Effect of olive oil & tomato lycopene combination on some CHD risk factors

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Effect of olive oil & tomato lycopene combination on some CHD risk factors Kiran Ahuja Dale Kunde Madeleine Ball School of Human Life Sciences, University of Tasmania, Launceston Funding Clifford Craig Medical Research Trust, Launceston, Tasmania 1

Average fat intake (% energy) in men in the 1960 s* Traditional Mediterranean (Crete) Traditional Japanese (Kyushu) Traditional US Total fat 40 9 40 Saturated fat 8 3 17 Monounsaturated fat Polyunsaturated fat 29 3 17 3 3 6 * Keys et al. Circulation 1970 2

Australia Imports of Olive Oil Year Virgin Refined Tonnes Percent Tonnes Percent 1996-97 4407 21 16890 79 1998-99 5292 23 18020 77 2000-01 7930 27 21691 73 Source International Olive Oil council http://www.internationaloliveoilcouncil.org/tm/australia/imports.html 3

Lycopene Epidemiological data Populations with high intake Populations with high serum levels Populations with high tissue levels Lower risk of heart disease 4

Aims To investigate the effects of two lipid lowering diets high in lycopene on: serum lycopene levels serum lipid profile serum lipid oxidation 5

Methodology Design: randomised cross-over Subjects: 21-70 years, non smoking, not on lipid lowering drugs or supplements LCD 2 days 10 days (OO/HC) Washout Period 16days LCD 2 days 10 days (HC/OO) OO - monounsaturated fat enriched olive oil diet; HC - high carbohydrate low fat diet LCD - low carotenoid diet Fasting bloods day 1,11 Body weight every alternate day 6

Dietary Composition OO diet HC diet Isocaloric to habitual diet Total fat 36-38% 15-17% Controlled Carbohydrate Lycopene 42-44% 63-65% alcohol intake (20.2 mg/day) Protein tomato paste, 15-18% 15-18% tomato soup Controlled fibre, cholesterol, vitamin C Controlled heating temperature and time for cooking Restricted fruit and vegetable intake to control other carotenoid content OO monounsaturated fat enriched olive oil diet; HC high carbohydrate low fat diet 7

Dietary Compliance Provision of some food Diet diaries 8

Study subjects Numbers 21 (6 men, 15 women) Age (years) 44.4 ± 12.3 BMI 24.3 ± 3.5 Total Cholesterol (mmol/l) 5.06 ± 0.8 Mean ± SD 9

Dietary Intake (from 4 day diet records) OO HC Energy (MJ) 8.5 ± 1.5 8.3 ± 1.4 Protein % energy 16.7 ± 2.5 18.1 ± 2.2* Carbohydrate %energy 47.5 ± 4.3 64.7 ± 4.8* Fat % energy 34.4 ± 3.5 16.5 ± 4.0* Monounsaturated (% of total energy) 19.6 ± 2.1 6.4 ± 2.8* Polyunsaturated to Saturated fat ratio 0.8 ± 0.2 0.9 ± 0.4 Fibre (g) 31.0 ± 7.5 32.4 ± 7.5 * Different from OO diet, p<0.05; OO olive oil diet; HC high carbohydrate diet; n = 18, mean + SD

Serum lycopene and lipids Baseline levels no statistically significant difference Both diets increased serum lycopene levels 7 Both diets reduced Total cholesterol and LDL cholesterol 6 mmol/l 5 4 3 OO HC 2 1 0 Lyc TC HDL LDL LDL:HDL TG End (day 11) of diets Statistically different from end of HC diet; OO olive oil diet; HC high carbohydrate low fat diet; n = 21, mean + SD

Serum Oxidation 0.65 Abs max 0.6 Absorbance 0.55 0.5 0.45 0.4 Propagation phase 0.35 0.3 Lag phase 0.25 0 40 80 120 160 200 240 280 320 360 400 Time in minutes 12

Serum Oxidation OO HC 120 110 100 0.7 0.25 Time (minutes) 90 80 70 60 50 40 30 20 10 Abs 0.6 0.5 0.4 0.3 0.2 0.1 0.2 0.15 0.1 0.05 0 0 0 Lag Phase Absmax Max. rate of oxidation OO olive oil diet; HC high carbohydrate low fat diet; n = 16, mean + SEM 13

Summary Similar increase in serum lycopene levels with 15% or 35% of energy from fat in the diet. Better serum lipid profile after olive oil diet. No difference in copper induced serum lipid oxidation. 14

Acknowledgments Clifford Craig Medical Research Trust Grant H.J.Heinz, Melbourne provision of tomato products IGA, Moonah, Tasmania provision of olive oil Participants of the study Ms. Jane Pittaway Dr Dominic Geraghty 15