Foods Can Lower Cholesterol along with C-reactive Protein
- June 7, 2017
- Posted by: marlenedubois
- Category: CPR Training
If you have high cholesterol, the American Heart Association’s low-cholesterol, low-saturated fat diet will fail you. Even when applied conscientiously, which achieves a disappointingly modest reduction in LDL cholesterol of approximately 7%. Starting at an LDL cholesterol of 150 mg/dl, for instance, you might drop to 139. which’s no surprise which many people turn to alternative diets (Ornish, Pritikin, Zone, etc.) to get a bigger bang. along with no surprise which many physicians go directly to statin agents for their nearly effortless 35% or greater reduction.
The Adult Treatment Panel-III (ATP-III) is usually a committee of experts charged with developing guidelines for cholesterol treatment for Americans. The latest ATP guidelines suggest the use of fibers for a nutritional advantage in lowering cholesterol. Despite the ATP-III’s endorsement, however, there has been no “real-world” data which documents the LDL-lowering effectiveness of combinations of fibers along with different foods added to an AHA Step II low-fat diet (fat 30% of calories). Dr. David Jenkins coming from the Clinical Nutrition & Risk Factor Modification Center at St Michael’s Hospital, Toronto has therefore explored such a multi-ingredient program, reported inside the Journal of the American Medicine Association1. He calls which program the “dietary portfolio,” highlighting the inclusion of several different healthy foods combined to achieve the goal of lowering cholesterol.
The study enrolled 46 adults (25 men, 21 post-menopausal women) having a mean age of 59 years. All participants were free of known heart disease, diabetes, along with none were taking any cholesterol-lowering agents. Baseline LDL cholesterol was 171 mg/dl for all participants. Three groups were designated: 1) Viscous fiber, phytosterols, along with almond diet, the so-called “dietary portfolio”; 2) Control diet (AHA Step II); along with 3) Control diet with lovastatin 20 mg/day (a cholesterol-lowering statin drug). Cholesterol panels were reassessed after a four week period in each arm. All diets had equal calorie content.
The dietary portfolio provided 1.0 g of phytosterols (a soy bean derivative) per 1000 kcal; 9.8 g viscous fibers (as oat bran along with oat products, barley, along with psyllium seed) per 1000 kcal; 21.4 g soy protein per 1000 kcal; along with 14 g (around 12 almonds) per 1000 kcal. A typical 2400 kcal diet might therefore provide 2.4 g phytosterols (2 tbsp Take Control or Benecol), 24 g viscous fiber, 51 g soy protein, along with 34 g of almonds (around 34 almonds). Average fiber intake for participants was an impressive 78 g/day. (The average American takes in a meager 14 g/day.)
The control diet was also abundant in fiber at 57 g/day, however contained little of the viscous variety, as the primary fiber sources were whole wheat products which lack viscous fibers. The diet was otherwise very similar to the dietary portfolio in fat along with cholesterol content, protein, along with total calories.
The dietary portfolio achieved an impressive 28% reduction in LDL cholesterol. Unexpectedly, there was also a 30% reduction in C-reactive protein (CRP), a well-liked measure of inflammation. The results achieved with the dietary portfolio were virtually identical to the results obtained with lovastatin. The control diet achieved a paltry 8% reduction in LDL along having a 10% reduction in CRP. Interestingly, a third of the participants inside the dietary portfolio group reported which there was too much food (given the satiety-effect of fiber rich foods). which was the group which lost the most weight, though only a modest 1 lb.
Dr. Jenkins’ portfolio of fiber-rich foods had the same effects on LDL cholesterol along with CRP as a moderate dose of lovastatin. which is usually quite remarkable, given the relative failure of the diets usually prescribed to improve cholesterol values. Conventional diets, in fact, have been so ineffective which some physicians have abandoned the use of dietary recommendations in their practices.
The fiber-rich foods used inside the dietary portfolio are readily available along with inexpensive. Though the specific components used inside the study have each been shown to lower LDL cholesterol when used independently, the combination has not been examined. Many might likely have predicted which, in view of the similar mechanisms of LDL-reduction among the various components of the portfolio, the LDL lowering effect might not exceed 15%. (Soy protein is usually the only component having a significantly different mechanism of action–suppression of liver synthesis of cholesterol.)
Instead, which powerful combination achieved an impressive 28% reduction, as not bad as the prescription agent lovastatin. (In our experience with which approach, LDL cholesterol typically drops 30 to 50 points, sometimes more.)
The high-fiber approach of the dietary portfolio significantly exceeds the fiber intake of the average American. As a practical matter, people who elect to follow which program should introduce each component gradually along with drink plentiful water, as constipation can result if hydration in inadequate.
To reproduce the LDL along with CRP benefits of the dietary portfolio, a practical combination might be:
o Oat bran–1/4 cup (uncooked) + 3 tsp psyllium seed
o Soy protein powder–6 tbsp/day
o Almonds–34 or approximately 2 handfuls/day
o Take Control or Benecol 2 tbsp/day
Jenkins DJA, Kendall CWC, Marchie A, et al. Effects of a dietary portfolio of cholesterol-lowering foods vs. lovastatin on serum lipids along with c-reactive protein. JAMA. 2003 290:502-10.