Cited by 184Lipoproteins and Cardiovascular HealthCholesterol and Lipid MetabolismNatural Products and Biological Research

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Assessment of the longer-term effects of a dietary portfolio of cholesterol-lowering foods in hypercholesterolemia

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Jenkins, David JA, Kendall, Cyril WC, Faulkner, Dorothea A, Nguyen, Tri, Kemp, Thomas, Marchie, Augustine, Wong, Julia MW, de Souza, Russell, Emam, Azadeh, Vidgen, Edward, Trautwein, Elke A, Lapsley, Karen G, Holmes, Candice, Josse, Robert G, Leiter, Lawrence A, Connelly, Philip W, Singer, William·2006·The American Journal of Clinical Nutrition

DOI 10.1093/ajcn.83.3.582

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Abstract

Background Cholesterol-lowering foods may be more effective when consumed as combinations rather than as single foods.Objectives Our aims were to determine the effectiveness of consuming a combination of cholesterol-lowering foods (dietary portfolio) under real-world conditions and to compare these results with published data from the same participants who had undergone 4-wk metabolic studies to compare the same dietary portfolio with the effects of a statin.Design For 12 mo, 66 hyperlipidemic participants were prescribed diets high in plant sterols (1.0 g/1000 kcal), soy protein (22.5 g/1000 kcal), viscous fibers (10 g/1000 kcal), and almonds (23 g/1000 kcal). Fifty-five participants completed the 1-y study. The 1-y data were also compared with published results on 29 of the participants who had also undergone separate 1-mo metabolic trials of a diet and a statin.Results At 3 mo and 1 y, mean (+/-SE) LDL-cholesterol reductions appeared stable at 14.0 +/- 1.6% (P < 0.001) and 12.8 +/- 2.0% (P < 0.001), respectively (n = 66). These reductions were less than those observed after the 1-mo metabolic diet and statin trials. Nevertheless, 31.8% of the participants (n = 21 of 66) had LDL-cholesterol reductions of >20% at 1 y (x +/- SE: -29.7 +/- 1.6%). The LDL-cholesterol reductions in this group were not significantly different from those seen after their respective metabolically controlled portfolio or statin treatments. A correlation was found between total dietary adherence and LDL-cholesterol change (r = -0.42, P < 0.001). Only 2 of the 26 participants with <55% compliance achieved LDL-cholesterol reductions >20% at 1 y.Conclusions More than 30% of motivated participants who ate the dietary portfolio of cholesterol-lowering foods under real-world conditions were able to lower LDL-cholesterol concentrations >20%, which was not significantly different from their response to a first-generation statin taken under metabolically controlled conditions.

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Authors: Jenkins, D. J., Kendall, C. W., Faulkner, D. A., Nguyen, T., Kemp, T., Marchie, A., Wong, J. M., de Souza, R., Emam, A., Vidgen, E., Trautwein, E. A., Lapsley, K. G., Holmes, C., Josse, R. G., Leiter, L. A., Connelly, P. W., & Singer, W.
Affiliations: St. Michael's Hospital (CA)
Corresponding author: Kendall, Cyril WC
ORCID: Jenkins, David JA
Kendall, Cyril WC
Nguyen, Tri
Wong, Julia MW
Holmes, Candice
Josse, Robert G
Leiter, Lawrence A
Connelly, Philip W
Venue: The American Journal of Clinical Nutrition
Publisher: Elsevier BV
Published: 2006-03
Volume: 83
Issue: 3
Pages: 582-591
ISSN: 0002-9165 (ISSN-L)
DOI: 10.1093/ajcn.83.3.582
OpenAlex: W2182342318
Cited by: 184
References: 65
Citations by year: 2026: 2 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 3 · 2021: 9 · 2020: 5 · 2019: 8 · 2018: 5 · 2017: 7 · 2016: 8 · 2015: 11 · 2014: 8 · 2013: 10 · 2012: 6
FWCI: 18.30
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 6210 d)
Locations: American Journal of Clinical Nutrition (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Natural Products and Biological Research
Keywords: hypercholesterolemia, LDL cholesterol lowering, phytosterols, soy protein, almond, dietary adherence, statin comparison, long-term dietary intervention, hyperlipidemia
MeSH terms: Adult, Aged, Aged, 80 and over, Anticholesteremic Agents, Cholesterol, Dietary, Combined Modality Therapy, Dietary Fiber, Female, Humans, Hypercholesterolemia, Cholesterol, LDL, Male, Middle Aged, Patient Compliance, Phytosterols, Treatment Outcome, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Prunus, Soybean Proteins

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Assessment of the longer-term effects of a dietary portfolio of cholesterol-lowering foods in hypercholesterolemia

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