Reformulation initiative for partial replacement of saturated with unsaturated fats in dairy foods attenuates the increase in LDL cholesterol and improves flow-mediated dilatation compared with conventional dairy: the randomized, controlled REplacement of SaturatEd fat in dairy on Total cholesterol (RESET) study
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BACKGROUND: Modifying dairy fat composition by increasing the MUFA content is a potential strategy to reduce dietary SFA intake for cardiovascular disease (CVD) prevention in the population. OBJECTIVES: To determine the effects of consuming SFA-reduced, MUFA-enriched (modified) dairy products, compared with conventional dairy products (control), on the fasting cholesterol profile (primary outcome), endothelial function assessed by flow-mediated dilatation (FMD; key secondary outcome), and other cardiometabolic risk markers. METHODS: A double-blind, randomized, controlled crossover 12-wk intervention was conducted. Participants with a 1.5-fold higher (moderate) CVD risk than the population mean replaced habitual dairy products with study products (milk, cheese, and butter) to achieve a high-fat, high-dairy isoenergetic daily dietary exchange [38% of total energy intake (%TE) from fat: control (dietary target: 19%TE SFA; 11%TE MUFA) and modified (16%TE SFA; 14%TE MUFA) diet]. RESULTS: Fifty-four participants (57.4% men; mean ± SEM age: 52 ± 3 y; BMI: 25.8 ± 0.5 kg/m2) completed the study. The modified diet attenuated the rise in fasting LDL cholesterol observed with the control diet (0.03 ± 0.06 mmol/L and 0.19 ± 0.05 mmol/L, respectively; P = 0.03). Relative to baseline, the %FMD response increased after the modified diet (0.35% ± 0.15%), whereas a decrease was observed after the control diet (-0.51% ± 0.15%; P< 0.0001). In addition, fasting plasma nitrite concentrations increased after the modified diet, yet decreased after the control diet (0.02 ± 0.01 μmol/L and -0.03 ± 0.02 μmol/L, respectively; P = 0.01). CONCLUSIONS: In adults at moderate CVD risk, consumption of a high-fat diet containing SFA-reduced, MUFA-enriched dairy products for 12 wk showed beneficial effects on fasting LDL cholesterol and endothelial function compared with conventional dairy products. Our findings indicate that fatty acid modification of dairy products may have potential as a public health strategy aimed at CVD risk reduction. This trial was registered at clinicaltrials.gov as NCT02089035.
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A recent study in 53 subjects at moderate risk of CVD observed an increase in FMD when consuming dairy products fortified with MUFA for 12 weeks.
“This is in line with results from a recent study in 53 subjects at moderate risk of CVD, where an increase in FMD was observed when consuming dairy products fortified with MUFA for 12 weeks [45].”
From Olive pomace oil can improve blood lipid profile: a randomized, blind, crossover, controlled clinical trial in healthy and at-risk volunteers (2022) · cites this paper as [45]
The Introduction describes a 12-week study of MUFA-enriched dairy products in adults at moderate CVD risk, and the Results report increased FMD after the modified diet compared with the control diet. However, the Results section on study participants says 54 participants completed both arms, not 53. Our copy provides no page numbers for these passages. (LLM, conf=0.88)
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Lipids and Cardiovascular Disease Risks with a Focus on Dairy Foods
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Self-citation
- Authors
- Vasilopoulou, D., Markey, O., Kliem, K. E., Fagan, C. C., Grandison, A. S., Humphries, D. J., Todd, S., Jackson, K. G., Givens, D. I., & Lovegrove, J. A.
- Affiliations
- University of Reading (GB)
- Corresponding author
- Markey, Oonagh
- Lovegrove, Julie A
- ORCID
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2020-04
- Volume
- 111
- Issue
- 4
- Pages
- 739-748
- ISSN
- 0002-9165 (ISSN-L)
- PMC
- PMC7138681
- OpenAlex
- W3004500872
- Cited by
- 50
- References
- 51
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 6 · 2023: 11 · 2022: 10 · 2021: 7 · 2020: 3
- FWCI
- 4.90
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- American Journal of Clinical Nutrition (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- CentAUR (University of Reading) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Medical Research Council (MR/K020218/1)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Keywords
- unsaturated fatty acids, monounsaturated fatty acids, dairy products, LDL cholesterol, flow-mediated dilation, endothelial function, nitrite, cardiovascular risk, cheese, butter, milk, cardiometabolic risk markers, cardiovascular disease prevention
- MeSH terms
- Cardiovascular Diseases, Dietary Fats, Dilatation, Double-Blind Method, Fats, Unsaturated, Fatty Acids, Unsaturated, Female, Humans, Cholesterol, LDL, Male, Middle Aged
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