title: A COCONUT EXTRA VIRGIN OIL-RICH DIET INCREASES HDL CHOLESTEROL AND DECREASES WAIST CIRCUMFERENCE AND BODY MASS IN CORONARY ARTERY DISEASE PATIENTS.
abstract: BACKGROUND
  saturated fat restriction has been recommended for coronary arterial disease, but the role of coconut oil (Cocos nucifera L.) extra virgin, lauric acid source in the management of lipid profile remains unclear.
  
  
  OBJECTIVE
  to evaluate the effect of nutritional treatment associated with the consumption of extra virgin coconut oil in anthropometric parameters and lipid profile.
  
  
  METHODS
  we conducted a longitudinal study of 116 adults of both sexes presenting CAD. Patients were followed in two stages: the first stage (basal-3 months), intensive nutritional treatment. In the second stage (3-6 months), the subjects were divided into two groups: diet group associated with extra virgin coconut oil consumption (GDOC) and diet group (DG). Held monthly anthropometric measurements: body mass, waist circumference (WC), neck circumference (PP), body mass index (BMI). Gauged to collected blood pressure and blood samples were fasted for 12 hours, for total cholesterol analysis and fractions apoproteins (Apo A-1 and B), glucose, glycated hemoglobin (HbA1C), insulin (I). Comparing the averages at the beginning and end of the study employing the paired Student t-independent. And set the diastolic blood pressure by BMI using ANOVA. Analyses were performed using the SPSS statistical package, being significant p < 0.05.
  
  
  RESULTS
  the mean age of the population was 62.4 ± 7.7 years, 63.2% male, 70% elderly, 77.6% infarcted, 52.6% with angina, hypertension and dyslipidemia 100%. In the first stage the nutritional treatment reduced body weight, WC, BMI and PP and insulin concentrations, HbA1C, HOMA-IR and QUICK, without changing the other parameters. In the second stage of the study, it was observed that the GDOC maintained the reduction of body mass, BMI, WC, with a significant difference between groups for DC (-2.1 ± 2,7 cm; p < 0.01). In addition, there was an increase in HDL-C concentrations, Apo A, with significant difference in GD, only for HDL-C (3.1 ± 7.4 mg/dL; p = 0.02).
  
  
  CONCLUSIONS
  it was observed that the nutritional treatment associated with extra virgin coconut oil consumption reduced the CC and increased HDL-C levels in patients with CAD.
authors.affiliation: Postgraduate Program in Cardiology at the School of Medicine, Universidade Federal do Rio de Janeiro (UFRJ).. anniebello@gmail.com.
authors.forename: Diuli A
authors.initials: DA
authors.lastname: Cardoso
authors.affiliation: Applied Nutrition Department of Universidade do Estado do Rio de Janeiro (UERJ); Research dietitian and professor at Instituto Nacional de Cardiologia (INC).. anniebello@gmail.com.
authors.forename: Annie S B
authors.initials: AS
authors.lastname: Moreira
authors.affiliation: Postgraduate Program in Cardiology at the School of Medicine, Universidade Federal do Rio de Janeiro (UFRJ).. anniebello@gmail.com.
authors.forename: Glaucia M M
authors.initials: GM
authors.lastname: de Oliveira
authors.affiliation: Institute for Collective Health Studies, Federal University of Rio de Janeiro, Rio de Janeiro.. anniebello@gmail.com.
authors.forename: Ronir
authors.initials: R
authors.lastname: Raggio Luiz
authors.affiliation: Department of Nutrition and Dietetics, Josué de Castro Nutrition Institute of Universidade Federal do Rio de Janeiro (UFRJ), Brazil.. anniebello@gmail.com.
authors.forename: Glorimar
authors.initials: G
authors.lastname: Rosa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D001835:Body Weight / Q000187:drug effects*; D008076:Cholesterol, HDL / Q000097:blood*; D000074263:Coconut Oil; D003324:Coronary Artery Disease / Q000178:diet therapy* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008055:Lipids / Q000097:blood; D008297:Male; D008875:Middle Aged; D010938:Plant Oils / Q000494:pharmacology*; D055105:Waist Circumference / Q000187:drug effects*
chemical_list: D008076:Cholesterol, HDL; D008055:Lipids; D010938:Plant Oils; D000074263:Coconut Oil