Introduction: The increase in total and LDL cholesterol is one of the major risk factors of atherosclerosis, which may cause coronary heart disease. Consumption of soy protein in place of animal protein may reduce levels of total and LDL cholesterol. Tempeh is made from fermented soybeans by Rhizopus oryzae sp., which is often consumed by Indonesian. The objective of this study was to determine the effect of 2.4 and 4.5 g steamed tempeh on level of total and LDL cholesterol. Method: The laboratory experimental study with completely randomised design was applied in this research. The 24 Wistar-male rats were divided into four groups (n = 6) during 4 weeks. Group I were fed standard diet (pellets), group II were fed high fat diet and Propyl thio uracil (PTU) 0.01%, group III were fed 2.4 g/day steamed tempeh, high fat diet, and PTU 0.01%, and group IV were fed 4.5 g/day steamed tempeh, high fat diet, and PTU 0.01%. The total and LDL cholesterol levels were measured on first day and 29th. Data were analyzed by One-way ANOVA, and followed by Post-Hoc using Duncan’s test with 95% confidence interval ( = 0.05%). Result: The study showed that steamed tempeh had significant value (p < 0.05) in reducing total and LDL cholesterol levels. There was no significant difference between 2.4 group and 4.5 group in percentage of reducing total and LDL cholesterol levels (p < 0.001%). The mean reduction of total cholesterol levels in group of 2, 4 g steamed-tempeh was 15.50 (5.08)mg/dL or 23.75%, and in the group of 4.5 steamed-tempeh was 19.5 (11.67)mg/dL or 27.71%, compared to 3.0 (1.09)mg/dl or 4.54% in the standard diet group, while the high fat diet group had increased by 13.83 (6.61)mg/dl or 20.38%. The mean reduction of LDL cholesterol in 2.4 g steamed-tempeh group was 9.33 (1.03)mg/dl or 56.15%, and the 4.5 g steamed-tempeh group was 11.00 (1.78)mg/dl or 64.06%, while the standard diet group and high fat diet group had increased by 0.16 (4.18)mg/dl or 1.52% and 13.5 (1.32)mg/dl or 14.4%, respectively. Conclusion: 2.4 and 4.5 g steamed tempeh per day reduced total and LDL cholesterol level, but there was no difference between the two groups in the percentage reduction in total and LDL cholesterol.
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