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. 2015 May 26;7(6):3959–3998. doi: 10.3390/nu7063959

Table 3.

Effects of apples and apple components on lipid metabolism in animals.

Animal Type-
Number (n)-
Study Duration-Design
Diets-Daily Dose Results Author
Wistar rats
n = 12 each group
3 weeks/parallel
Control diet or 15% lyophilized apple TC: ↓ 9.3%
Faecal TS excretion: ↑
Faecal TC excretion: ↑
Aprikian et al., 2001 [145]
Wistar rats
n = 10 each group
40 days/parallel
Control cholesterol (3g/kg) diet or 10% apple pomace fiber TC: ↓ 18.4%
LDL-C: ↓ 31.2%
HDL phospholipids: ↑ 19%
TAG: ↓ 14.8%
Liver TC: ↓ 26.3%
Leontowicz et al., 2001[138]
Lean (Fa/-) and obese (fa/fa) Zucker rats
n = 8 each group
3 weeks/parallel
Control diet or 20% lyophilized apple TC: ↓ 22% (Obese group)
LDL-C: ↓ 70% (Obese group)
HDL-C: ↓ 26% (Obese group)
Liver and heart TAG: ↓ (Obese group)
Faecal BA excretion: ↑ (Lean group)
Aprikian et al., 2002 [147]
Wistar rats
n = 8 each group
4 weeks/parallel
Control cholesterol (1%) diet or 10% whole dry apples TC: ↓ 20%
LDL-C: ↓ 32.6%
TAG: ↓ 17%
Liver TC: ↓ 29.6%
Leontowicz et al., 2002[146]
Wistar mild hypercholesteolemic rats
n = 10 each group
3 weeks/parallel
Control diet or Freeze dried pectin, 5% (PEC) or High polyphenol cider apple extract, 10% (PL) or Mixed diet: PEC + PL TC: ↓ 24% (PEC + PL)
TAG: ↓ 29% (PL)
↓ 35% (PEC + PL)
Liver TC and TAG: ↓ (PEC and PEC + PL)
Faecal BA excretion: ↓ (PEC and PEC + PL)
Faecal NS excretion: ↑ (PEC and PEC + PL)
Aprikian et al., 2003 [115]
Wistar rats
n = 8 each group
4 weeks/parallel
Control cholesterol (1%) diet or apple peel, 10% (Apeel) or apple pulp, 10% (Apulp) TC: ↓ 21.6% (Apeel), ↓ 19.4% (Apulp)
LDL-C: ↓ 35.3% (Apeel), ↓ 33.3% (Apulp)
TAG: ↓ 18% (Apeel), ↓ 14.6% (Apulp)
Liver TC: ↓ 31.6% (Apeel), ↓ 27% (Apulp)
Leontowicz et al., 2003[150]
Sprague-Dawley rats
n = 8 or 9 each group
30 days/parallel
Control cholesterol (0.5%) diet or 0.2% apple polyphenols rich in oligomeric procyanidins (AP) or 0.5% AP or1% AP TC: ↓ (all treatments)
HDL-C: ↑ (1% AP), ↓ (0.2% AP)
HDL-C/TC: ↑ (0.5% and 1% AP)
Liver TC: ↓ (0.5% and 1% AP)
Atherogenic indices: ↓ (0.5% and 1% AP)
Faecal acidic and neutral steroid excretion: ↑ (0.5% and 1% AP)
Osada et al., 2006 [139]
ApoE deficient mice (apoE-KO)
n = 16 each group
4 months/parallel
Control diet or apple polyphenols (AP), equivalent to 1.6 g/day for humans orapple fiber (AF), equivalent to 50 g/day for humans or Mixed diet: AP + AF Liver TC: ↓ 22% (AP + AF)
Atherosclerotic lesions: ↓ (all treatments)
Auclair et al., 2008 [144]
Hypercholesterolemic hamsters
n = 8 each group
12 weeks/parallel
Control atherogenic diet orapple (A) or apple juice (AJ) Equivalent to daily consumption of 600 g apples or 500 ml of juice for humans TC: ↓ 11% (A) ↓ 24% (AJ)
Non HDL-C: ↓ 30% (A) ↓ 55% (AJ)
TC/HDL-C: ↓ 25% (A) ↓ 38% (AJ)
Aortic fatty streak area: ↓ 48% (A) and 60% (AJ)
Decorde et al., 2008 [142]
Golden Syrian hamsters
n = 13 each group
6 weeks/parallel
Control atherogenic diet, 0.1% cholesterol or 0.3% apple polyphenols (AP) or 0.6% AP HDL-C: ↑14.7% (0.3% AP) ↑16.5% (0.6% AP)
Non HDL-C: ↓ 20% (0.3% AP) ↓ 36.7% (0.6% AP)
TAG: ↓ 31.9% (0.6% AP)
Faecal BA excretion: ↑ (0.3% and 0.6% AP)
Faecal NS excretion: ↓ (0.3% and 0.6% AP)
Lam et al., 2008 [143]
Zucker fatty rats
n = 10 each group
15 weeks/parallel
Control diet or High methoxylated apple pectin, 10% (HMAP) or β-glucan, 10% TC: ↓ (HMAP and β-glucan)
HDL-C: ↑ (HMAP)
Non HDL-C: ↓ (HMAP and β-glucan)
TAG: ↓ (HMAP and β-glucan, higher effect for HMAP)
Sanchez et al., 2008 [35]
Rabbits
n = 8 each group
2 months/parallel
Control cholesterol (1%) diet or 5 ml apple juice (low dose, LD) or 10 ml apple juice (high dose, HD) TC: ↓ 75% (LD), ↓ 77% (HD)
LDL-C: ↓ 70% (HD)
HDL-C: ↑ 86% (HD)
TAG: ↓ 61% (LD), ↓ 59% (HD)
Atherosclerotic lesions: ↓ (LD and HD)
Setorki et al., 2009 [20]
Wistar rats
n = 8 each group
4 weeks/parallel
Control diet or 5% AP: apple pomace (61% dietary fiber (DF), 0.23% polyphenols (PP)) or 5% APE: ethanol extracted apple pomace (66% DF, 0.1% PP) or 5% APA: ethanol/acetone extracted apple pomace (67% DF, 0.01% PP) TC: ↓ 19% (AP and APA)
TAG: ↓ 26% (APA) ↓ 38% (AP)
Atherogenic index, log TAG/HDL-C: ↓ (AP)
Kosmala et al., 2011 [117]
Wistar hypercholesterolemic rats
n = 8 each group
30 days/parallel
Control cholesterol (2%) diet 20% apples from 3 different varieties:
  • -

    Golden (G)

  • -

    Malapio da serra (MS)

  • -

    Bravo de esmolfe (BE) (highest polyphenol and antioxidant capacity)

TC: ↓ 21% (BE)
LDL-C: ↓ 20.4% (BE)
TAG: ↓ 27.2% (BE)
Serra et al., 2012 [140]
Sprague–Dawley rats
n = 8 each group
5 weeks/parallel
Control high fat diet or 10% apple pomace (AP) or 10% apple juice concentrate (AC) TC: ↓ 23% (AP), ↓ 22% (AC)
LDL-C: ↓ 34% (AP), ↓ 32% (AC)
HDL-C: ↑ 12% (AP)
HDL-C/TC: ↑ (AP and AC)
TAG: ↓ 30% (AP), ↓ 27% (AC)
Liver TC: ↓19% (AP)
Liver TAG: ↓ 21% (AP), ↓ 10% (AC)
Atherogenic index: ↓ (AP and AC)
Cho et al., 2013 [148]

↑: significant increase compared to the control diet; : significant decrease compared to the control diet; TC: total cholesterol; LDL-C: low density lipoprotein-cholesterol; HDL: high density lipoprotein; TAG: triacylglycerols; TS: total steroids; NS: neutral sterols; BA: bile acids.