Review Article

Dietary Strategies and Novel Pharmaceutical Approaches Targeting Serum ApoA-I Metabolism: A Systematic Overview

Table 7

Effect of plant sterols on fasting apoA-I concentrations and apoA-I kinetics.

First author, yearFood component/productStudy design and durationParticipantsIntakeEffects

Gylling and Miettinen (1994) [105]Sitostanol versus control margarineRCT crossover 
6 weeks
11 hypercholesterolemic diabetic men3.0 g/day(i) 4.3% in fasting serum apoA-I
(ii) No difference in apoA-I FCR

Temme et al. (2001) [106]Plant sterols enriched versus nonplant sterol enriched margarineRCT crossover 
4 weeks
42 mildly hypercholesterolemic subjects2.0 g/day(i) No differences in serum apoA-I concentrations

Amundsen et al. (2002) [107]Plant sterol esters versus control with similar fatty acid compositionRCT crossover  
8 weeks
38 children with familial hypercholesterolemia1.6 g/day(i) No differences in plasma apoA-I concentrations

Chan et al. (2007) [108]Olive oil versus sunflower oil with plant sterols versus olive oil with plant sterols margarineRCT crossover  
4 weeks
21 moderately overweight, hypercholesterolemic subject70% of total fat in the diet 
1.7 g plant sterols/day
(i) 0.8% in fasting plasma apoA-I concentrations comparing olive oil with plant sterols with olive oil alone or sunflower oil with plant

Madsen et al. (2007) [109]Plant sterols versus control with similar fatty acid compositionRCT crossover 
4 weeks
46 mildly hypercholesterolemic subjects2.3 g/day(i) No differences in serum apoA-I concentrations

Ooi et al. (2007) [110]Plant sterols enriched versus nonplant sterol enriched margarine and cerealsRCT crossover 
4 weeks
9 patients with the metabolic syndrome2.0 g/day(i) No differences in plasma apoA-I concentrations 
(ii) No effect on apoA-I PR  
(iii) No effect on apoA-I FCR

Hernández-Mijares et al. (2010) [111]Healthy diet (NCEP)1 versus healthy diet with plant sterols versus normal diet with plant sterolsRCT parallel  
3 months
84 mildly hypercholesterolemic subjects2.0 g/day(i) 4.0% in serum apoA-I concentration comparing prudent diet with plant sterols with prudent diet alone or normal diet with plant

Söderholm et al. (2010) [112]Rye bread with low versus high versus no plant sterolsRCT parallel 
2 weeks
68 healthy subjects2.0 versus 4.0 g/day(i) No differences in serum apoA-I concentrations

Gagliardi et al. (2010) [113]Plant sterol margarines versus no-trans-FA margarine versus butterRCT parallel 
5 weeks
53 subjects with metabolic syndrome2.4 g/day(i) No differences in plasma apoA-I concentrations

Sialvera et al. (2012) [114]Yogurt beverage with versus without phytosterolRCT parallel 
2 months
108 patients with the metabolic syndrome4.0 g/day(i) No differences in plasma apoA-I concentrations

Percentages calculated from the mean values; 1NCEP: National Cholesterol Education Program.