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Table 2 Effects of esterified sterols and stanols on LDL cholesterol and cholesterol absorption.

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

Reference

Products

Vehicle

Subject

Condition: Starting mean TC mM(range)

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)

[32]

D1

Mayonnaise

11 M, 4 W

>6.0

0.8 2.0

Habitual usage

↓ LDL 7.7%

↓ LDL 15.0%

[102]

D1

Spread rapeseed

153 M&W

5.9–5.9

1.8 or 2.6

3

↓ LDL 10.2%

[25]

C2 (66% esterified), D1-2, C3, C5

Spread

100

<8.0

3.3 D1-2

3.3 C2

1.5 C3

1.5 C5

2

↓ LDL 13%

↓ LDL 13%

↔ LDL

↔ LDL

[178]

CD1

Spread

23 W

5.5–8.0

2.4, 3.2, 3.2

 

↓ LDL 8–10%

↑ HDL 5–6%

[104]

D2

D1-2

Spread, low fat diet

20 M, 35 W

6.1–6.6

2.2

2.3

 

↓ LDL 13.7%

↓ LDL 8.6 %

[104]

C2

Spread

42 M, 58 W

5.2(2.7–7.4)

0.8

1.6

3.2

2

↓ LDL 6.2 %

↓ LDL 9.2 %

↓ LDL 9.8%

[76]

C2

D1

Spread

34 M&W

4.8–7.0

2.0

2

↓ LDL 10.4%

↓ LDL 12.7%

[37]

D1-2

Spread

14 M, 8 W

6.9(5.0–8.5)

0.8

1.6

2.4

3.0

2–3

↓ LDL 1.7%

↓ LDL 5.6%

↓ LDL 9.7%

↓ LDL 10.4%

[98]

D1-2

Spread

105

6.0–6.6.1

2.0

3.0

2

3

↓ LDL 8.9%

↓ LDL 6.7%

[77]

C1

D1

Spread

15 M

6.4–6.5(6.0–10.0)

1.8

1.8

2–3

↓ LDL 13.4%, ↓ C-abs 36.2%

↓ LDL 6.4%, ↓ C-abs 25.9 %

[179]

C2, D1-2

Spread

5 M, 2 W

Illeostomy

1.5

 

↓ C-abs 38–39%

[99]

D2

D1-2

Spread

41 M, 71 W

5.0–5.1

3.8

4.0

3

↓ LDL 12.6%

↓ LDL 1.6%

[96]

D1-2

Spread

11 M, 28 W

4.9 M, 4.7 W

2.5-different # servings

1

3

↓ LDL 9.9

↓ LDL 10.2%

[38]

C2

Spread, Step 1 diet

224 M&W

6.2

1.1

2.2

2

↓ LDL 4.9%, ↓ TC 2.6%

↓ LDL 5.4%, ↓ TC 4.0%

[78]

C (mainly 2)

Spread

34 M, 28 W

7.2 (control) 6.5 (treatment)

2.5

 

↓ LDL 10–15%

[73]

C2

Beef

34 M

5.9

2.4

1

↓ LDL 15%

[70]

D

Yoghurt

16 M, 44 W

5.1

3.0

3

↓ LDL 14 %

[65]

C

Spread

25 M, 38 W

6.1

1.8

2

↓ LDL 5.4%, ↓ TC 3.4%

[79]

C (vegetable oil)

Spread, Japanese basal diet

26 M, 27 W

5.5

1.8

2

↓ LDL 9.2%, ↓ TC 5.8%

[80]

C (vegetable oil)

Spread

19 M, 31 W

6.0

2.1

 

↓ LDL 12.3%, ↓ TC 8.9%

[180]

D

Spread

38 M, 22 W

6.1 (2 g group)

6.0 (3 g group)

2.0

3.0

2

3

↓ LDL 9.6%, ↓ TC 6.3%

↓ LDL 7.3%, ↓ TC 5.5%

[71]

C2

Vegetable oil, partly filled milk

33 M

<5.2

2.2

2

↓ C-abs 57.4%

  1. See Table 1 for abbreviations.