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Hypolipidic diet and phytosubstance supplement in hypercholesterolemia.

Minerva gastroenterologica e dietologica
June 1, 2014
E Muscariello et al. (6 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the effects of a low-fat diet, both alone and combined with phyto-supplements, on hyperlipidemia and nutritional status.

Results Summary

The low-fat diet alone (group D) significantly reduced BMI, waist and hip circumference, total cholesterol, and LDL cholesterol. The diet combined with phyto-supplements (group E) showed greater reductions in these metrics, particularly in cholesterol levels.

Population

191 hyperlipidemic patients attending outpatient clinics.

Effective Dosage

Not specified

Duration

6 months

Interactions

None mentioned

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
hypolipidic diet
decrease
BMI
patients affected by hyperlipidemia (group D)
32.6 ± 0.7 vs. 34.3 ± 0.7 kg/m²
showed a significant reduction
#1
hypolipidic diet
decrease
waist circumference
patients affected by hyperlipidemia (group D)
104.4 ± 1.6 vs. 108.3 ± 1.5 cm
showed a significant reduction
#2
hypolipidic diet
decrease
hip circumference
patients affected by hyperlipidemia (group D)
107.9 ± 1.1 vs. 111.2 ± 1.1 cm
showed a significant reduction
#3
hypolipidic diet
decrease
total cholesterol
patients affected by hyperlipidemia (group D)
214.2 ± 3.7 vs. 236.6 ± 2.2 mg/dL, -9.4 ± 68.2%
showed a significant reduction
#4
hypolipidic diet
decrease
LDL cholesterol
patients affected by hyperlipidemia (group D)
133 ± 3 vs. 152.9 ± 2.8 mg/dL, -13 ± 7.1%
showed a significant reduction
#5
hypolipidic diet and supplement (red yeast, guggulsterones, flavonoid, sylimarin)
decrease
BMI
patients affected by hyperlipidemia (group E)
30.2 ± 0.7 vs. 32.6 ± 0.6 kg/m²
showed a significant reduction
#6
hypolipidic diet and supplement (red yeast, guggulsterones, flavonoid, sylimarin)
decrease
waist circumference
patients affected by hyperlipidemia (group E)
94.5 ± 1.6 vs. 101.3 ± 1.3 cm
showed a significant reduction
#7
hypolipidic diet and supplement (red yeast, guggulsterones, flavonoid, sylimarin)
decrease
hip circumference
patients affected by hyperlipidemia (group E)
106.6 ± 1.1 vs. 110.5 ± 1 cm
showed a significant reduction
#8
hypolipidic diet and supplement (red yeast, guggulsterones, flavonoid, sylimarin)
decrease
total cholesterol
patients affected by hyperlipidemia (group E)
212.4 ± 3.7 vs. 256.9 ± 2.1 mg/dL, -17.3 ± 76.2%
showed a significant reduction
#9
hypolipidic diet and supplement (red yeast, guggulsterones, flavonoid, sylimarin)
decrease
LDL cholesterol
patients affected by hyperlipidemia (group E)
133.4 ± 3.4 vs. 168.4 ± 2.3 mg/dL, -20.8 ± 47.8%
showed a significant reduction
#10
Low fat diet, associated to phyto-substance supplement
decrease
serum cholesterol level
-
-
have been proven useful to decrease
#11
Low fat diet, associated to phyto-substance supplement
increase
nutritional status
-
-
have been proven useful to improve
#12
Abstract

AIM: This study aimed to evaluate the effects of phyto-supplements on hyperlipidemia. METHODS: For this study 191 patients, affected by hyperlipidemia, attending the Outpatient Clinics of Clinical Medicine Department, were recruited. The patients were divided in two groups. The first group (80) has been treated with hypolipidic diet for six months (group D). The second one (111) has been administered with hypolipidic diet and supplement (red yeast, guggulsterones, flavonoid, sylimarin) (group E). Anthropometric measurements and bioimpedance analysis were evaluated before and after treatment. Moreover, total cholesterol, LDL, HDL, triglycerides (TG) and hepatic transaminases (AST, ALT) were measured before, after 3 and 6 months of treatment. RESULTS: D group showed a significant reduction in BMI (32.6 ± 0.7 vs. 34.3 ± 0.7 kg/m²), waist circumference (104.4 ± 1.6 vs. 108.3 ± 1.5 cm), hip circumference (107.9 ± 1.1 vs. 111.2 ± 1.1 cm), total cholesterol (214.2 ± 3.7 vs. 236.6 ± 2.2 mg/dL, -9.4 ± 68.2%), LDL cholesterol (133 ± 3 vs. 152.9 ± 2.8 mg/dL, -13 ± 7.1%). E group showed a significant reduction in BMI (30.2 ± 0.7 vs. 32.6 ± 0.6 kg/m²), waist circumference (94.5 ± 1.6 vs. 101.3 ± 1.3 cm), hip circumference (106.6 ± 1.1 vs. 110.5 ± 1 cm), total cholesterol (212.4 ± 3.7 vs. 256.9 ± 2.1 mg/dL, -17.3 ± 76.2%), LDL cholesterol (133.4 ± 3.4 vs. 168.4 ± 2.3 mg/dL, -20.8 ± 47.8%). CONCLUSION: Low fat diet, associated to phyto-substance supplement, have been proven useful to decrease serum cholesterol level and to improve nutritional status.

Medical Subject Headings (MeSH)
Body Mass IndexCholesterolCholesterol, HDLCholesterol, LDLDiet, ReducingDietary SupplementsElectric ImpedanceFemaleFollow-Up StudiesHumansHypercholesterolemiaMaleMiddle AgedOutpatientsPhytotherapyTransaminasesTreatment OutcomeTriglyceridesWaist CircumferenceWeight Loss
Study Links
PubMed ID24780946
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality65/10
Citation Metrics
Total Citations2
Citations/Year0.2
Relative Citation Ratio0.11
NIH Percentile5.4%
Research Impact Scores
APT Score0.05
Weight Score1.23
Normalized Score0.63
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