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Ensayo controlado aleatorizado2000Financiación no declarada

Incorporation of lean red meat into a National Cholesterol Education Program Step I diet: a long-term, randomized clinical trial in free-living persons with hypercholesterolemia

Hunninghake DB, Maki KC, Kwiterovich PO, Davidson MH, Dicklin MR, Kafonek SD

Journal of the American College of Nutrition · 34 citas

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Financiación no declarada

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
No se indica

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2000-06-01 · J Am Coll Nutr · vol. 19 · número 3 · págs. 351–360
Editorial
Taylor & Francis
Citado
52 citas · más que el 69% de estudios similares · 0.4× el promedio de su campo
Referencias
31 trabajos
Acceso
De pago
Áreas de investigación
Nutritional Studies and Diet · Lipoproteins and Cardiovascular Health · Fatty Acid Research and Health
Palabras clave
hypercholesterolemia, LDL cholesterol, HDL cholesterol, total cholesterol, triglycerides, dietary fat intake, meat consumption, lipoprotein concentration, dietary intervention
MeSH
humans, hypercholesterolemia, cholesterol, lipoproteins, cross-over studies, patient compliance, residence characteristics, meat, poultry products, fish products, adolescent, adult, aged, middle aged, female, male

6 autores

  • Donald B. Hunninghake🇺🇸University of Minnesota
  • Kevin Carl Maki
  • Peter O. Kwiterovich🇺🇸Johns Hopkins University; Johns Hopkins Medicine
  • Michael H. Davidson
  • Mary R. Dicklin
  • Stephanie D. Kafonek🇺🇸Johns Hopkins University; Johns Hopkins Medicine

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objective

Clinicians often recommend that intake of all meat, particularly red meat, be reduced in conjunction with a low-fat, low-cholesterol diet to reduce low-density lipoprotein (LDL) cholesterol. This study was designed to determine the long-term effects of lean red meat (beef, veal and pork) compared to lean white meat (poultry and fish) consumption on lipoprotein concentrations in free-living hypercholesterolemic subjects consuming a National Cholesterol Education Program (NCEP) Step I diet.

Methods

A randomized, crossover design was utilized. Hypercholesterolemic men and women (LDL cholesterol between 3.37 and 4.92 mmol/L) (triglycerides or =80% of their 170 g/d meat intake as either lean red meat or lean white meat for two 36-week phases, separated by a four-week washout period of free meat selection. Subjects were instructed to follow an NCEP Step I diet throughout the study.

Results

There were no significant differences in lipid concentrations between the lean red meat and lean white meat phases. LDL cholesterol was 4.02+/-0.04 (SEM) and 4.01+/-0.04 mmol/L in the white and red phases, respectively; this represented a decrease of approximately 2% from baseline concentrations (p < 0.01). Total cholesterol also declined by 1% from baseline (p < 0.05), and high-density lipoprotein (HDL) cholesterol rose over the study period by approximately 2% to approximately 3% from baseline to reach concentrations of 1.37+/-0.03 mmol/L and 1.38+/-0.03 mmol/L in the white and red phases, respectively (p < 0.001). Triglycerides were not altered by treatment.

Conclusions

Consumption of lean red meat or lean white meat, as part of an NCEP Step I diet, is similarly effective for reducing LDL cholesterol and elevating HDL cholesterol concentrations in free-living persons with hypercholesterolemia.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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