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. 2021 Dec 15;10(24):5897. doi: 10.3390/jcm10245897

Table 5.

Studies with dietary cholesterol.

First Author,
Location
(Year)
Study Participants Intervention HDL Function Analyzed Results
Andersen CJ,
USA
(2013)
[75]
37 metabolic syndrome patients
(12 men and 25 women)
Age range: 30–70 years
12-week parallel diet interventions with:
(1) 3 whole eggs (534 mg cholesterol).
(2) Equivalent egg substitute (without cholesterol).
3H CEC in RAW 264.7 cells in isolated HDLs Increase of 2.4% in egg group relative to baseline.
Blanco-Molina A,
Spain
(1998)
[73]
15 healthy men
Mean age ± SD: 23.4 ± 5.6 years
24-day crossover diets with:
(1) Low-fat NCEP Step I diet supplemented with two eggs.
(2) Low-fat NCEP-Step I diet without eggs.
(3) MUFA-rich diet supplemented with two eggs
(4) MUFA-rich diet without eggs.
3H CEC in Fu5AH cells in serum Increase in low-fat diet enriched with eggs compared to the low-fat diet without eggs.
Blesso CN,
USA
(2013)
[82]
37 etabolic syndrome patients
(12 men and 25 women)
Mean age ± SD: 51.9 ± 7.7 years
12-week parallel carbohydrate-restricted diet interventions with:
(1) Three whole eggs/day (534 mg cholesterol).
(2) Yolk-free eggs.
Plasma CETP activity No effect.
Plasma LCAT activity Increase in LCAT in whole egg group relative to baseline.
Ginsberg HN,
USA
(1995)
[81]
13 healthy women
Mean age ± SD: 23.5 ± 1.9 years
8-week crossover diets with:
(1) One egg.
(2) Two eggs.
(3) Three eggs.
Plasma CETP mass No effect.
Ginsberg HN,
USA
(1994)
[80]
20 healthy men
Mean age ± SD: 24.4 ± 2.7 years
8-week crossover low-fat diets with:
(1) No eggs.
(2) One egg.
(3) Two eggs.
(4) Four eggs.
Plasma CETP mass 4 eggs/day increased CETP levels by 6% compared to other diet interventions.
Herron KL,
USA
(2004)
[78]
52 healthy participants
(25 men and 27 women)
Age range: 18–50 years
1-month crossover diets with:
(1) Eggs (640 mg/day cholesterol).
(2) Placebo egg substitute.
Plasma CETP activity Increased CETP activity in egg group compared to control in a subgroup of hyper-responders to dietary cholesterol.
Plasma LCAT activity Increased LCAT activity in egg group compared to baseline in a subgroup of hyper-responders to dietary cholesterol.
Herron KL,
USA
(2003)
[77]
40 normolipidemic men
Age range: 20–50 years
1-month crossover diets with:
(1) Eggs (640 mg/day cholesterol).
(2) Placebo egg substitute.
Plasma CETP activity Increased CETP activity in egg group compared to control in a subgroup of hyper-responders to dietary cholesterol.
Plasma LCAT activity Increased LCAT activity in egg group compared to control in a subgroup of hyper-responders to dietary cholesterol.
Herron KL,
USA
(2002)
[76]
51 premenopausal women
Age range: 19–49 years
1-month crossover diets with:
(1) Eggs (640 mg/day cholesterol).
(2) Placebo egg substitute.
Plasma CETP activity Increased CETP activity in egg group compared to control in a subgroup of hyper-responders to dietary cholesterol.
Martin LJ,
USA
(1993)
[79]
30 healthy men
Mean age ± SD: 23.0 ± 2.6 years
35-day crossover intervention with:
(1) Low-cholesterol diet (80 mg/1000 Kcal).
(2) High-cholesterol diet (320 mg/1000 Kcal).
Plasma CETP mass Increased levels in high-cholesterol diet compared to low cholesterol diet.
Missimer,
USA
(2018)
[83]
50 healthy young participants (24 men and 26 women)
Mean age ± SD: 23.3 ± 3.1 years
4-week crossover diets with:
(1) Two large eggs/day (370 mg cholesterol).
(2) Oatmeal (384 g/day).
Plasma CETP activity No effect.
Morgantini,
Italy
(2018)
[87]
14 healthy participants
Mean age ± SD: 25.0 ± 2.3 years
2-week crossover intervention with:
(1) Low-fat and low-cholesterol diet (100–150 mg/day; 5–10% SFA).
(2) High-fat and high-cholesterol diet (250–300 mg/day; 15–20% SFA).
Paraoxonase activity No effect.
HDL hydroperoxides content Increase in hydroperoxide content compared to low-fat and low-cholesterol diet.
HDL associated SAA Increase in SAA content in HDL compared to low-fat and low-cholesterol diet.
Mutungi G,
USA,
(2010)
[86]
31 overweight or obese men
Age range: 40–70 year
12-week parallel carbohydrate-restricted diets with:
(1) Three liquid eggs.
(2) Substitute egg placebo.
LCAT activity Increase in egg group relative to control.
Sawrey-Kubicek,
USA,
(2019)
[74]
20 overweight women
Mean age ± SD: 57.7 ± 5.3 years
4-week crossover diet with:
(1) Two whole eggs per day (100 g/egg).
(2) Two yolk-free eggs per day (100 g/egg).
BODIPY-cholesterol-marked CEC in J774 cells in ABDP samples Increase of 5.69% in whole egg group compared to control.
Plasma CETP activity No effect.
Plasma LCAT activity No effect.
Plasma paraoxonase-1 activity No effect.
Vorster HH,
South Africa
(1992)
[85]
70 young healthy men
Age range: 18–19 years
Parallel diet interventions with measurements at 1, 5, 7 months with:
(1) 3 eggs/week.
(2) 7 eggs/week.
(3) 14 eggs/week.
Plasma LCAT activity Increased LCAT activity in 14 eggs/week group relative to 3 eggs/week group after 1 month (but not after 5 or 7 months).
Waters D,
USA
(2007)
[84]
22 postmenopausal women
Age range: 50–77 years
4-week crossover diets with:
(1) Eggs (640 mg/day cholesterol and 600 μg of lutein+zeaxanthin).
(2) Placebo egg substitute.
Plasma CETP activity No effect.

MUFA: monounsaturated fatty acids. CEC: cholesterol efflux capacity. CETP: cholesteryl ester transfer protein. LCAT: lecithin–cholesterol acyltransferase. ABDP: apolipoprotein B-depleted plasma. SAA: serum amyloid A.