Document Detail


Effects of phytosterols in diacylglycerol as part of diet therapy on hyperlipidemia in children.
MedLine Citation:
PMID:  17215179     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The incidence of hyperlipidemia in children is increasing in Japan, but drug therapy for such children is limited. The ingestion of 4% phytosterols-containing diacylglycerol (PS/DAG) decreases serum total cholesterol and low density lipoprotein cholesterol (LDL-C) concentrations in adults. In the present study, we examined the effect of PS/DAG as part of a diet therapy in pediatric patients with hyperlipidemia. METHODS: Pediatric patients with hyperlipidemia with > or =5.18mmol (200 mg/dL) serum total cholesterol and/or >or =1.70mmol (150 mg/dL) triglycerides (N=22) ingested bread containing PS/DAG (total daily intake, 10g) for 6 months. Blood chemistry was examined prior to and 2, 4, 6 months after the initiation of ingestion, and 4 months after the ingestion period. RESULTS: No significant differences in energy intake or cholesterol intake during the study period were found. After 4 months of ingestion of PS/DAG, LDL-C, lipoprotein(a) [ Lp(a)], free fatty acids and total ketone bodies decreased significantly. In seven patients with familial hypercholesterolemia, total cholesterol and remnant-like lipoprotein particles (RLP)-cholesterol also significantly decreased in addition to LDL-C and Lp(a). CONCLUSIONS: PS/DAG improves serum lipid metabolism in pediatric patients with hyperlipidemia for whom drug therapy is limited, suggesting that PS/DAG may reduce the risk of developing various diseases induced by hyperlipidemia.
Authors:
Takeshi Matsuyama; Kentaro Shoji; Hideto Takase; Isamu Kamimaki; Yuriko Tanaka; Atsuko Otsuka; Hiroyuki Watanabe; Tadashi Hase; Ichiro Tokimitsu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asia Pacific journal of clinical nutrition     Volume:  16     ISSN:  0964-7058     ISO Abbreviation:  Asia Pac J Clin Nutr     Publication Date:  2007  
Date Detail:
Created Date:  2007-01-11     Completed Date:  2007-04-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9440304     Medline TA:  Asia Pac J Clin Nutr     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  40-8     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Fussa Hospital, 1-6-1 Kamidaira, Fussa-shi, Tokyo 197-8511, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anticholesteremic Agents / administration & dosage*,  adverse effects,  therapeutic use
Child
Cholesterol / blood*
Cholesterol, HDL / blood
Cholesterol, LDL / blood
Diglycerides / administration & dosage*,  adverse effects,  therapeutic use
Female
Humans
Hyperlipidemias / diet therapy*
Male
Phytosterols / administration & dosage*,  adverse effects,  therapeutic use
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anticholesteremic Agents; 0/Cholesterol, HDL; 0/Cholesterol, LDL; 0/Diglycerides; 0/Phytosterols; 57-88-5/Cholesterol

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