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PubMed1984

Influence of garlic on serum cholesterol, serum triglycerides, serum total lipids and serum glucose in human subjects.

Human subjects were used for a garlic experiment. The subjects were given a fat-rich diet for 7 days and on the 8th day the fasting blood was analyzed for serum cholesterol, serum triglycerides, serum total lipids and serum glucose. The human subjects were then given a fat-rich diet with 40 g of garlic for 7 days and on the 15th day the fasting blood was analyzed for the above investigations. On a fat-rich diet the serum cholesterol, serum triglycerides and serum total lipids were significantly increased as compared to normally fed diet. When 40 g of garlic was substituted in fat-rich diet for 7 days, the garlic significantly reduced the serum cholesterol and serum triglycerides.

Adult↗
PubMedDate not supplied

[Diet and coronary disease].

The build up of cholesterol in the atheromas is caused by, among other things, a disequilibrium of certain plasmatic lipoproteins. Food components which modify the levels of these lipoproteins can be considered as "atherogenic". Other components influence platelet activity and can be considered "thrombogenic". The saturated fatty acids, C-12, C14 and C-16, are atherogenic because they increase LDL plasmatic levels when consumed in large quantities. Estearic acid would not be included in this group because it is easily transformed into oleic acid in the organism. However, all the above acids are considered thrombogenic insofar that they alter the permeability of the platelet membrane. The most common monounsaturated fatty acid (MUFA) in our diet is oleic. When this is replaced by saturated fat, the plasmatic levels of LDL fall while those of HDL remain constant or even increase. In addition oleic acid is less thrombogenic than saturated fatty acids. The substitution of saturated fat by PUFA, n-6, lowers LDL levels and also HDL levels if these fatty acids are consumed in quantity. Their richness in double bound chains means that they are not very thrombogenic, although the resultant LDL are easily oxidized and therefore very atherogenic. When saturated fat is replaced by n-3 fatty acids the effect on LDL and HDL are variable, and there is a substantial decrease in VLDL. These fatty acids are strongly antithrombotic and antiatherogenic and also reduce the inflammatory reaction due to the decreased formation of eicosanoides derived from arachidonic acid and the formation of eicosapentenoic acid derivatives.(ABSTRACT TRUNCATED AT 250 WORDS)

Arteriosclerosis↗
PubMed2001

Atherogenic lipoprotein phenotype and diet-gene interactions.

Studies employing analysis of LDL subclasses have demonstrated heterogeneity of the LDL response to low fat, high carbohydrate diets in healthy nonobese subjects. In individuals with a genetically influenced atherogenic lipoprotein phenotype, characterized by a predominance of small dense LDL (LDL subclass pattern B), lowering of plasma LDL cholesterol levels by diets with < or =24% fat has been found to represent a reduction in numbers of circulating mid-sized and small LDL particles, and hence an expected lowering of cardiovascular disease risk. In contrast, in the majority of healthy individuals with larger LDL (pattern A, found in approximately 70% of men and a larger percentage of women), a significant proportion of the low fat diet-induced reduction in plasma LDL cholesterol is made by depletion of the cholesterol content of LDL particles. This change in LDL composition is accompanied by a shift from larger to smaller LDL particle diameters. Moreover, with progressive reduction of dietary fat and isocaloric substitution of carbohydrate, an increasing number of subjects with pattern A convert to the pattern B phenotype. Studies in families have indicated that susceptibility to induction of pattern B by low fat diets is under genetic influence. Thus, diet-gene interactions affecting LDL subclass patterns may contribute to substantial interindividual variability in the effects of low fat diets on coronary heart disease risk.

Arteriosclerosis↗
PubMed1991

Effects of dietary carbohydrate and fat intake on glucose and lipoprotein metabolism in individuals with diabetes mellitus.

The dietary treatment of individuals with diabetes remains a controversial issue. The major emphasis in recent years has been on the reduction of total fat and saturated fat and replacement with complex carbohydrate. The rationale for this approach is based on the premise that such diets will reduce the risk of coronary artery disease (CAD) by reducing total and low-density lipoprotein cholesterol concentrations. In this article, we review the available data and conclude that there is little evidence to support the notion that low-fat high-carbohydrate diets per se lead to any reduction in the risk for CAD in individuals with diabetes. The only data indicating that low-fat high-carbohydrate diets lead to beneficial effects on carbohydrate and lipoprotein metabolism are confounded either by the lack of suitable experimental control, by the fact that diets also differed in the type of dietary fat and amount of dietary cholesterol, or were enormously enriched in dietary fiber. When these factors are taken into consideration, there appears to be little evidence in support of the view that substituting carbohydrate for fat in the diets of individuals with diabetes results in any measurable beneficial effect. Indeed, it could be argued that the most characteristic defects in carbohydrate and lipoprotein metabolism are exacerbated in response to low-fat high-carbohydrate diets. Alternatively, the data presented herein strongly suggest that diets containing conventional quantities of fat, in which saturated fat is replaced by unsaturated fat and dietary cholesterol reduced, would result in the desired reductions to total and low-density lipoprotein cholesterol concentrations without the adverse effects of increased postprandial glucose and insulin concentrations, increased fasting and postprandial total and very-low-density lipoprotein triglyceride concentrations, and decreased fasting high-density lipoprotein cholesterol concentrations.

Blood Glucose↗
PubMed1994

Effect of alcohol on postmeal fat storage.

Energy expenditure and macronutrient balances were assessed in normal healthy men by whole-body indirect calorimetry after meals consumed with and without ethanol to test the theory that alcohol energy is not fully available because of futile cycling. Alcohol addition (A) or isoenergetic substitution (S) caused fat retention by significantly suppressing its oxidation when the alcohol was actively metabolized (0-6h). However, on protocol S, fat balance was later reestablished due to raised fat oxidation (6-20.5 h) secondary to a relative carbohydrate deficiency. On protocol A, fat balance remained significantly raised. The thermogenic effect of alcohol was similar to that of carbohydrate, providing no evidence for futile cycling. Short-term studies that fail to account for later readjustments of macronutrient balance can be misleading. We conclude that alcohol has a fat-sparing effect similar to that of carbohydrate and will only cause fat gain when consumed in excess of normal energy needs.

Adult↗
PubMed1991

Net energy for lactation of calcium salts of long-chain fatty acids for cows fed silage-based diets.

The NEL of calcium salts of long-chain fatty acids from palm oil was determined in mature Holstein cows. Twelve lactating (fed for ad libitum intake) and six nonlactating (restricted to near maintenance intake) Holstein cows were fed 0 or 2.95% fat supplement in diets formulated to contain 16 or 20% CP in a 2 x 2 factorial arrangement of treatments in a single reversal design within protein level. The fat supplement was substituted for ground corn and minerals. Two 6-d total collection balance trials were conducted during which cows were in open circuit respiration chambers. Intake of OM was lower for lactating cows fed the fat supplement (18.1 vs. 19.1 kg/d), but energy intake did not differ (93.2 Mcal/d). Total long-chain fatty acid intake was increased from 477 to 820 g/d with fat feeding. Apparent digestibility of long-chain fatty acids was increased 11.1 percentage units with increased dietary CP for lactating cows with no difference in fatty acid digestibility for the dry cows. Milk yield was higher (34.3 vs. 32.0 kg/d) with fat feeding, but milk energy yield did not differ (22.6 Mcal/d). The NEL of the fat supplement was estimated from the incremental differences in energy values within cows, assuming NEL of corn replaced by fat to be 1.96 Mcal/kg DM, and was determined to be 6.52 Mcal/kg DM (SE = 1.74). The efficiency of the use of metabolizable energy for lactation from dietary fat was 77.2%. The energy in calcium salts of long-chain fatty acids is utilized efficiently for lactation in mature cows.

Animals↗
PubMed1999

Association of dietary intake of fat and fatty acids with risk of breast cancer.

CONTEXT: High intakes of fat and specific fatty acids, including total, animal, saturated, polyunsaturated, and trans-unsaturated fats, have been postulated to increase breast cancer risk. OBJECTIVE: To determine whether intakes of fat and fatty acids are associated with breast cancer. DESIGN AND SETTING: Cohort study (Nurses' Health Study) conducted in the United States beginning in 1976. PARTICIPANTS: A total of 88795 women free of cancer in 1980 and followed up for 14 years. MAIN OUTCOME MEASURE: Relative risk (RR) of invasive breast cancer for an incremental increase of fat intake, ascertained by food frequency questionnaire in 1980, 1984, 1986, and 1990. RESULTS: A total of 2956 women were diagnosed as having breast cancer. Compared with women obtaining 30.1% to 35% of energy from fat, women consuming 20% or less had a multivariate RR of breast cancer of 1.15 (95% confidence interval [CI], 0.73-1.80). In multivariate models, the RR (95% CI) for a 5%-of-energy increase was 0.97 (0.94-1.00) for total fat, 0.98 (0.96-1.01) for animal fat, 0.97 (0.93-1.02) for vegetable fat, 0.94 (0.88-1.01) for saturated fat, 0.91 (0.79-1.04) for polyunsaturated fat, and 0.94 (0.88-1.00) for monounsaturated fat. For a 1% increase in energy from trans-unsaturated fat, the values were 0.92 (0.86-0.98), and for a 0.1% increase in energy from omega-3 fat from fish, the values were 1.09 (1.03-1.16). In a model including fat, protein, and energy, the RR for a 5% increase in total fat, which can be interpreted as the risk of substituting this amount of fat for an equal amount of energy from carbohydrate, was 0.96 (95% CI, 0.93-0.99). In similar models, no significant association of risk was evident with any major types of fat. CONCLUSION: We found no evidence that lower intake of total fat or specific major types of fat was associated with a decreased risk of breast cancer.

Adult↗
PubMed1980

Dietary survey methods. 2. A comparison of nutrient intakes within families assessed by household measures and the semi-weighed method.

Mean nutrient intakes in eight families estimated using household measures were on average only 2 per cent greater than those based on semi-weighed method. The differences were significant for energy, fat, vitamin C and fibre. When the semi-weighed values for individual intakes of fat and sugar were substituted for the household measured values, the differences for fat and energy were no longer significant. Estimates of individual intakes based on household measures compared with those based on the semi-weighed method ranged from overestimates of 45 per cent to underestimates of 37 per cent.

Cooking and Eating Utensils↗
PubMed1997

Effects of substituting dietary soybean protein and oil for milk protein and fat in subjects with hypercholesterolemia.

OBJECTIVES: To determine whether, in individuals with hypercholesterolemia, substituting dietary soybean products for cows' milk products improves the plasma lipid profile and whether any change in the profile is due partially to soy oil. DESIGN: Randomized 3-treatment crossover trial. SETTING: Family practice clinics and an outpatient clinic in London, Ont. PARTICIPANTS: Seventeen healthy men and 17 healthy women with elevated plasma levels of total and low-density-lipoprotein (LDL) cholesterol and with normal plasma levels of triglycerides. INTERVENTIONS: Participants incorporated into their normal diet either 2% cows' milk products, soybean products or a combination of skim milk products and soy oil, each over period of 4 weeks, with 22-week wash-out periods. Plasma lipid profile, blood pressure and body weight were assessed after each dietary and wash-out period. OUTCOME MEASURES: Plasma levels of total and lipoprotein cholesterol, plasma levels of triglycerides, apolipoprotein B and A1 levels, blood pressure and plasma lipid peroxidation. RESULTS: The change in diet had no effect on body mass index, levels of apolipoproteins B and A1 and most plasma lipids. During the soybean period, the subjects' mean level of high-density-lipoprotein (HDL) cholesterol increased 9% (p < 0.04) and their mean LDL/HDL cholesterol ratio decreased 14% (p < 0.007). These effects were less pronounced during the skim milk/soy oil period. In the 24 subjects with the highest initial LDL cholesterol level and LDL/HDL cholesterol ratio, the mean LDL cholesterol level decreased 11% after the soybean period. In all subjects, changes in the LDL/HDL cholesterol ratio induced by a soybean diet were negatively correlated with the initial LDL/HDL cholesterol ratio and positively correlated with the initial HDL cholesterol level. CONCLUSIONS: In people with hypercholesterolemia, the plasma lipid profile improved after treatment with a soybean-product diet, and this improvement was partially due to soy oil. The degree of responsiveness was associated with initial risk factors for coronary artery disease.

Adult↗
PubMed1992

Effect of the amount of dietary fat on the development of mammary tumors in BALB/c-MTV mice.

The relationship between dietary fat consumption and the incidence of breast cancer, if any, needs to be quantified so that dietary guidelines can be issued for the prevention of breast cancer. Frequently, only two widely different dietary fat levels, often differing in essential fatty acid content, have been compared in animal models. Moreover, the latent period in common animal models for breast cancer is very short and does not reflect the relatively long latent periods in human breast cancer. We describe a study with BALB/c-MTV mice, a strain with a high average tumor incidence and a latent period of over 60 weeks on average. The mice were fed diets with fat levels ranging from 10% to 40% of energy, in which fat was isocalorically substituted for carbohydrates. The level of linoleic acid in these diets was kept constant at 6.5% of energy. Both the mean tumor incidence and latent periods of the groups fed diets with 10-16% of energy as fat were not significantly different from each other. There were also no differences between these parameters in the groups fed 22-40% of energy as fat. However, the mean incidence and latent period of the groups fed 22% or more of energy as fat was significantly higher than that of the groups fed less fat. We conclude that above about 22% of energy, fat does not influence the incidence and latent period of mammary tumors in BALB/c-MTV mice.

9,10-Dimethyl-1,2-benzanthracene↗
PubMed1995

The availability of low-fat milk in an inner-city Latino community: implications for nutrition education.

Substitution of low-fat for whole milk is an important strategy for reducing saturated fat consumption, but intake of whole milk remains high among Latinos. To assess whether this is related to the unavailability of low-fat milk, we surveyed 251 grocery stores (bodegas) and 25 supermarkets in a predominantly low-income, urban Latino community. Low-fat milk was available in 73% of bodegas and 96% of supermarkets, but it constituted only 15% of total milk volume in bodegas and 37% of that volume in supermarkets. Since lack of availability was not a major obstacle to increasing low-fat milk consumption, public health nutrition campaigns should focus on increasing consumer demand.

Animals↗
PubMed1993

Effect of dietary lipid on insulin action. Clinical studies.

Evidence from the best studies available in the literature suggest that the isocaloric substitution of dietary fat for dietary carbohydrate does not cause insulin resistance. Although many studies show several differences between the diets (for example, changes in dietary fiber or fat subtype), the diets were primarily designed to compare the effects of the fat/carbohydrate content, and a true important effect of dietary fat on insulin action should have been detected. Some studies found other changes in carbohydrate metabolism such as improvements in insulin secretion and glucose effectiveness (Sg) that could contribute to the conflicting results. For example, glucose uptake as measured by the euglycemic clamp includes both insulin-dependent and non-insulin-dependent (SG) factors, so that the M value could be affected by changes in SG as well as in insulin action. All of these studies have used isocaloric substitution so that body weight is maintained. This constraint, while important for determining and direct effect of dietary fat, may lead to false conclusions about its overall effects on insulin action. One of the most common and potent causes of insulin resistance is obesity, and dietary fat is of singular importance in the genesis of obesity. Inasmuch as an ad libitum reduced fat diet causes weight loss, the overall effect of dietary fat reduction may be an improvement in insulin action because of weight loss even in the absence of any direct effects. Long-term studies of the effects of fat content within ad libitum diets are needed to place these largely negative results from isocaloric studies in context.

Blood Glucose↗
PubMed1992

Diet and coronary heart disease. The National Heart Foundation of Australia.

Over the last four decades there has been extensive research into the links between diet and coronary heart disease. The most recent literature is reviewed in this position statement. The clinical and public health aspects of the National Heart Foundation's nutrition policy are based on this review. The key points are as follows: 1. Saturated fatty acids A high intake of saturated fatty acids is strongly associated with elevated serum cholesterol and LDL-cholesterol levels and increased risk of coronary heart disease. 2. The n-6 polyunsaturated fatty acids The n-6 polyunsaturated fatty acids (principally linoleic acid) lower serum cholesterol levels when substituted for saturated fats and probably have an independent cholesterol-lowering effect. 3. The n-3 polyunsaturated fatty acids (fish oils) The n-3 polyunsaturated fatty acids reduce serum triglyceride levels, decrease the tendency to thrombosis and may further reduce coronary risk through other mechanisms. 4. Monounsaturated fatty acids Monounsaturated fatty acids reduce serum cholesterol levels when substituted for saturated fatty acids. It is not clear whether this is an independent effect or simply the result of displacement of saturates. 5. Trans fatty acids Trans fatty acids may increase serum cholesterol levels and can be reckoned to be equivalent to saturated fatty acids. 6. Total fat Total fat intake, independent of fatty acid type, is not strongly associated with coronary heart disease but may contribute to obesity. Associations between total fat intake and coronary heart disease are primarily mediated through the saturated fatty acid component. 7. Dietary cholesterol Dietary cholesterol increases serum cholesterol levels in some people and may increase risk of coronary heart disease. 8. Alcohol A high intake of alcohol increases blood pressure and serum triglyceride levels and increases mortality from cardiovascular disease. Light alcohol consumption reduces the risk of coronary heart disease. 9. Sugar The consumption of sugar is not associated with coronary heart disease. 10. Sodium and potassium High salt intake is related to hypertension especially in the subset of "salt-sensitive" people. Potassium intake may be inversely related to hypertension. 11. Overweight and obesity Abdominal obesity increases the risk of coronary heart disease probably by adversely influencing conventional risk factors. 12. Vegetarianism A high intake of plant foods reduces the risk of coronary heart disease through several mechanisms, including lowering serum cholesterol and blood pressure levels.

Alcohol Drinking↗
PubMed2006

Lipid profile in eggs of Araucana hens compared with Lohmann Selected Leghorn and ISA Brown hens given diets with different fat sources.

1. In a cross-over trial, the egg cholesterol and fatty acid composition of Araucana hens was compared with those of two commercial breeds (Lohmann Selected Leghorn and ISA Brown) under two feeding regimes, either high (Hn-3) or low (Ln-3) in long-chain n-3 fatty acids. 2. The Hn-3 diet was formed by isocaloric substitution of animal fat in the control diet (Ln-3) by a dry product containing stabilised fish oil with standardised concentrations of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). 3. Both breed and diet had influences on egg composition, without interactions. 4. The Araucana breed showed lower feed intake and lower egg weights than the other two breeds. The yolk weight was similar, leading to a much higher yolk:albumen ratio in the Araucana eggs. 5. In comparison to commercial breeds, Araucanas produced eggs with higher cholesterol content per g of yolk, which was even more pronounced when expressed per g of egg, due to the high yolk content of the eggs. The cholesterol content of an egg remained unchanged by the diet, irrespective of the dietary fat source. 6. Changing to the Hn-3 diet led to greater concentrations of polyunsaturated fatty acids (PUFA) and lower concentrations of monounsaturated fatty acids (MUFA) contents in the yolk, without a change in the ratio of saturated (SFA) to unsaturated fatty acids (UFA). 7. Within the PUFA, the n-3 fatty acids increased at the expense of the n-6 fatty acids, indicating a competition between n-3 and n-6 fatty acids for incorporation in the yolk.

Animal Feed↗
PubMed2000

Assessment of gastric emptying using a low fat meal: establishment of international control values.

OBJECTIVE: The diagnosis of gastroparesis implies delayed gastric emptying. The diagnostic gold standard is scintigraphy, but techniques and measured endpoints vary widely among institutions. In this study, a simplified scintigraphic measurement of gastric emptying was compared to conventional gastric scintigraphic techniques and normal gastric emptying values defined in healthy subjects. METHODS: In 123 volunteers (aged 19-73 yr, 60 women and 63 men) from 11 centers, scintigraphy was used to assess gastric emptying of a 99Tc-labeled low fat meal (egg substitute) and percent intragastric residual contents 60, 120, and 240 min after completion of the meal. In 42 subjects, additional measurements were taken every 10 min for 1 h. In 20 subjects, gastric emptying of a 99Tc-labeled liver meal was compared with that of the 99Tc-labeled low fat meal. RESULTS: Median values (95th percentile) for percent gastric retention at 60, 120, and 240 min were 69% (90%), 24% (60%) and 1.2% (10%) respectively. A power exponential model yielded similar emptying curves and estimated T50 when using images only taken at 1, 2 and 4 h, or with imaging taken every 10 min. Gastric emptying was initially more rapid in men but was comparable in men and women at 4 h; it was faster in older subjects (p < 0.05) but was independent of body mass index. CONCLUSIONS: This multicenter study provides gastric emptying values in healthy subjects based on data obtained using a large sample size and consistent meal and methodology. Gastric retention of >10% at 4 h is indicative of delayed emptying, a value comparable to those provided by more intensive scanning approaches. Gastric emptying of a low fat meal is initially faster in men but is comparable in women at 4 h; it is also faster in older individuals but is independent of body mass.

Adult↗
PubMed1987

Comparison of nutrient intakes by male vs. female heads of households.

Nutrient intakes by male and female heads within a household were examined in regard to the feasibility of substituting dietary data of one partner for data of the other partner in diet/disease studies. Three-day individual food intake data from male and female heads of household were used when both members participated in the spring quarter of the Nationwide Food Consumption Survey 1977-78. The mean percentage of energy from fat was higher for male heads than for female heads, whereas the mean percentages of energy from protein and carbohydrate were higher for female heads than for male heads (p less than .05). However, the differences between male and female heads in percentages of energy from protein, fat, and carbohydrate were only 1.5 percentage points or less. At the current state of knowledge, that difference is too small to be associated with a difference in health status. In diet/disease studies involving percentages of energy from protein, fat, and carbohydrate, substitution of dietary data of one partner for data of the other partner does not appear likely to produce misleading results and, therefore, would not be precluded. Mean intakes of energy and all 12 nutrients examined as percentages of the RDAs differed significantly between male heads and female heads (p less than .05). In studies involving intakes of energy or any of the 12 nutrients examined, substitution of dietary data of one partner for data of the other partner is not recommended.

Diet↗