Lipoprotein Particle Size Distributions in Response to a 6-Week Dietary Intervention Using Different Dairy Food Matrices Including Cheese and Butter

Abstract

Abstract Objectives Most dietary guidelines recommend saturated fat (SFA) intakes to be < 10% of total energy intake, since SFA increase low-density lipoprotein cholesterol (LDL-c) levels, a known risk factor for cardiovascular disease (CVD). However, within LDL-c, small, dense LDL particles are more strongly related to CVD risk than large buoyant particles, and response to SFA vary for different foods. Dairy fat, when eaten as cheese, significantly lowers total cholesterol compared to butter. Here, we aimed to test the effect of the cheese matrix on lipoprotein particle size distribution response in overweight adults aged ≥ 50 years. Methods In this secondary analysis of a 6-week randomised parallel intervention(1); participants received ∼40g dairy fat in 1 of 4 treatments: (A) 120 g of full-fat cheddar cheese (FFCC); (B) reduced-fat cheese plus butter (RFC + B); (C) butter, calcium caseinate powder, and calcium supplement (CaCO3) (BCC); or (D) 120 g FFCC as per (A). Fasting EDTA blood samples at wk. 0 (baseline) and wk. 6 were analysed for lipoprotein particle size distribution via nuclear magnetic resonance (NMR) spectroscopy. To examine extremes in response, those with greatest reduction in LDL-c (n = 15, ‘positive’ responders) were compared to those with the greatest increase in LDL-c (n = 15, ‘negative’ responders). Results Correlation analyses between the change in cholesterol levels and change in particle size distribution suggest a relationship between change in LDL-c, HDL-c, and corresponding particle sizes, which differs dependent on the dairy fat matrix. The correlation of LDL-c and LDL particle (LDL-p) concentration weakened as less fat was present within a cheese matrix, as LDL-c decreased so did total LDL-p, due to larger LDL particles. The positive responders displayed a stronger relationship between change in cholesterol and lipoprotein levels, with the changes in cholesterol driven by the large LDL-p and large HDL-p. Conclusions Lipoprotein particle distribution is correlated with change in cholesterol levels after a 6-week intervention of dairy fat. The changes in LDL-c and HDL-c were driven by the less atherogenic, large LDL-p and large HDL-p which are inversely associated with CVD risk. The overall response in LDL-p to SFA appears to vary, dependent on the dairy food matrix in which the fat was eaten. Funding Sources Food for Health Ireland (FHI). Enterprise Ireland.