Document Detail


Beyond blood lipids: phytosterols, statins and omega-3 polyunsaturated fatty acid therapy for hyperlipidemia.
MedLine Citation:
PMID:  19733044     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Phytosterols and omega-3 fatty acids are natural compounds with potential cardiovascular benefits. Phytosterols inhibit cholesterol absorption, thereby reducing total- and LDL cholesterol. A number of clinical trials have established that the consumption of 1.5-2.0 g/day of phytosterols can result in a 10-15% reduction in LDL cholesterol in as short as a 3-week period in hyperlipidemic populations. Added benefits of phytosterol consumption have been demonstrated in people who are already on lipid-lowering medications (statin drugs). On the other hand, omega-3 fatty acid supplementation has been associated with significant hypotriglyceridemic effects with concurrent modifications of other risk factors associated with cardiovascular disease, including platelet function and pro-inflammatory mediators. Recent studies have provided evidence that the combination of phytosterols and omega-3 fatty acids may reduce cardiovascular risk in a complementary and synergistic way. This article reviews the health benefits of phytosterols and omega-3 fatty acids, alone or in combination with statins, for the treatment/management of hyperlipidemia, with particular emphasis on the mechanisms involved.
Authors:
Michelle A Micallef; Manohar L Garg
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Publication Detail:
Type:  Journal Article; Review     Date:  2009-09-03
Journal Detail:
Title:  The Journal of nutritional biochemistry     Volume:  20     ISSN:  1873-4847     ISO Abbreviation:  J. Nutr. Biochem.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-16     Completed Date:  2010-02-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010081     Medline TA:  J Nutr Biochem     Country:  United States    
Other Details:
Languages:  eng     Pagination:  927-39     Citation Subset:  IM    
Affiliation:
Nutraceuticals Research Group, School of Biomedical Sciences, The University of Newcastle, Callaghan, NSW 2308, Australia.
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MeSH Terms
Descriptor/Qualifier:
Anticholesteremic Agents / therapeutic use
Cardiovascular Diseases / drug therapy,  etiology
Cholesterol, LDL / drug effects
Diet
Eicosanoids / biosynthesis
Fatty Acids, Omega-3 / therapeutic use*
Food, Fortified
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
Hyperlipidemias / drug therapy*
Intestinal Absorption
Lipids / blood
Micelles
Phytosterols / therapeutic use*
Risk Factors
Chemical
Reg. No./Substance:
0/Anticholesteremic Agents; 0/Cholesterol, LDL; 0/Eicosanoids; 0/Fatty Acids, Omega-3; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 0/Lipids; 0/Micelles; 0/Phytosterols

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