lipoprotein (HDL) cholesterol (7.8%) compared with baseline and compared with placebo OJ (P &lt;0.01). Apolipoprotein B levels were significantly decreased (9.5%) with sterol OJ. There were no significant changes in HDL cholesterol or triglycerides with the sterol OJ. While folate and B12 levels significantly increased, homocysteine levels were unchanged. CONCLUSIONS—Orange juice fortified with plant sterols are effective in reducing LDL cholesterol and could easily be incorporated into the therapeutic lifestyle changes dietary regimen.</abstract><cop>United States</cop><pub>American Heart Association, Inc</pub><pmid>14764424</pmid><doi>10.1161/01.ATV.0000120784.08823.99</doi><oa>free_for_read</oa></addata></record>
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ispartof Arteriosclerosis, thrombosis, and vascular biology, 2004-03, Vol.24 (3), p.e25-e28
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1524-4636
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source MEDLINE; Journals@Ovid Complete; Alma/SFX Local Collection
subjects Adult
Aged
Apolipoproteins B - blood
Beverages
Cholesterol - administration & dosage
Cholesterol - analogs & derivatives
Cholesterol - therapeutic use
Cholesterol, LDL - blood
Citrus
Double-Blind Method
Female
Folic Acid - blood
Food, Fortified
Homocysteine - blood
Humans
Hypercholesterolemia - blood
Hypercholesterolemia - drug therapy
Male
Middle Aged
Phytosterols - administration & dosage
Phytosterols - therapeutic use
Sitosterols - administration & dosage
Sitosterols - therapeutic use
Stigmasterol - administration & dosage
Stigmasterol - therapeutic use
Treatment Outcome
Vitamin B 12 - blood
title Plant Sterol-Fortified Orange Juice Effectively Lowers Cholesterol Levels in Mildly Hypercholesterolemic Healthy Individuals
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