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Health Promotion and Disease Prevention Knowledge Gateway

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  • Page | Last updated: 18 Feb 2021

Health effects related to dietary cholesterol intake

Dietary Fats

Health effects related to dietary cholesterol as described by food- and health-related organisations

Effect of cholesterol intake on cardiovascular health

Cardiovascular disease

  • 'Available data on the relationship between cholesterol intake and risk of cardiovascular disease are inconsistent at current levels of intake'.

Coronary heart disease

  • Possible evidence of 'no association between cholesterol intake and CHD risk in healthy people'.
  • 'Much evidence indicates a positive linear trend between cholesterol intake and LDL cholesterol concentration, and therefore an increased risk of CHD'.

Serum lipids

  • 'Although there is a positive dose-dependent relationship between the intake of dietary cholesterol with blood LDL cholesterol concentrations, the main dietary determinant of blood LDL cholesterol concentrations is saturated fat intake'.
  • 'The evidence is convincing that dietary cholesterol slightly raises the total and LDL cholesterol concentration in plasma. It is conceivable, however, that this effect is considerably higher among the so-called responders or high absorbers'.
  • There is probable evidence for 1) an increase of total to HDL cholesterol ratio due to dietary cholesterol, and 2) a lack of association between dietary cholesterol and triglyceride and HDL concentration in plasma.
  • 'Insufficient evidence for an association between dietary cholesterol and the ratio of LDL to HDL cholesterol.
  • 'There is insufficient evidence to determine whether lowering dietary cholesterol reduced LDL cholesterol'.
  • 'Much evidence indicates a positive linear trend between cholesterol intake and LDL cholesterol concentration'.

Stroke

  • 'probable evidence that cholesterol intake does not influence the risk of stroke'.

Effect of cholesterol intake on type 2 diabetes mellitus (T2DM)

  • 'Epidemiological prospective cohort studies have not found consistent relationships between […] cholesterol with the risk to develop type 2 diabetes mellitus'.

Effect of cholesterol intake on cancer

  • 'No consistent significant associations have been established between dietary cholesterol intake and cancer, including lung, breast, colon, and prostate cancers'.