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PubMedDate not supplied

Optimizing lipid levels through diet.

Medical nutrition therapy, consisting of a diet low in saturated fat, has an important role in reducing risks for cardiovascular disease and hyperlipidemia. Dietary factors that have a negative effect on blood lipid levels include dietary cholesterol, saturated fat, and trans fatty acids, whereas unsaturated fats, omega-3 fatty acids, and soluble fiber may help lower blood lipid levels. A two-step approach to medical nutrition therapy can help health professionals counsel people with high lipid levels to change their food choices and eating behaviors to lower their risk of heart disease. This approach involves teaching the patient how to substitute lower-fat foods, read labels, control portions, and use healthier cooking techniques. Medical nutrition therapy needs to be individualized to help lower the risk of heart disease.

Cardiovascular Diseases↗
PubMed1999

Tandem-in-time mass spectrometry method for the sub-parts-per-trillion determination of 2,3,7,8-chlorine-substituted dibenzo-p-dioxins and -furans in high-fat foods.

Limits of quantitation (LOQs) for a quadrupole ion storage tandem-in-time mass spectrometry (QISTMS) method were evaluated through replicate analysis of unfortified peanut oil, shortening, lamb fat, and butter for all 2,3,7,8-chlorine-substituted polychlorodibenzo-p-dioxins (PCDDs) and polychlorodibenzofurans (PCDFs). Ten congeners were measurable in butter (0.27-2.5 pg/g) and nine congeners were measurable in lamb fat (0.09-2.6 pg/g) with good precision. LOQs for high-fat foods were estimated by triplicate analysis of peanut oil fortified at two levels. Accurate and reproducible results were achieved at 0.5 pg/g for most PCDD/Fs (1.0 pg/g for heptachlorodibenzo-p-dioxin and heptachlorodibenzofuran and 2.0 pg/g for octachlorodibenzofuran) and at 0.2 pg/g for 2,3,7,8-tetrachlorodibenzofuran (TCDF) and 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). QISTMS distinguished between catfish and chicken eggs with elevated TCDD levels from background samples collected from the most regions of the continental United States. QISTMS determined the extent of TCDD contamination in butter, lamb fat, and cottonseed oil collected from rural villages in Kazakhstan. Replicate analysis of catfish and chicken eggs by the QISTMS method produced comparable results to high-resolution mass spectrometry (HRMS). Lower limits of detection will be needed if QISTMS is to fully complement HRMS in the measurement of TCDD levels in food.

Animals↗
PubMed1983

Reversible hypercholesterolaemia produced by cholesterol-free fish meal protein diets.

Groups of rabbits were fed isonitrogenous diets containing 30% soya, milk or whitefish meal protein and at least 130 g/kg of added fat for 1 year. Mean serum cholesterol values in fish meal animals (13.4 +/- 2.4 mmol/l) were substantially greater than for soya (3.0 +/- 0.2 mmol/l) or milk (4.6 +/- 0.7 mmol/l). Fish meal rabbits developed extensive aortic atherosclerosis (c. 70% surface involvement) which histologically showed both fibrous and foam cell intimal thickening and destruction and calcification of medial elastic tissue. In a second experiment fish meal was given with either saturated (coconut oil) or unsaturated (maize oil) fat. A similar degree of hypercholesterolaemia developed in each group and was rapidly reversed when a soya protein-low fat diet was substituted. This model may therefore be of value in studies of the progression and regression of experimental atherosclerosis.

Animals↗
PubMed2000

Energy balance of lactating primiparous sows as affected by feeding level and dietary energy source.

The effects of feeding level and major dietary energy source used during lactation on sow milk composition, piglet body composition, and energy balance of sows were determined. During a 21-d lactation, 48 primiparous sows were fed either a Fat-rich (134.9 g/kg fat; 196.8 g/kg carbohydrate) or a Starch-rich (33.2 g/kg fat; 380.9 g/kg carbohydrate) diet at either a High (44 MJ NE/d; 1,050 g protein/d) or a Low (33 MJ NE/d; 790 g protein/d) feeding level. Within each feeding level, the two diets were fed to provide an isocaloric and isonitrogenous intake. At the Low feeding level, no differences in milk production, milk composition, or piglet body composition were found as a result of feeding the two dietary energy sources. However, at the High feeding level, sows fed the Fat-rich diet produced higher milk fat (8.4 vs 6.9%) and milk energy (5.38 vs 4.77 kJ/g) concentrations and a higher piglet body fat concentration (152.1 vs 135.4 g/kg) than sows fed the Starch-rich diet. At the Low feeding level, the energy balance (d 6 to d 20) of the sows was similar when fed either the Fat- or the Starch-rich diet (-558 and -515 kJ x BW(-.75) x d(-1)), but at the High feeding level, the energy balance was more negative in sows fed the Fat than those fed the Starch-rich diet (-544 vs -372 kJ x BW(-.75) x d(-1)). This suggests that at the High feeding level, dietary energy in the form of fat is preferentially used for milk fat synthesis, resulting in growth and in fatter piglets. Alternatively, at the High feeding level, Starch as the major energy source is used only for growth of the piglets, as confirmed by protein deposition, and also results in a less-negative energy balance for the sows. From this experiment, it can be concluded that effects of substituting cornstarch for fat in the diet of lactating sows on milk composition, piglet body composition, and energy balance of the sows are dependent on feeding level.

Animals↗
PubMed1977

Artificial rearing of pigs. The effect of different levels of fat, protein and methionine in a milk-substitute diet containing skim milk and soya-bean oil.

1. Protein and energy requirements of pigs weaned at 2 d of age were studied. In Expt 1, three diets with crude protein (CP; nitrogen x 6.38) and fat contents (g/kg dry matter (DM)) of 268, 260 (diet A); 216, 415 (diet B) and 264, 405 (diet C) were compared, with and without a supplement of 2 g DL-methionine/kg. Diets A and B contained skim milk and soya-bean oil only, in different proportions. Casein was added to diet C to equalize the CP content to that of diet A. In Expt 2, diets containing 290 or 315 g CP/kg DM were used with either 310 or 405 g fat/kg. The diets contained different proportions of skim milk, soya-bean oil and casein. The same diets as used in Expt 2 were used in Expt 3 but fed to a scale based on live weight which was 25% less than that used in Expts 1 and 2. 2. Methionine supplementation had no significant effect (P greater than 0.05) on the growth rate or feed: gain ratio of pigs from 2 to 28 d of age. The growth rate of the pigs from 2 to 28 d of age was significantly (P less than 0.05) reduced when they were given the higher level of either CP or fat, with the exception that the effect of fat was not significant (P greater than 0.05) in Expt 3. The reduction in growth rate was associated with a decrease in feed intake. Feed: gain ratios were unaffected (P greater than 0.05) by the level of either CP or fat in the diet. 3. The higher protein level did increase the proportion of CP in the carcass DM (Expt 2 P less than 0.01, Expt 3 P greater than 0.05) and gave an indication, which was not significant (P greater than 0.05), of improved N retention (g/d per kg live weight). The higher dietary fat level increased the proportion of lipid in the carcass DM, and this effect was significant (P less than 0.05) in both Expts 2 and 3. 4. Diets containing additional casein were not fully consumed at the level of feeding used in Expt 2. This effect may be associated with the larger amounts of digesta in the stomachs of these pigs. Some differences in the composition of the digesta in the stomach were observed, but these did not affect the performance of the pigs. 5. It seems likely that either growth rate or feed: gain ratio (g DM consumed/g live-weight gain) can be improved by protein or energy levels exceeding those in a diet containing (g/kg DM) 730 skim milk (265-290 CP) and 310 fat. In this diet, containing (g/kg DM) 6-4 methionine and 3-5 cystine, sulphur amino acid requirements were satisfied.

Animal Nutritional Physiological Phenomena↗
PubMed2000

Effect of the inclusion time of dietary saturated and unsaturated fats before slaughter on the accumulation and composition of abdominal fat in female broiler chickens.

The aim of this experiment was to assess the effects of four different feeding programs designed to include tallow, a saturated fat at 0, 8, 12, and 28 d prior to slaughter on female broiler performance and the deposition, fatty acid profile, and melting point of abdominal fat. The following treatment groups were established according to dietary inclusion--from 21 to 49 d of age--of: sunflower oil (SUN), sunflower oil followed by tallow during the last 8 d (SUN + 8TALL), sunflower oil followed by tallow during the last 12 d (SUN + 12TALL), and tallow (TALL). The diets were designed to be isoenergetic and isonitrogenous. Abdominal fat deposition increased linearly with increasing number of days in which birds were fed the tallow-enriched diet. However, linear and quadratic response patterns were found between days before slaughter in which the birds were fed the tallow-enriched diet and abdominal fat melting points. This result suggested an exponential response in which 85% of the maximum level was already attained when the dietary fat type changed from an unsaturated to a saturated condition during the last 8 d of the feeding period. The use of an unsaturated fat source during the first stages of growth, and the substitution of a saturated fat for a few days before slaughter, may offer the advantage of lower abdominal fat deposition and an acceptable fat fluidity compared with the use of a saturated fat source during the whole growing and finishing period.

Abdomen↗
PubMed1998

[Less fat or a different fat?].

Current dietary advice with a view to avoiding cardiovascular pathology is to replace fatty foodstuffs and those rich in saturated fat and cholesterol by food rich in complex carbohydrates. Although substitution of carbohydrates for fat lowers the blood level of low-density lipoprotein (LDL) cholesterol, it also lowers the level of high-density lipoprotein (HDL) cholesterol, thereby adversely influencing the risk profile for cardiovascular disease. Neither does a low fat diet appear to reduce obesity, another risk factor. A modern advice based on published research reads: obese persons should reduce their intake of saturated and trans-fatty acids by lowering the consumption of dairy fat, meat and hardened oils (bakery products and catering products fried in hardened fats), and in addition should consume less products with added sugars and refined starch. Carbohydrates should be provided by fruits, vegetables, leguminous plants and whole-wheat products. Persons of about the ideal weight should replace saturated and trans-fatty acids in their diet by unsaturated plant oils, and products with refined carbohydrates by fruits, vegetables and whole-wheat products.

Cardiovascular Diseases↗
PubMed1995

Hypercholesterolemia. Dietary advice for patients regarding meat.

The contribution of beef, pork, lamb, and veal to total fat, saturated fat, and cholesterol intake must be evaluated from a total-diet standpoint. The hidden fats in snack foods and other processed foods contribute significantly to total fat and cholesterol intake. Patients with hypercholesterolemia can include a moderate amount of meat in their cholesterol-lowering diet provided they choose lean cuts of meat, trim visible fat, pay attention to portion size, and use low-fat cooking methods. Substituting skinless chicken or fish for meat may make sense from the standpoint of personal preference and dietary variety but does not confer additional benefits in terms of reducing blood cholesterol levels.

Animals↗
PubMed1982

Parallel gastric emptying of nonhydrolyzable fat and water after a solid-liquid meal in humans.

Our aim was to examine the control of gastric emptying of the oil phase of a mixed solid and liquid meal. Previous studies had shown that liquid dietary fats normally leave the stomach at a slower rate than does water. We wished to determine whether the slower emptying of fats was due to the physical characteristics of food (lower density and greater viscosity than water), to retardation by duodenal feedback mechanisms, or whether both factors contributed. Thus, we quantified the emptying rates of water and sucrose polyester (a nonabsorbable analog of dietary fat) ingested by healthy volunteers as a mixed solid and liquid meal. Gastric emptying was quantified by an intubation-perfusion method incorporating an occlusive jejunal balloon to facilitate recovery. Four phase-specific, nonabsorbable markers were used. [14C[Sucrose octaoleate and polyethylene glycol were incorporated in the meal and traced the lipid and water phases, respectively; [3H]glycerol triether and phenolsulfonphthalein were used as duodenal recovery markers. Sucrose polyester (substituting for dietary fat) was emptied very rapidly, and at about the same rate as was water, in contrast to natural fat, which empties very slowly. Emptying of water was rapid and comparable to that observed after mixed meals containing natural fat. These results imply that gastric emptying of the oil phase is controlled by receptors sensitive to the hydrolytic products of fat digestion and that the slow emptying of dietary fat is not simply due to its lower density.

Adult↗
PubMed2002

[Animal feeding and feed legislation after the detection of the first indigenous BSE cases in Germany].

In Great Britain, even the earliest tangible signs indicating the epidemiologic significance of meat and bone meal in the spreading of BSE soon gave rise to increasingly rigorous legislative measures regulating animal feedstuffs. In 1994 a ban on the feeding of animal proteins to ruminants was implemented throughout the entire EU. But until the first BSE cases were actually confirmed in locally raised cattle (November 2000), feeding practice and legislation more or less in Germany remained unaffected by the efforts undertaken in Great Britain. This situation was suddenly changed on 1 December, 2000, when the so-called "Verfütterungsverbot" was put into effect, a law which drastically extended bans regarding the feedstuffs (including fishmeal and animal fats) as well as the species concerned (all animals used in food production). In 2001 the "contamination" phenomenon (ingredients of animal origin were detected in mixed feeds) became a vital issue for the feed industry; through the media, the subject "feedstuff safety" gained a previously unseen level of public awareness. Those circles concerned with mixed feed production and animal husbandry were increasingly confronted with the consequences of the "Verfütterungsverbot" (availability and pricing of substitute ingredients; the demand for amino acids and inorganic sources of phosphorus; problems finding adequate substitutes for animal fats; poor digestibility of alternative components such as indigenous legumes or vegetable fats in calf diets; lower utilization rate of original phosphorus in mixed feeds with negative consequences for skeletal development). With the conditional approval of fishmeal (except in feeds for ruminants) the situation has eased again to a certain degree; on the EU level there are increasing signals pointing toward a political intention to reinstate the utilization of by-products of slaughtered animals qualified for human consumption (with the exception of fallen/dead animals and specific risk material) in poultry and swine feeding. In Germany, at least, the question of animal fat utilization for food-producing animals is still unsolved.

Animal Feed↗
PubMed1986

[Effect of fructose and sorbitol on insulin-induced hypoglycemia].

Twelve metabolically normal subjects were given 0.325 g/kg fructose or glucose dissolved in water 30 minutes after intravenous infusion of insulin, 0.05 U/kg. Blood glucose concentration was then measured for up to 60 minutes or until the onset of hypoglycaemia (study I). In study II two bread units (BU) were given to six subjects in the form of dark bread, as well as 12 g of butter and water. In two other groups, of six subjects each, 1 BU was substituted either by fructose or sorbitol. Seven subjects who had been given insulin but only water to drink afterwards served as the control group. In study I, both glucose and fructose achieved a clear slowing in the blood-sugar drop compared with the control group. But with glucose there was initially a slight rerise and the final hypoglycaemic level was somewhat delayed. This minor difference between glucose and fructose was not demonstrable in study II with the addition of fat and carbohydrate substitution. Each carbohydrate combination similarly influenced the course of blood sugar concentration. The results indicate that diabetics should continue to be given glucose rather than fructose or sorbitol if hypoglycaemia occurs. On the other hand, both fructose and sorbitol, although acutely less effective in raising blood glucose concentration, do counteract as carbohydrates the development of insulin-induced hypoglycaemia.

Adult↗
PubMed1995

Physico-chemical properties and acceptability of yam flour substituted with soy flour.

Yam flour was substituted 10, 20 and 40% with defatted and full fat soy flour. The effect of the substitution on the proximate composition, swelling power, solubility, water binding capacity and Brabender visco amylograph cooking properties of the yam flour and acceptability of the cooked paste (amala), were evaluated. Protein contents of the mixtures were 23.0 and 25.5% on substituting 40% full-and defatted soy flours for yam flour, ash and crude fibre contents increased while carbohydrate content, swelling power, Brabender paste viscosities decreased with increase in soy flour substitution of yam flour. Colour, texture, taste and overall acceptability of pastes (amala) from the mixed flours were rated lower than that of yam flour. Up to 10% defatted and 20% full fat soy flour substitution for yam flour was acceptable for amala.

Chemical Phenomena↗
PubMed1979

Dietary fibre and blood pressure.

Ninety-four volunteers participated in a three-day weighed dietary survey and had their blood pressures measured once. They were classified according to their fibre intake. Subjects with a high-fibre intake were found to have lower mean blood pressures than those with a low-fibre intake. Forty-two of the volunteers further participated in a group of experiments. Those eating a high-fibre diet decreased their dietary fibre, and those eating a low-fibre diet increased their dietary fibre. The first group (11 subjects) showed increased mean blood pressures after four weeks of eating the experimental diet. The last group (31 subjects) showed decreased mean blood pressures after four weeks of eating the experimental diet. The 11 subjects consuming the low-fibre experimental diet showed a decrease in mean blood pressure when some of the saturated fat in their diet was replaced by polyunsaturated fat. A similar substitution carried out by 14 of the subjects consuming the high-fibre experimental diet also resulted in decreased mean blood pressure, but this was not statistically significant. Twelve more volunteers, with hypertension, were all found to have low-fibre diets. They consumed a high-fibre diet for a six-week experimental period, but their mean blood pressures did not decrease significantly; individual recordings varied substantially during this period.It is suggested that differences in the type and quantity of dietary fibre and fat may be responsible for the lower mean blood pressures of groups of vegetarians compared with similar groups of non-vegetarians.

Adolescent↗
PubMed2002

Optimal diets for prevention of coronary heart disease.

CONTEXT: Coronary heart disease (CHD) remains the leading cause of mortality in industrialized countries and is rapidly becoming a primary cause of death worldwide. Thus, identification of the dietary changes that most effectively prevent CHD is critical. OBJECTIVE: To review metabolic, epidemiologic, and clinical trial evidence regarding diet and CHD prevention. DATA SOURCES AND STUDY SELECTION: We searched MEDLINE through May 2002 for epidemiologic and clinical investigations of major dietary factors (fat, cholesterol, omega-3 fatty acids, trans-fatty acids, carbohydrates, glycemic index, fiber, folate, specific foods, and dietary patterns) and CHD. We selected 147 original investigations and reviews of metabolic studies, epidemiologic studies, and dietary intervention trials of diet and CHD. DATA EXTRACTION: Data were examined for relevance and quality and extracted by 1 of the authors. DATA SYNTHESIS: Compelling evidence from metabolic studies, prospective cohort studies, and clinical trials in the past several decades indicates that at least 3 dietary strategies are effective in preventing CHD: substitute nonhydrogenated unsaturated fats for saturated and trans-fats; increase consumption of omega-3 fatty acids from fish, fish oil supplements, or plant sources; and consume a diet high in fruits, vegetables, nuts, and whole grains and low in refined grain products. However, simply lowering the percentage of energy from total fat in the diet is unlikely to improve lipid profile or reduce CHD incidence. Many issues remain unsettled, including the optimal amounts of monounsaturated and polyunsaturated fats, the optimal balance between omega-3 and omega-6 polyunsaturated fats, the amount and sources of protein, and the effects of individual phytochemicals, antioxidant vitamins, and minerals. CONCLUSIONS: Substantial evidence indicates that diets using nonhydrogenated unsaturated fats as the predominant form of dietary fat, whole grains as the main form of carbohydrates, an abundance of fruits and vegetables, and adequate omega-3 fatty acids can offer significant protection against CHD. Such diets, together with regular physical activity, avoidance of smoking, and maintenance of a healthy body weight, may prevent the majority of cardiovascular disease in Western populations.

Coronary Artery Disease↗
PubMed2006

Thematic review series: patient-oriented research. Dietary fat, carbohydrate, and protein: effects on plasma lipoprotein patterns.

In general, under isoweight conditions, different types of dietary protein or individual amino acids have little effect on lipoprotein patterns. Dietary carbohydrate tends to increase plasma triglyceride when it displaces fat, accompanied by a decrease in HDL cholesterol concentrations. Potential differential effects of types of carbohydrate are difficult to assess because of differences in rates of absorption and confounding of dietary fiber. Saturated fatty acids increase LDL and HDL cholesterol, whereas trans fatty acids increase LDL but not HDL cholesterol. Unsaturated fatty acids decrease LDL and HDL cholesterol, polyunsaturated more so than monounsaturated. There has been considerable interest in the potential benefit of major shifts in dietary macronutrients on weight loss and lipoprotein patterns. Short-term data favor substituting protein and fat for carbohydrate, whereas long-term data have failed to show a benefit for weight loss. During an active weight loss period low-carbohydrate diets more favorably affect triglyceride and HDL and less favorably affect LDL cholesterol concentrations. Additional efforts need to be focused on gaining a better understanding of the effect of dietary macronutrient profiles on established and emerging cardiovascular disease risk factors, mechanisms for changes observed and contributors to individual variability. Such data are needed to allow reassessment and, if necessary, modification of current recommendations.

Body Weight↗
PubMed1978

Effect of major nutrient substitutions on body weight gain, blood glucose and cholesterol levels, and the rate of drug metabolism in the liver.

Rats were fed diets resembling a normal human diet, except that, in a complete factorial fashion, safflower oil and/or mineral oil were substituted for part of the fat, while fructose, lactose and/or cellulose were substituted for carbohydrate, and zein was substituted for milk protein. Food intake and weight gain were not influenced by cellulose and mineral oil, but zein decreased both substantially. Plasma cholesterol was unchanged by safflower oil or mineral oil but was decreased by fructose. Plasma glucose was reduced as the starch-to-sugar ratio increased. The rate of aniline metabolism was increased by lactose and/or zein, but the rate of ethylmorphine metabolism was decreased by safflower oil or mineral oil.

Aniline Compounds↗
PubMed2001

Gene expression of a truncated and the full-length growth hormone (GH) receptor in subcutaneous fat and skeletal muscle in GH-deficient adults: impact of GH treatment.

In humans at least two GH receptors are significantly expressed. One is the full-length receptor (GHR); the other is a truncated form (GHRtr), that lacks most of the intracellular domain. This receptor may inhibit the action of the full-length receptor. Circulating GH-binding protein (GHBP) is a proteolytically cleaved product from both of these receptors. The clinical relevance of the different receptor types is unknown. We examined the gene expression of GHR and GHRtr in human adipose tissue and skeletal muscle and the influence of GH treatment on this expression. Furthermore, we studied the relationship of circulating GHBP and body composition to GHR and GHRtr gene expression. Eleven adult GH-deficient patients were studied before and after 4 months of GH substitution therapy. Abdominal fat obtained by liposuction and femoral muscle biopsies were taken at baseline and after 4 months. Gene expression of GHR and GHRtr in adipose tissue and skeletal muscle was determined and expressed relative to the expression of beta-actin. Gene expression of GHR in abdominal sc adipose tissue was not altered, whereas the expression of GHRtr increased significantly. In skeletal muscle inverse changes were seen in the expression of messenger ribonucleic acid (mRNA) levels for the two GH receptor forms: expression of GHR increased significantly, whereas mRNA levels for GHRtr decreased. As expected, body composition changed with reduction of body fat mass after 4 months of GH treatment. Levels of circulating GHBP decreased significantly. We conclude that GH treatment in GH-deficient adults changes the expression of mRNA for GHR and GHRtr in adipose tissue and skeletal muscle. Whether these changes are responsible for the observed changes in body composition in response to GH treatment and the observed changes in levels of circulating GHBP, however, needs further elucidation.

Adipose Tissue↗
PubMed1982

Fat absorption in low birthweight infants.

Studies on the incomplete fat absorption in newborns, particularly preterm ones, are reviewed. In the first week term breastfed newborns have a fat absorption coefficient of 91%. Lyophilization or pasteurigation reduces this figure in term as well as in preterm newborns. Excess Ca++ lowers fat absorption. So far, there is no evidence of immaturity of intracellular fat transport through the enterocyte. In the newborn low pancreatic lipase activity and low intraluminal bile salt concentrations appear to limit fat absorption. The most effective method to improve fat absorption in preterm babies seems to substitute part of the milk fat by medium-chain triglycerides.

Animals↗