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Phytosterols supplementation decreases plasma small and dense LDL levels in metabolic syndrome patients on a westernized type diet

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dc.contributor.author Sialvera, TE en
dc.contributor.author Pounis, GD en
dc.contributor.author Koutelidakis, AE en
dc.contributor.author Richter, DJ en
dc.contributor.author Yfanti, G en
dc.contributor.author Kapsokefalou, M en
dc.contributor.author Goumas, G en
dc.contributor.author Chiotinis, N en
dc.contributor.author Diamantopoulos, E en
dc.contributor.author Zampelas, A en
dc.date.accessioned 2014-06-06T06:51:59Z
dc.date.available 2014-06-06T06:51:59Z
dc.date.issued 2012 en
dc.identifier.issn 09394753 en
dc.identifier.uri http://dx.doi.org/10.1016/j.numecd.2010.12.004 en
dc.identifier.uri http://62.217.125.90/xmlui/handle/123456789/5800
dc.subject Metabolic syndrome en
dc.subject Phytosterols en
dc.subject Small and dense LDL levels en
dc.subject.other APOA1 protein, human en
dc.subject.other apolipoprotein A1 en
dc.subject.other C reactive protein en
dc.subject.other fibrinogen en
dc.subject.other high density lipoprotein cholesterol en
dc.subject.other hypocholesterolemic agent en
dc.subject.other low density lipoprotein cholesterol en
dc.subject.other phytosterol en
dc.subject.other triacylglycerol en
dc.subject.other yoghurt en
dc.subject.other adult en
dc.subject.other aged en
dc.subject.other arterial pressure en
dc.subject.other article en
dc.subject.other blood en
dc.subject.other blood pressure en
dc.subject.other caloric intake en
dc.subject.other controlled clinical trial en
dc.subject.other controlled study en
dc.subject.other coronary artery disease en
dc.subject.other diet en
dc.subject.other diet supplementation en
dc.subject.other drug effect en
dc.subject.other female en
dc.subject.other human en
dc.subject.other male en
dc.subject.other medical record en
dc.subject.other metabolic syndrome X en
dc.subject.other middle aged en
dc.subject.other pathophysiology en
dc.subject.other randomized controlled trial en
dc.subject.other risk factor en
dc.subject.other single blind procedure en
dc.subject.other Adult en
dc.subject.other Aged en
dc.subject.other Anticholesteremic Agents en
dc.subject.other Apolipoprotein A-I en
dc.subject.other Arterial Pressure en
dc.subject.other Blood Pressure en
dc.subject.other C-Reactive Protein en
dc.subject.other Cholesterol, HDL en
dc.subject.other Cholesterol, LDL en
dc.subject.other Coronary Artery Disease en
dc.subject.other Diet en
dc.subject.other Diet Records en
dc.subject.other Dietary Supplements en
dc.subject.other Energy Intake en
dc.subject.other Female en
dc.subject.other Fibrinogen en
dc.subject.other Humans en
dc.subject.other Male en
dc.subject.other Metabolic Syndrome X en
dc.subject.other Middle Aged en
dc.subject.other Phytosterols en
dc.subject.other Risk Factors en
dc.subject.other Single-Blind Method en
dc.subject.other Triglycerides en
dc.subject.other Yogurt en
dc.title Phytosterols supplementation decreases plasma small and dense LDL levels in metabolic syndrome patients on a westernized type diet en
heal.type journalArticle en
heal.identifier.primary 10.1016/j.numecd.2010.12.004 en
heal.publicationDate 2012 en
heal.abstract Background and aims: Several studies have observed a hypocholesterolemic effect of plant sterols in hypercholesterolemic patients on a balanced diet. The aim of this study was to examine the effect of phytosterol supplementation on risk factors of coronary artery disease in metabolic syndrome patients on a Westernized type diet. Methods and results: In a randomized placebo-controlled design 108 patients with metabolic syndrome were assigned to consume either 2 plant sterol-enriched yogurt mini drink which provided 4 g phytosterols per day, or a yogurt beverage without phytosterols (control). The duration of the study was 2 months and the patients in both groups followed their habitual westernized type diet and recording it on food diaries. Blood samples were drawn at baseline and after 2 months of intervention. After 2 months supplementation with phytosterols, a significant reduction in total cholesterol, LDL-cholesterol, small and dense LDL (sdLDL) levels, as well as, apoB and triglycerides concentrations were observed in the intervention group (P < 0.05) compared to the control group. In addition, phytosterol supplementation lowered serum total cholesterol by 15.9%, LDL-cholesterol by 20.3% and triglyceride levels by 19.1% (P = 0.02, P < 0.001 and P < 0.001, respectively), although the patients kept their habitual westernized type diet. No differences were observed in HDL cholesterol, apoA1, glucose, C-reactive protein, fibrinogen levels and blood pressure. Conclusions: Phytosterol supplementation improves risk factors of coronary artery disease even if the diet is a westernized type. © 2011 Elsevier B.V. en
heal.journalName Nutrition, Metabolism and Cardiovascular Diseases en
dc.identifier.issue 10 en
dc.identifier.volume 22 en
dc.identifier.doi 10.1016/j.numecd.2010.12.004 en
dc.identifier.spage 843 en
dc.identifier.epage 848 en


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