title: Intake of individual saturated fatty acids and risk of coronary heart disease in US men and women: two prospective longitudinal cohort studies Trans (elaidic) fatty acids adversely affect the lipoprotein profile relative to specific saturated fatty acids in humans. Comparison of palmolein and olive oil: effects on plasma lipids and vitamin E in young adults. Comparison of the effects of diets enriched in lauric, palmitic, or oleic acids on serum lipids and lipoproteins in healthy women and men. Nonhypercholesterolemic effects of a palm oil diet in Chinese adults. Palm olein increases plasma cholesterol moderately compared with olive oil in healthy individuals. Impact of myristic acid versus palmitic acid on serum lipid and lipoprotein levels in healthy women and men. Effects of palm olein and olive oil on serum lipids in a Chinese population: a randomized, double-blind, cross-over trial. Comparison of plasma lipids and vitamin E in young and middle-aged subjects on potato crisps fried in palmolein and highly oleic sunflower oil. Serum lipoproteins of healthy persons fed a low-fat diet or a polyunsaturated fat diet for three months. A comparison of two cholesterol-lowering diets. Characteristics of human hypo- and hyperresponders to dietary cholesterol. Diets high in palmitic acid (16:0), lauric and myristic acids (12:0 + 14:0), or oleic acid (18:1) do not alter postprandial or fasting plasma homocysteine and inflammatory markers in healthy Malaysian adults. Effect of dietary stearic acid on plasma cholesterol and lipoprotein levels. 
  Exchanging partially hydrogenated fat
  for palmitic acid in the diet increases
  LDL-cholesterol and endogenous
  cholesterol synthesis in
  normocholesterolemic women
abstract: Objectives To investigate the association between long term intake of individual saturated fatty acids ( SFAs ) and the  risk of coronary heart disease  , in two large cohort studies . Design Prospect i ve , longitudinal cohort study . Setting Health professionals in the United States . Participants 73 147 women in the Nurses ’ Health Study ( 1984 - 2012 ) and 42 635 men in the Health Professionals Follow-up Study ( 1986 - 2010 ) , who were free of major chronic diseases at baseline . Main outcome measure Incidence of coronary heart disease ( n=7035 ) was self-reported , and related deaths were identified by search ing National Death Index or through report of next of kin or postal authority . Cases were confirmed by medical records review . Results Mean intake of SFAs  accounted for 9.0 - 11.3 % energy intake over time , and was mainly composed of lauric acid ( 12:0 ) , myristic acid ( 14:0 ) , palmitic acid ( 16:0 ) , and stearic acid ( 18:0 ; 8.8 - 10.7 % energy ) . Intake of 12:0 , 14:0 , 16:0 and 18:0 were highly correlated , with Spearman correlation coefficients between 0.38 and 0.93 ( all P<0.001 ) . Comparing the highest to the lowest groups of individual SFA intakes , hazard ratios of coronary heart disease were 1.07 ( 95 % confidence interval 0.99 to 1.15 ; Ptrend=0.05 ) for 12:0 , 1.13 ( 1.05 to 1.22 ; Ptrend<0.001 ) for 14:0 , 1.18 ( 1.09 to 1.27 ; Ptrend<0.001 ) for 16:0 , 1.18 ( 1.09 to 1.28 ; Ptrend<0.001 ) for 18:0 , and 1.18 ( 1.09 to 1.28 ; Ptrend<0.001 ) for all four SFAs combined ( 12:0 - 18:0 ) , after multivariate adjustment of lifestyle factors and total energy intake . Hazard ratios of coronary heart disease for isocaloric replacement of 1 % energy from 12:0 - 18:0 were 0.92 ( 95 % confidence interval 0.89 to 0.96 ; P<0.001 ) for polyunsaturated fat , 0.95 ( 0.90 to 1.01 ; P=0.08 ) for monounsaturated fat , 0.94 ( 0.91 to 0.97 ; P<0.001 ) for whole grain carbohydrates , and 0.93 ( 0.89 to 0.97 ; P=0.001 ) for plant proteins . For individual SFAs , the lowest risk of coronary heart disease was observed when the most abundant SFA , 16:0 , was replaced . Hazard ratios of coronary heart disease for replacing 1 % energy from 16:0 were 0.88 ( 95 % confidence interval 0.81 to 0.96 ; P=0.002 ) for polyunsaturated fat , 0.92 ( 0.83 to 1.02 ; P=0.10 ) for monounsaturated fat , 0.90 ( 0.83 to 0.97 ; P=0.01 ) for whole grain carbohydrates , and 0.89 ( 0.82 to 0.97 ; P=0.01 ) for plant proteins . Conclusions Higher dietary intakes of major SFAs are associated with an increased risk of coronary heart disease . Owing to similar associations and high correlations among individual SFAs , dietary recommendations for the prevention of coronary heart disease should continue to focus on replacing total saturated fat with more healthy sources of energy 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 ) 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 vitamin E , alpha-tocopherol , and especially tocotrienols , but the latter were barely detectable in plasma The degree to which different saturated fatty acids exert their cholesterol-raising effects is still unknown . Therefore , we studied the effect on serum lipids and lipoproteins of diets rich in lauric , palmitic , or oleic acids .  Eighteen women and 14 men consumed in r and om order three experimental diets , each for 6 wk . The diets consisted of solid foods and contained 40 % of energy as fat , of which 28 % was supplied by the experimental fats . The fat high in lauric acid was a mixture of palm kernel oil ( 75 % ) and a high-oleic acid sunflower oil ( 25 % ) ; the fat high in palmitic acid consisted of dairy fat ( 55 % ) , palmstearin ( 36 % ) , and sunflower oil ( 9 % ) ; and the fat high in oleic acid consisted of dairy fat ( 37 % ) and sunflower oil ( 63 % ) . The calculated nutrient composition was the same in each diet except for approximately equal to 8.5 % of energy , which was provided by lauric , palmitic , or oleic acids . With the lauric acid diet the subjects ' serum total cholesterol concentration increased by 0.22 mmol/L ( P = 0.0121 ; 95 % CI : 0.02 , 0.41 mmol/L ) as compared with the palmitic acid diet and by 0.48 mmol/L ( P < 0.0001 ; 95 % CI : 0.29 , 0.67 mmol/L ) compared with the oleic acid diet .  Total cholesterol concentrations with the palmitic acid diet were 0.26 mmol/L ( P = 0.0012 ; 95 % CI : 0.07 , 0.46 mmol/L ) higher than with the oleic acid diet .  High-density-lipoprotein (HDL)-cholesterol concentrations increased by 0.12 mmol/L ( P = 0.006 ; 95 % CI : 0.04 , 0.20 mmol/L ) with the lauric acid compared with the palmitic acid diet and by 0.14 mmol/L ( P < 0.001 ; 95 % CI : 0.07 , 0.22 mmol/L ) compared with the oleic acid diet .  HDL-cholesterol concentrations with the palmitic acid and the oleic acid diet were the same . No effects were seen in serum triacylglycerol and lipoprotein(a ) concentrations . We conclude that both lauric and palmitic acids are hypercholesterolemic compared with oleic acid . Lauric acid raises total cholesterol concentrations more than palmitic acid , which is partly due to a stronger rise in HDL cholesterol The effects on serum lipids of palm oil ( PA ) used in Chinese diets were compared with those of soybean oil ( SO ) , peanut oil ( PE ) and lard ( LA ) in normocholesterolemic subjects and with that of PE in hypercholesterolemic subjects . Normocholesterolemic subjects [ 120 men , 18 - 25 y , total cholesterol ( TC ) 2.8 - 5.0 mmol/L ] were assigned to four groups to consume test diets for six consecutive weeks after a run-in period of 3 wk . About 30 % of dietary energy was derived from fat , 75 - 80 % of which came from test oils . In comparison with the entry level , the average serum TC and LDL cholesterol ( LDL-C ) were 6.7 and 13.1 % lower , respectively , in the PA group and 22.8 and 30.7 % higher , respectively , ( P < 0.05 ) in the LA group . At the end of the test , serum TC , LDL-C and the ratio of TC/HDL cholesterol ( HDL-C ) in the PA group were significantly lower than those of the LA group . Hypercholesterolemic subjects ( 31 men , 20 women , 32 - 68 y , TC 5.5 - 7.0 mmol/L ) were divided into two groups . For 6 wk , one group ( 15 men , 10 women ) consumed the PA diet ; another group ( 16 men , 9 women ) consumed the PE diet . After a 3-wk interval , the two groups interchanged diets for another 6 wk . The test diets again contained about 30 % energy from fat , 60 - 65 % of which came from test oils . Compared with entry values , the PA diet caused significant reductions in serum TC , LDL-C and TC/HDL-C during the first 6 wk and also a significant reduction in TC/HDL-C during the second 6 wk . The PE diet had no significant influence on serum lipids in either experimental period BACKGROUND Despite the high content of palmitic acid , palm olein has been shown to have a neutral effect on plasma cholesterol concentrations when compared with olive oil , which is suggested to be attributable to palmitic acid in the sn-1 and sn-3 position . In contrast , palmitic acid is in the sn-2 position in lard . OBJECTIVE The objective was to investigate the effects of a diet rich in palm olein , fractionated palm oil , olive oil , and lard on plasma blood lipids , inflammatory markers , glucose , and insulin . DESIGN A controlled double-blinded , r and omized 3 × 3 wk crossover dietary intervention study included 32 healthy men who daily replaced part of their habitual dietary fat intake with ~ 17 % of energy from palm olein , olive oil , or lard , respectively . RESULTS Compared with intake of olive oil , palm olein and lard  increased total cholesterol and LDL cholesterol ( P < 0.0001 ) . Palm olein result ed in a lower plasma triacylglycerol concentration than did olive oil ( P < 0.01 ) . No difference in effects was observed in plasma HDL-cholesterol , high-sensitivity C-reactive protein , plasminogen activator-1 , insulin , and glucose concentrations . CONCLUSIONS The current study did not support the previous finding that the effect of palm olein on total plasma cholesterol and LDL cholesterol in healthy individuals with normal plasma cholesterol concentrations is neutral compared with that of olive oil . Thus , sn-positioning was not confirmed to be important with regard to the effect on plasma cholesterol . The relatively lower plasma triacylglycerol concentration  after the palm olein diet than after the olive oil diet was unexpected . This trial is registered at clinical trials.gov as NCT00743301 The cholesterol-raising effect of dietary saturated fatty acids is largely accounted for by lauric , myristic , and palmitic acids . Dairy fat is a major source of myristic acid , and palm oil is especially rich in palmitic acid . Myristic acid is suspected of being much more cholesterolemic than palmitic acid , but direct comparisons have been lacking . We therefore fed 36 women and 23 men three diets that differed from each other in palmitic , oleic , and myristic acid content by about 10 % of total energy . We used palm oil , high-oleic acid sunflower oil , and a specially produced high-myristic acid fat to achieve these differences . Each diet was consumed for 3 weeks in r and om order . Mean serum cholesterol was 4.53 mmol/L on the high-oleic acid diet , 4.96 mmol/L on the palmitic acid diet , and 5.19 mmol/L on the myristic acid diet ( P < .0001 for all comparisons ) . Myristic acid raised low-density lipoprotein ( LDL ) cholesterol by 0.11 mmol/L , high-density lipoprotein ( HDL ) cholesterol by 0.12 mmol/L , and apolipoprotein ( apo ) A-I by 7.2 mg/dL relative to palmitic acid ; increases relative to oleic acid were 0.50 mmol/L for LDL cholesterol , 0.15 mmol/L for HDL cholesterol , 6.0 mg/dL for apoB , and 8.9 mg/dL for apoA-I ( P < .01 for all comparisons ) . The HDL cholesterol and apoA-I levels on the palmitic and oleic acid diets were the same . None of the responses differed significantly between woman and men . Myristic acid and palmitic acid both caused high LDL cholesterol and apoB levels and low HDL to LDL ratios . ( ABSTRACT TRUNCATED AT 250 WORDS BACKGROUND AND OBJECTIVES As the most widely produced edible vegetable oil , palm oil is known as to contain a high level of saturated fatty acid , which was thought to adversely affect serum lipid profiles . However , recent studies have shown no influence or benefits of palm oil on serum lipids . The potential nutritional value of palm oil is attributed to the high mono-unsaturation at the crucial sn2-position of the oil 's triacylglycerols , as with the so-called ' healthy ' olive oil ( OO ) . The aim of this study was to further test this hypothesis and evaluate the effects of consuming palm olein versus olive oil on serum lipid profiles in a Chinese population . METHODS AND STUDY DESIGN In total , 120 participants were recruited from a spinnery in Yixing city and r and omly divided into two groups ( palm olein or olive oil ) to conduct a 2 × 2 crossover trial for 2 months ' intervention with 2-week washout periods . Each participant was provided 48 g of test oil per day . At the end of each period , anthropometry , and blood lipid indices were measured to determine the effects of palm olein and olive oil . RESULTS Palm olein and olive oil consumption had no significantly different effect on BMI , on serum total cholesterol , low-density lipoprotein cholesterol , high-density lipoprotein cholesterol , triacylglycerol ( TG ) , Apo B , fasting glucose , or insulin concentrations ( all p>0.05 ) . CONCLUSIONS In a dietary crossover trial , palm olein and olive oil had no recognisably different effects on body fatness or blood lipids in a healthy Chinese population We previously found no difference in healthy young adults '  plasma cholesterols between palmolein and olive oil as the major dietary lipid , although the former is high in palmitic acid ( 16:0 ) but the latter in oleic acid ( 18:1 cis ) . In the experiment reported here we compared the effects of palmolein against another monounsaturated oil , highly oleic sunflower oil ( HOSO ) , on plasma cholesterol in both young and middle-aged healthy adults . The test oils were provided as frying oil of potato crisps ( 150 g/day in men ; 100 g/day in women ) against low-fat background diets in free-living motivated volunteers . The design was a r and omised double-blind 4-week/3-week crossover trial . Compliance was monitored with continuous dietary diaries and by measuring ( fasting ) plasma lipid fatty-acid pattern . Plasma lipids and vitamin-E compounds were measured at the start and twice at the end of each test period . In combined young plus older subjects ( n = 42 )  mean plasma total and low-density-lipoprotein cholesterol ( LDL-c ) values were both 7 % ( significantly ) lower on HOSO than on palmolein , but because high-density-lipoprotein cholesterol ( HDL-c ) was also 5 % lower , the LDL-c/HDL-c ratio was only 3 % lower on HOSO than on palmolein . The difference between the present results with HOSO and previous results with olive oil both compared against palmolein suggest that olive oil is associated with higher plasma cholesterols than other monounsaturated oils . In both the young and older subgroup , LDL-c was lower on HOSO but because HDL-c moved down too in the young subgroup , the LDL-c/HDL-c ratio was lower on HOSO only in the older subjects . Palmolein has an unusual pattern of E vitamins , with a high content of tocotrienols , notably the gamma-isomer . Unlike alpha-tocopherol however , there was no sign of these tocotrienols in subjects ' plasmas In a controlled 16-week trial we have compared the effects on some risk factors for atherosclerosis of 2 cholesterol-lowering diets , one low in total fat and low in polyunsaturated fat ( LO ) and one moderate in total fat but high in polyunsaturated fat ( MOD ) as recommended by various advisory councils . All 35 volunteers were given diet MOD during a 2.5-week control period . This diet provided 31 % of the daily energy intake ( energy% ) as total fat ; one-third of the fatty acids were polyunsaturated ( PUFA ) . VLDL plus LDL cholesterol decreased by 0.66 mmol/1 during the control period while the HDL cholesterol ( HDL-C ) level was unchanged . Total serum triglycerides decreased by 0.33 mmol/l . After the control period the subjects were r and omized into 2 groups , one of which continued on diet MOD , while the other group received the low-fat diet LO , providing 2.1 energy% as total fat and 4 energy% as PUFA . All food was prepared daily and weighed out for each individual in amounts appropriate to the individual 's energy needs . Nutrient intakes were checked by 7-day records and by chemical analysis of double portions . The diets contained the same amounts of cholesterol , phytosterols , oligosaccharides and other nutrients known to affect serum lipid levels . Total serum cholesterol increased by 0.21 ± 0.41 mmol/l on control diet MOD during the test period of 13 weeks . 0.09 ± 0.11 mmol/l of this was due to HDL-C. Total serum triglycerides remained constant during the test period in group MOD . On diet LO total serum cholesterol remained stable during the test period , but HDL-C was lowered by −0.06 ± 0.20 mmol/1 . The difference in HDL-C between the diet groups was mainly located in HDL2 . Total serum triglycerides increased by + 0.32 ± 0.31 mmol/l in group LO ; the increase in VLDL triglycerides was + 0.22 ± 0.18 mmol/l . The depression of HDL on diet LO was also reflected in the ratio of HDL to total cholesterol which decreased by −0.02 ± 0.05 on diet LO , and was unchanged on diet MOD , and in the ratio of apo A1 to apo B ( 6 % decrease on diet LO and constant on diet MOD ) . Combination of these data with those from a preceding study [ Brussaard et al. , Atherosclerosis , 36 ( 1980 ) 515 ] leads to the following conclusions : 1 . ( 1 ) Both diets lower total serum cholesterol levels when compared with the habitual diets of affluent communities . 2 . ( 2 ) The high-carbohydrate , low-fat diet causes lower HDL and higher fasting VLDL triglyceride levels than the recommended moderate-fat-high-PUFA diet The characteristics of people whose serum cholesterol level is unusually susceptible to consumption of cholesterol were investigated . Thirty-two volunteers from the general population of Wageningen , the Netherl and s , each participated in three controlled dietary trials in 1982 . A low-cholesterol diet was fed during the first half and a high-cholesterol diet during the second half of each trial , and the change ( response ) of serum cholesterol was measured . The responses in the three trials were averaged to give each subject 's mean responsiveness . Fecal excretion of cholesterol and its metabolites were measured in the second trial , and body cholesterol synthesis was calculated . Responsiveness showed a positive correlation with serum high density lipoprotein2 ( HDL2 ) cholesterol ( r = 0.41 , p less than 0.05 ) and with serum total cholesterol level on a high-cholesterol diet ( r = 0.31 , p = 0.09 ) . A negative relation was found with habitual cholesterol consumption ( r = -0.62 , p less than 0.01 ) , with body mass index ( r = -0.50 , p less than 0.01 ) , and with the rate of endogenous cholesterol synthesis ( r = -0.40 , p less than 0.05 ) , but not with the reaction of endogenous cholesterol synthesis rate to an increased intake of cholesterol . No relation was found with age , sex , total caloric needs , or the ratio of primary to secondary fecal steroids . Upon multiple regression analysis , only habitual cholesterol intake and serum total and HDL2 cholesterol levels contributed significantly to the explanation of variance in responsiveness . Thus , a low habitual cholesterol intake , a high serum HDL2 cholesterol level , or a low body weight do not make one less susceptible to dietary cholesterol-induced hypercholesterolemia BACKGROUND Dietary fat type is known to modulate the plasma lipid profile , but its effects on plasma homocysteine and inflammatory markers are unclear . OBJECTIVE We investigated the effects of high-protein Malaysian diets prepared with palm olein , coconut oil ( CO ) , or virgin olive oil on plasma homocysteine and selected markers of inflammation and cardiovascular disease ( CVD ) in healthy adults . DESIGN A r and omized-crossover intervention with 3 dietary sequences of 5 wk each was conducted in 45 healthy subjects . The 3 test fats , namely palmitic acid (16:0)-rich palm olein ( PO ) , lauric and myristic acid ( 12:0 + 14:0)-rich CO , and oleic acid (18:1)-rich virgin olive oil ( OO ) , were incorporated at two-thirds of 30 % fat calories into high-protein Malaysian diets . RESULTS No significant differences were observed in the effects of the 3 diets on plasma total homocysteine ( tHcy ) and the inflammatory markers TNF-α , IL-1β , IL-6 , and IL-8 , high-sensitivity C-reactive protein , and interferon-γ . Diets prepared with PO and OO had comparable nonhypercholesterolemic effects ; the postpr and ial total cholesterol for both diets and all fasting lipid indexes for the OO diet were significantly lower ( P < 0.05 ) than for the CO diet . Unlike the PO and OO diets , the CO diet was shown to decrease postpr and ial lipoprotein(a ) . CONCLUSION Diets that were rich in saturated fatty acids prepared with either PO or CO , and an OO diet that was high in oleic acid , did not alter postpr and ial or fasting plasma concentrations of tHcy and selected inflammatory markers . This trial was registered at clinical trials.gov as NCT00941837 We studied the metabolic effects of stearic acid ( 18:0 ) on  plasma lipoprotein levels in 11 subjects during three dietary periods of three weeks each . The three liquid-formula diets , which were used in r and om order , were high in palmitic acid ( 16:0 ) , stearic acid , and oleic acid ( 18:1 ) , respectively . Caloric intakes were the same during the three periods . As compared with the values observed when the subjects were on the high-palmitic-acid diet , plasma total cholesterol decreased by an average of 14 percent during consumption of the high-stearic-acid diet ( P less than 0.005 ) and by 10 percent during consumption of the high-oleic-acid diet ( P less than 0.02 ) . Low-density lipoprotein cholesterol levels fell by 21 percent in subjects on the high-stearic-acid diet ( P less than 0.005 ) and by 15 percent in subjects on the high-oleic-acid diet ( P less than 0.005 ) . No significant differences were observed in the plasma levels of triglycerides or high-density lipoprotein cholesterol among the three diets . Measurements of the intestinal absorption of palmitic , stearic , and oleic acids revealed essentially complete absorption of each during the three dietary periods . The oleic acid content of plasma triglycerides and cholesteryl esters increased significantly during the high-stearic-acid period , suggesting that stearic acid is rapidly converted to oleic acid . We conclude that stearic acid appears to be as effective as oleic acid in lowering plasma cholesterol levels when either replaces palmitic acid in the diet Summary . Partial hydrogenation of oil results in fats containing unusual isomeric fatty acids characterized by cis and trans configurations . Hydrogenated fats containing trans fatty acids increase plasma total cholesterol ( TC ) and LDL-cholesterol while depressing HDL-cholesterol levels . Identifying the content of trans fatty acids by food labeling is overshadowed by a reluctance of health authorities to label saturates and trans fatty acids separately . Thus , it is pertinent to compare the effects of trans to saturated fatty acids using stable isotope methodology to establish if the mechanism of increase in TC and LDL-cholesterol is due to the increase in the rate of endogenous synthesis of cholesterol . Ten healthy normocholesterolemic female subjects consumed each of two diets containing approximately 30 % of energy as fat for a fourweek period . One diet was high in palmitic acid ( 10.6 % of energy ) from palm olein and the other diet exchanged 5.6 % of energy as partially hydrogenated fat for palmitic acid . This fat blend result ed in monounsaturated fatty acids decreasing by 4.9 % and polyunsaturated fats increasing by 2.7 % . The hydrogenated fat diet treatment provided 3.1 % of energy as elaidic acid . For each dietary treatment , the fractional synthesis rates for cholesterol were measured using deuterium-labeling procedures and blood sample s were obtained for blood lipid and lipoprotein measurements . Subjects exhibited a higher total cholesterol and LDL-cholesterol level when consuming the diet containing trans fatty acids while also depressing the HDL-cholesterol level . Consuming the partially hydrogenated fat diet treatment increased the fractional synthesis rate of free cholesterol . Consumption of hydrogenated fats containing trans fatty acids in comparison to a mixtur e of palmitic and oleic acids increase plasma cholesterol levels apparently by increasing endogenous synthesis of cholesterol
target: Subgroup analyses revealed that palm oil has a beneficial effect on High-density lipoprotein cholesterol levels when more than 30 % of total dietary energy was constituted by fat .
  This review revealed that palm oil does not induce increases in cardiovascular disease risk risk-related biomarkers relative to unsaturated fatty acids .
background: BACKGROUND AND OBJECTIVES The precise association between palm oil consumption and  lipid-related cardiovascular disease risk remains unclear .
  A systematic review was thus performed to assess whether palm oil consumption has a negative effect on plasma lipid-related cardiovascular disease marker levels .