Insulin resistance, dietary cholesterol, and cholesterol concentration in postmenopausal women
Abstract
Questions remain concerning the effect of variations in cholesterol intake on plasma cholesterol concentration, as well as on the role of factors modulating the metabolic impact of this dietary intervention. To define the impact of wide variations in dietary cholesterol intake on plasma total and low-density lipoprotein (LDL) cholesterol concentrations, as well as testing the hypothesis that resistance to insulin-mediated glucose disposal would accentuate the increase in plasma total and LDL cholesterol concentrations in response to a given increment in dietary cholesterol intake, we performed a prospective, randomized study comparing diets varying in cholesterol content in 65 healthy, postmenopausal women, 31 defined as insulin-resistant and 34 as insulin-sensitive. The changes in total and LDL cholesterol in response to increments in dietary cholesterol of up to approximately 800 mg/day were modest in magnitude, without evidence of a statistically significant diet-induced increase in cholesterol concentration, or of any difference in the responses of insulin-resistant as compared with insulin-sensitive women. These results indicate that relatively large increments in dietary cholesterol intake had little effect on total or LDL cholesterol concentrations in healthy, postmenopausal women, irrespective of whether they were insulin-resistant or insulin-sensitive.
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Five RCTs reported egg consumption did not significantly alter TC, HDL-C, TC:HDL-C, or endothelial function.
“A meta-analysis showed that eggs increase TC, HDL-C, and TC:HDL-C,(188) but five RCTs subsequently reported that egg consumption did not significantly alter these parameters (189–191) or endothelial function (192,193).”
From Food Consumption and its Impact on Cardiovascular Disease: Importance of Solutions Focused on the Globalized Food System (2015) · cites this paper as [189]
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- Authors
- Reaven, G. M., Abbasi, F., Bernhart, S., Coulston, A., Darnell, B., Dashti, N., Kim, H.-S., Kulkarni, K., Lamendola, C., McLaughlin, T., Osterlund, L., Schaff, P., & Segrest, J.
- Affiliations
- University of Alabama at Birmingham (US)
- Venue
- Metabolism
- Publisher
- Elsevier BV
- Published
- 2001-05
- Volume
- 50
- Issue
- 5
- Pages
- 594-597
- ISSN
- 0026-0495 (ISSN-L)
- OpenAlex
- W2032572215
- Cited by
- 31
- References
- 17
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 3 · 2018: 1 · 2017: 2 · 2015: 4 · 2013: 5 · 2012: 1
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Research Resources (RR 00 070, RR 00032, M01RR000070)
- Topics
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- insulin resistance, dietary cholesterol, serum cholesterol, LDL cholesterol, postmenopausal women, glucose disposal, dietary intervention, hypercholesterolemia
- MeSH terms
- Apolipoproteins A, Apolipoproteins B, Cholesterol, Cholesterol, Dietary, Female, Humans, Insulin Resistance, Lipids, Lipoproteins, Cholesterol, HDL, Cholesterol, LDL, Middle Aged, Triglycerides, Cholesterol, VLDL, Body Mass Index, Lipoprotein(a), Postmenopause
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