Lipid storage disorders are one of the risk factors for systemic atherosclerotic process development. One of important aspects of hyperlipidemia treatment is non-drug methods, including lifestyle changes and the use of nutraceuticals.
OBJECTIVE
To analyze current data on the efficacy and safety of the dietary food supplements use for hyperlipidemia correction.
MATERIALS AND METHODS
Search and analysis of literature reviews and original articles from PubMed and eLibrary databases published between 2016 and May 2024 were performed. The following keywords were used: nutraceuticals, hyperlipidemia. A number of full-text publications equal 47 was selected. The review also presents primary sources covering studies of dietary food supplements dated earlier than 2016, as they contain valuable information.
RESULTS
Red yeast rice (monacolin), phytosterols, omega-3 fatty acids, dietary fibers were used as functional food ingredients widely studied in hyperlipidemia. Efficacy of a given nutraceutical varies and is in the range of minus 5% to 25% of the baseline low-density lipoprotein cholesterol level. Data on side effects, related to both the action of biologically active agent itself and the lack of standardization and presence of undesirable impurities in the composition were obtained.
CONCLUSION
Change in dietary pattern for primary prevention can be used in persons with low/moderate or high cardiovascular risk in low-density lipoprotein cholesterol level ranging from 1.8 to 2.6 mmol/L in the absence of indications for taking statins and/or at doctor’s discretion. Despite the positive effects of nutraceuticals administration, it is important to remember that they cannot replace lipid-lowering therapy, but have the potential to reduce residual cardiovascular risk.