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American Journal of Clinical Nutrition, Vol. 69, No. 6, 1135-1143, June 1999
© 1999 American Society for Clinical Nutrition


Original Research Communications

Differential effects of saturated and monounsaturated fatty acids on postprandial lipemia and incretin responses in healthy subjects1,2,3

Claus Thomsen, Ole Rasmussen, Thea Lousen, Jens J Holst, Susanne Fenselau, Jürgen Schrezenmeir and Kjeld Hermansen

Background: Elevations of postprandial triacylglycerol-rich plasma lipoproteins and suppressions of HDL-cholesterol concentrations are considered potentially atherogenic. Long-term studies have shown beneficial effects of monounsaturated fatty acids (eg, oleic acid) on fasting lipid and lipoprotein concentrations in humans. A direct stimulatory effect of oleic acid on the secretion of glucagon-like peptide 1 (GLP-1) was shown in animal studies.

Objective: We compared the postprandial responses of glucose, insulin, fatty acids, triacylglycerol, gastric inhibitory polypeptide (GIP), and GLP-1 to test meals rich in saturated and monounsaturated fatty acids.

Design: Ten young, lean, healthy persons ingested 3 meals: an energy-free soup consumed with 50 g carbohydrate (control meal), the control meal plus 100 g butter, and the control meal plus 80 g olive oil. Triacylglycerol and retinyl palmitate responses were measured in total plasma, in a chylomicron-rich fraction, and in a chylomicron-poor fraction.

Results: No significant differences in glucose, insulin, or fatty acid responses to the 2 fat-rich meals were seen. Plasma triacylglycerol responses were highest after the butter meal, with chylomicron triacylglycerol rising 2.5–5-fold. Retinyl palmitate responses were higher and more prolonged after the butter meal than after the control and olive oil meals, whereas both postprandial HDL-cholesterol concentrations and GLP-1 and GIP responses were higher after the olive oil meal than after the butter meal.

Conclusions: Olive oil induced lower triacylglycerol concentrations and higher HDL-cholesterol concentrations than butter, without eliciting differences in concentrations of glucose, insulin, or fatty acids. Furthermore, olive oil induced higher concentrations of GLP-1 and GIP than did butter, which may point to a relation between fatty acid composition, incretin responses, and triacylglycerol metabolism in the postprandial phase.

Key Words: Saturated fat • monounsaturated fat • glucagon-like peptide 1 • GLP-1 • gastric inhibitory polypeptide • GIP • postprandial phase • triacylglycerol • olive oil • oleic acid • adults • HDL cholesterol • humans • incretins • lipemia




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