human
***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: We have compared the effects of three different margarines , one based on palm oil ( PALM-margarine ) , one based on partially hydrogenated soybean oil ( TRANS-margarine ) and one with a high content of polyunsaturated fatty acids ( PUFA-margarine ) , on serum lipids in 27 young women . The main purpose of the study was to test if replacement of trans fatty acids in margarine by palmitic acid results in unfavorable effects on serum lipids . The sum of saturated fatty acids ( 12∶0 , 14∶0 , 16∶0 ) was 36.3 % of total fatty acids in the PALM-diet , the same as the sum of saturated ( 12∶0 , 14∶0 , 16∶0 ) ( 12.5 % ) and trans ( 23.1 % ) fatty acids in the TRANS-diet . This sum was 20.7 % in the PUFA-diet . The content of oleic acid was 37.9 , 35.2 , and 38.6 % , respectively , in the three diets , whereas linoleic acid amounted to 16 , 13.5 , and 27.3 % , respectively . Total fat provided 30–31 % and the test margarines 26 % of total energy in all three diets . The subjects consumed each of the diets for 17 d in a Latin-square crossover design . There were no significant differences in total cholesterol , low density lipoprotein (LDL)-cholesterol and apolipoprotein B ( apoB ) between the TRANS- and the PALM-diets . High density lipoprotein (HDL)-cholesterol and apoA-I were significantly higher on the PALM-diet compared to the TRANS-diet whereas the ratio of LDL-cholesterol to HDL-cholesterol was lower , although not significantly ( P=0.077 ) on the PALM-diet . Total cholesterol , LDL-cholesterol , and apoB were significantly lower on the PUFA-diet compared to the two other diets . HDL-cholesterol was not different on the PALM- and the PUFA-diets but it was significantly lower on the TRANS-diet compared to the PUFA diet . Compared to the PUFA-diet  the ratio of LDL-to HDL-cholesterol was higher on both the PALM- and the TRANS-diets whereas apoA-I was not different . Triglycerides and lipoprotein ( a ) were not significantly different among the three diets . We concluded that nutritionally , palmitic acid from palm oil may be a reasonable alternative to trans fatty acids from partially hydrogenated soybean oil in margarine if the aim is to avoid trans fatty acids . A palm oil-based margarine is , however , less favorable than one based on a more polyunsaturated vegetable oil Knowledge about the effects of dietary fats on sub clinical inflammation and cardiovascular disease risk are mainly derived from studies conducted in Western population s. Little information is available on South East Asian countries . This current study investigated the chronic effects on serum inflammatory markers , lipids , and lipoproteins of three vegetable oils . Healthy , normolipidemic subjects ( n = 41 ; 33 females , 8 males ) completed a r and omized , single-blind , crossover study . The subjects consumed high oleic palm olein ( HOPO diet : 15 % of energy 18:1n-9 , 9 % of energy 16:0 ) , partially hydrogenated soybean oil ( PHSO diet : 7 % of energy 18:1n-9 , 10 % of energy 18:1 trans ) and an unhydrogenated palm stearin ( PST diet : 11 % of energy 18:1n-9 , 14 % of energy 16:0 ) . Each dietary period lasted 5 weeks with a 7 days washout period . The PHSO diet significantly increased serum concentrations of high sensitivity C-reactive protein compared to HOPO and PST diets ( by 26 , 23 % , respectively ; P < 0.05 for both ) and significantly decreased interleukin-8 ( IL-8 ) compared to PST diet ( by 12 % ; P < 0.05 ) . In particular PHSO diet , and also PST diet , significantly increased total : HDL cholesterol ratio compared to HOPO diet ( by 23 , 13 % , respectively ; P < 0.05 ) , with the PST diet having a lesser effect than the PHSO diet ( by 8 % ; P < 0.05 ) . The use of vegetable oils in their natural state might be preferred over one that undergoes the process of hydrogenation in modulating blood lipids and inflammation BACKGROUND Structured lipids are being incorporated into foods to reduce their energy value . One such lipid is rich in stearic acid . OBJECTIVE The objective of this study was to compare the effects on plasma lipids of a stearic acid-rich triacylglycerol and a fat rich in palmitic acid in hypercholesterolemic subjects . DESIGN Fifteen subjects with an average plasma cholesterol concentration of 6.13 + /- 0.80 mmol/L initially ate a low-fat diet for 2 wk ( run-in period ) , followed in r and om order and blinded fashion by 2 high-fat diets ( for 5 wk each ) containing foods derived from margarines rich either in palmitic acid or in the structured , stearic acid-rich triacylglycerol . RESULTS Plasma cholesterol concentrations with the low-fat , the stearic acid-rich , and the palmitic acid-rich diets were not significantly different ( 5.35 + /- 0.83 , 5.41 + /- 0.78 , and 5.52 + /- 0.68 mmol/L , respectively ) but were significantly lower ( P < 0.001 ) than those measured during the habitual diet period ( ie , 2 wk before the study began ) . Neither HDL cholesterol nor plasma triacylglycerol differed significantly among the 3 study diets . CONCLUSION A similar increase in the intake of stearic and palmitic acids ( differing by approximately 5 % of total energy ) to ensure a high fat intake result ed in plasma total and LDL-cholesterol concentrations that did not differ significantly from concentrations measured during a period of low-fat intake Although dietary trans fatty acids can affect  plasma lipoproteins negatively in humans , no direct comparison with specific saturated fatty acids has been reported , even though trans fatty acids were design ed to replace saturates in foods and food processing . In this study , dietary trans 18:1 [ elaidic acid at 5.5 % energy ( en ) ] was specifically exchanged for cis 18:1 , 16:0 or 12:0 + 14:0 in 27 male and female subjects consuming moderate fat ( 31 % en ) , low cholesterol ( < 225 mg/d ) whole food diets  during 4-wk diet periods in a crossover design . The trans-rich fat significantly elevated total cholesterol and LDL cholesterol relative to the 16:0-rich and 18:1-rich fats and uniquely depressed HDL cholesterol relative to all of the fats tested . Trans fatty acids also elevated lipoprotein ( a ) [ Lp(a ) ] values relative to all dietary treatments . Furthermore , identical effects on lipoproteins were elicited by 16:0 and cis 18:1 in these subjects . The current results suggest that elaidic acid , one of the principal trans isomers produced during industrial hydrogenation of edible oils , adversely affects plasma lipoproteins . Thus , the negative effect of elaidic acid on the lipoprotein profile of humans appears to be unmatched by any other natural fatty acid(s ) BACKGROUND The fatty acid content and saturation degree of the diet can modulate HDL composition and cholesterol efflux . OBJECTIVE We studied the modifications in plasma lipoprotein particles and serum capacity to stimulate cholesterol efflux induced by different fatty acids . DESIGN Seventeen women and 24 men followed in the same sequence 4 diets containing 35 % of total energy as fat . The saturated fat diet contained 17 % palm oil ; the monounsaturated fat diet , 20.9 % olive oil ; the n-6 polyunsaturated fat diet , 12.5 % sunflower oil ; and the n-3 polyunsaturated fat diet , sunflower oil supplemented with 4 - 4.5 g fish oil/d . Each phase lasted 4 - 5 wk . RESULTS In both sexes , apolipoprotein ( apo ) A-I concentrations were significantly lower with unsaturated fat diets than with the saturated fat diet , but concentrations of lipoproteins containing only apo A-I ( Lp A-I ) were lower only in the men . Concentrations of lipoproteins containing both apo A-I and apo A-II ( Lp A-I : A-II ) were lower with both polyunsaturated fat diets in the women but significantly higher in the men . Lp E concentrations were significantly higher with the 2 polyunsaturated fat diets . Lp E non-B particle concentrations were not modified in the men but were significantly higher in the women in both polyunsaturated fat phases . Lp C-III concentrations were higher with the saturated fat diet only in the men . The serum sample s taken after the n-3 polyunsaturated fat phase were the most efficient for extracting cellular cholesterol in both sexes . CONCLUSIONS The monounsaturated and polyunsaturated fat diets were healthier , producing a better lipid profile . The n-3 polyunsaturated fat diet increased the capacity of serum to promote the efflux of cholesterol from cells in culture The effect of fats high in individual , prevalent saturated dietary fatty acids on lipoproteins and hemostatic variables in young healthy subjects was evaluated in a r and omized strictly controlled metabolic feeding study . Three experimental diets : shea butter ( S ; 42 % stearic acid ) , palm oil ( P ; 43 % palmitic palmitic acid ) , and palm-kernel oil with high-oleic sunflower oil ( ML ; 10 % myristic acid , 30 % lauric acid ) were served to 15 men for 3 wk each , separated by washout periods . Diet S compared with diet P result ed in significant reduction in plasma cholesterol ( 22 % ) LDL cholesterol ( 26 % ) , apolipoprotein B ( 18 % ) , HDL cholesterol ( 12 % ) , apolipoprotein A-I ( 13 % ) , and a 13 % lower factor VII coagulant activity ( P = 0.001 ) . Similar differences were observed between diets S and ML . In conclusion , intake of shea butter high in stearic acid favorably affects blood lipids and factor VII coagulant activity in young men , compared with fats high in saturated fatty acids with 12 - 16 carbons The hypothesis that myristic acid ( C14:0 ) has a stronger cholesterol-increasing potential than does palmitic acid is based on very few experimental observations . A r and omized , strictly controlled dietary study was therefore design ed to investigate the effect of a synthetic fat that was high in myristic acid , and palm oil , which is high in palmitic acid , on lipoproteins and hemostatic variables . Twelve men were served two diets ( 40 % of energy as fat ) with 41 % of fat as myristic ( diet M ) or palmitic acid ( diet P ) for 3 wk with 1 mo between the two dietary schedules . Plasma HDL cholesterol was 8 % higher with diet M than with diet P : 1.10 + /- 0.06 ( mean + /- SEM ) vs 1.01 + /- 0.05 mmol/L ( P < 0.006 ) . Diet M raised factor VII coagulant ( F VIIc ) activity to 98 % ( 77 - 117 % ) vs 96 % ( 71 - 109 % ) ( medians and ranges ) after diet P ( P = 0.02 ) . Total and LDL-cholesterol concentrations did not differ between the diets . In conclusion , the myristic acid test fat was not more cholesterolemic than was palm oil , but it did induce a minor rise in F VIIc activity Twenty-one healthy normocholesterolemic young adults , men and women , completed a r and omized 30-d/30-d crossover comparison of the effect of palmolein and olive oil on plasma lipids . The subjects were free-living volunteers who changed to low-fat diets  to which one of the test oils was added ( used as a spread , for baking , or for frying ) in turn . Complete food records were kept throughout : the test oils were compared at 17 % of total dietary energy . Under the conditions of this experiment plasma total and low-density-lipoprotein ( LDL ) cholesterol were almost identical with the two oils , so that when the palmitic acid ( 16:0 ) in palm oil replaced oleic acid ( 18:1 ) in olive oil the expected increase in LDL cholesterol was not seen . These results indicate that 16:0 , though saturated , is not always a plasma cholesterol-raising fatty acid . Palmolein is rich in 
    Output:
    
agent
Comparison of PO diets with diets rich in stearic acid , monounsaturated fatty acids ( MUFAs ) , and polyunsaturated fatty acids ( PUFAs ) showed significantly higher TC , LDL cholesterol , apolipoprotein B , HDL cholesterol , and apolipoprotein A-I , whereas most of the same biomarkers were significantly lower when compared with diets rich in myristic/lauric acid .
Comparison of PO-rich diets with diets rich in trans fatty acids showed significantly higher concentrations of HDL cholesterol and apolipoprotein A-I and significantly lower apolipoprotein B , triacylglycerols , and TC/HDL cholesterol .
Stratified and meta-regression analyses showed that the higher concentrations of TC and LDL cholesterol , when PO was substituted for MUFAs and PUFAs , were not significant in young people and in subjects with diets with a lower percentage of energy from fat .
Both favorable and unfavorable changes in CHD/CVD risk markers occurred when PO was substituted for the primary dietary fats , whereas only favorable changes occurred when PO was substituted for trans fatty acids .
***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: We have compared the effects of three different margarines , one based on palm oil ( PALM-margarine ) , one based on partially hydrogenated soybean oil ( TRANS-margarine ) and one with a high content of polyunsaturated fatty acids ( PUFA-margarine ) , on serum lipids in 27 young women . The main purpose of the study was to test if replacement of trans fatty acids in margarine by palmitic acid results in unfavorable effects on serum lipids . The sum of saturated fatty acids ( 12∶0 , 14∶0 , 16∶0 ) was 36.3 % of total fatty acids in the PALM-diet , the same as the sum of saturated ( 12∶0 , 14∶0 , 16∶0 ) ( 12.5 % ) and trans ( 23.1 % ) fatty acids in the TRANS-diet . This sum was 20.7 % in the PUFA-diet . The content of oleic acid was 37.9 , 35.2 , and 38.6 % , respectively , in the three diets , whereas linoleic acid amounted to 16 , 13.5 , and 27.3 % , respectively . Total fat provided 30–31 % and the test margarines 26 % of total energy in all three diets . The subjects consumed each of the diets for 17 d in a Latin-square crossover design . There were no significant differences in total cholesterol , low density lipoprotein (LDL)-cholesterol and apolipoprotein B ( apoB ) between the TRANS- and the PALM-diets . High density lipoprotein (HDL)-cholesterol and apoA-I were significantly higher on the PALM-diet compared to the TRANS-diet whereas the ratio of LDL-cholesterol to HDL-cholesterol was lower , although not significantly ( P=0.077 ) on the PALM-diet . Total cholesterol , LDL-cholesterol , and apoB were significantly lower on the PUFA-diet compared to the two other diets . HDL-cholesterol was not different on the PALM- and the PUFA-diets but it was significantly lower on the TRANS-diet compared to the PUFA diet . Compared to the PUFA-diet  the ratio of LDL-to HDL-cholesterol was higher on both the PALM- and the TRANS-diets whereas apoA-I was not different . Triglycerides and lipoprotein ( a ) were not significantly different among the three diets . We concluded that nutritionally , palmitic acid from palm oil may be a reasonable alternative to trans fatty acids from partially hydrogenated soybean oil in margarine if the aim is to avoid trans fatty acids . A palm oil-based margarine is , however , less favorable than one based on a more polyunsaturated vegetable oil Knowledge about the effects of dietary fats on sub clinical inflammation and cardiovascular disease risk are mainly derived from studies conducted in Western population s. Little information is available on South East Asian countries . This current study investigated the chronic effects on serum inflammatory markers , lipids , and lipoproteins of three vegetable oils . Healthy , normolipidemic subjects ( n = 41 ; 33 females , 8 males ) completed a r and omized , single-blind , crossover study . The subjects consumed high oleic palm olein ( HOPO diet : 15 % of energy 18:1n-9 , 9 % of energy 16:0 ) , partially hydrogenated soybean oil ( PHSO diet : 7 % of energy 18:1n-9 , 10 % of energy 18:1 trans ) and an unhydrogenated palm stearin ( PST diet : 11 % of energy 18:1n-9 , 14 % of energy 16:0 ) . Each dietary period lasted 5 weeks with a 7 days washout period . The PHSO diet significantly increased serum concentrations of high sensitivity C-reactive protein compared to HOPO and PST diets ( by 26 , 23 % , respectively ; P < 0.05 for both ) and significantly decreased interleukin-8 ( IL-8 ) compared to PST diet ( by 12 % ; P < 0.05 ) . In particular PHSO diet , and also PST diet , significantly increased total : HDL cholesterol ratio compared to HOPO diet ( by 23 , 13 % , respectively ; P < 0.05 ) , with the PST diet having a lesser effect than the PHSO diet ( by 8 % ; P < 0.05 ) . The use of vegetable oils in their natural state might be preferred over one that undergoes the process of hydrogenation in modulating blood lipids and inflammation BACKGROUND Structured lipids are being incorporated into foods to reduce their energy value . One such lipid is rich in stearic acid . OBJECTIVE The objective of this study was to compare the effects on plasma lipids of a stearic acid-rich triacylglycerol and a fat rich in palmitic acid in hypercholesterolemic subjects . DESIGN Fifteen subjects with an average plasma cholesterol concentration of 6.13 + /- 0.80 mmol/L initially ate a low-fat diet for 2 wk ( run-in period ) , followed in r and om order and blinded fashion by 2 high-fat diets ( for 5 wk each ) containing foods derived from margarines rich either in palmitic acid or in the structured , stearic acid-rich triacylglycerol . RESULTS Plasma cholesterol concentrations with the low-fat , the stearic acid-rich , and the palmitic acid-rich diets were not significantly different ( 5.35 + /- 0.83 , 5.41 + /- 0.78 , and 5.52 + /- 0.68 mmol/L , respectively ) but were significantly lower ( P < 0.001 ) than those measured during the habitual diet period ( ie , 2 wk before the study began ) . Neither HDL cholesterol nor plasma triacylglycerol differed significantly among the 3 study diets . CONCLUSION A similar increase in the intake of stearic and palmitic acids ( differing by approximately 5 % of total energy ) to ensure a high fat intake result ed in plasma total and LDL-cholesterol concentrations that did not differ significantly from concentrations measured during a period of low-fat intake Although dietary trans fatty acids can affect  plasma lipoproteins negatively in humans , no direct comparison with specific saturated fatty acids has been reported , even though trans fatty acids were design ed to replace saturates in foods and food processing . In this study , dietary trans 18:1 [ elaidic acid at 5.5 % energy ( en ) ] was specifically exchanged for cis 18:1 , 16:0 or 12:0 + 14:0 in 27 male and female subjects consuming moderate fat ( 31 % en ) , low cholesterol ( < 225 mg/d ) whole food diets  during 4-wk diet periods in a crossover design . The trans-rich fat significantly elevated total cholesterol and LDL cholesterol relative to the 16:0-rich and 18:1-rich fats and uniquely depressed HDL cholesterol relative to all of the fats tested . Trans fatty acids also elevated lipoprotein ( a ) [ Lp(a ) ] values relative to all dietary treatments . Furthermore , identical effects on lipoproteins were elicited by 16:0 and cis 18:1 in these subjects . The current results suggest that elaidic acid , one of the principal trans isomers produced during industrial hydrogenation of edible oils , adversely affects plasma lipoproteins . Thus , the negative effect of elaidic acid on the lipoprotein profile of humans appears to be unmatched by any other natural fatty acid(s ) BACKGROUND The fatty acid content and saturation degree of the diet can modulate HDL composition and cholesterol efflux . OBJECTIVE We studied the modifications in plasma lipoprotein particles and serum capacity to stimulate cholesterol efflux induced by different fatty acids . DESIGN Seventeen women and 24 men followed in the same sequence 4 diets containing 35 % of total energy as fat . The saturated fat diet contained 17 % palm oil ; the monounsaturated fat diet , 20.9 % olive oil ; the n-6 polyunsaturated fat diet , 12.5 % sunflower oil ; and the n-3 polyunsaturated fat diet , sunflower oil supplemented with 4 - 4.5 g fish oil/d . Each phase lasted 4 - 5 wk . RESULTS In both sexes , apolipoprotein ( apo ) A-I concentrations were significantly lower with unsaturated fat diets than with the saturated fat diet , but concentrations of lipoproteins containing only apo A-I ( Lp A-I ) were lower only in the men . Concentrations of lipoproteins containing both apo A-I and apo A-II ( Lp A-I : A-II ) were lower with both polyunsaturated fat diets in the women but significantly higher in the men . Lp E concentrations were significantly higher with the 2 polyunsaturated fat diets . Lp E non-B particle concentrations were not modified in the men but were significantly higher in the women in both polyunsaturated fat phases . Lp C-III concentrations were higher with the saturated fat diet only in the men . The serum sample s taken after the n-3 polyunsaturated fat phase were the most efficient for extracting cellular cholesterol in both sexes . CONCLUSIONS The monounsaturated and polyunsaturated fat diets were healthier , producing a better lipid profile . The n-3 polyunsaturated fat diet increased the capacity of serum to promote the efflux of cholesterol from cells in culture The effect of fats high in individual , prevalent saturated dietary fatty acids on lipoproteins and hemostatic variables in young healthy subjects was evaluated in a r and omized strictly controlled metabolic feeding study . Three experimental diets : shea butter ( S ; 42 % stearic acid ) , palm oil ( P ; 43 % palmitic palmitic acid ) , and palm-kernel oil with high-oleic sunflower oil ( ML ; 10 % myristic acid , 30 % lauric acid ) were served to 15 men for 3 wk each , separated by washout periods . Diet S compared with diet P result ed in significant reduction in plasma cholesterol ( 22 % ) LDL cholesterol ( 26 % ) , apolipoprotein B ( 18 % ) , HDL cholesterol ( 12 % ) , apolipoprotein A-I ( 13 % ) , and a 13 % lower factor VII coagulant activity ( P = 0.001 ) . Similar differences were observed between diets S and ML . In conclusion , intake of shea butter high in stearic acid favorably affects blood lipids and factor VII coagulant activity in young men , compared with fats high in saturated fatty acids with 12 - 16 carbons The hypothesis that myristic acid ( C14:0 ) has a stronger cholesterol-increasing potential than does palmitic acid is based on very few experimental observations . A r and omized , strictly controlled dietary study was therefore design ed to investigate the effect of a synthetic fat that was high in myristic acid , and palm oil , which is high in palmitic acid , on lipoproteins and hemostatic variables . Twelve men were served two diets ( 40 % of energy as fat ) with 41 % of fat as myristic ( diet M ) or palmitic acid ( diet P ) for 3 wk with 1 mo between the two dietary schedules . Plasma HDL cholesterol was 8 % higher with diet M than with diet P : 1.10 + /- 0.06 ( mean + /- SEM ) vs 1.01 + /- 0.05 mmol/L ( P < 0.006 ) . Diet M raised factor VII coagulant ( F VIIc ) activity to 98 % ( 77 - 117 % ) vs 96 % ( 71 - 109 % ) ( medians and ranges ) after diet P ( P = 0.02 ) . Total and LDL-cholesterol concentrations did not differ between the diets . In conclusion , the myristic acid test fat was not more cholesterolemic than was palm oil , but it did induce a minor rise in F VIIc activity Twenty-one healthy normocholesterolemic young adults , men and women , completed a r and omized 30-d/30-d crossover comparison of the effect of palmolein and olive oil on plasma lipids . The subjects were free-living volunteers who changed to low-fat diets  to which one of the test oils was added ( used as a spread , for baking , or for frying ) in turn . Complete food records were kept throughout : the test oils were compared at 17 % of total dietary energy . Under the conditions of this experiment plasma total and low-density-lipoprotein ( LDL ) cholesterol were almost identical with the two oils , so that when the palmitic acid ( 16:0 ) in palm oil replaced oleic acid ( 18:1 ) in olive oil the expected increase in LDL cholesterol was not seen . These results indicate that 16:0 , though saturated , is not always a plasma cholesterol-raising fatty acid . Palmolein is rich in 
    Output:
    