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Revista Paulista de Pediatria : Orgao... 2020To carry out a systematic review on the effects of phytosterol supplementation on the treatment of dyslipidemia in children and adolescents.
OBJECTIVE
To carry out a systematic review on the effects of phytosterol supplementation on the treatment of dyslipidemia in children and adolescents.
DATA SOURCES
Review in the SciELO, Lilacs, Bireme, PubMed and Web of Science databases, with no time limit. Descriptors: phytosterols or plant sterols and dyslipidemias, hypercholesterolemia, cholesterol, children, adolescent, in English and Portuguese. The articles included were published in Portuguese, English or Spanish and evaluated the effect of phytosterol supplementation in pediatric patients with dyslipidemia. Documents that involved adults or animals, review papers, case studies and abstracts were excluded. Two authors performed independent extraction of articles. Of 113 abstracts, 19 were read in full and 12 were used in this manuscript.
DATA SYNTHESIS
Phytosterol supplementation to reduce cholesterol levels has been shown to be effective in reducing LDL-cholesterol levels by approximately 10%, with reductions above 10% in LDL-cholesterol levels observed after 8 to 12 weeks of intervention. Studies have not shown significant changes in HDL-cholesterol and triglyceride levels. Based on the absence of adverse effects, its use seems to be safe and of good tolerance in children and adolescents.
CONCLUSIONS
Phytosterol supplementation seems to be of great therapeutic aid for the treatment of hypercholesterolemia in children and adolescents. Further studies assessing the long-term effect of phytosterol supplementation are necessary.
Topics: Adolescent; Anticholesteremic Agents; Child; Child, Preschool; Cholesterol, LDL; Food, Fortified; Humans; Hypercholesterolemia; Phytosterols; Randomized Controlled Trials as Topic
PubMed: 33206867
DOI: 10.1590/1984-0462/2021/39/2019389 -
Journal of Agricultural and Food... Mar 2018Phytosterols are well-known for their cholesterol-lowering effects, and the structures and forms of phytosterols affect their bioactivity. We aimed to illustrate the...
Phytosterols are well-known for their cholesterol-lowering effects, and the structures and forms of phytosterols affect their bioactivity. We aimed to illustrate the phytosterol profiles in common foods and estimate their natural intake in five geographical regions and among different age groups in China. In total, 12 phytosterols in free and esterified forms of 119 foods from five regions across China were examined using gas chromatography-mass spectrometry. Then, the dietary intake of phytosterols was calculated combined with the dietary foods intake data of Chinese people. The total phytosterol content was highest in vegetable oils (150.4-1230.9 mg/100 g), followed by legumes (129.6-275.6 mg/100 g), nuts (18.9-255.2 mg/100 g), and cereals (11.9-93.8 mg/100 g). Vegetables and fruits contained lower contents of total phytosterols. Phytosterols were mainly esterified in most common foods except in nuts. The predominant phytosterols were β-sitosterol, campesterol, and stigmasterol, all of which belonged to plant sterols and 4-desmethylsterols. Total phytosterol intake varied across different regions, ranging between 257.7 and 473.7 mg/standard-person (sp)/day, with the highest intake in Beijing, followed by Hangzhou, Wuhan, Chongqing, and Guangzhou. However, phytosterol proportion was similar across regions, with β-sitosterol accounting for 46.5-50.3% of the natural intake. Phytosterol intake was mainly constituted by plant sterols and 4-desmethylsterols in esterified form (61.9-74.6%). At the age of 2-70 years, phytosterol intake ranged from 154.3 mg/day to 348.0 mg/day in the national scale.
Topics: Adolescent; Adult; Aged; Child; Child, Preschool; China; Edible Grain; Fabaceae; Female; Fruit; Gas Chromatography-Mass Spectrometry; Humans; Male; Middle Aged; Nutrition Surveys; Nuts; Phytosterols; Plant Oils; Vegetables; Young Adult
PubMed: 29397719
DOI: 10.1021/acs.jafc.7b05009 -
Molecular Nutrition & Food Research Jul 2015Hypercholesterolemia is an important risk factor for the development of cardiovascular diseases. Dietary intake of phytosterols/phytostanols and their fatty acid esters... (Review)
Review
Hypercholesterolemia is an important risk factor for the development of cardiovascular diseases. Dietary intake of phytosterols/phytostanols and their fatty acid esters results in a reduction of the LDL and total plasma cholesterol levels. Therefore, these constituents are added to a broad spectrum of foods. As in the case of cholesterol, thermo-oxidative treatment of phytosterols may result in the formation of phytosterol oxidation products (POPs), i.e. keto-, hydroxy-, and epoxy-derivatives. This review summarizes and evaluates the current knowledge regarding POPs in the light of the potentially increasing dietary exposure to these constituents via the consumption of foods enriched with phytosterols/phytostanols and their esters. Data on the occurrence of POPs and approaches to assess the potential intake of POPs resulting from the consumption of enriched foods are described. The knowledge on the uptake of POPs and the presently available data on the impact of the consumption of enriched foods on the levels of POPs in humans are discussed. Biological effects of POPs, such as potential proatherogenic properties or the loss of the cholesterol-lowering effects compared to nonoxidized phytosterols, are discussed. Finally, knowledge gaps are outlined and recommendations for further research needed for a safety assessment of POPs are presented.
Topics: Animals; Cholesterol; Diet; Food; Food Analysis; Food, Fortified; Humans; Mutagenicity Tests; Oxidation-Reduction; Phytosterols; Toxicity Tests, Subchronic
PubMed: 25787244
DOI: 10.1002/mnfr.201400922 -
Journal of AOAC International 2015Cholesterol, its biosynthetic precursors, its metabolite 5α-cholestanol and plant sterols are widely used today in clinical lipid research as surrogate markers of... (Review)
Review
Cholesterol, its biosynthetic precursors, its metabolite 5α-cholestanol and plant sterols are widely used today in clinical lipid research as surrogate markers of cholesterol synthesis and absorption. Advances in analytical methods for the determination of serum noncholesterol sterols and stanols within the last century are highlighted. This review focuses on sample preparation, separation, and detection techniques. Various aspects related to sterol and stanol analysis from biological samples are discussed.
Topics: Humans; Phytosterols; Plants
PubMed: 25942061
DOI: 10.5740/jaoacint.SGELutjohann -
Methods in Molecular Biology (Clifton,... 2023Stigmasterol is a phytosterol contained in kraft mill effluent that is able to increase over 100% after aerobic biological treatment. This compound can act as an...
Stigmasterol is a phytosterol contained in kraft mill effluent that is able to increase over 100% after aerobic biological treatment. This compound can act as an endocrine disrupter as its structure is similar to that of cholesterol. Furthermore, stigmasterol contained in kraft mill effluent shows high toxicity (25-fold more than β-sitosterol) to aquatic organisms such as Daphnia magna. However, the operation of the aerobic treatment and biomass adaptation could be affecting their removal. The performances of activated sludge (AS), aerated lagoon (AL), and moving bed biofilm reactors (MBBR) are compared to remove the stigmasterol contained in kraft mill effluent. The AL operates at a hydraulic retention time of 6 h and removes up to 90% of phytosterols. So, a 96% of stigmasterol is removed by AL when the sterol retention load is 0.6 mg/L · d. However, stigmasterol concentrations increase from 29% to 37% at a low stigmasterol load rate (0.2 mg/L · d). On the other hand, the stigmasterol is removed between 65% and 87% by an AS under a hydraulic retention time of 3 h. Moreover, a 100% of stigmasterol can be removed by the MBBR when the hydraulic retention time is 2 days.
Topics: Stigmasterol; Biofilms; Bioreactors; Phytosterols; Acclimatization; Sewage
PubMed: 37642854
DOI: 10.1007/978-1-0716-3385-4_20 -
Phytotherapy Research : PTR Dec 2022Various studies have proven that phytosterols and phytostanols (PS) are lipid-lowering agents. These compounds play a role in regulating high-density lipoprotein... (Meta-Analysis)
Meta-Analysis Review
The effects of phytosterol and phytostanol supplementation on the lipid profile in postmenopausal women: A systematic review and meta-analysis of randomized controlled trials.
Various studies have proven that phytosterols and phytostanols (PS) are lipid-lowering agents. These compounds play a role in regulating high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC), and triglyceride (TG) metabolism. Although various drugs are available and are currently used to treat dyslipidemia, the management of lipid abnormalities during the postmenopausal period remains a challenge. Thus, scientists are trying to develop new strategies to reduce serum lipids concentrations using natural products. However, the impact of PS administration on serum lipids in postmenopausal women remains unclear. Hence, the purpose of this study was to assess the effect of PS supplementation on the lipid profile in postmenopausal women based on a systematic review of the literature and a meta-analysis of randomized controlled trials. PubMed/Medline, Scopus, Embase, and Web of Science were searched to identify suitable papers published until January 18, 2022. We combined the effect sizes with the DerSimonian and Laird method using a random effects model. PS supplementation resulted in a significant decrease in TC (weighted mean difference [WMD]: -16.73 mg/dl) and LDL-C (WMD: -10.06 mg/dl) levels. No effect of PS supplementation on TG (WMD: -1.14 mg/dl) or HDL-C (WMD: -0.29 mg/dl) concentrations was detected. In the stratified analysis, there was a notable reduction in TC and LDL-C levels when the PS dose was ≥2 g/day (TC: -22.22 mg/dl and LDL-C: -10.14 mg/dl) and when PS were administered to participants with a body mass index ≥25 kg/m (TC: -20.22 mg/dl and LDL-C: -14.85 mg/dl). PS administration can decrease TC and LDL-C, particularly if the dose of administration is ≥2 g/day and if the participants are overweight or obese. Further high-quality studies are needed to firmly establish the clinical efficacy of PS usage in postmenopausal females.
Topics: Humans; Female; Phytosterols; Cholesterol, LDL; Randomized Controlled Trials as Topic
PubMed: 36180973
DOI: 10.1002/ptr.7646 -
Molecules (Basel, Switzerland) Dec 2020This study investigated how the physicochemical characteristics of phytosterol esters are influenced by the chain length and degree of unsaturation of the fatty acid...
This study investigated how the physicochemical characteristics of phytosterol esters are influenced by the chain length and degree of unsaturation of the fatty acid ester moiety. Saturated and unsaturated phytosterol esters (PEs) were synthesized by the esterification of different types of fatty acids (stearic, palmitic, lauric, oleic, and linoleic acid) to β-sitosterol. The non-isothermal crystallization and melting behavior of the pure PEs were analyzed. It was proven by X-ray diffraction that saturated β-sitosteryl esters and β-sitosteryl oleate formed a bilayer crystal structure. The lamellar spacings of the bilayer structure decreased with decreasing fatty acid chain length and with an increasing degree in unsaturation. The degree of unsaturation of the fatty acid chain of the β-sitosteryl esters also influenced the type of subcell packing of the fatty acid moieties in the bilayer structure, whether or not a metastable or stable liquid crystalline phase was formed during cooling. Furthermore, it was found that the melting temperature and enthalpy of the β-sitosteryl esters increased with an increasing fatty acid chain length while they decreased with an increasing degree of unsaturation. The microscopic analyses demonstrated that β-sitosteryl oleate formed much smaller spherulites than their saturated β-sitosteryl analogues.
Topics: Crystallization; Esters; Fatty Acids; Phytosterols; Sitosterols; Temperature; X-Ray Diffraction
PubMed: 33291641
DOI: 10.3390/molecules25235727 -
Current Medicinal Chemistry 2019Plant sterols and stanols (PS) are natural, non-nutritive molecules that play a structural role in plant membranes similar to that of cholesterol in animal membranes and... (Review)
Review
Plant sterols and stanols (PS) are natural, non-nutritive molecules that play a structural role in plant membranes similar to that of cholesterol in animal membranes and abound in seeds and derived oils. PS exert their physical effect of interference with micellar solubilization of cholesterol within the intestinal lumen and are marginally absorbed by enterocytes, with negiglible increases in circulating levels. The physiological role of PS in plants and their natural origin and non-systemic action, together with their cholesterol-lowering effect, make them an attractive option as non-pharmacological agents for the management of hypercholesterolemia. Recent meta-analyses have summarized the results of >100 controlled clinical trials and have firmly established that the consumption of PS-supplemented foods in different formats at doses of 2-3 g per day results in LDL-cholesterol reductions of 9-12%. PS are both effective and safe cholesterol-lowering agents and have many clinical applications: adjuncts to a healthy diet, treatment of common hypercholesterolemia, combination therapy with statins and other lipid-lowering drugs, and treatment of metabolic syndrome and diabetes. The cholesterol-lowering efficacy is similar in all clinical situations. PS are also useful agents for treatment of hypercholesterolemic children who are not yet candidates to statins or receive low-doses of these agents. In the setting of statin treatment, the average LDL-cholesterol reduction obtained with PS is equivalent to up- titrating twice the statin dose. However, information is still scarce on the efficacy of PS as an add-on therapy to ezetimibe, fibrates, omega- 3 fatty acids, or bile acid binding resins. The consistent scientific evidence on the cholesterollowering efficacy and safety of functional foods supplemented with PS has led several national and international scientific societies to endorse their use for the non-pharmacologic treatment of hypercholesterolemia as adjuncts to a healthy diet. There is, however, a lack of clinical trials of PS with outcomes on cardiovascular events.
Topics: Animals; Food, Fortified; Humans; Hypercholesterolemia; Phytosterols
PubMed: 29984649
DOI: 10.2174/0929867325666180709114524 -
Natural Product Research Feb 2021The genus belongs to the Elaeocarpaceae family, consists of about 350 species distributed in the tropical and subtropical regions. Plants in the genus, reportedly,...
The genus belongs to the Elaeocarpaceae family, consists of about 350 species distributed in the tropical and subtropical regions. Plants in the genus, reportedly, contain compounds known for various biological activities like affinity for the δ-opioid receptor, antioxidant, cytotoxicity and antimicrobial activities. , commonly known in India as 'Indian Olive' is a medicinal plant widely distributed through Eastern Asia and the pacific. Here, we report the isolation and spectroscopic characterization of fifteen compounds () and additional three compounds () were obtained as mixtures. This includes four fatty acids, three diterpenoids, one triterpene alcohol, two fatty alcohols, three phaeophytins, one phytosterol, one sesquiterpene, and three hydrocarbons from the hexane extract of the leaves. Compounds are reported for the first time from this source. To the best of our knowledge, this is an initial report of the isolation of compounds and from the genus .
Topics: Diterpenes; Elaeocarpaceae; India; Magnetic Resonance Spectroscopy; Molecular Structure; Phytochemicals; Phytosterols; Plant Extracts; Plant Leaves; Plants, Medicinal; Triterpenes
PubMed: 31373228
DOI: 10.1080/14786419.2019.1637870 -
Molecules (Basel, Switzerland) Sep 2023Plant sterols (PS) are cholesterol-like terpenoids widely spread in the kingdom Plantae. Being the target of extensive research for more than a century, PS have topped... (Review)
Review
Plant sterols (PS) are cholesterol-like terpenoids widely spread in the kingdom Plantae. Being the target of extensive research for more than a century, PS have topped with evidence of having beneficial effects in healthy subjects and applications in food, cosmetic and pharmaceutical industries. However, many gaps in several fields of PS's research still hinder their widespread practical applications. In fact, many of the mechanisms associated with PS supplementation and their health benefits are still not fully elucidated. Furthermore, compared to cholesterol data, many complex PS chemical structures still need to be fully characterized, especially in oxidized PS. On the other hand, PS molecules have also been the focus of structural modifications for applications in diverse areas, including not only the above-mentioned but also in e.g., drug delivery systems or alternative matrixes for functional foods and fats. All the identified drawbacks are also superimposed by the need of new PS sources and technologies for their isolation and purification, taking into account increased environmental and sustainability concerns. Accordingly, current and future trends in PS research warrant discussion.
Topics: Humans; Phytosterols; Cholesterol; Functional Food; Terpenes
PubMed: 37764302
DOI: 10.3390/molecules28186526