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These studies suggest that soluble fibers such as psyllium, pectin, Plantago ovata husk, and konjac glucomannan are effective in lowering cholesterol levels, with chitosan showing the most promising results.
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Dietary fibers, particularly soluble fibers, have been extensively studied for their potential to lower cholesterol levels. This article synthesizes findings from multiple research studies to identify the most effective types of fiber for reducing cholesterol, particularly low-density lipoprotein cholesterol (LDL-C), which is a major risk factor for cardiovascular disease.
Soluble fibers, such as pectin, oat bran, guar gum, and psyllium, have been shown to reduce total and LDL cholesterol levels. A meta-analysis of 67 controlled trials found that consuming 2-10 grams per day of these fibers can lead to small but significant decreases in total cholesterol and LDL cholesterol. The cholesterol-lowering effects of these fibers were similar, indicating that various types of soluble fiber can be effective.
Psyllium and pectin are two types of soluble fiber that have demonstrated significant cholesterol-lowering effects. In a study involving hypercholesterolemic patients, psyllium-enriched cereals reduced total and LDL cholesterol by 5.9% and 5.7%, respectively. Similarly, pectin has been shown to reduce LDL cholesterol in various studies, although its effect on high-density lipoprotein cholesterol (HDL-C) is minimal .
Plantago ovata husk, another soluble fiber, has been found to reduce LDL cholesterol by 6%, total cholesterol by 6%, and triglycerides by 21.6% in hypercholesterolemic patients. This fiber also showed additional benefits, such as reducing oxidized LDL, insulin levels, and systolic blood pressure, making it a comprehensive option for individuals with multiple cardiovascular risk factors.
Konjac glucomannan (KJM) is a viscous soluble fiber that has shown promising results in lowering LDL cholesterol and non-HDL cholesterol. A systematic review and meta-analysis of randomized controlled trials found that consuming approximately 3 grams of KJM per day can reduce LDL cholesterol by 10% and non-HDL cholesterol by 7%.
The cholesterol-lowering effects of soluble fibers are attributed to several mechanisms. These fibers can form viscous gels in the gut, which bind bile acids and cholesterol, reducing their absorption. This process increases the excretion of bile acids, prompting the liver to use more cholesterol to produce bile acids, thereby lowering blood cholesterol levels .
Various types of soluble fiber, including psyllium, pectin, Plantago ovata husk, and konjac glucomannan, have been shown to effectively lower LDL cholesterol and total cholesterol levels. While the effects are generally modest, incorporating these fibers into a balanced diet can contribute to overall cardiovascular health. For individuals with hypercholesterolemia or multiple cardiovascular risk factors, these fibers can be a valuable part of dietary therapy.
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