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Effects of red meat, white meat, and nonmeat protein sources on atherogenic lipoprotein measures in the context of low compared with high saturated fat intake: a randomized controlled trial

Bergeron N, Chiu S, Williams PT, M King S, Krauss RM

The American journal of clinical nutrition · 120 citas

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Alimentación controladaFinanciado por la industria

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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
Comida provista por los investigadores

Quién lo pagó

Financiación
Financiado por la industria
Universidad u hospital
University of California
Grupo de la industria
Dairy Management
Gobierno
Ministry of Education, Culture, Sports, Science and Technology
Gobierno
National Institutes of Health
Universidad u hospital
University of California, San Francisco
Gobierno
National Heart, Lung, and Blood Institute
Gobierno
National Center for Advancing Translational Sciences
Universidad u hospital
Clinical and Translational Science Institute, University of California, San Francisco
Gobierno
NCATS NIH HHS
Gobierno
NHLBI NIH HHS
Gobierno
National Heart, Lung and Blood Institute
Universidad u hospital
San Francisco Clinical & Translational Science Institute
Subvenciones
National Center for Advancing Translational Sciences (UL1TR000004); Clinical and Translational Science Institute, University of California, San Francisco (UL1TR000004); University of California, San Francisco (UL1-TR000004); National Heart, Lung, and Blood Institute (R01 HL106003); National Institutes of Health (UL1 TR000004); National Institutes of Health (R01HL106003)

Según 12 financiadores declarados.

Publicación

Publicado
2019-02-18 · Am J Clin Nutr · vol. 110 · número 1 · págs. 24–33
Editorial
Elsevier BV
Citado
159 citas · más que el 99% de estudios similares · 15.0× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
47 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Nutritional Studies and Diet · Fatty Acid Research and Health · Lipoproteins and Cardiovascular Health
Palabras clave
red meat, white meat, dietary protein source, saturated fatty acids, LDL cholesterol, apolipoprotein B, LDL particle size, atherogenic lipoproteins, cardiovascular risk, plant-based diet, dietary intervention, HDL cholesterol, small dense LDL, healthy adults, men, body mass index
MeSH
humans, dietary fats, lipoproteins, apolipoproteins b, dietary proteins, body mass index, cross-over studies, particle size, meat, adult, middle aged, female, male, atherosclerosis, cholesterol, ldl, red meat

5 autores

  • Nathalie Bergeron🇺🇸Touro University California
  • Sally Chiu
  • Paul T. Williams🇺🇸Lawrence Berkeley National Laboratory
  • Sarah M. King
  • Ronald M. Krauss · autor de correspondencia

Resumen

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

Background

Dietary recommendations to limit red meat are based on observational studies linking intake to cardiovascular disease (CVD) risk together with the potential of its saturated fatty acid (SFA) content to raise low-density lipoprotein (LDL) cholesterol. However, the relation of white meat to CVD risk, and the effects of dietary protein source on lipoprotein particle subfractions, have not been extensively evaluated.

Objective

We tested whether levels of atherogenic lipids and lipoproteins differed significantly following consumption of diets with high red meat content compared with diets with similar amounts of protein derived from white meat or nonmeat sources, and whether these effects were modified by concomitant intake of high compared with low SFAs.

Methods

Generally healthy men and women, 21-65 y, body mass index 20-35 kg/m2, were randomly assigned to 1 of 2 parallel arms (high or low SFA) and within each, allocated to red meat, white meat, and nonmeat protein diets consumed for 4 wk each in random order. The primary outcomes were LDL cholesterol, apolipoprotein B (apoB), small + medium LDL particles, and total/high-density lipoprotein cholesterol.

Results

Analysis included participants who completed all 3 dietary protein assignments (61 for high SFA; 52 for low SFA). LDL cholesterol and apoB were higher with red and white meat than with nonmeat, independent of SFA content (P < 0.0001 for all, except apoB: red meat compared with nonmeat [P = 0.0004]). This was due primarily to increases in large LDL particles, whereas small + medium LDL and total/high-density lipoprotein cholesterol were unaffected by protein source (P = 0.10 and P = 0.51, respectively). Primary outcomes did not differ significantly between red and white meat. Independent of protein source, high compared with low SFA increased LDL cholesterol (P = 0.0003), apoB (P = 0.0002), and large LDL (P = 0.0002).

Conclusions

The findings are in keeping with recommendations promoting diets with a high proportion of plant-based food but, based on lipid and lipoprotein effects, do not provide evidence for choosing white over red meat for reducing CVD risk. This trial was registered at Clinicaltrials.gov as NCT01427855.

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

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