摘要

A randomised, cross-over, controlled-feeding study was conducted to evaluate the cholesterol-lowering effects of diets containing pistachios as a strategy for increasing total fat (TF) levels v. a control (step I) lower-fat diet. Ex vivo techniques were used to evaluate the effects of pistachio consumption on lipoprotein subclasses and functionality in individuals (n 28) with elevated LDL levels (%26gt;= 2.86mmol/l). The following test diets (SFA approximately 8% and cholesterol %26lt; 300 mg/d) were used: a control diet (25% TF); a diet comprising one serving of pistachios per d (1PD; 30% TF); a diet comprising two servings of pistachios per d (2PD; 34% TF). A significant decrease in small and dense LDL (sdLDL) levels was observed following the 2PD dietary treatment v. the 1PD dietary treatment (P= 0.03) and following the 2PD dietary treatment v. the control treatment (P= 0.001). Furthermore, reductions in sdLDL levels were correlated with reductions in TAG levels (r 0.424, P= 0.025) following the 2PD dietary treatment v. the control treatment. In addition, inclusion of pistachios increased the levels of functional alpha-1 (P= 0.073) and alpha-2 (P= 0.056) HDL particles. However, ATP-binding cassette transporter A1-mediated serum cholesterol efflux capacity (P= 0.016) and global serum cholesterol efflux capacity (P= 0.076) were only improved following the 2PD dietary treatment v. the 1PD dietary treatment when baseline C-reactive protein status was low (%26lt; 10(3) mu g/l). Moreover, a significant decrease in the TAG: HDL ratio was observed following the 2PD dietary treatment v. the control treatment (P= 0.036). There was a significant increase in beta-sitosterol levels (P%26lt; 0.0001) with the inclusion of pistachios, confirming adherence to the study protocol. In conclusion, the inclusion of pistachios in a moderate-fat diet favourably affects the cardiometabolic profile in individuals with an increased risk of CVD.

  • 出版日期2014-9-14