Effect of milk fortified with plant sterols on the lipid profile of patients with moderate hypercholesterolemia

ISRCTN ISRCTN14285706
DOI https://doi.org/10.1186/ISRCTN14285706
Secondary identifying numbers AGR 17625
Submission date
22/09/2010
Registration date
07/10/2010
Last edited
07/10/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Emilio Ros
Scientific

Lipid Clinic
Endocrinology & Nutrition Service
Hospital Clínic
C. Villarroel, 170
Barcelona
08036
Spain

Phone +34 (0)93 2279383
Email eros@clinic.ub.es

Study information

Study designRandomised crossover feeding intervention study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typePrevention
Participant information sheet Not available in web format, please use contact details below to request a patient information sheet
Scientific titleEffect of milk fortified with plant sterols on the lipid profile and serum non-cholesterol sterols of patients with moderate hypercholesterolemia: A randomised, crossover feeding study
Study objectivesPlant sterols (PS) are constituents of plants that chemically resemble cholesterol and have cholesterol lowering properties. Traditionally, PS have been incorporated into high-fat foods to facilitate their solubility.

Two hypotheses are tested:
1. Compared to a placebo skimmed milk, the consumption of skimmed milk enriched with PS and skimmed plus vegetable fat milk enriched with PS (both low-fat vehicles) will have a hypocholesterolemic effect similar to that of fatty foods fortified with similar doses of PS
2. Baseline serum levels of PS indicative of high intestinal cholesterol absorption will be associated with an enhanced cholesterol-lowering response to consumption of PS
Ethics approval(s)The Institutional Review Board of the Hospital Clinic of Barcelona approved on the 16th of December 2003 (ref: CEIC 1801)
Health condition(s) or problem(s) studiedDyslipidemia / Nutrition
InterventionAll subjects will participate in each of 3 intervention periods lasting 4 weeks each. The sequence of the interventions will be randomised:
1. 500 ml/day of skimmed milk with 2 g PS
2. 500 ml/day of skimmed plus vegetable fat milk with 2 g PS
3. 500 ml/day of placebo skimmed milk
Each intervention period will be preceded by a 4-week run-in period with placebo milk.
Intervention typeOther
Primary outcome measure1. Effects on the serum lipid profile
2. Effects on serum non-cholesterol sterol concentrations
2.1. demosterol
2.2. lathosterol
2.3. lanosterol
2.4. campesterol
2.5. sitosterol

Measurements are taken at baseline, after the run-in period, and at the end of the three 4-week diet intervention periods.
Secondary outcome measuresInfluence of baseline serum non-cholesterol concentrations and their on-treatment changes on the cholesterol-lowering response

Measurements are taken at the same time points than primary outcome measures.
Overall study start date01/02/2004
Completion date31/10/2004

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants50
Key inclusion criteria1. Men and women with moderate hypercholesterolemia
2. Aged between 18 and 75 years
3. Body mass index (BMI) <31 kg/m2
4. Serum total cholesterol between 4.91 and 7.75 mmol/L
5. Low Density Lipoprotein (LDL) cholesterol >3.36 mmol/L
6. Triglycerides <3.39 mmol/L
7. Participants can be under stable lipid-lowering drug treatment (statins or fibrates, statins at doses of no more than simvastatin 40 mg/day or equivalent) or cardiac medication in patients with previous cardiovascular disease
8. Written informed consent. Participants were given a leaflet with explanation of the study, including reasons for masking the contents of the milk product, and information on how to contact investigators if necessary.
Key exclusion criteria1. Subjects on a weight-losing diet
2. Familial hypercholesterolemia
3. Established type 2 diabetes
4. Lactose intolerance
5. Consumption of products that can influence cholesterol metabolism (other than statins and fibrates), such as
5.1. resins
5.2. ezetimibe
5.3. psyllium products
5.4. fish oil products
5.5. soya lecithin
5.6 phytoestrogens
Date of first enrolment01/02/2004
Date of final enrolment31/10/2004

Locations

Countries of recruitment

  • Spain

Study participating centre

Lipid Clinic
Barcelona
08036
Spain

Sponsor information

Unilever R&D (Netherlands)
Industry

c/o Dr. Elke A. Trautwein
Olivier van Noortlaan 120. PO Box 114
Vlaardingen
3130AC
Netherlands

ROR logo "ROR" https://ror.org/02436cs38

Funders

Funder type

Industry

Unilever R&D Vlaardingen BV (Netherlands)

No information available

Spanish Ministry of Science and Innovation (Instituto de Salud Carlos III [CIBER]) (Spain) - Pathophysiology of Obesity and Nutrition (Fisiopatología de la Obesidad y Nutrición [CIBERobn])

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan