Microsoft word - 7f - anti-cholesterol diet abstract.doc
HYPOCHOLESTEROLEMIC FOODS AND THEIR MEANS OF ACTION
Functional foods providing plant sterols (called phytosterols
) or plant stanols (called phytostanols
) have literally invaded our
supermarkets. Multiple studies have demonstrated their capacity to lower LDL cholesterol levels by 10 to 15% within 2
months [1-3]. To be efficient, daily intake must reach 2 g/day, but higher dosages don’t give further cholesterol reductions .
A dietary portfolio
combining the benefits of plant sterols, soy proteins and viscous fibers may be as effective as taking 20
mg per day of a statin such as lovastatin, enabling a 29% drop of LDL cholesterol level . However, the beneficial impact of
this portfolio seems to result mainly from the synergic action of phytosterols (see above) and of fibers
(e.g. provided by
)  rather than profitable effects of soy proteins
, which have recently become more and more controversial [7, 8].
Further randomized controlled trials have confirmed the huge hypocholesterolemic effect of sensible dietary portfolios that
were including almonds
, leading to the concept of Miocene-like diet high in leafy vegetables
“We conclude that reintroduction of plant food components, which would have been present in large quantities in the plant
based diets eaten throughout most of human evolution into modern diets can correct the lipid abnormalities associated with
contemporary eating patterns and reduce the need for pharmacological interventions
”, i.e. the Garden of Eden diet
Different studies and publications have emphasized the hypocholesterolemic action of specific fruits or nuts. The dietary
supplementation of lycopene from tomato
may reduce plasma LDL cholesterol concentration by 14% . Eating apple
polyphenols exerts hypocholesterolemic effects through promoting cholesterol catabolism and through inhibiting cholesterol
intestinal absorption . Consuming two or three kiwi
fruits per day for 4 weeks lowers triglycerides levels by 15% .
A diet rich in walnut
significantly reduces levels of both total cholesterol and LDL cholesterol by approximately 5% . In
meal provides significant decreases of plasma total cholesterol (20%) and triglycerides (35%) compared to a
casein-based diet . Finally, consuming green tea
or catechins inhibits the absorption of dietary lipids and “may be used as
safe and effective lipid-lowering therapeutic agents
” tackling cholesterol levels as well as triglycerides levels .
Our views on animal fats-based diets have thoroughly changed since the publication of an article about Greenland Eskimos in
1976: “The essentially lower serum cholesterol level found in Greenland Eskimos was not explained by our findings. It is
suggested instead to be a special metabolic effect of the long chain polyunsaturated fatty acids from marine mammals
Very interestingly, coronary heart disease appears extremely limited in those populations despite the lack of vegetable foods,
therefore providing an additional means to improve cardiovascular health through abundant consumption of oily fish
According the medical literature , fish species containing the higher amounts of long chain omega 3s (EPA & DHA) are the
, rainbow trout
, and halibut
, to which we can add anchovy
finish with, we cannot omit the impressive results obtained by a Cretan diet high in alpha-linolenic acid essentially from rape
and other typical Mediterranean diet
foods, far superior to the classic low fat diet for patients having suffered from a
first myocardial infarction [20, 21]. Moderate fat consumption (25-35% of energy) appears far better than extremes …
1. Blair, S.N., et al., Incremental reduction of serum total cholesterol and low-density lipoprotein
cholesterol with the addition of plant stanol ester-containing spread to statin therapy.
Am J Cardiol,
(1): p. 46-52.
2. Mensink, R.P., et al., Effects of plant stanol esters supplied in low-fat yoghurt on serum lipids and
lipoproteins, non-cholesterol sterols and fat soluble antioxidant concentrations.
Atherosclerosis, 2002. 160
(1): p. 205-13.
3. Vecka, M., A. Zak, and E. Tvrzicka, [Phytosterols as a functional food].
Cas Lek Cesk, 2007. 146
4. Law, M., Plant sterol and stanol margarines and health.
Bmj, 2000. 320
(7238): p. 861-4.
5. Jenkins, D.J., et al., A dietary portfolio approach to cholesterol reduction: combined effects of plant
sterols, vegetable proteins, and viscous fibers in hypercholesterolemia.
Metabolism, 2002. 51
6. Shrestha, S., et al., A combination of psyllium and plant sterols alters lipoprotein metabolism in
hypercholesterolemic subjects by modifying the intravascular processing of lipoproteins and increasing
J Nutr, 2007. 137
(5): p. 1165-70.
7. Meyer, B.J., et al., Limited lipid-lowering effects of regular consumption of whole soybean foods.
Nutr Metab, 2004. 48
(2): p. 67-78.
8. Thorp, A.A., et al., Soy food consumption does not lower LDL cholesterol in either equol or nonequol
Am J Clin Nutr, 2008. 88
(2): p. 298-304.
9. Jenkins, D.J., et al., Effects of a dietary portfolio of cholesterol-lowering foods vs lovastatin on serum
lipids and C-reactive protein.
Jama, 2003. 290
(4): p. 502-10.
Jenkins, D.J., et al., The Garden of Eden--plant based diets, the genetic drive to conserve
cholesterol and its implications for heart disease in the 21st century.
Comp Biochem Physiol A Mol
Integr Physiol, 2003. 136
(1): p. 141-51.
Kendall, C.W. and D.J. Jenkins, A dietary portfolio: maximal reduction of low-density lipoprotein
cholesterol with diet.
Curr Atheroscler Rep, 2004. 6
(6): p. 492-8.
Fuhrman, B., A. Elis, and M. Aviram, Hypocholesterolemic effect of lycopene and beta-carotene
is related to suppression of cholesterol synthesis and augmentation of LDL receptor activity in
Biochem Biophys Res Commun, 1997. 233
(3): p. 658-62.
Osada, K., et al., Dose-dependent hypocholesterolemic actions of dietary apple polyphenol in rats
Lipids, 2006. 41
(2): p. 133-9.
Duttaroy, A.K. and A. Jorgensen, Effects of kiwi fruit consumption on platelet aggregation and
plasma lipids in healthy human volunteers.
Platelets, 2004. 15
(5): p. 287-92.
Ros, E., et al., A walnut diet improves endothelial function in hypercholesterolemic subjects: a
randomized crossover trial.
Circulation, 2004. 109
(13): p. 1609-14.
Bhathena, S.J., et al., Dietary flaxseed meal is more protective than soy protein concentrate
against hypertriglyceridemia and steatosis of the liver in an animal model of obesity.
J Am Coll Nutr,
(2): p. 157-64.
Koo, S.I. and S.K. Noh, Green tea as inhibitor of the intestinal absorption of lipids: potential
mechanism for its lipid-lowering effect.
J Nutr Biochem, 2007. 18
(3): p. 179-83.
Bang, H.O., J. Dyerberg, and N. Hjoorne, The composition of food consumed by Greenland
Acta Med Scand, 1976. 200
(1-2): p. 69-73.
Kris-Etherton, P.M., W.S. Harris, and L.J. Appel, Fish consumption, fish oil, omega-3 fatty acids,
and cardiovascular disease.
Circulation, 2002. 106
(21): p. 2747-57.
de Lorgeril, M., et al., Mediterranean alpha-linolenic acid-rich diet in secondary prevention of
coronary heart disease.
Lancet, 1994. 343
(8911): p. 1454-9.
Renaud, S., et al., Cretan Mediterranean diet for prevention of coronary heart disease.
Am J Clin
Nutr, 1995. 61
(6 Suppl): p. 1360S-1367S.
Wolfram, G., Dietary fatty acids and coronary heart disease.
Eur J Med Res, 2003. 8
(8): p. 321-4.
Editor’s note: opinion released October 17, 2000 SUPREME COURT OF LOUISIANA No. 00-C-0492 BERT J. WAINWRIGHT, ET AL. ROMONA FONTENOT, ET AL. ON WRIT OF CERTIORARI TO THE COURT OF APPEAL, THIRDAt issue in this delictual action is whether a factfinder errs as a matter of law when it declines toaward general damages after finding defendant at fault for plaintiff’s injuries and award
SURGERYSurgery is undertaken to clear lesions which cannot be managed by simpler means. As illustrated a margin of healthy tissue is re-moved around the lesion so that the lab can examine it under the microscope to determine the characteristics and complete excision. You will note that a simple excision illustrated is aligned into the skin folds for best scar results and takes the shape of an