Skip to main content
Log in

Some nutritional supplements may have modest beneficial effects on lipid levels, but the effects of most are negligible

  • Practical Issues and Updates
  • Published:
Drugs & Therapy Perspectives Aims and scope Submit manuscript

Abstract

Nutritional supplements have differing effects on plasma levels of high-density lipoprotein cholesterol (HDL-C) and its main protein apolipoprotein A-I. Some supplements, including soy protein, phytosterols and black seed extracts, have been shown to increase HDL-C levels. Fish oil/omega-3 fatty acids have only modest effects on HDL-C, whereas cholic acid and high-dose antioxidant vitamins have been shown to down-regulate HDL-C levels.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Mooradian AD, Haas MJ. The effect of nutritional supplements on serum high-density lipoprotein cholesterol and apolipoprotein A-I. Am J Cardiovasc Drugs. 2014;14(4):253–74.

    Article  CAS  PubMed  Google Scholar 

  2. Mooradian AD. Is high-density lipoprotein cardioprotective or simply a marker of cardiovascular disease? Am J Ther. 2014;21(5):438–9.

    Article  PubMed  Google Scholar 

  3. Wofford MR, Rebholz CM, Reynolds K, et al. Effect of soy and milk protein supplementation on serum lipid levels: a randomized controlled trial. Eur J Clin Nutr. 2012;66(4):419–25.

    Article  CAS  PubMed  Google Scholar 

  4. Ma Y, Chiriboga D, Olendzki BC, et al. Effect of soy protein containing isoflavones on blood lipids in moderately hypercholesterolemic adults: a randomized controlled trial. J Am Coll Nutr. 2005;24(4):275–85.

    Article  CAS  PubMed  Google Scholar 

  5. Squadrito F, Marini H, Bitto A, et al. Genistein in the metabolic syndrome: results of a randomized clinical trial. J Clin Endocrinol Metabol. 2013;98(8):3366–74.

    Article  CAS  Google Scholar 

  6. Sialvera TE, Pounis GD, Koutelidakis AE, et al. Phytosterols supplementation decreases plasma small and dense LDL levels in metabolic syndrome patients on a westernized type diet. Nutr Metab Cardiovasc Dis. 2012;22(10):843–8.

    Article  CAS  PubMed  Google Scholar 

  7. Szapary PO, Wolfe ML, Bloedon LT, et al. Guggulipid for the treatment of hypercholesterolemia: a randomized controlled trial. JAMA. 2003;290(6):765–72.

    Article  CAS  PubMed  Google Scholar 

  8. Jones ML, Martoni CJ, Parent M, et al. Cholesterol-lowering efficacy of a microencapsulated bile salt hydrolase-active Lactobacillus reuteri NCIMB 30242 yoghurt formulation in hypercholesterolaemic adults. Br J Nutr. 2012;107(10):1505–13.

    Article  CAS  PubMed  Google Scholar 

  9. Davidson MH, Stein EA, Bays HE, et al. Efficacy and tolerability of adding prescription omega-3 fatty acids 4 g/d to simvastatin 40 mg/d in hypertriglyceridemic patients: an 8-week, randomized, double-blind, placebo-controlled study. Clin Ther. 2007;29(7):1354–67.

    Article  CAS  PubMed  Google Scholar 

  10. Ballantyne CM, Bays HE, Kastelein JJ, et al. Efficacy and safety of eicosapentaenoic acid ethyl ester (AMR101) therapy in statin-treated patients with persistent high triglycerides (from the ANCHOR study). Am J Cardiol. 2012;110(7):984–92.

    Article  CAS  PubMed  Google Scholar 

  11. Rauch B, Schiele R, Schneider S, et al. OMEGA, a randomized, placebo-controlled trial to test the effect of highly purified omega-3 fatty acids on top of modern guideline-adjusted therapy after myocardial infarction. Circulation. 2010;122(21):2152–9.

    Article  CAS  PubMed  Google Scholar 

  12. Marchioli R, Schweiger C, Tavazzi L, et al. Efficacy of n-3 polyunsaturated fatty acids after myocardial infarction: results of GISSI prevenzione trial. Lipids. 2001;36(Suppl):S119–26.

    Article  CAS  PubMed  Google Scholar 

  13. Yokoyama M, Origasa H, Matsuzaki M, et al. Effects of eicosapentaenoic acid on major coronary events in hypercholesterolaemic patients (JELIS): a randomised open-label, blinded endpoint analysis. Lancet. 2007;369(9567):1090–8.

    Article  CAS  PubMed  Google Scholar 

  14. ORIGIN Trial Investigators, Bosch J, Gerstein HC, et al. n-3 Fatty acids and cardiovascular outcomes in patients with dysglycemia. N Engl J Med. 2012;367(4):309–18.

    Article  Google Scholar 

  15. Rajpathak SN, Xue X, Wassertheil-Smoller S, et al. Effect of 5 y of calcium plus vitamin D supplementation on change in circulating lipids: results from the Women’s Health Initiative. Am J Clin Nutr. 2010;91(4):894–9.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  16. Heikkinen A-M, Tuppurainen MT, Niskanen L, et al. Long-term vitamin D3 supplementation may have adverse effects on serum lipids during post-menopausal hormone replacement therapy. Eur J Endocrinol. 1997;137(5):495–502.

    Article  CAS  PubMed  Google Scholar 

  17. Andersen R, Brot C, Mejborn H, et al. Vitamin D supplementation does not affect serum lipids and lipoproteins in Pakistani immigrants. Eur J Clin Nutr. 2009;63(9):1150–3.

    Article  CAS  PubMed  Google Scholar 

  18. Rayman MP, Stranges S, Griffin BA, et al. Effect of supplementation with high-selenium yeast on plasma lipids: a randomized trial. Ann Intern Med. 2011;154(10):656–65.

    Article  PubMed  Google Scholar 

  19. Talirevic E, Jelena S. Quercetin in the treatment of dyslipidemia. Med Arh. 2012;66(2):87–8.

    Article  PubMed  Google Scholar 

  20. Qin Y, Xia M, Ma J, et al. Anthocyanin supplementation improves serum LDL- and HDL-cholesterol concentrations associated with the inhibition of cholesteryl ester transfer protein in dyslipidemic subjects. Am J Clin Nutr. 2009;90(3):485–92.

    Article  CAS  PubMed  Google Scholar 

  21. Mooradian AD. Antioxidants and diabetes. Nestle Nutr Workshop Ser Clin Perform Programme. 2006;11:107–22.

    Article  CAS  PubMed  Google Scholar 

  22. Sheikh-Ali M, Chehade JM, Mooradian AD. The antioxidant paradox in diabetes mellitus. Am J Ther. 2011;18(3):266–78.

    Article  PubMed  Google Scholar 

Download references

Disclosure

This article was adapted from the American Journal of Cardiovascular Drugs 2014;14(4):253–74 [1] by salaried employees of Adis/Springer. The preparation of this article was not supported by any external funding.

Author information

Authors and Affiliations

Consortia

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Adis Medical Writers. Some nutritional supplements may have modest beneficial effects on lipid levels, but the effects of most are negligible. Drugs Ther Perspect 31, 133–136 (2015). https://doi.org/10.1007/s40267-015-0196-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40267-015-0196-y

Navigation