Corn Oil Lowers Plasma Cholesterol Compared with Coconut Oil in Adults with Above-Desirable Levels of Cholesterol in a Randomized Crossover Trial

摘要

ABSTRACT Background Few trials have examined the effects of coconut oil consumption in comparison with polyunsaturated fatty acid–rich oils such as corn oil. Objective This trial assessed the effects of consuming foods made with corn oil compared with coconut oil on lipids, glucose homeostasis, and inflammation. Methods This was a preliminary randomized crossover study of men ( n ?=?12) and women ( n ?=?13) with a mean age of 45.2 y, mean body mass index (in kg/m ~(2)) of 27.7, fasting LDL cholesterol ≥115 mg/dL and &190 mg/dL, and triglycerides (TGs) ≤375 mg/dL. Subjects consumed muffins and rolls providing 4 tablespoons (～54 g) per day of corn oil or coconut oil as part of their habitual diets for 4 wk, with a 3-wk washout between conditions. Fasting plasma lipids and high-sensitivity C-reactive protein (hs-CRP) and glucose metabolism were assessed via an intravenous glucose tolerance test at baseline and 15 and 29 d of treatment. Responses were compared between treatments by ANCOVA. Results Median baseline concentrations of LDL cholesterol, non-HDL cholesterol, total cholesterol (total-C), HDL cholesterol, total-C:HDL cholesterol, and TGs were 123, 144, 188, 46.0, 4.21, and 92.5 mg/dL, respectively. Changes from baseline for corn oil and coconut oil conditions, respectively, were: LDL cholesterol (primary outcome; ?2.7% compared with +4.6%), non-HDL cholesterol (?3.0% compared with +5.8%), total-C (?0.5% compared with +7.1%), HDL cholesterol (+5.4% compared with +6.5%), total-C:HDL cholesterol (?4.3% compared with ?3.3%), and TGs (?2.1% compared with +6.0%). Non-HDL cholesterol responses were significantly different between corn and coconut oil conditions ( P ?=?0.034); differences between conditions in total-C and LDL cholesterol approached significance (both P ?=?0.06). Responses for hs-CRP and carbohydrate homeostasis parameters did not differ significantly between diet conditions. Conclusions When incorporated into the habitual diet, consumption of foods providing ～54 g of corn oil/d produced a more favorable plasma lipid profile than did coconut oil in adults with elevated cholesterol. This trial was registered at clinicaltrials.gov as NCT03202654.