Sj. Middleton et al., AN INDIRECT MEANS OF ASSESSING POTENTIAL NUTRITIONAL EFFECTS OF DIETARY OLESTRA IN HEALTHY SUBGROUPS OF THE GENERAL-POPULATION, The Journal of nutrition, 127, 1997, pp. 1710-1718
The potential for olestra to affect the absorption of dietary componen
ts was measured in 18- to 44-y-old humans and the weanling pig. Result
s from the studies were assessed to determine ii they were relevant to
subgroups of the population not included in the studies, Hypothetrica
lly, two factors that might cause the study results not to be relevant
to certain subgroups are dietary pattern and metabolic need, A dietar
y pattern resulting in olestra-to-nutrient intake ratios greater than
those tested in the studies might produce effects greater than those m
easured, Metabolic needs (i.e., nutrient requirements) among subgroups
greater than those of the study population might mean that any effect
s on nutrient absorption seen in the studies would be larger among sub
groups, If olestra-to-nutrient ratios and nutrient requirements of a s
ubgroup were less than those covered in the studies, then the effects
of olestra on the nutritional status of the subgroup should be no diff
erent than the effects measured in the studies. Subgroups with high ol
estra-to-nutrient intake ratios were identified by calculating the rat
ios for those nutrients assessed in the studies [i.e., macronutrients,
vitamins A (including beta-carotene), D, E and K, folate, vitamin B-1
2, calcium, iron and zinc], Subgroups with the greatest olestra-to-nut
rient intake ratios for one or more nutrients included children, teena
gers and young adults, women from low income families and vegetarians,
Subgroups with the greatest metabolic need for one or more nutrients
included children, teenagers, and pregnant and lactating women, The ol
estra-to-nutrient ratios and nutrient requirements of the subgroups ha
ving the greatest ratios and requirements were compared with those of
the test population. The olestra-to-nutrient intake ratios fed in the
studies were greater than those for any subgroup for all nutrients exc
ept calcium, which is not affected by olestra, Metabolic needs of the
test population were greater than those of all population subgroups fo
r all nutrients. The effects of olestra on nutritional status should n
ot be different or greater than those measured in the controlled clini
cal tests for subgroups not directly tested.