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Studies that have shown adverse effects oftrans -unsaturated fatty acids on plasma lipoprotein (a) [Lp(a)] levels have used levels oftrans -fatty acid that are higher than those in the average U.S. diet. This study was conducted to clarify the effects on Lp(a) oftrans -fatty acids levels commonly found in U.S. diets. Lp(a) levels were measured in a double-blind study of 29 men and 29 women who ate 4 controlled diets in random order for 6 weeks each. Fatty acids represented 39% to 40% of energy. The diets were: (1) Oleic (16.7% of energy as oleic acid); (2) Moderatetrans (3.8% of energy astrans -monoenes, approximately thetrans content of the U.S. diet); (3) Hightrans (6.6% of energy astrans -monoenes); (4) Saturated (16.2% of energy as lauric plus myristic plus palmitic acids). The Saturated diet lowered Lp(a) levels significantly (by 8% to 11%). Compared to the Oleic diet, thetrans diets had no adverse effect on Lp(a) levels when all subjects were considered collectively. A subset with initially high levels of Lp(a) (≥30 mg/dL), however, responded to the Hightrans diet with a slight (5%) increase in Lp(a) levels relative to the Oleic and Moderatetrans diets. Thus, in amounts commonly found in the typical U.S. diet, saturated fatty acids consistently decrease Lp(a) concentrations. The adverse effects of replacingcis - withtrans -fatty acids are only suggestive and are restricted to hightrans intakes in subjects with high Lp(a) levels.

Plasma Lipoprotein (a) Levels in Men and Women Consuming Diets Enriched in Saturated, Cis -, or Trans -Monounsaturated Fatty Acids