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

Table 7.

Studies with antioxidant-rich dietary patterns.

First Author, Location
(Year)
Study Participants Intervention HDL Function Analyzed Results
Damasceno NR,
Spain
(2013)
[28]
169 participants at high cardiovascular risk
(74 men and 95 women)
Mean age: 67 years
1-year parallel whole-diet interventions:
(1) Traditional Mediterranean diet enriched with extra virgin olive oil (1 L/week).
(2) Traditional Mediterranean diet enriched with nuts (30 g/day of mixed nuts).
(3) Low-fat diets.
Serum CETP activity A traditional Mediterranean diet enriched with olive oil and a low-fat diet decreased CETP levels compared to baseline.
Daniels JA,
UK
(2014)
[111]
74 obese participants with type 2 diabetes
(52 men and 22 women)
Age range: 40–70 years
8-week parallel whole-diet interventions:
(1) Low fruit and vegetable intake (80 g/day).
(2) High fruit and vegetable intake (400 g/day).
Serum LCAT activity Increase in fruit-rich and vegetable-rich diets relative to baseline
PON1 arylesterase activity in Serum and in HDL2 and HDL3 Increase in serum activity in vegetable-rich and fruit-rich diets relative to baseline.
Increase in HDL3 in vegetable-rich group relative to low-vegetable group.
SAA content in HDL2 and HDL3 No effect
HDL2 and HDL3 content in carotenoids Vegetable-rich group increased HDL3 α-carotene, β-cryptoxanthin, lutein, and lycopene compared to low vegetable intake.
HDL2 intervention increased β-cryptoxanthin compared to control, and lutein relative to baseline.
Hernáez Á,
Spain
(2020)
[21]
358 participants at high cardiovascular risk
(131 men and 227 women)
Mean age: 67 years
1-year parallel whole-diet interventions:
(1) Traditional Mediterranean diet enriched with extra virgin olive oil (1 L/week).
(2) Traditional Mediterranean diet enriched with nuts (30 g/day of mixed nuts).
(3) Low-fat diets.
ABDP HDL-alpha-1-antitrypsin Decrease in Mediterranean diet with olive oil compared to baseline.
Nitric oxide production in HUVEC cells after ABDP. Increase in Mediterranean diet with virgin olive oil compared to low-fat diet.
Hernáez Á,
Spain
(2017)
[19]
296 participants at high cardiovascular risk
(151 men and 145 women)
Mean age ± SD: 65.9 ± 6.43 years
1-year parallel whole-diet interventions:
(1) Traditional Mediterranean diet enriched with extra virgin olive oil (1 L/week).
(2) Traditional Mediterranean diet enriched with nuts (30 g/day of mixed nuts).
(3) Low-fat diet.
3H CEC in THP-1 cells in ABDP Both Mediterranean diets increased CEC relative to baseline levels.
Plasma CETP activity Mediterranean diet with virgin olive oil decreased CETP activity relative to baseline
Direct HDL antioxidant capacity on LDL Increased antioxidant capacity after a Mediterranean diet with olive oil relative to baseline.
HDL oxidation status by TBARS assay Decreased oxidation status relative to baseline levels in Mediterranean diet with olive oil and in low-fat diet.
HDL oxidative/inflammatory index (HOII) The control low-fat diet increased HOII relative to baseline levels.
Serum PON1 arylesterase activity Mediterranean diet with virgin olive oil increased PON1 activity relative to low-fat diet
Nitric oxide production in HUVEC cells after ABDP. Increase in Mediterranean diet with virgin olive oil compared to low-fat diet.
Rantala M, Finland
(2002)
[112]
37 healthy women
Mean age ± SD: 42.6 ± 10.1 years
5-week parallel whole-diet interventions:
(1) Low-vegetable diet (1 serving/day)
(2) Vegetable-rich diet (430 mg of vitamin C, 18 mg
of carotenoids, 17 mg of vitamin E and 600 g of folate.)
Paraoxonase-1 activity Vegetable-rich diet decreased PON activity compared to low-vegetable diet.

CEC: cholesterol efflux capacity. CETP: cholesteryl ester transfer protein. LCAT: lecithin–cholesterol acyltransferase. ABDP: apolipoprotein B-depleted plasma. SAA: serum amyloid A. PON1: paraoxonase-1. HOII: HDL oxidative/inflammatory index.