Cardiovascular Risk Factor Clinical Trial
Official title:
Red Palm Olein and Cardiovascular Health
Red palm oil is obtained from crude palm oil through a novel low-temperature process. Owing to this special process, RPO possesses a special flavour and aroma, and is rich in phytonutrients that include carotenes, vitamin E, phytosterols, phospholipids, squalene, phenolic acids, flavonoids and co-enzyme Q10. These phytonutrients are the main constituents through which palm oil exhibits its nutritional properties. Among the major health promoting properties are anti-cancer, cardio-protection, anti-angiogenesis, cholesterol inhibition, brain development and neuro-protective properties, antioxidative defence mechanisms, provitamin A activity and anti-diabetes. As red palm oil has variety of phytonutrients and health benefits, the potential of improved cardiovascular health should be considered to understand better and thus treasure more our golden oil.
The oil palm Elaeis guineesis, is the source of palm oil - the 'tropical golden oil'.
Malaysia is the world's largest exporter of this golden oil. Triglycerides constitute the
major component of crude palm oil, with smaller proportions of diglycerides and
monoglycerides. The oil also contains other minor constituents, such as free fatty acids and
phytonutrients. This composition determines the oil's physical, chemical and physiological
characteristics. In food application, palm oil not only imparts functional properties as a
heating medium (as in frying of foods) and in having spreadability (as in formulations for
solid fat products like margarines and shortenings), but is also a good source of
phytonutrients. Although the phytonutrients constitute only about 1% of its weight in crude
palm oil, these are the main constituents through which palm oil exhibits its nutritional
properties. Among the major health promoting properties shown to be associated with the
various types of phytonutrients present in palm oil are anti-cancer, cardio-protection and
anti-angiogenesis, cholesterol inhibition, brain development and neuro-protective
properties, antioxidative defence mechanisms, provitamin A activity and anti-diabetes. Red
palm oil (RPO) is obtained from crude palm oil through a novel low-temperature process.
Owing to this special process, RPO possesses a special flavour and aroma, and is rich in
phytonutrients that include carotenes (thus giving the oil a bright red colour), vitamin E,
phytosterols, phospholipids, squalene, phenolic acids, flavonoids and co-enzyme Q10.
Little is known about the physiological effects of red palm oil. The link between dietary
fats and cardiovascular diseases has always been controversial in the context of palm oil.
Narang et al., 2004 demonstrated that the anti-oxidant vitamins in palm olein play a vital
role in the protection of the rat's heart against oxidative stress induced by
ischemic-reperfusion injury. The unique isomeric position of its fatty acids and the
presence of tocotrienols cause the endogenous cholesterol level to drop. Besides palm oil
could reduce the risk of arterial thrombosis and atherosclerosis, inhibit endogenous
cholesterol biosynthesis, platelet aggregation, and reduce blood pressure. The composition
of palm oil with an unsaturated-to-saturated fatty acid ratio close to one and rich in
antioxidants vitamins could attenuate the progression of salt-induced hypertension and
mortality in rats by modulation of endothelial function and reduction in oxidative stress.
In Chinese diet preparation, Zhang et al.,2003 demonstrated that red palm oil is a good
source of carotenoids and vitamin E, and it could significantly increase plasma
concentration of alpha-carotene, beta-carotene, lycopene and alpha-tocopherol. Following a
chronic human study, Scholtz et al., 2004 observed that red palm olein had less detrimental
effects on the lipid profile and decreased tissue plasminogen activator antigen as compared
to palm olein. As red palm oil has variety of phytonutrients and health benefits, the
potential of improved cardiovascular health should be considered to understand better and
thus treasure more our golden oil. The present study was designed to investigate the effect
of consumption of red palm olein on inflammatory and metabolic risk markers
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Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Single Blind (Investigator), Primary Purpose: Prevention
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