Chocolate feeding studies: a novel approach for evaluating the plasma lipid effects of stearic acid

Am J Clin Nutr. 1994 Dec;60(6 Suppl):1029S-1036S. doi: 10.1093/ajcn/60.6.1029S.

Abstract

Milk chocolate does not adversely affect plasma lipids and lipoproteins despite its relatively high content of saturated fatty acids (SFAs). Evidence from well-controlled feeding studies indicates that this unique response is due to the high proportion of stearic acid in milk chocolate. In experimental diets containing very high amounts (eg, 280 g/d, or 10 oz/d) and more typical amounts (46.2 g, or 1.65 oz) of milk chocolate, plasma total- and low-density-lipoprotein-cholesterol concentrations are not elevated. Furthermore, isoenergetic substitution of one milk chocolate bar per day for a high-carbohydrate snack in a National Cholesterol Education Program/American Heart Association Step 1 Diet does not adversely affect the cholesterol-lowering response. These findings indicate that stearic acid is not hypercholesterolemic as are the other long-chain SFAs. Thus, as illustrated by the different results generated from the predictive equations that group all long-chain SFAs vs those that consider stearic acid separately, grouping stearic acid with other SFAs appears to misrepresent the actual blood cholesterol response.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cacao* / adverse effects
  • Cholesterol / blood*
  • Cholesterol, LDL / blood
  • Cross-Over Studies
  • Dietary Fats* / administration & dosage
  • Dietary Fats* / adverse effects
  • Humans
  • Male
  • Mathematics
  • Pilot Projects
  • Stearic Acids / administration & dosage
  • Stearic Acids / pharmacology*

Substances

  • Cholesterol, LDL
  • Dietary Fats
  • Stearic Acids
  • stearic acid
  • cocoa butter
  • Cholesterol
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