Substitution of vegetable oil for a partially-hydrogenated fat favorably alters cardiovascular disease risk factors in moderately hypercholesterolemic postmenopausal women

Sonia Vega-López, Nirupa R. Matthan, Lynne M. Ausman, Masumi Ai, Seiko Otokozawa, Ernst J. Schaefer, Alice H. Lichtenstein

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Objective: Compared to vegetable oils in their unmodified state, partially-hydrogenated fat is associated with less favorable effects on cardiovascular disease (CVD) risk factors. Acceptable alternatives must be adjudicated. Our objective was to assess the effect of a recent commercial fat substitution, corn oil for partially-hydrogenated soybean oil. Methods: Using a double-blind cross-over design, 30 postmenopausal women ≥50 years with LDL-cholesterol concentrations ≥120 mg/dL were randomly assigned to each of two 35-day phases; all food and beverage was provided to maintain body weight. Corn or partially-hydrogenated soybean oil was incorporated throughout the diet and contributed two-thirds of fat. Primary outcomes included fasting and non-fasting lipid, lipoprotein, apolipoprotein, and fasting high sensitivity C-reactive protein (hsCRP) concentrations; secondary outcomes included fasting small dense LDL (sdLDL)-cholesterol, remnant lipoprotein cholesterol (RemLC), glycated albumin, adiponectin and immunoreactive insulin concentrations, and endogenous cholesteryl ester transfer protein (CETP) and lecithin:cholesterol acyl transferase (LCAT) activities. Results: Relative to the partially-hydrogenated soybean oil enriched diet, the corn oil enriched diet resulted in lower fasting total cholesterol (7%; P < 0.0001), LDL-cholesterol (10%; P < 0.0001), VLDL-cholesterol (7%; P = 0.052), apo B (9%; P < 0.0001), lipoprotein (a) [Lp(a)] (5%; P = 0.024), sdLDL-cholesterol (17%; P = 0.001), and RemLC (20%; P = 0.007) concentrations, and no significant effect on the other outcomes. Changes in postprandial (4-h post-meal) lipid, lipoprotein and apolipoprotein concentrations were similar to the fasting state. Conclusion: The replacement of partially-hydrogenated soybean oil with corn oil favorably affects a range of CVD risk factors and is an appropriate option to decrease cardiovascular disease risk factors in moderately hypercholesterolemic individuals.

Original languageEnglish (US)
Pages (from-to)208-212
Number of pages5
JournalAtherosclerosis
Volume207
Issue number1
DOIs
StatePublished - Nov 2009
Externally publishedYes

Keywords

  • CETP
  • Cardiovascular disease
  • HDL-cholesterol
  • LCAT
  • LDL-cholesterol
  • Lipoproteins
  • Partially-hydrogenated fat
  • Polyunsaturated fatty acids
  • Trans fatty acids
  • Vegetable oil
  • hsCRP

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Substitution of vegetable oil for a partially-hydrogenated fat favorably alters cardiovascular disease risk factors in moderately hypercholesterolemic postmenopausal women'. Together they form a unique fingerprint.

Cite this