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Plant sterols and plant stanols in the management of dyslipidaemia and prevention of cardiovascular disease.

Identifieur interne : 003846 ( PubMed/Curation ); précédent : 003845; suivant : 003847

Plant sterols and plant stanols in the management of dyslipidaemia and prevention of cardiovascular disease.

Auteurs : Helena Gylling [Finlande] ; Jogchum Plat [Pays-Bas] ; Stephen Turley [États-Unis] ; Henry N. Ginsberg [États-Unis] ; Lars Elleg Rd [Suède] ; Wendy Jessup [Australie] ; Peter J. Jones [Canada] ; Dieter Lütjohann [Allemagne] ; Winfried Maerz [Autriche] ; Luis Masana [Espagne] ; Günther Silbernagel [Suisse] ; Bart Staels [France] ; Jan Borén [Suède] ; Alberico L. Catapano [Italie] ; Guy De Backer [Belgique] ; John Deanfield [Royaume-Uni] ; Olivier S. Descamps [Belgique] ; Petri T. Kovanen [Finlande] ; Gabriele Riccardi [Italie] ; Lale Tokgözoglu [Turquie] ; M John Chapman [France]

Source :

RBID : pubmed:24468148

Descripteurs français

English descriptors

Abstract

This EAS Consensus Panel critically appraised evidence relevant to the benefit to risk relationship of functional foods with added plant sterols and/or plant stanols, as components of a healthy lifestyle, to reduce plasma low-density lipoprotein-cholesterol (LDL-C) levels, and thereby lower cardiovascular risk.

DOI: 10.1016/j.atherosclerosis.2013.11.043
PubMed: 24468148

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pubmed:24468148

Le document en format XML

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<nlm:affiliation>University of Pierre and Marie Curie, Paris, France; Dyslipidaemia and Atherosclerosis Research Unit, INSERM U939, Pitié-Salpetriere University Hospital, Paris, France. Electronic address: john.chapman@upmc.fr.</nlm:affiliation>
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<title xml:lang="en">Plant sterols and plant stanols in the management of dyslipidaemia and prevention of cardiovascular disease.</title>
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<nlm:affiliation>Department of Medicine, Division of Internal Medicine, University of Helsinki, Biomedicum Helsinki, Finland. Electronic address: Helena.Gylling@hus.fi.</nlm:affiliation>
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<nlm:affiliation>Department of Human Biology, Maastricht University, The Netherlands. Electronic address: j.plat@maastrichtuniversity.nl.</nlm:affiliation>
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<name sortKey="Turley, Stephen" sort="Turley, Stephen" uniqKey="Turley S" first="Stephen" last="Turley">Stephen Turley</name>
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<nlm:affiliation>Department of Internal Medicine, UT Southwestern Medical Center, Dallas, USA. Electronic address: Stephen.Turley@UTSouthwestern.edu.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Internal Medicine, UT Southwestern Medical Center, Dallas</wicri:regionArea>
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<name sortKey="Ginsberg, Henry N" sort="Ginsberg, Henry N" uniqKey="Ginsberg H" first="Henry N" last="Ginsberg">Henry N. Ginsberg</name>
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<nlm:affiliation>Irving Institute for Clinical and Translational Research, Columbia University, New York, USA. Electronic address: hng1@columbia.edu.</nlm:affiliation>
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<wicri:regionArea>Irving Institute for Clinical and Translational Research, Columbia University, New York</wicri:regionArea>
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<nlm:affiliation>Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy at University of Gothenburg, Sweden. Electronic address: lasse.ellegard@nutrition.gu.se.</nlm:affiliation>
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<wicri:regionArea>Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy at University of Gothenburg</wicri:regionArea>
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<name sortKey="Jessup, Wendy" sort="Jessup, Wendy" uniqKey="Jessup W" first="Wendy" last="Jessup">Wendy Jessup</name>
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<name sortKey="Masana, Luis" sort="Masana, Luis" uniqKey="Masana L" first="Luis" last="Masana">Luis Masana</name>
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<name sortKey="Silbernagel, Gunther" sort="Silbernagel, Gunther" uniqKey="Silbernagel G" first="Günther" last="Silbernagel">Günther Silbernagel</name>
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<nlm:affiliation>Department of Angiology, Swiss Cardiovascular Center, Inselspital, University of Bern, Switzerland. Electronic address: guenther.silbernagel@yahoo.com.</nlm:affiliation>
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<wicri:regionArea>Department of Angiology, Swiss Cardiovascular Center, Inselspital, University of Bern</wicri:regionArea>
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<name sortKey="Staels, Bart" sort="Staels, Bart" uniqKey="Staels B" first="Bart" last="Staels">Bart Staels</name>
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<nlm:affiliation>Faculty of Pharmacy, University of Lille 2, Lille, France. Electronic address: Bart.Staels@pasteur-lille.fr.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Faculty of Pharmacy, University of Lille 2, Lille</wicri:regionArea>
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<name sortKey="Boren, Jan" sort="Boren, Jan" uniqKey="Boren J" first="Jan" last="Borén">Jan Borén</name>
<affiliation wicri:level="1">
<nlm:affiliation>Strategic Research Center, Sahlgrenska Center for Cardiovascular and Metabolic Research (CMR), University of Gothenburg, Sweden. Electronic address: Jan.Boren@wlab.gu.se.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
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</affiliation>
</author>
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<name sortKey="Catapano, Alberico L" sort="Catapano, Alberico L" uniqKey="Catapano A" first="Alberico L" last="Catapano">Alberico L. Catapano</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Pharmacological and Biomolecular Sciences, University of Milan, Italy; Multimedica IRCSS Milano, Italy. Electronic address: alberico.catapano@unimi.it.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Pharmacological and Biomolecular Sciences, University of Milan, Italy; Multimedica IRCSS Milano</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="De Backer, Guy" sort="De Backer, Guy" uniqKey="De Backer G" first="Guy" last="De Backer">Guy De Backer</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Public Health, University Hospital Ghent, Ghent, Belgium. Electronic address: guy.debacker@ugent.be.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Public Health, University Hospital Ghent, Ghent</wicri:regionArea>
</affiliation>
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<name sortKey="Deanfield, John" sort="Deanfield, John" uniqKey="Deanfield J" first="John" last="Deanfield">John Deanfield</name>
<affiliation wicri:level="1">
<nlm:affiliation>National Centre for Cardiovascular Prevention and Outcomes, University College London, UK. Electronic address: john.deanfield@gmail.com.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>National Centre for Cardiovascular Prevention and Outcomes, University College London</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Descamps, Olivier S" sort="Descamps, Olivier S" uniqKey="Descamps O" first="Olivier S" last="Descamps">Olivier S. Descamps</name>
<affiliation wicri:level="1">
<nlm:affiliation>Lipid Clinic, Hopital de Jolimont, Haine-Saint-Paul, Belgium. Electronic address: olivierdescamps@hotmail.com.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Lipid Clinic, Hopital de Jolimont, Haine-Saint-Paul</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Kovanen, Petri T" sort="Kovanen, Petri T" uniqKey="Kovanen P" first="Petri T" last="Kovanen">Petri T. Kovanen</name>
<affiliation wicri:level="1">
<nlm:affiliation>Wihuri Research Institute, Helsinki, Finland. Electronic address: Petri.Kovanen@wri.fi.</nlm:affiliation>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Wihuri Research Institute, Helsinki</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Riccardi, Gabriele" sort="Riccardi, Gabriele" uniqKey="Riccardi G" first="Gabriele" last="Riccardi">Gabriele Riccardi</name>
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<nlm:affiliation>Department of Clinical and Experimental Medicine, Federico II University, Naples, Italy. Electronic address: riccardi@unina.it.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Clinical and Experimental Medicine, Federico II University, Naples</wicri:regionArea>
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<div type="abstract" xml:lang="en">This EAS Consensus Panel critically appraised evidence relevant to the benefit to risk relationship of functional foods with added plant sterols and/or plant stanols, as components of a healthy lifestyle, to reduce plasma low-density lipoprotein-cholesterol (LDL-C) levels, and thereby lower cardiovascular risk.</div>
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<Day>28</Day>
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<Month>09</Month>
<Day>29</Day>
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<Month>Feb</Month>
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<Title>Atherosclerosis</Title>
<ISOAbbreviation>Atherosclerosis</ISOAbbreviation>
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<ArticleTitle>Plant sterols and plant stanols in the management of dyslipidaemia and prevention of cardiovascular disease.</ArticleTitle>
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<MedlinePgn>346-60</MedlinePgn>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This EAS Consensus Panel critically appraised evidence relevant to the benefit to risk relationship of functional foods with added plant sterols and/or plant stanols, as components of a healthy lifestyle, to reduce plasma low-density lipoprotein-cholesterol (LDL-C) levels, and thereby lower cardiovascular risk.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">Plant sterols/stanols (when taken at 2 g/day) cause significant inhibition of cholesterol absorption and lower LDL-C levels by between 8 and 10%. The relative proportions of cholesterol versus sterol/stanol levels are similar in both plasma and tissue, with levels of sterols/stanols being 500-/10,000-fold lower than those of cholesterol, suggesting they are handled similarly to cholesterol in most cells. Despite possible atherogenicity of marked elevations in circulating levels of plant sterols/stanols, protective effects have been observed in some animal models of atherosclerosis. Higher plasma levels of plant sterols/stanols associated with intakes of 2 g/day in man have not been linked to adverse effects on health in long-term human studies. Importantly, at this dose, plant sterol/stanol-mediated LDL-C lowering is additive to that of statins in dyslipidaemic subjects, equivalent to doubling the dose of statin. The reported 6-9% lowering of plasma triglyceride by 2 g/day in hypertriglyceridaemic patients warrants further evaluation.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Based on LDL-C lowering and the absence of adverse signals, this EAS Consensus Panel concludes that functional foods with plant sterols/stanols may be considered 1) in individuals with high cholesterol levels at intermediate or low global cardiovascular risk who do not qualify for pharmacotherapy, 2) as an adjunct to pharmacologic therapy in high and very high risk patients who fail to achieve LDL-C targets on statins or are statin- intolerant, 3) and in adults and children (>6 years) with familial hypercholesterolaemia, in line with current guidance. However, it must be acknowledged that there are no randomised, controlled clinical trial data with hard end-points to establish clinical benefit from the use of plant sterols or plant stanols.</AbstractText>
<CopyrightInformation>Copyright © 2013 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.</CopyrightInformation>
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