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Table 1 Effects of free sterols and stanols on LDL cholesterol and cholesterol absorption parameters.

From: Plant sterols: factors affecting their efficacy and safety as functional food ingredients

Reference

Products

Vehicle

Subject

Condition: Starting mean TC mM

Daily Dose g Free sterol/stanol Equivalents

#Servings/d

Outcome: Where possible, Placebo-adjusted % decrease LDL is given = % decrease with sterol (To vs Tf) % decrease with placebo (To vs Tf). C-abs also indicated

[59]

A2

C2

Spread

9

Normocholesterolemic

1.0

1.3

 

↓ C-abs 42.0%

↓ C-abs 33.0%

[176]

B2

Sunflower oil (Capsule)

3 M, 3 W

Hypercholesterolemic

1.5

 

↓ LDL 14.4%

[27]

A1

B1

Mayonnaise

24 M&W

6.5

0.96

1.0

Habitual usage

↓ TC 5.7%

↓ TC 2.4%

[28]

A1

B1

D1

Mayonnaise

22 M, 9 W

>6.0

1.0

1.0

1.2

Habitual usage

↓ LDL 6.2%

↓ LDL 5.1%

↓ LDL 7.7%

[21]

B1+step 1 diet

Capsules with sterols consumed with food

33 M

6.2

3.0

3.0 with 8 g cholestyramine 8 g of cholestyramine

3

↓ LDL 1.8%

[33]

A2

Spread

12 M

Normocholesterolemic

0.7

 

↓ LDL 6.1%

[177]

A2

olive oil

8 M, 8 W

3.7 M, 4.1 W

0.4 g/1000 Kcal

3

↓ LDL 2.8%

[103]

A1

Spread

22

5.0 minimum

1.6

 

↓ LDL 15 % Normocholesterolemics

↓ LDL 4.7% hypercholesterolmics

[97]

B1+prudent diet

Spread

32 M

6.7–6.8

1.7

3

↓ LDL 15%

[22]

B2 +soylecithin

Spread

4 M, 2 W

5.2

1.0-B2 powder

0.3–0.7-B2/lecithin micellar mix

 

↓ C-abs 11.0%

↓ C-abs 34.4% at 0.3 g

↓ C-abs 36.7% at 0.7 g

[20]

A2

Spread

39 M, 37 W

4.9–5.1

0.8

Habitual usage

↓ LDL 6%, ↓ TC 9%

[69]

B1

Liquid emulsion

12 M

6.9

3

3

↓ C-abs 40%

[100]

A1

B1

1:1 mixture

A1:B1

Butter fat ± sterols

9 M, 6 W

6.5

1.8

3

↓ LDL 13.3%, ↓ C-abs 56.1%

↓ LDL 13.4%, ↓ C-abs 33.3%

↓ LDL 16.0%, ↓ C-abs 49.2%

[44]

A2

Vegetable oil, partly filled milk

18 M

7.0

1.8

2

↓ C-abs 39%

[71]

A2

Vegetable oil, partly filled milk

33 M

<5.2

2.2

2

↓ C-abs 51.1%

[42]

A2

Vegetable oil, partly filled milk

18 M, 51 F

7.0

1.2 or 1.6

2

↓ LDL 7.1% at 1.2 g

↓ LDL 9.6% at 1.6 g

  1. Abbreviation: C-abs, cholesterol absorption; LDL-C, low density lipoprotein cholesterol; TC, total cholesterol; To and Tf refer to start and end points of the study; M, men; W, women; A, free plant sterol; B, free plant stanol; C, plant sterol ester; D, plant stanol ester; 1, tall sterol; 2, soy sterol; 3, shea sterol; 4, corn sterol; 5, rice sterol.