1. Soy milk powder supplemented with phytosterol esters reduced serum cholesterol level in hypercholesterolemia independently of lipoprotein E genotype: a random clinical placebo-controlled trial
- Author
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Ran Zhang, Huanling Yu, Weiwei Ma, Rong Xiao, Ya-Cheng Ji, Jia-Yin Hao, Shan Dong, and Xu-Dong Chen
- Subjects
0301 basic medicine ,Apolipoprotein E ,Male ,medicine.medical_specialty ,China ,Genotype ,Endocrinology, Diabetes and Metabolism ,Hypercholesterolemia ,030204 cardiovascular system & hematology ,Placebo ,Placebos ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Endocrinology ,Apolipoproteins E ,Double-Blind Method ,Internal medicine ,Hyperlipidemia ,Food, Preserved ,medicine ,Humans ,Triglycerides ,Aged ,030109 nutrition & dietetics ,Nutrition and Dietetics ,medicine.diagnostic_test ,Triglyceride ,Cholesterol ,business.industry ,Phytosterol ,Cholesterol, HDL ,Phytosterols ,Esters ,Cholesterol, LDL ,Middle Aged ,medicine.disease ,Soy Milk ,chemistry ,Biochemistry ,Food, Fortified ,lipids (amino acids, peptides, and proteins) ,Female ,Lipid profile ,business ,Lipoprotein - Abstract
Phytosterols (PSs) are reported to lower the serum total cholesterol and low-density lipoprotein cholesterol concentrations enriched in some fatty foods, such as margarine. However, these high-fat foods are not very suitable for older people. Soy milk is the favorite food for elderly people in China; therefore, we hypothesized that the consumption of soy milk powder supplemented with PSs would decrease the serum cholesterol levels in older Chinese people independent of the genotypes of apolipoprotein E (ApoE). Mild to moderate hyperlipidemic patients (n = 170) were recruited from different communities and treated with placebo soy milk powder or 3.4 g PS esters-enriched soy milk powder (2.0 g/d free PS in 30 g soy milk powder). The fasting serum lipid profiles at the baseline and after 3 and 6 months of intervention were measured. The ApoE genotype was also determined. After 3 months of PS intervention, the serum lipid profile was not changed significantly in either group. The serum total cholesterol, low-density lipoprotein cholesterol, and non- high-density lipoprotein cholesterol levels decreased by 9.3%, 11.4%, and 12.6%, respectively, in the PS group at the end of the intervention (6 months) compared with the control group, whereas the serum high-density lipoprotein cholesterol and triglyceride levels were not affected significantly. In the PS group, both the ApoE3 and ApoE4 carriers had a similar response to PS consumption. These findings suggested that PS-fortified soy milk powder was effective in lowering the serum cholesterol levels in older Chinese volunteers with mild to moderate hypercholesterolemia in both the ApoE3 and ApoE4 carriers.
- Published
- 2016