This study compares the plasma cholesterol response to the daily isoenergetic substitution of a milk chocolate bar (46 g) for a high-carbohydrate snack in young, healthy men following a Step 1 Diet.
Normocholesterolemic men (n = 42) were fed a Step 1 Diet for 21 days (run-in diet), followed by a 27-day experimental period during which they ate the same diet plus either a milk chocolate bar or a high-carb snack; following this, they ate the run-in diet for 21 days and the other snack for 27 days. High-density lipoprotein (HDL) cholesterol increased (0.08 +/- 0.03 mmol/L) and plasma triglycerides decreased (0.06 +/- 0.03 mmol/L) when subjects consumed milk chocolate bars as opposed to the high-carb snack (P 0.01).
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