Randomized controlled trial2011

Replacing dairy fat with rapeseed oil causes rapid improvement of hyperlipidaemia: a randomized controlled study

Iggman D, Gustafsson IB, Berglund L, Vessby B, Marckmann P, Risérus U

Journal of internal medicine · 58 citations

Review labels

Controlled feedingFunding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Food provided by researchers

Who paid for it

Funding
Funding not disclosed

Publication

Published
2011-04-05 · J Intern Med · vol. 270 · issue 4 · pp. 356–364
Publisher
Wiley
Cited
86 citations · more than 95% of similar papers · 4.5× the field average
Impact
Top 10% most cited in its field
References
51 works
Access
Free to read
Research areas
Fatty Acid Research and Health · Nutritional Studies and Diet · Nuts composition and effects
Keywords
Medicine, Rapeseed, Randomized controlled trial, Food science, Environmental health, Internal medicine
MeSH
humans, cholesterol, dietary fats, unsaturated, fatty acids, fatty acids, monounsaturated, lipoproteins, plant oils, analysis of variance, cross-over studies, double-blind method, dairy products, sweden, female, male, hyperlipidemias, rapeseed oil

6 authors

From SE, DK

  • David Iggman · correspondingUppsala University; Center for Clinical Research Dalarna
  • Inga‐Britt GustafssonÖrebro University
  • Lars BerglundUppsala University
  • B. VessbyUppsala University
  • Peter MarckmannUniversity of Southern Denmark; Odense University Hospital
  • Ulf Risérus · correspondingUppsala University

Abstract

Background

Rapeseed oil (RO), also known as canola oil, principally contains the unsaturated fatty acids 18:1n-9, 18:2n-6 and 18:3n-3 and may promote cardiometabolic health.

Objective

To investigate the effects on lipoprotein profile, factors of coagulation and insulin sensitivity of replacing a diet rich in saturated fat from dairy foods (DF diet) with a diet including RO-based fat (RO diet).

Design

During a 2×3-week randomized, controlled, cross-over trial, 20 free-living hyperlipidaemic subjects were provided with isocaloric test diets that differed in fat composition alone. Blood lipoprotein profile, coagulation and fibrinolytic factors and insulin sensitivity (euglycaemic clamp) were determined before and after the dietary intervention.

Results

All subjects completed the study, and compliance was high according to changes in serum fatty acids. The RO diet, but not the DF diet, reduced the levels of serum cholesterol (-17%), triglycerides (-20%) and low-density lipoprotein cholesterol (-17%), cholesterol/high-density lipoprotein (HDL) cholesterol ratio (-21%), apolipoprotein (apo) B/apo A-I ratio (-4%) and factor VII coagulant activity (FVIIc) (-5%) from baseline. These changes were significantly different between the diets (P=0.05 to P<0.0001), except for FVIIc (P=0.1). The RO diet, but not the DF diet, modestly increased serum lipoprotein(a) (+6%) and tended to increase the glucose disappearance rate (K-value, +33%). HDL cholesterol, insulin sensitivity, fibrinogen and tissue plasminogen activator inhibitor-1 levels did not change from baseline or differ between the two diets.

Conclusions

In a diet moderately high in total fat, replacing dairy fat with RO causes a rapid and clinically relevant improvement in serum lipoprotein profile including lowering of triglycerides in hyperlipidaemic individuals.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

Community trust

Loading…

How much do you trust this study's findings?

0 · not at all10 · completely

Comments

Sign in to rate, comment on or flag this study.Sign in

Something wrong here?

Flag this study if its information, labels or funding look wrong. An editor reviews every flag.

Sign in to rate, comment on or flag this study.Sign in

Educational information about published research. Not medical advice, and not a recommendation to start or stop anything.