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Metaanálisis2014Financiación no declaradaAcceso abierto

LDL-cholesterol-lowering effect of plant sterols and stanols across different dose ranges: a meta-analysis of randomised controlled studies

Ras RT, Geleijnse JM, Trautwein EA

The British journal of nutrition · 232 citas

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Financiación no declarada

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Cómo se estudió

Diseño
Metaanálisis (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
2014-04-29 · Br J Nutr · vol. 112 · número 2 · págs. 214–219
Editorial
Cambridge University Press
Citado
379 citas · más que el 98% de estudios similares · 6.0× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
32 trabajos
Acceso
Acceso abierto (revista híbrida) · CC-BY
Áreas de investigación
Cholesterol and Lipid Metabolism · Lipoproteins and Cardiovascular Health · Natural Products and Biological Research
Palabras clave
phytosterols, plant stanols, LDL cholesterol, dose-response relationship, cholesterol-lowering effect, dietary supplementation, hypercholesterolemia, dose range
MeSH
humans, hypercholesterolemia, phytosterols, anticholesteremic agents, evidence-based medicine, dietary supplements, adult, cholesterol, ldl, randomized controlled trials as topic, functional food

3 autores

  • Rouyanne T. Ras🇳🇱 · autor de correspondenciaUnilever Research and Development Vlaardingen
  • Johanna Marianne Geleijnse🇳🇱Wageningen University & Research
  • Elke A. Trautwein🇳🇱Unilever Research and Development Vlaardingen

Resumen

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

Phytosterols (PS, comprising plant sterols and plant stanols) have been proven to lower LDL-cholesterol concentrations. The dose-response relationship for this effect has been evaluated in several meta-analyses by calculating averages for different dose ranges or by applying continuous dose-response functions. Both approaches have advantages and disadvantages. So far, the calculation of averages for different dose ranges has not been done for plant sterols and stanols separately. The objective of the present meta-analysis was to investigate the combined and separate effects of plant sterols and stanols when classified into different dose ranges. Studies were searched and selected based on predefined criteria. Relevant data were extracted. Average LDL-cholesterol effects were calculated when studies were categorised by dose, according to random-effects models while using the variance as weighing factor. This was done for plant sterols and stanols combined and separately. In total, 124 studies (201 strata) were included. Plant sterols and stanols were administered in 129 and fifty-nine strata, respectively; the remaining used a mix of both. The average PS dose was 2.1 (range 0.2-9.0) g/d. PS intakes of 0.6-3.3 g/d were found to gradually reduce LDL-cholesterol concentrations by, on average, 6-12%. When plant sterols and stanols were analysed separately, clear and comparable dose-response relationships were observed. Studies carried out with PS doses exceeding 4 g/d were not pooled, as these were scarce and scattered across a wide range of doses. In conclusion, the LDL-cholesterol-lowering effect of both plant sterols and stanols continues to increase up to intakes of approximately 3 g/d to an average effect of 12%.

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

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