Carob pulp preparation rich in insoluble fibre lowers total and LDL cholesterol in hypercholesterolemic patients

Eur J Nutr. 2003 Oct;42(5):235-42. doi: 10.1007/s00394-003-0438-y.

Abstract

Background: Recently, insoluble fibre from carob pulp has been found to affect blood lipids in animals in a similar manner as soluble dietary fibre.

Aim of the study: To investigate whether a carob pulp preparation containing high amounts of insoluble fibre has a beneficial effect on serum cholesterol in humans.

Methods: Volunteers (n = 58) with hypercholesterolemia were recruited to participate in a randomised, double- blind, placebo-controlled and parallel arm clinical study with a 6 week intervention phase. All participants consumed daily both, bread (two servings) and a fruitbar (one serving) either with (n = 29) or without (n = 29) a total amount of 15 g/d of a carob pulp preparation (carob fibre). Serum concentrations of total, LDL and HDL cholesterol and triglycerides were assessed at baseline and after week 4 and 6.

Results: The consumption of carob fibre reduced LDL cholesterol by 10.5 +/- 2.2% (p = 0.010). The LDL:HDL cholesterol ratio was marginally decreased by 7.9 +/- 2.2 % in the carob fibre group compared to the placebo group (p = 0.058). Carob fibre consumption also lowered triglycerides in females by 11.3 +/- 4.5% (p = 0.030). Lipid lowering effects were more pronounced in females than in males.

Conclusion: Daily consumption of food products enriched with carob fibre shows beneficial effects on human blood lipid profile and may be effective in prevention and treatment of hypercholesterolemia.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Anticholesteremic Agents / pharmacology
  • Anticholesteremic Agents / therapeutic use
  • Apolipoproteins / blood
  • Cholesterol / blood*
  • Cholesterol, LDL / blood*
  • Dietary Fiber / administration & dosage*
  • Double-Blind Method
  • Female
  • Food, Fortified
  • Galactans
  • Humans
  • Hypercholesterolemia / blood
  • Hypercholesterolemia / drug therapy*
  • Hypercholesterolemia / prevention & control*
  • Male
  • Mannans
  • Middle Aged
  • Phytotherapy / methods
  • Plant Extracts / pharmacology
  • Plant Extracts / therapeutic use
  • Plant Gums
  • Polysaccharides / pharmacology
  • Polysaccharides / therapeutic use*
  • Sex Distribution
  • Time Factors
  • Treatment Outcome
  • Triglycerides / blood

Substances

  • Anticholesteremic Agents
  • Apolipoproteins
  • Cholesterol, LDL
  • Dietary Fiber
  • Galactans
  • Mannans
  • Plant Extracts
  • Plant Gums
  • Polysaccharides
  • Triglycerides
  • Cholesterol
  • locust bean gum