Abstract
The lipid-lowering effect of a carob pulp preparation rich in insoluble dietary fiber and polyphenols was investigated in a noncomparative, open-label pilot study. Over 8 weeks, 47 volunteers with moderate hypercholesterolemia (total cholesterol 232–302 mg/dL) consumed 15 g of carob per day in three products (breakfast cereal, fruit muesli bar, powdered drink) as a supplement to their regular diet. After 4 weeks, reductions of 7.1% in mean total cholesterol and 10.6% in LDL cholesterol were noted; respective decreases after 6 weeks were 7.8% and 12.2% (all P<.001). HDL cholesterol and triglyceride levels remained unchanged. Overall compliance was good. Only 3 volunteers (6%) reported a sensation of fullness, which led to 2 of the 3 dropouts. The carob preparation may have value in the dietary treatment of hypercholesterolemia.
Similar content being viewed by others
References
Anderson JW, Davidson MH, Bonde L, et al. Long-term cholesterol-lowering effects of psyllium as an adjunct to diet therapy in the treatment of hypercholesterolemia.Am J Clin Nutr. 2000;71: 1433–1438.
Glore SR, van Treeck D, Knehans AW, Guild M. Soluble fiber and serum lipids: a literature review.J Am Diet Assoc. 1994;94:425–436.
Hopewell R, Yeater R, Ullrich J. Soluble fiber: effect on carbohydrate and lipid metabolism.Progr Food Nutr Sci. 1993;17:159–182.
Smith U. Effect of different fibers on glucose and lipid levels in diabetic subjects.Acta Med Scand. 1983;671(suppl):87–90.
Brown L, Rosner B, Willett W, Sacks FM. Cholesterol-lowering effects of dietary fiber: a meta-analysis.Am J Clin Nutr. 1999;69:30–42.
Leinonen KS, Poutanen KS, Mykkänen HM. Rye bread decreases serum total and LDL cholesterol in men with moderately elevated serum cholesterol.J Nutr. 2000;130:164–170.
Reynolds HR, Quiter E, Hunninghake DB. Whole grain oat cereal lowers serum lipids.Top Clin Nutr. 2000;15:74–83.
Truswell SA. Dietary fibre and blood lipids.Curr Opin Lipidol. 1995;6:14–19.
Marakis S. Carob bean in food and feed: current status and future potentials—A critical appraisal.J Food Sci Technol. 1996;3:365–383.
Guggenbichler JP. Adherence of enterobacteria in infantile diarrhea and its prevention.Infection. 1983;11:239–242.
Loeb H, Vandenplas Y, Würsch P, Guesry P. Tannin-rich carob pod for the treatment of acute onset diarrhea.J Pediatr Gastroenterol Nutr. 1989;8:480–485.
Aksit S, CaGlayan S, Cukan R, Yaprak I. Carob bean juice: a powerful adjunct to oral rehydration solution treatment in diarrhoea.Pediatr Perinat Epidemiol. 1998;12:176–181.
Marco Ana MR, De Mora Baltasar RC, Diaz Carlos S, inventors; Compania General del Algarrobo; assignee. Method of making natural carob fiber. Patent No. US5609905 (1997-03-11). 1997.
Pérez-Olleros L, Garcia-Cuevas M, Ruiz-Roso B, Requejo A. Comparative study of natural carob fibre and psyllium husk in rats. Influence on some aspects of nutritional utilisation and lipidaemia.J Sci Food Agric. 1999;79:173–178.
Würsch P. Influence of tannin-rich carob pod fiber on the cholesterol metabolism in the rat.J Nutr. 1979;109:685–692.
Gallaher D, Schneeman B. Intestinal interaction of bile acids, phospholipids, dietary fibers, and cholestyramine.Am J Physiol. 1986;250:G420-G426.
Story JA, Kritchevsky D. Comparison of the binding of various bile acids and bile salts in vitro by several types of fiber.J Nutr. 1976;106:1292–1294.
Narayanan CR, Joshi DD, Mujumdar AM, Dhekne VV. Pinitol—A new anti-diabetic compound from the leaves ofBougainvillaea spectabilis.Curr Sci. 1987;56:139–141.
Hansen BC, Ortmeyer HK. Inositols—Potential roles in insulin action and in diabetes: evidence from insulin-resistant nonhuman primates. In: Shafir E, ed.Lessons from Animal Diabetes, VI. Boston: Birkhäuser Press; 1996:333–348.
Garcia-Cuevas M, Vaquero MP, Perez-Olleros L, Ruiz-Roso B. Utilization from diets containing cellulose, pectin and/or carob fiber (NFC) in rats. Presented at Bioavailability ′97; May 25–28 1997; Wageningen, Germany.
Leopold F, Noack R. Einfluß von Ballaststoffen auf den Lipidstoffwechsel. In: Schulze J, Bock W, eds.Aktuelle Aspekte der Ballaststoffforschung. Hamburg, Germany: Behr Press; 1993:147–155.
Flachowsky G, Schneider A, Schaarmann G. Was sind und was bewirken Ballaststoffe, II: Ernährungsphysiologie.Ernährungs-Umschau. 1994;41:425–453.
Jalili T, Wildman R, Medeiros D. Nutraceutical roles of dietary fiber.J Nutraceut Funct Med Foods. 2000;2:19–34.
Ramsay LE, Yeo WW, Jackson PR. Dietary reduction of serum cholesterol concentration: time to think again.BMJ. 1991;303:953–957.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Zunft, H.J.F., Lüder, W., Harde, A. et al. Carob pulp preparation for treatment of hypercholesterolemia. Adv Therapy 18, 230–236 (2001). https://doi.org/10.1007/BF02853169
Issue Date:
DOI: https://doi.org/10.1007/BF02853169