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U-shape relationship between change in dietary cholesterol absorption and plasma lipoprotein responsiveness and evidence for extreme interindividual variation in dietary cholesterol absorption in humans

Sehayek E, Nath C, Heinemann T, McGee M, Seidman CE, Samuel P, Breslow JL

Journal of lipid research · 47 citas

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Alimentación controlada

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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
Financiación independiente
Gobierno
National Heart, Lung, and Blood Institute
Gobierno
National Center for Research Resources
Gobierno
NHLBI NIH HHS
Gobierno
NCRR NIH HHS
Subvenciones
National Center for Research Resources (M01-RR000102); National Heart, Lung, and Blood Institute (HL-32435-14)

Según 4 financiadores declarados.

Publicación

Publicado
1998-12-01 · J Lipid Res · vol. 39 · número 12 · págs. 2415–2422
Editorial
Elsevier BV
Citado
87 citas · más que el 96% de estudios similares · 5.2× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
38 trabajos
Acceso
Acceso abierto (revista híbrida) · CC-BY
Áreas de investigación
Cholesterol and Lipid Metabolism · Lipoproteins and Cardiovascular Health · Nutrition, Genetics, and Disease
Palabras clave
dietary cholesterol absorption, LDL cholesterol, HDL cholesterol, dietary fat, interindividual variability, U-shaped relationship, low-fat low-cholesterol diet, high-fat high-cholesterol diet
MeSH
humans, cholesterol, dietary, lipoproteins, regression analysis, cross-over studies, intestinal absorption, reference values, adult, middle aged, female, male

7 autores

  • Ephraim Sehayek🇺🇸Rockefeller University
  • Chithranjan Nath🇺🇸Rockefeller University
  • Thomas Heinemann🇩🇪University of Bonn
  • Monnie McGee🇺🇸Rockefeller University
  • Cynthia E. Seidman🇺🇸Rockefeller University
  • Paul Samuel🇺🇸Rockefeller University
  • Jan L. Breslow🇺🇸 · autor de correspondenciaRockefeller University

Resumen

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

A possible relationship between change in dietary cholesterol absorption and plasma lipoprotein responsiveness was examined in 18 normal subjects fed low fat low cholesterol, high fat low cholesterol, and high fat high cholesterol diets. For the group, neither dietary cholesterol nor dietary fat affected the percentage dietary cholesterol absorption, whereas dietary cholesterol intake raised total and LDL-C and dietary fat raised total, LDL, and HDL-C. On a fixed diet there was approximately a 2-fold variation among subjects in percentage dietary cholesterol absorption. Subjects also varied in response to dietary cholesterol and fat with regard to dietary cholesterol absorption and plasma lipoprotein responsiveness. There was a U-shaped parabolic relationship between dietary cholesterol-induced percent change in LDL-C and the change in percentage dietary cholesterol absorption (R2 = 0.62, P = 0.005). A similar but weaker relationship characterized the responsiveness of HDL-C (R2 = 0.38, P = 0.05). For the group, increased cholesterol intake raised dietary cholesterol mass absorption from 1.6 to 4.6 mg/kg per day, but the range of increase was from 1 to 4.7 mg/kg per day. Increased fat intake also affected dietary cholesterol mass absorption with most subjects displaying a strong inverse relationship between fat intake and mass absorption (r = -0.77, P < 0.003). In summary: i) the percentage change in dietary cholesterol absorption in response to dietary cholesterol does appear to regulate diet responsiveness of LDL and HDL-C, and ii) the large variability in percent absorption and changes in percentage and mass absorption in response to dietary cholesterol suggest the presence of genetically determined differences among individuals in the regulation of dietary cholesterol absorption.

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