Randomised trial · Nutrients · 2024Conflicts declared

Plant sterol-enriched palm oil and cholesterol in hyperlipidemic adults

What it found

In 100 adults with high cholesterol, cooking with palm oil enriched with plant sterols lowered total and LDL cholesterol after 8 weeks compared with regular palm oil.

It did not change CRP, a marker of inflammation.

What they found

Studies in people

Cholesterol reduction

Total cholesterol and LDL cholesterol dropped significantly in the plant sterol group compared with the control group. Total cholesterol fell by 6.08% and LDL cholesterol by 7.71% more than in the control group.

Lipid ratios improved

The ratios of total cholesterol to HDL and LDL to HDL were significantly lower in the plant sterol group at the end, both compared with their own start and compared with the control group.

No effect on CRP

There was no significant difference between the two groups in changes in CRP, a marker of inflammation. The plant sterol group did show a small rise in CRP from start to end, but the difference between groups was not significant.

Control group unchanged

In the control group, which received regular palm oil, there were no significant changes in blood lipids or CRP over the 8 weeks.

Plant sterol intake

People in the plant sterol group consumed on average 2.35 grams of plant sterols per day from the enriched oil, within the range estimated to have a cholesterol-lowering effect.

What the authors conclude

“The present study suggests that plant sterol-enriched palm oil used as cooking oil shows a potential to improve blood lipid profile, as evidenced by a significant reduction in total cholesterol and LDL cholesterol level, as well as TC/HDL and LDL/HDL ratios in hyperlipidemic individuals, but it has no similar effect on CRP level.”
Dewi M, Martianto D, Andarwulan N, Kazimierczak R, Średnicka-Tober D, 2024

Also in their conclusions

  • They conclude that plant sterol-enriched palm oil used as cooking oil shows a potential to improve blood lipid profile, as evidenced by a significant reduction in total cholesterol and LDL cholesterol level, as well as TC/HDL and LDL/HDL ratios in hyperlipidemic individuals, but it has no similar effect on CRP level.
  • They say that incorporating plant sterols in palm oil used for cooking could be considered among potential relevant strategies to improve lipid profile, thus reducing cardiovascular risks in hyperlipidemic individuals, along with a healthy diet and lifestyle promotion.
  • They advise that further comprehensive investigation is needed to confirm the efficacy and safety aspects of introducing such phytosterol-enriched product into a habitual diet.

How it was done

The authors wanted to see if palm oil, widely used for cooking in Indonesia, could carry plant sterols and improve blood lipids and inflammation in people with high cholesterol.

They ran an 8-week double-blinded randomised trial in 100 adults aged 25 to 60 with total cholesterol at or above 200 mg/dL in Bogor, Indonesia. Participants replaced their usual cooking oil with either plant sterol-enriched palm oil or regular palm oil. Blood lipids and CRP were measured at the start and end.

What it can’t tell you

  • This trial lasted 8 weeks, so it cannot show what happens over longer periods.
  • The study did not control for all factors that could affect CRP, such as physical activity or other health conditions, so the CRP result is uncertain.
  • The trial was in Indonesian adults with high cholesterol, so the results may not apply to other groups.

The paper

Title
Plant Sterol-Enriched Palm Oil Intervention to Improve Lipid Profile and Inflammation Status in Hyperlipidemic Individuals
Type
Randomised controlled trial
Evidence
Studies in people
Summarised from
Full text
Cite
Dewi M, Martianto D, Andarwulan N, Kazimierczak R, Średnicka-Tober D (2024). Plant Sterol-Enriched Palm Oil Intervention to Improve Lipid Profile and Inflammation Status in Hyperlipidemic Individuals. Nutrients. doi:10.3390/nu16193370Free full textPubMed 39408337DOI

Summary written 26 Sep 2026. Check it against the paper before it changes what you eat. How we summarise papers · Report an error