Pm. Krisetherton et al., EFFECTS OF A MILK CHOCOLATE BAR PER DAY SUBSTITUTED FOR A HIGH-CARBOHYDRATE SNACK IN YOUNG MEN ON AN NCEP AHA STEP-1 DIET/, The American journal of clinical nutrition, 60(6), 1994, pp. 190001037-190001042
This study compares the plasma cholesterol response with the isoenerge
tic substitution of a milk chocolate bar (46 g) given daily for a high
-carbohydrate snack in healthy young men on a Step 1 Diet. Normocholes
terolemic men (n = 42) were fed a Step 1 Diet for 21 d (run-in diet) f
ollowed by a 27-d experimental period during which they consumed the s
ame diet plus either a milk chocolate bar or a high-carbohydrate snack
; after this they consumed the run-in diet for 21 d followed by the ot
her snack for 27 d. When subjects consumed a milk chocolate bar instea
d of the high-carbohydrate snack, high-density-lipoprotein (HDL) chole
sterol was 0.08 +/- 0.03 mmol/L higher (P < 0.01) and plasma triglycer
ides were 0.06 +/- 0.03 mmol/L lower (P < 0.05). Substitution of a mil
k chocolate bar for a high-carbohydrate snack did not adversely affect
the low-density-lipoprotein-(LDL) cholesterol response to a Step 1 Di
et despite an increase in total fat and saturated fatty acid content o
f the diet. This response may be due to stearic acid.