Plant sterol and stanol intake in Finland: a comparison between users and nonusers of plant sterol- and plant stanol-enriched foods

Eur J Clin Nutr. 2014 May;68(5):587-91. doi: 10.1038/ejcn.2014.3. Epub 2014 Feb 12.

Abstract

BACKGROUND/ OBJECTIVES: We evaluated plant sterol and stanol (PS) intakes from natural sources and enriched foods in the Finnish population-based national FINDIET 2007 Survey. In addition, we compared the users and nonusers of PS-enriched foods in terms of their characteristics and dietary intake.

Subjects/methods: This was a cross-sectional population-based study on 958 men and 1080 women aged 25-74. Users and nonusers of PS-enriched products were compared with respect to sex, age, education, region, cholesterol-lowering medication and cholesterol-lowering diet. Intakes of PS, energy, energy nutrients, fat composition, cholesterol and dietary fibre were calculated on the basis of a 48-h dietary recall. The distribution of PS intake was assessed for the users of enriched products.

Results: PS-enriched foods were used by 9.5% of all subjects. The usage increased significantly with age (P<0.001) and level of education (P=0.01). The usage of enriched products was more common among those following a cholesterol-lowering medication or diet (P<0.001 for both). Among users, the mean intake of PS was 2.2 g/d for men and 1.6 g/d for women, and among nonusers it was 363 mg/d for men and 286 mg/d for women. The majority of users received less than 2 g/d of PS from enrichment, but 20% of users obtained more than 3 g of PS per day.

Conclusions: The intake of PS can reach several grams in a subgroup of subjects consuming PS-enriched foods. The manufacturers' recommendations on PS-enriched food consumption are not consistently followed, and customer guidance needs to be improved.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Anticholesteremic Agents / administration & dosage
  • Cholesterol, LDL / blood
  • Cross-Sectional Studies
  • Diet Records
  • Diet, Fat-Restricted
  • Feeding Behavior*
  • Female
  • Finland
  • Food, Fortified*
  • Humans
  • Male
  • Mental Recall
  • Middle Aged
  • Nutrition Surveys
  • Phytosterols / administration & dosage*
  • Sitosterols / administration & dosage*

Substances

  • Anticholesteremic Agents
  • Cholesterol, LDL
  • Phytosterols
  • Sitosterols
  • plant stanol ester