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Long-term effect of a low-fat, high-carbohydrate diet on plasma lipids of patients affected by familial endogenous hypertriglyceridemia.

The American journal of clinical nutrition
July 1, 1988
L Cominacini et al. (7 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effect of a low-fat, high-carbohydrate diet on plasma lipid levels in patients with familial endogenous hypertriglyceridemia.

Results Summary

The study found that the high-carbohydrate diet significantly reduced total plasma triglyceride and cholesterol levels, with notable decreases in VLDL cholesterol and increases in LDL and HDL cholesterol. The diet was deemed potentially useful for managing hypertriglyceridemia.

Population

10 patients with familial endogenous hypertriglyceridemia.

Effective Dosage

Approximately 60% of energy as carbohydrate (isocaloric diet).

Duration

12-week intervention period.

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-fat, high carbohydrate (LFHC) diet
decrease
Total plasma triglyceride levels
10 patients affected by familial endogenous hypertriglyceridemia
-
decreased significantly
#1
low-fat, high carbohydrate (LFHC) diet
decrease
Total plasma cholesterol levels
10 patients affected by familial endogenous hypertriglyceridemia
-
decreased significantly
#2
low-fat, high carbohydrate (LFHC) diet
decrease
VLDL cholesterol
10 patients affected by familial endogenous hypertriglyceridemia
-
decrease
#3
low-fat, high carbohydrate (LFHC) diet
increase
LDL cholesterol
10 patients affected by familial endogenous hypertriglyceridemia
-
increased
#4
low-fat, high carbohydrate (LFHC) diet
increase
HDL cholesterol
10 patients affected by familial endogenous hypertriglyceridemia
-
significant increase
#5
Abstract

We evaluated the effect of a low-fat, high carbohydrate (LFHC) diet on plasma lipids in 10 patients affected by familial endogenous hypertriglyceridemia. All the patients studied underwent a base-line period of 4 wk, a 12-wk intervention period, and an 8-wk switch-back period. During the control periods patients consumed approximately 45% of energy as fat and approximately 40% as carbohydrate. During the intervention period they consumed an isocaloric diet containing approximately 25% of energy as fat and approximately 60% as carbohydrate. Total plasma triglyceride and cholesterol levels decreased significantly after 45 and 90 d of treatment (p less than 0.01). The reduction of plasma cholesterol was associated mostly with the decrease in VLDL cholesterol (p less than 0.01) while LDL cholesterol increased at days 45 and 90 of the LFHC diet (p less than 0.01). Finally, we observed a significant increase in HDL cholesterol both at days 45 and 90 of the LFHC diet (p less than 0.01). The LFHC diet we used may be an useful tool in the management of hypertriglyceridemia.

Medical Subject Headings (MeSH)
CholesterolCholesterol, HDLCholesterol, LDLDietary CarbohydratesDietary FatsFemaleHumansHyperlipoproteinemia Type IVLipidsMaleTime FactorsTriglycerides
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations22
Citations/Year0.6
Relative Citation Ratio0.96
NIH Percentile48.8%
Research Impact Scores
APT Score0.25
Weight Score0.28
Normalized Score0.69
Related Supplements
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