Plant stanol consumption for cardiovascular health: what do we know about efficacy and safety?

Abstract

Plant stanol ester enriched with different food products has proven to be effective and safe as a dietary hypocholesterolemic tool in approximately 60 published clinical studies during 15 years on the market. In addition to LDL-C lowering by 10% with 2 g of plant stanols/day, it effectively reduces serum plant sterols, and some studies suggest, also serum triglycerides. Increasing the plant stanol dose up to 9 g/day, LDL-C lowering is dose dependent and a 17% LDL-C reduction can be reached with the maximal dose, similar to that of ezetimibe. Plant stanol ester consumption reduces the plant sterol content of arterial walls, and in some, but not all studies, it improves endothelial function, a surrogate marker of preclinical atherosclerosis. However, hard end point studies both for plant stanol and plant sterol consumption are not available.