Evidence map›Paper›PMID 27177615›Full record

Trial reportNutrition journal2016

A dietary cholesterol challenge study to assess Chlorella supplementation in maintaining healthy lipid levels in adults: a double-blinded, randomized, placebo-controlled study.

Sangmi Kim, Joohee Kim, Yeni Lim, You Jin Kim, Ji Yeon Kim, Oran Kwon

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrition journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. The Role ofNutrients · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Review
  7. A Single Dose of MarineAntioxidants (Basel, Switzerland) · 2021
    Article
  8. Potential ofNutrients · 2020
    Review
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Sangmi KimDepartment of Nutritional Science and Food Management, Ewha Womans University, Seoul, 03760, Republic of Korea.
Joohee KimDepartment of Nutritional Science and Food Management, Ewha Womans University, Seoul, 03760, Republic of Korea.
Yeni LimDepartment of Nutritional Science and Food Management, Ewha Womans University, Seoul, 03760, Republic of Korea.
You Jin KimDepartment of Nutritional Science and Food Management, Ewha Womans University, Seoul, 03760, Republic of Korea.
Ji Yeon KimDepartment of Food Science and Technology, Seoul National University of Science and Technology, Seoul, 01811, Republic of Korea.
Oran KwonDepartment of Nutritional Science and Food Management, Ewha Womans University, Seoul, 03760, Republic of Korea. orank@ewha.ac.kr.
Ewha Womans University · KRSeoul National University of Science and Technology · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious animal studies suggested that Chlorella, a unicellular green alga, has a preventive role in maintaining serum cholesterol levels against excess dietary cholesterol intake. This study aimed to conduct a pioneering investigation to clarify this issue in healthy subjects by adopting a dietary cholesterol challenge, which has not been used previously in similar studies of Chlorella in hypercholesterolemia.

methodsIn this double blind, randomized, placebo-controlled study, 34 participants ingested 510 mg of dietary cholesterol from three eggs concomitantly with a usual dose of Chlorella (5 g/d) or a matched placebo for 4 weeks.

resultsThe dietary cholesterol challenge induced consistently higher concentrations of serum total cholesterol (TC, P < 0.001), LDL-C (P = 0.004), and HDL-C (P = 0.010) compared with baseline values, suggesting that the challenge was reliable. Thus, we observed a preventive action of Chlorella in maintaining serum TC versus placebo levels (3.5 % versus 9.8 %, respectively; P = 0.037) and LDL-C versus placebo levels (1.7 % versus 14.3 %, respectively; P = 0.012) against excessive dietary cholesterol intake and in augmenting HDL-C versus placebo levels (8.3 % versus 3.8 %, respectively). Furthermore, serum α-carotene showed the best separation between the placebo and Chlorella groups (R(2)X and R(2)Y > 0.5; Q(2) > 0.4).

conclusionThe results suggest that a fully replicated dietary cholesterol challenge may be useful in assessing the effectiveness of dietary supplements in maintaining the serum lipid profiles of adults whose habitual diets are high in cholesterol.

trial registrationWHO International Clinical Trials Registry Platform ( KCT0000258 ).

Indexed as

ChlorellaBody Mass IndexCarotenoidsCholesterol, DietaryCholesterol, HDLCholesterol, LDLDietDouble-Blind MethodFemaleHumansHypercholesterolemiaLipidsMaleTreatment OutcomeTriglyceridesYoung Adultalpha-caroteneCarotenoidsCholesterol, DietaryCholesterol, HDLCholesterol, LDLLipidsTriglyceridesCarotenoidsChlorellaDietary cholesterol challengeHealthy adult

Identifiers

PMID27177615
PMCPMC4866071
OpenAlexW2376537667

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.