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. 2020 Feb 26;12(3):615. doi: 10.3390/nu12030615

Table A1.

Longer-term effects of substituting fats low in sn-2 palmitic acid (C16:0) contents with fats high in sn-2 C16:0 contents on fasting cardiometabolic risk. markers.

First author,
Year of publication
Study
population,
Age,
BMI
Duration intervention periods,
Study design
Total fat (en%) C16:0
(en%)
Source
Low sn-2
High sn-2
C16:0
sn-2 in fat blends (% 1)
Solid fat at 37 °C (%) Lipids and lipoproteins Hematological
markers
Other markers
Nestel,
1995 [10]
27 men
(mildly hyperchol 2)
49 ± 8 y
26.3 ± 2.5 kg/m2
21 days
Crossover
(no WO)
31 6.7 Palm oil
IE palm oil
8.7
24.7
wt%
NR TAG =
TC =
LDL-C =
HDL-C =
Zock,
1995 [9]
23 men
37 women 3
29 (19–67) y
22.9 (18.1–30.9) kg/m2
21 days
Crossover
(no WO)
40 11 Control and IE blend of palm oil blended with sunflower oil 6.4
66.9
wt%
0
0
TAG =
TC = 4
LDL-C = 4
HDL-C =
Meijer,
1997 [13]
30 men
30 women
± 35.5 y
± 23.8 kg/m2
21 days
Crossover 5
(no WO)
34 1 or 25 Control and IE blend that consisted mainly of coconut and palm oils blended with soybean oil 7.1
18.0
wt%
NR TAG =
NEFA =
TC =
LDL-C =
HDL-C =
Lp[a] =
FVIIa =
Fibrinogen =
PAI-1 antigen =
tPA antigen =
tPA activity =
vWF =
Glucose =
CRP =
Christophe,
2000 [8]
32 men
23–53 y
18.1–23.5 kg/m2
28 days
Parallel
NR ± 131 g NR ± 5 g IE butter
Butter
NR NR TAG =
TC =
LDL-C=
HDL-C=
ApoB =
ApoA1 =
Filippou,
2014 [11]
10 men
31 women
± 29.1 y
± 23.0 kg/m2
42 days
Crossover
(no WO)
27 9 Palm olein
IE palm olein
9.8
45.9
mol%
0
5.9
TAG =
TC =
LDL-C =
HDL-C =
ApoB =
ApoA1 =
Lp[a] =
Glucose =
Insulin =
C-peptide =
Ng,
2018 [12]
64 women
21 men
20–60 y
21–30 kg/m2
56 days
Parallel
35 7 Palm olein
CIE palm olein
11.1
32.4
wt%
NR TAG =
TC =
LDL-C =
HDL-C =
ApoB =
ApoA1 =
Lp[a] =
Glucose =
Insulin =
C-peptide =

Markers are significantly lower (↓), higher (↑) or not significantly different (=) after intake of fats high in C16:0 sn-2 contents compared with fats low in C16:0 sn-2 contents. 1=% of total fatty acids at sn-2. 2=Subjects were mildly hypercholesterolemic (Average total cholesterol: 6.00 ± 0.78 mmol/L) [10]. 3=Pre- and postmenopausal women were included; however, study was designed in such a way that menstrual cycle or use of oral contraceptives should not have influenced results [9]. 4=In men, total and LDL cholesterol concentrations were slightly increased (0.10 mmol/L and 0.08 mmol/L respectively) on the diet with higher C16:0 sn-2 [9]. 5=Subjects were divided into two parallel groups that were assigned to a diet with either 4 or 8 en% of the blends. Of the 60 subjects in total, 32 (16 men and 16 female) subjects followed the 4 en% diet (age ± 33 years, BMI: ± 24.1 kg/m2) and 28 (14 men and 14 female) subjects the 8 en% diet (age ± 38 years, BMI ± 23.4 kg/m2). The blends provided 1 and 2 en% palmitic acid in the 4 and 8 en% diet respectively, total amount of palmitic acid in the diets was not reported [13]. Abbreviations: apo, apolipoprotein; CIE, chemically interesterified; CRP, C-reactive protein; en%, % of total energy; FVIIa, activated factor VII; HDL-C, high-density lipoprotein cholesterol; IE, interesterified; Lp[a], lipoprotein [a]; LDL-C, low-density lipoprotein cholesterol; NEFA, non-esterified fatty acids; NR, not reported; PAI, plasminogen activator inhibitor; sn, stereospecific numbering; TAG, triacylglycerol; TC, total cholesterol; tPA, tissue plasminogen activator; vWF, von Willebrand Factor; WO, wash out period; wt, weight; y, year.