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Ensayo controlado aleatorizado2022Financiado por la industriaAlimentación controladaAcceso abierto

Financiado en parte por Cotton Incorporated, National Cottonseed Products Association

Blood Lipid Responses to Diets Enriched with Cottonseed Oil Compared With Olive Oil in Adults with High Cholesterol in a Randomized Trial

Prater MC, Scheurell AR, Paton CM, Cooper JA

The Journal of nutrition · 18 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
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Resultado principal
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Quién lo pagó

Financiación
Financiado por la industria
Grupo de la industria
Cotton Incorporated
Grupo de la industria
National Cottonseed Products Association
Subvenciones
Cotton Incorporated (AWD00012904)

Según 2 financiadores declarados y la declaración de financiación del texto completo.

Publicación

Publicado
2022-04-27 · J Nutr · vol. 152 · número 9 · págs. 2060–2071
Editorial
Elsevier BV
Citado
20 citas · más que el 89% de estudios similares · 2.4× el promedio de su campo
Referencias
63 trabajos
Acceso
Acceso abierto (revista híbrida) · CC-BY-NC
Áreas de investigación
Fatty Acid Research and Health · Nutritional Studies and Diet · Lipoproteins and Cardiovascular Health
Palabras clave
cottonseed oil, olive oil, hypercholesterolemia, serum lipids, dietary fat, polyunsaturated fatty acids, monounsaturated fatty acids, LDL cholesterol, HDL cholesterol, apolipoprotein B, postprandial lipemia, glycemic response, dietary intervention, saturated fat, cardiovascular risk reduction, dyslipidemia
MeSH
humans, hypercholesterolemia, cholesterol, blood glucose, lipids, cottonseed oil, triglycerides, diet, cross-over studies, adult, female, male, cholesterol, hdl, olive oil

4 autores

  • Mary Catherine Prater🇺🇸University of Georgia
  • Alexis R. Scheurell🇺🇸University of Georgia
  • Chad Michael Paton🇺🇸University of Georgia
  • Jamie A. Cooper🇺🇸 · autor de correspondenciaUniversity of Georgia

Resumen

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

Background

Increasing unsaturated fat intake is beneficial for cardiovascular health, but the type of unsaturated fat to recommend remains equivocal.

Objectives

We investigated the effects of an 8-week diet intervention that was rich in either cottonseed oil (CSO; PUFA rich) or olive oil (OO; MUFA rich) on blood lipids in hypercholesterolemic adults.

Methods

Forty-three men and women with hypercholesterolemia (53 ± 10 years; BMI, 27.6 ± 4.8 kg/m2) completed this randomized parallel clinical trial consisting of an 8-week partial outpatient feeding intervention. Participants were given meals and snacks accounting for ∼60% of their daily energy needs, with 30% of energy needs from either CSO (n = 21) or OO (n = 22). At pre- and postdiet intervention visits, participants consumed a high-SFA meal (35% of total energy needs; 70% of energy from fat). The primary outcomes of fasting cholesterol profiles and secondary outcomes of postprandial blood lipids and glycemic markers were assessed over a 5-hour period.

Results

There were greater reductions from baseline to week 8 in fasting serum total cholesterol (TC; -17.0 ± 3.94 mg/dL compared with -2.18 ± 3.72 mg/dL, respectively; P = 0.008), LDL cholesterol (-19.7 ± 3.94 mg/dL compared with -5.72 ± 4.23 mg/dL, respectively; P = 0.018), non-HDL cholesterol (-20.8 mg/dL ± 4.00 compared with -6.61 ± 4.01 mg/dL, respectively; P = 0.014), and apoB (-11.8 mg/dL ± 2.37 compared with -3.10 ± 2.99 mg/dL, respectively; P = 0.05), in CSO compared with OO. There were also visit effects from baseline to week 8 for increases in HDL cholesterol (CSO, 56.5 ± 2.79 mg/dL to 60.2 ± 3.35 mg/dL, respectively; OO: 59.7 ± 2.63 mg/dL to 64.1 ± 2.24 mg/dL, respectively; P < 0.001), and decreases in the TC:HDL-cholesterol ratio (CSO, 4.30 ± 0.27 mg/dL to 3.78 ± 0.27 mg/dL, respectively; OO, 3.94 ± 0.16 mg/dL to 3.57 ± 0.11 mg/dL, respectively; P < 0.001), regardless of group assignment. In response to the high-SFA meal, there were differences in postprandial plasma glucose (P = 0.003) and triglyceride (P = 0.004) responses and a trend in nonesterified fatty acids (P = 0.11) between groups, showing protection in the postprandial state from an occasional high-SFA fat meal with CSO, but not OO, diet enrichment.

Conclusions

CSO, but not OO, diet enrichment caused substantial improvements in fasting and postprandial blood lipids and postprandial glycemia in hypercholesterolemic adults. This trial was registered at clinicaltrials.gov as NCT04397055.

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

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