Meals with Similar Fat Content from Different Dairy Products Induce Different Postprandial Triglyceride Responses in Healthy Adults: A Randomized Controlled Cross-Over Trial

Postprandial lipemia is a risk factor for cardiovascular disease. Dairy products differ in nutrient content and food matrix, and little is known about how different dairy products affect postprandial triglyceride (TG) concentrations. We investigated the effect of meals with similar amounts of fat fr...

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Veröffentlicht in:The Journal of nutrition 2019-03, Vol.149 (3), p.422-431
Hauptverfasser: Hansson, Patrik, Holven, Kirsten B, Øyri, Linn K L, Brekke, Hilde K, Biong, Anne S, Gjevestad, Gyrd O, Raza, Ghulam S, Herzig, Karl-Heinz, Thoresen, Magne, Ulven, Stine M
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container_title The Journal of nutrition
container_volume 149
creator Hansson, Patrik
Holven, Kirsten B
Øyri, Linn K L
Brekke, Hilde K
Biong, Anne S
Gjevestad, Gyrd O
Raza, Ghulam S
Herzig, Karl-Heinz
Thoresen, Magne
Ulven, Stine M
description Postprandial lipemia is a risk factor for cardiovascular disease. Dairy products differ in nutrient content and food matrix, and little is known about how different dairy products affect postprandial triglyceride (TG) concentrations. We investigated the effect of meals with similar amounts of fat from different dairy products on postprandial TG concentrations over 6 h in healthy adults. A randomized controlled cross-over study was performed on 47 subjects (30% men), with median (25th–75th percentile) age of 32 (25–46) y and body mass index of 23.6 (21.0–25.8) kg/m2. Meals included 1 of butter, cheese, whipped cream, or sour cream, corresponding to 45 g of fat (approximately 60 energy%). Serum concentrations of TGs (primary outcome), and total cholesterol (TC), low density lipoprotein cholesterol (LDL cholesterol), high density lipoprotein cholesterol (HDL cholesterol), insulin, glucose, non-esterified fatty acids, and plasma glucose-dependent insulinotropic polypeptide (secondary outcomes) were measured before the meal and 2, 4, and 6 h postprandially. Incremental AUC (iAUC) was calculated for the responses, and data were analyzed using a linear mixed model. Sour cream induced a 61% larger TG-iAUC0–6 h compared to whipped cream (P 
doi_str_mv 10.1093/jn/nxy291
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Dairy products differ in nutrient content and food matrix, and little is known about how different dairy products affect postprandial triglyceride (TG) concentrations. We investigated the effect of meals with similar amounts of fat from different dairy products on postprandial TG concentrations over 6 h in healthy adults. A randomized controlled cross-over study was performed on 47 subjects (30% men), with median (25th–75th percentile) age of 32 (25–46) y and body mass index of 23.6 (21.0–25.8) kg/m2. Meals included 1 of butter, cheese, whipped cream, or sour cream, corresponding to 45 g of fat (approximately 60 energy%). Serum concentrations of TGs (primary outcome), and total cholesterol (TC), low density lipoprotein cholesterol (LDL cholesterol), high density lipoprotein cholesterol (HDL cholesterol), insulin, glucose, non-esterified fatty acids, and plasma glucose-dependent insulinotropic polypeptide (secondary outcomes) were measured before the meal and 2, 4, and 6 h postprandially. Incremental AUC (iAUC) was calculated for the responses, and data were analyzed using a linear mixed model. Sour cream induced a 61% larger TG-iAUC0–6 h compared to whipped cream (P &lt; 0.001), a 53% larger TG-iAUC0–6 h compared to butter (P &lt; 0.001), and a 23% larger TG-iAUC0–6 h compared to cheese (P = 0.05). No differences in TG-iAUC0–6 h between the other meals were observed. Intake of sour cream induced a larger HDL cholesterol-iAUC0–6 h compared to cheese (P = 0.01). Intake of cheese induced a 124% larger insulin iAUC0–6 h compared to butter (P = 0.006). No other meal effects were observed. High-fat meals containing similar amount of fat from different dairy products induce different postprandial effects on serum TGs, HDL cholesterol, and insulin in healthy adults. The potential mechanisms and clinical impact of our findings remain to be further elucidated. 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Dairy products differ in nutrient content and food matrix, and little is known about how different dairy products affect postprandial triglyceride (TG) concentrations. We investigated the effect of meals with similar amounts of fat from different dairy products on postprandial TG concentrations over 6 h in healthy adults. A randomized controlled cross-over study was performed on 47 subjects (30% men), with median (25th–75th percentile) age of 32 (25–46) y and body mass index of 23.6 (21.0–25.8) kg/m2. Meals included 1 of butter, cheese, whipped cream, or sour cream, corresponding to 45 g of fat (approximately 60 energy%). Serum concentrations of TGs (primary outcome), and total cholesterol (TC), low density lipoprotein cholesterol (LDL cholesterol), high density lipoprotein cholesterol (HDL cholesterol), insulin, glucose, non-esterified fatty acids, and plasma glucose-dependent insulinotropic polypeptide (secondary outcomes) were measured before the meal and 2, 4, and 6 h postprandially. Incremental AUC (iAUC) was calculated for the responses, and data were analyzed using a linear mixed model. Sour cream induced a 61% larger TG-iAUC0–6 h compared to whipped cream (P &lt; 0.001), a 53% larger TG-iAUC0–6 h compared to butter (P &lt; 0.001), and a 23% larger TG-iAUC0–6 h compared to cheese (P = 0.05). No differences in TG-iAUC0–6 h between the other meals were observed. Intake of sour cream induced a larger HDL cholesterol-iAUC0–6 h compared to cheese (P = 0.01). Intake of cheese induced a 124% larger insulin iAUC0–6 h compared to butter (P = 0.006). No other meal effects were observed. High-fat meals containing similar amount of fat from different dairy products induce different postprandial effects on serum TGs, HDL cholesterol, and insulin in healthy adults. The potential mechanisms and clinical impact of our findings remain to be further elucidated. The study was registered at www.clinicaltrials.gov as NCT02836106.</description><subject>Adult</subject><subject>Adults</subject><subject>Blood Glucose</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Butter</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cheese</subject><subject>Cholesterol</subject><subject>Cholesterol - blood</subject><subject>Cholesterol - classification</subject><subject>Clinical trials</subject><subject>Control methods</subject><subject>Cream</subject><subject>Cross-Over Studies</subject><subject>Crossovers</subject><subject>Dairy products</subject><subject>Dairy Products - analysis</subject><subject>Data processing</subject><subject>Density</subject><subject>Dietary Fats - administration &amp; dosage</subject><subject>Dietary Fats - analysis</subject><subject>Esterification</subject><subject>Evidence-based medicine</subject><subject>Fatty acids</subject><subject>Fatty Acids, Nonesterified - blood</subject><subject>Female</subject><subject>fermentation</subject><subject>Food matrix</subject><subject>GIP protein</subject><subject>Glucose</subject><subject>glucose-dependent insulinotropic polypeptide</subject><subject>HDL cholesterol</subject><subject>Health risks</subject><subject>High density lipoprotein</subject><subject>Humans</subject><subject>Insulin</subject><subject>Insulin - blood</subject><subject>Low density lipoprotein</subject><subject>Male</subject><subject>Meals</subject><subject>Middle Aged</subject><subject>non-esterified fatty acids</subject><subject>Nutrient content</subject><subject>Oils &amp; fats</subject><subject>Original</subject><subject>Postprandial lipemia</subject><subject>Postprandial Period</subject><subject>Randomization</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>sour cream</subject><subject>triglycerides</subject><subject>Triglycerides - blood</subject><issn>0022-3166</issn><issn>1541-6100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><sourceid>3HK</sourceid><recordid>eNp9ksFu1DAQhiMEokvhwAuAJTjAIe04ieOEA9JqS2mlolalnC3XmXS9cuzFdhaWd-Id8XbbqkWIk23NN_8_M54se0lhj0Jb7i_svv25Llr6KJtQVtG8pgCPswlAUeQlreud7FkICwCgVds8zXZK4KwtSjbJfn9BaQL5oeOcfNWDNtKTQxnJzNmINpLeu4Ec6L5Hv3keSO3X5My7blQxkGObTrwXP3MhLr20nZaGXHh9ZdYKve6QnGNYOhswEG3JUTKN8zWZdqOJ4QOZkvOU4wb9C7tra--M2Vy9CyE_XaHfiEnzPHvSp3Lxxc25m307_HQxO8pPTj8fz6YnuWIAMa8lbVVXNWUNsqmBFz3DGiUwKFldAfC251XTskpxkP0lSxFZYdNDoVBBBeVu9nGruxwvB-xUas1LI5ZeD9KvhZNaPIxYPRdXbiXqsm3KpkoCr7cCyusQtRXWeSkoNKwQnBewsXh3Y-Hd9xFDFIMOCo2RFt0YREEb3rKa0SKhb_5CF270Ng0gUS1AzXnLE_X-1jINzWN_Vy4FsVkTsUhlXK9JYl_d7--OvN2LBLzdAm5c_len3GKYPmOl0YugNFqFnfaoouic_kfWH6Gu2QE</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Hansson, Patrik</creator><creator>Holven, Kirsten B</creator><creator>Øyri, Linn K L</creator><creator>Brekke, Hilde K</creator><creator>Biong, Anne S</creator><creator>Gjevestad, Gyrd O</creator><creator>Raza, Ghulam S</creator><creator>Herzig, Karl-Heinz</creator><creator>Thoresen, Magne</creator><creator>Ulven, Stine M</creator><general>Elsevier Inc</general><general>Oxford University Press</general><general>American Institute of Nutrition</general><general>American Society for Nutrition</general><scope>6I.</scope><scope>AAFTH</scope><scope>TOX</scope><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>NAPCQ</scope><scope>7X8</scope><scope>3HK</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8674-9703</orcidid><orcidid>https://orcid.org/0000-0003-4460-2604</orcidid></search><sort><creationdate>20190301</creationdate><title>Meals with Similar Fat Content from Different Dairy Products Induce Different Postprandial Triglyceride Responses in Healthy Adults: A Randomized Controlled Cross-Over Trial</title><author>Hansson, Patrik ; Holven, Kirsten B ; Øyri, Linn K L ; Brekke, Hilde K ; Biong, Anne S ; Gjevestad, Gyrd O ; Raza, Ghulam S ; Herzig, Karl-Heinz ; Thoresen, Magne ; Ulven, Stine M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-6a19cd48360a86072f5e6ea05035640079f748954c70afb5a05a4e8f02cec0403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Blood Glucose</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Butter</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cheese</topic><topic>Cholesterol</topic><topic>Cholesterol - blood</topic><topic>Cholesterol - classification</topic><topic>Clinical trials</topic><topic>Control methods</topic><topic>Cream</topic><topic>Cross-Over Studies</topic><topic>Crossovers</topic><topic>Dairy products</topic><topic>Dairy Products - analysis</topic><topic>Data processing</topic><topic>Density</topic><topic>Dietary Fats - administration &amp; dosage</topic><topic>Dietary Fats - analysis</topic><topic>Esterification</topic><topic>Evidence-based medicine</topic><topic>Fatty acids</topic><topic>Fatty Acids, Nonesterified - blood</topic><topic>Female</topic><topic>fermentation</topic><topic>Food matrix</topic><topic>GIP protein</topic><topic>Glucose</topic><topic>glucose-dependent insulinotropic polypeptide</topic><topic>HDL cholesterol</topic><topic>Health risks</topic><topic>High density lipoprotein</topic><topic>Humans</topic><topic>Insulin</topic><topic>Insulin - blood</topic><topic>Low density lipoprotein</topic><topic>Male</topic><topic>Meals</topic><topic>Middle Aged</topic><topic>non-esterified fatty acids</topic><topic>Nutrient content</topic><topic>Oils &amp; fats</topic><topic>Original</topic><topic>Postprandial lipemia</topic><topic>Postprandial Period</topic><topic>Randomization</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>sour cream</topic><topic>triglycerides</topic><topic>Triglycerides - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hansson, Patrik</creatorcontrib><creatorcontrib>Holven, Kirsten B</creatorcontrib><creatorcontrib>Øyri, Linn K L</creatorcontrib><creatorcontrib>Brekke, Hilde K</creatorcontrib><creatorcontrib>Biong, Anne S</creatorcontrib><creatorcontrib>Gjevestad, Gyrd O</creatorcontrib><creatorcontrib>Raza, Ghulam S</creatorcontrib><creatorcontrib>Herzig, Karl-Heinz</creatorcontrib><creatorcontrib>Thoresen, Magne</creatorcontrib><creatorcontrib>Ulven, Stine M</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Oxford Journals Open Access Collection</collection><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; 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Dairy products differ in nutrient content and food matrix, and little is known about how different dairy products affect postprandial triglyceride (TG) concentrations. We investigated the effect of meals with similar amounts of fat from different dairy products on postprandial TG concentrations over 6 h in healthy adults. A randomized controlled cross-over study was performed on 47 subjects (30% men), with median (25th–75th percentile) age of 32 (25–46) y and body mass index of 23.6 (21.0–25.8) kg/m2. Meals included 1 of butter, cheese, whipped cream, or sour cream, corresponding to 45 g of fat (approximately 60 energy%). Serum concentrations of TGs (primary outcome), and total cholesterol (TC), low density lipoprotein cholesterol (LDL cholesterol), high density lipoprotein cholesterol (HDL cholesterol), insulin, glucose, non-esterified fatty acids, and plasma glucose-dependent insulinotropic polypeptide (secondary outcomes) were measured before the meal and 2, 4, and 6 h postprandially. Incremental AUC (iAUC) was calculated for the responses, and data were analyzed using a linear mixed model. Sour cream induced a 61% larger TG-iAUC0–6 h compared to whipped cream (P &lt; 0.001), a 53% larger TG-iAUC0–6 h compared to butter (P &lt; 0.001), and a 23% larger TG-iAUC0–6 h compared to cheese (P = 0.05). No differences in TG-iAUC0–6 h between the other meals were observed. Intake of sour cream induced a larger HDL cholesterol-iAUC0–6 h compared to cheese (P = 0.01). Intake of cheese induced a 124% larger insulin iAUC0–6 h compared to butter (P = 0.006). No other meal effects were observed. High-fat meals containing similar amount of fat from different dairy products induce different postprandial effects on serum TGs, HDL cholesterol, and insulin in healthy adults. The potential mechanisms and clinical impact of our findings remain to be further elucidated. The study was registered at www.clinicaltrials.gov as NCT02836106.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30759235</pmid><doi>10.1093/jn/nxy291</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-8674-9703</orcidid><orcidid>https://orcid.org/0000-0003-4460-2604</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Adults
Blood Glucose
Body mass
Body mass index
Body size
Butter
Cardiovascular disease
Cardiovascular diseases
Cheese
Cholesterol
Cholesterol - blood
Cholesterol - classification
Clinical trials
Control methods
Cream
Cross-Over Studies
Crossovers
Dairy products
Dairy Products - analysis
Data processing
Density
Dietary Fats - administration & dosage
Dietary Fats - analysis
Esterification
Evidence-based medicine
Fatty acids
Fatty Acids, Nonesterified - blood
Female
fermentation
Food matrix
GIP protein
Glucose
glucose-dependent insulinotropic polypeptide
HDL cholesterol
Health risks
High density lipoprotein
Humans
Insulin
Insulin - blood
Low density lipoprotein
Male
Meals
Middle Aged
non-esterified fatty acids
Nutrient content
Oils & fats
Original
Postprandial lipemia
Postprandial Period
Randomization
Risk analysis
Risk factors
sour cream
triglycerides
Triglycerides - blood
title Meals with Similar Fat Content from Different Dairy Products Induce Different Postprandial Triglyceride Responses in Healthy Adults: A Randomized Controlled Cross-Over Trial
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