Penny Kris-etherton | Pennsylvania State University (original) (raw)

Papers by Penny Kris-etherton

Research paper thumbnail of Your Healthy World: A Nutrition Education Program for Weight Management Based on the 2005 Dietary Guidelines

Journal of the American Dietetic Association, 2007

Learning Outcome: To describe the diverse nutritional science research and training activities fu... more Learning Outcome: To describe the diverse nutritional science research and training activities funded by the National Institutes of Health and to assist potential future awardees in developing applications which integrate cutting edge nutritional science research into patient-oriented research.

Research paper thumbnail of New Insights on the Role of Lipids and Lipoproteins in Cardiovascular Disease

Lipid Metabolism and Health, 2005

11 New Insights on the Role ofLipids and Lipoproteins in Cardiovascular Disease: The Modulating E... more 11 New Insights on the Role ofLipids and Lipoproteins in Cardiovascular Disease: The Modulating Effects of Nutrition Kirsten F. Hilpert, Amy E. Griel, Tricia Psota, Sarah Gebauer, Yumei Coa, and Penny M. Kris-Etherton CONTENTS Introduction 212 The Effect of Nutrients on ...

Research paper thumbnail of Determinants of erythrocyte omega-3 fatty acid content in response to fish oil supplementation: a dose-response randomized controlled trial

Journal of the American Heart Association, 2013

The erythrocyte membrane content of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), w... more The erythrocyte membrane content of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), which constitutes the omega-3 index (O3I), predicts cardiovascular disease mortality. The amount of EPA+DHA needed to achieve a target O3I is poorly defined, as are the determinants of the O3I response to a change in EPA+DHA intake. The objective of this study was to develop a predictive model of the O3I response to EPA+DHA supplementation in healthy adults, specifically identifying factors that determine the response. A randomized, placebo-controlled, double-blind, parallel-group study was conducted in 115 healthy men and women. One of 5 doses (0, 300, 600, 900, 1800 mg) of EPA+DHA was given daily as placebo or fish oil supplements for ≈5 months. The O3I was measured at baseline and at the end of the study. There were no significant differences in the clinical characteristics between the groups at baseline. The O3I increased in a dose-dependent manner (P<0.0001), with the dose of EPA+...

Research paper thumbnail of Effects of supplemental long-chain omega-3 fatty acids and erythrocyte membrane fatty acid content on circulating inflammatory markers in a randomized controlled trial of healthy adults

Prostaglandins, leukotrienes, and essential fatty acids, 2014

The long-chain omega-3 polyunsaturated (n-3 PUFA), eicosapentaenoic (EPA) and docosahexaenoic aci... more The long-chain omega-3 polyunsaturated (n-3 PUFA), eicosapentaenoic (EPA) and docosahexaenoic acid (DHA), may have anti-inflammatory effects. We evaluated the dose-response effect of EPA+DHA supplementation on circulating TNF-α, IL-6, and CRP and explored associations between red blood cell (RBC) membrane PUFA content and TNF-α, IL-6, and CRP. Young adults with low fish intake (n=116) received one of five doses (0, 300, 600, 900, or 1,800 mg/d EPA+DHA) for 5 months. There were no significant effects of supplemental EPA+DHA on IL-6 or CRP; however, there was a marginal treatment effect for TNF-α (p<0.08). At baseline, higher quartiles of RBC DHA were associated with lower TNF-α (p=0.001); higher quartiles of arachidonic acid were associated with higher TNF-α (p=0.005). EPA+DHA supplementation had no dose-response effect on TNF-α, IL-6, or CRP in healthy young adults; however, associations between inflammatory markers and RBC PUFA warrant further investigation.

Research paper thumbnail of JCL Roundtable: Fast Food and the American Diet

Journal of clinical lipidology

The availability of food quickly prepared at lower cost and with consistent quality and convenien... more The availability of food quickly prepared at lower cost and with consistent quality and convenience has made a variety of restaurant chains extremely popular. Commonly referred to as the fast food industry, these companies have stores on virtually every street corner in cities large and small. Fast foods contribute to energy intake, and depending on the food choices made, provide foods and nutrients that should be decreased in the diet. As Americans have become more conscious of their risk factors for heart disease and recognized eating patterns as a contributor to blood cholesterol levels, high blood pressure, obesity, and diabetes, the fast food industry has attempted to adjust their menus to provide more healthful choices. The Roundtable discussion in this issue of the Journal will focus on the importance of this industry as a source of foods that could help address our population-wide efforts to reduce cardiovascular disease.

Research paper thumbnail of Effect of a moderate fat diet with and without avocados on lipoprotein particle number, size and subclasses in overweight and obese adults: a randomized, controlled trial

Journal of the American Heart Association, 2015

Avocados are a nutrient-dense source of monounsaturated fatty acids (MUFA) that can be used to re... more Avocados are a nutrient-dense source of monounsaturated fatty acids (MUFA) that can be used to replace saturated fatty acids (SFA) in a diet to lower low density lipoprotein cholesterol (LDL-C). Well-controlled studies are lacking on the effect of avocado consumption on cardiovascular disease (CVD) risk factors. A randomized, crossover, controlled feeding trial was conducted with 45 overweight or obese participants with baseline LDL-C in the 25th to 90th percentile. Three cholesterol-lowering diets (6% to 7% SFA) were fed (5 weeks each): a lower-fat diet (LF: 24% fat); 2 moderate-fat diets (34% fat) provided similar foods and were matched for macronutrients and fatty acids: the avocado diet (AV) included one fresh Hass avocado (136 g) per day, and the moderate-fat diet (MF) mainly used high oleic acid oils to match the fatty acid content of one avocado. Compared with baseline, the reduction in LDL-C and non-high-density lipoprotein (HDL) cholesterol on the AV diet (-13.5 mg/dL, -14....

Research paper thumbnail of DOTS: a new tool for teaching the diabetic food exchange system

Journal of the American Dietetic Association, 1986

Research paper thumbnail of Exploring the factors that affect blood cholesterol and heart disease risk: is dietary cholesterol as bad for you as history leads us to believe?

Advances in nutrition (Bethesda, Md.), 2012

This paper summarizes presentations given at the 2011 Experimental Biology meetings about the lat... more This paper summarizes presentations given at the 2011 Experimental Biology meetings about the latest research and a paleoanthropological perspective pertaining to the relationship between dietary cholesterol intake and cardiovascular disease risk. For much of the past 50 years, a great deal of the scientific literature regarding dietary fat and cholesterol intake has indicated a strong positive correlation with heart disease. In recent years, however, there have been a number of epidemiological studies that did not support a relationship between cholesterol intake and cardiovascular disease. Further, a number of recent clinical trials that looked at the effects of long-term egg consumption (as a vehicle for dietary cholesterol) reported no negative impact on various indices of cardiovascular health and disease. Coupled with data indicating that the impact of lowering dietary cholesterol intake on serum LDL levels is small compared with other dietary and lifestyle factors, there is a...

Research paper thumbnail of Nutrition competencies in health professionals' education and training: a new paradigm

Advances in nutrition (Bethesda, Md.), 2015

Most health care professionals are not adequately trained to address diet and nutrition-related i... more Most health care professionals are not adequately trained to address diet and nutrition-related issues with their patients, thus missing important opportunities to ameliorate chronic diseases and improve outcomes in acute illness. In this symposium, the speakers reviewed the status of nutrition education for health care professionals in the United States, United Kingdom, and Australia. Nutrition education is not required for educating and training physicians in many countries. Nutrition education for the spectrum of health care professionals is uncoordinated, which runs contrary to the current theme of interprofessional education. The central role of competencies in guiding medical education was emphasized and the urgent need to establish competencies in nutrition-related patient care was presented. The importance of additional strategies to improve nutrition education of health care professionals was highlighted. Public health legislation such as the Patient Protection and Affordab...

Research paper thumbnail of Docosahexaenoic acid-enriched canola oil increases adiponectin concentrations: A randomized crossover controlled intervention trial

Nutrition, metabolism, and cardiovascular diseases : NMCD, 2015

Little is known about the effect of various dietary fatty acids on pro- and anti-inflammatory pro... more Little is known about the effect of various dietary fatty acids on pro- and anti-inflammatory processes. We investigated the effect of 5 oils containing various amounts of alpha-linolenic acid (ALA), linoleic acid (LA), oleic acid (OA) and docosahexaenoic acid (DHA) on plasma inflammatory biomarkers and expression levels of key inflammatory genes and transcription factors in whole blood cells. In a randomized, crossover controlled nutrition intervention, 114 adult men and women with abdominal obesity and at least one other criterion for the metabolic syndrome consumed 5 experimental isoenergetic diets for 4 weeks each, separated by 4-week washout periods. Each diet provided 60 g/3000 kcal of different oils: 1) control corn/safflower oil blend (CornSaff; LA-rich), 2) flax/safflower oil blend (FlaxSaff; ALA-rich), 3) conventional canola oil (Canola; OA-rich), 4) high oleic canola oil (CanolaOleic; highest OA content), 5) DHA-enriched high oleic canola oil (CanolaDHA; OA- and DHA-rich)...

Research paper thumbnail of 6 Diet and the Control of Blood Lipids

Research paper thumbnail of Dose-Related Effects of Pistachios on Emerging CVD Risk Factors in Moderately Hypercholesterolemic Individuals

• Participants were randomized to 1 of 3 cholesterollowering diets for 4 weeks: Control diet (the... more • Participants were randomized to 1 of 3 cholesterollowering diets for 4 weeks: Control diet (the Step I diet); 1PD (Step I diet with 1.5 oz pistachios/day); 2PD (Step I diet with 3.0 oz pistachios/day).

Research paper thumbnail of Weight Management Matters

Research paper thumbnail of Comparative cholesterolemic response to solid (SD) vs liquid formula (LFD) diets

Research paper thumbnail of Effect of soluble fiber foods and lifestyle changes on cardiovascular disease risk factors and dietary patterns

Research paper thumbnail of Effect of soy protein on mean arterial pressure and nitrates

Research paper thumbnail of The combined effects of dietary fat and iron status on LDL oxidation

Research paper thumbnail of Effects of stanol-supplemented margarine on LDL receptor and HMG CoA reductase messenger RNA expressions in hypercholesterolemic subjects

Research paper thumbnail of A meta-analysis of low-fat versus high-MUFA diets

Research paper thumbnail of Chocolate is an in vivo antioxidant and blocks the prooxidant effects of fat ingestion

Research paper thumbnail of Your Healthy World: A Nutrition Education Program for Weight Management Based on the 2005 Dietary Guidelines

Journal of the American Dietetic Association, 2007

Learning Outcome: To describe the diverse nutritional science research and training activities fu... more Learning Outcome: To describe the diverse nutritional science research and training activities funded by the National Institutes of Health and to assist potential future awardees in developing applications which integrate cutting edge nutritional science research into patient-oriented research.

Research paper thumbnail of New Insights on the Role of Lipids and Lipoproteins in Cardiovascular Disease

Lipid Metabolism and Health, 2005

11 New Insights on the Role ofLipids and Lipoproteins in Cardiovascular Disease: The Modulating E... more 11 New Insights on the Role ofLipids and Lipoproteins in Cardiovascular Disease: The Modulating Effects of Nutrition Kirsten F. Hilpert, Amy E. Griel, Tricia Psota, Sarah Gebauer, Yumei Coa, and Penny M. Kris-Etherton CONTENTS Introduction 212 The Effect of Nutrients on ...

Research paper thumbnail of Determinants of erythrocyte omega-3 fatty acid content in response to fish oil supplementation: a dose-response randomized controlled trial

Journal of the American Heart Association, 2013

The erythrocyte membrane content of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), w... more The erythrocyte membrane content of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), which constitutes the omega-3 index (O3I), predicts cardiovascular disease mortality. The amount of EPA+DHA needed to achieve a target O3I is poorly defined, as are the determinants of the O3I response to a change in EPA+DHA intake. The objective of this study was to develop a predictive model of the O3I response to EPA+DHA supplementation in healthy adults, specifically identifying factors that determine the response. A randomized, placebo-controlled, double-blind, parallel-group study was conducted in 115 healthy men and women. One of 5 doses (0, 300, 600, 900, 1800 mg) of EPA+DHA was given daily as placebo or fish oil supplements for ≈5 months. The O3I was measured at baseline and at the end of the study. There were no significant differences in the clinical characteristics between the groups at baseline. The O3I increased in a dose-dependent manner (P<0.0001), with the dose of EPA+...

Research paper thumbnail of Effects of supplemental long-chain omega-3 fatty acids and erythrocyte membrane fatty acid content on circulating inflammatory markers in a randomized controlled trial of healthy adults

Prostaglandins, leukotrienes, and essential fatty acids, 2014

The long-chain omega-3 polyunsaturated (n-3 PUFA), eicosapentaenoic (EPA) and docosahexaenoic aci... more The long-chain omega-3 polyunsaturated (n-3 PUFA), eicosapentaenoic (EPA) and docosahexaenoic acid (DHA), may have anti-inflammatory effects. We evaluated the dose-response effect of EPA+DHA supplementation on circulating TNF-α, IL-6, and CRP and explored associations between red blood cell (RBC) membrane PUFA content and TNF-α, IL-6, and CRP. Young adults with low fish intake (n=116) received one of five doses (0, 300, 600, 900, or 1,800 mg/d EPA+DHA) for 5 months. There were no significant effects of supplemental EPA+DHA on IL-6 or CRP; however, there was a marginal treatment effect for TNF-α (p<0.08). At baseline, higher quartiles of RBC DHA were associated with lower TNF-α (p=0.001); higher quartiles of arachidonic acid were associated with higher TNF-α (p=0.005). EPA+DHA supplementation had no dose-response effect on TNF-α, IL-6, or CRP in healthy young adults; however, associations between inflammatory markers and RBC PUFA warrant further investigation.

Research paper thumbnail of JCL Roundtable: Fast Food and the American Diet

Journal of clinical lipidology

The availability of food quickly prepared at lower cost and with consistent quality and convenien... more The availability of food quickly prepared at lower cost and with consistent quality and convenience has made a variety of restaurant chains extremely popular. Commonly referred to as the fast food industry, these companies have stores on virtually every street corner in cities large and small. Fast foods contribute to energy intake, and depending on the food choices made, provide foods and nutrients that should be decreased in the diet. As Americans have become more conscious of their risk factors for heart disease and recognized eating patterns as a contributor to blood cholesterol levels, high blood pressure, obesity, and diabetes, the fast food industry has attempted to adjust their menus to provide more healthful choices. The Roundtable discussion in this issue of the Journal will focus on the importance of this industry as a source of foods that could help address our population-wide efforts to reduce cardiovascular disease.

Research paper thumbnail of Effect of a moderate fat diet with and without avocados on lipoprotein particle number, size and subclasses in overweight and obese adults: a randomized, controlled trial

Journal of the American Heart Association, 2015

Avocados are a nutrient-dense source of monounsaturated fatty acids (MUFA) that can be used to re... more Avocados are a nutrient-dense source of monounsaturated fatty acids (MUFA) that can be used to replace saturated fatty acids (SFA) in a diet to lower low density lipoprotein cholesterol (LDL-C). Well-controlled studies are lacking on the effect of avocado consumption on cardiovascular disease (CVD) risk factors. A randomized, crossover, controlled feeding trial was conducted with 45 overweight or obese participants with baseline LDL-C in the 25th to 90th percentile. Three cholesterol-lowering diets (6% to 7% SFA) were fed (5 weeks each): a lower-fat diet (LF: 24% fat); 2 moderate-fat diets (34% fat) provided similar foods and were matched for macronutrients and fatty acids: the avocado diet (AV) included one fresh Hass avocado (136 g) per day, and the moderate-fat diet (MF) mainly used high oleic acid oils to match the fatty acid content of one avocado. Compared with baseline, the reduction in LDL-C and non-high-density lipoprotein (HDL) cholesterol on the AV diet (-13.5 mg/dL, -14....

Research paper thumbnail of DOTS: a new tool for teaching the diabetic food exchange system

Journal of the American Dietetic Association, 1986

Research paper thumbnail of Exploring the factors that affect blood cholesterol and heart disease risk: is dietary cholesterol as bad for you as history leads us to believe?

Advances in nutrition (Bethesda, Md.), 2012

This paper summarizes presentations given at the 2011 Experimental Biology meetings about the lat... more This paper summarizes presentations given at the 2011 Experimental Biology meetings about the latest research and a paleoanthropological perspective pertaining to the relationship between dietary cholesterol intake and cardiovascular disease risk. For much of the past 50 years, a great deal of the scientific literature regarding dietary fat and cholesterol intake has indicated a strong positive correlation with heart disease. In recent years, however, there have been a number of epidemiological studies that did not support a relationship between cholesterol intake and cardiovascular disease. Further, a number of recent clinical trials that looked at the effects of long-term egg consumption (as a vehicle for dietary cholesterol) reported no negative impact on various indices of cardiovascular health and disease. Coupled with data indicating that the impact of lowering dietary cholesterol intake on serum LDL levels is small compared with other dietary and lifestyle factors, there is a...

Research paper thumbnail of Nutrition competencies in health professionals' education and training: a new paradigm

Advances in nutrition (Bethesda, Md.), 2015

Most health care professionals are not adequately trained to address diet and nutrition-related i... more Most health care professionals are not adequately trained to address diet and nutrition-related issues with their patients, thus missing important opportunities to ameliorate chronic diseases and improve outcomes in acute illness. In this symposium, the speakers reviewed the status of nutrition education for health care professionals in the United States, United Kingdom, and Australia. Nutrition education is not required for educating and training physicians in many countries. Nutrition education for the spectrum of health care professionals is uncoordinated, which runs contrary to the current theme of interprofessional education. The central role of competencies in guiding medical education was emphasized and the urgent need to establish competencies in nutrition-related patient care was presented. The importance of additional strategies to improve nutrition education of health care professionals was highlighted. Public health legislation such as the Patient Protection and Affordab...

Research paper thumbnail of Docosahexaenoic acid-enriched canola oil increases adiponectin concentrations: A randomized crossover controlled intervention trial

Nutrition, metabolism, and cardiovascular diseases : NMCD, 2015

Little is known about the effect of various dietary fatty acids on pro- and anti-inflammatory pro... more Little is known about the effect of various dietary fatty acids on pro- and anti-inflammatory processes. We investigated the effect of 5 oils containing various amounts of alpha-linolenic acid (ALA), linoleic acid (LA), oleic acid (OA) and docosahexaenoic acid (DHA) on plasma inflammatory biomarkers and expression levels of key inflammatory genes and transcription factors in whole blood cells. In a randomized, crossover controlled nutrition intervention, 114 adult men and women with abdominal obesity and at least one other criterion for the metabolic syndrome consumed 5 experimental isoenergetic diets for 4 weeks each, separated by 4-week washout periods. Each diet provided 60 g/3000 kcal of different oils: 1) control corn/safflower oil blend (CornSaff; LA-rich), 2) flax/safflower oil blend (FlaxSaff; ALA-rich), 3) conventional canola oil (Canola; OA-rich), 4) high oleic canola oil (CanolaOleic; highest OA content), 5) DHA-enriched high oleic canola oil (CanolaDHA; OA- and DHA-rich)...

Research paper thumbnail of 6 Diet and the Control of Blood Lipids

Research paper thumbnail of Dose-Related Effects of Pistachios on Emerging CVD Risk Factors in Moderately Hypercholesterolemic Individuals

• Participants were randomized to 1 of 3 cholesterollowering diets for 4 weeks: Control diet (the... more • Participants were randomized to 1 of 3 cholesterollowering diets for 4 weeks: Control diet (the Step I diet); 1PD (Step I diet with 1.5 oz pistachios/day); 2PD (Step I diet with 3.0 oz pistachios/day).

Research paper thumbnail of Weight Management Matters

Research paper thumbnail of Comparative cholesterolemic response to solid (SD) vs liquid formula (LFD) diets

Research paper thumbnail of Effect of soluble fiber foods and lifestyle changes on cardiovascular disease risk factors and dietary patterns

Research paper thumbnail of Effect of soy protein on mean arterial pressure and nitrates

Research paper thumbnail of The combined effects of dietary fat and iron status on LDL oxidation

Research paper thumbnail of Effects of stanol-supplemented margarine on LDL receptor and HMG CoA reductase messenger RNA expressions in hypercholesterolemic subjects

Research paper thumbnail of A meta-analysis of low-fat versus high-MUFA diets

Research paper thumbnail of Chocolate is an in vivo antioxidant and blocks the prooxidant effects of fat ingestion