Recommended in the guidelines


Plant stanols are recommended in international and national cardiovascular guidelines

According to the international guidelines, changes of diet and lifestyle are always the basis of therapy for dyslipidemia, regardless of any other medical treatment.

Several international and national dyslipidemia treatment and CVD prevention guidelines recommend the use of Plant stanol ester containing foods for cholesterol reduction. 


Plant stanol ester in the guidelines

Examples of guidelines recommending that Plant stanol ester should be considered part of a cholesterol lowering diet:

  • European Society of Cardiology & European Atherosclerosis Society, 2016
    • The Task Force for the management of dyslipidemias of  the European Society of cardiology (ESC) and the European Atherosclerosis Society (EAS). 2016 ESC/EAS Guidelines for the management of dyslipidemias. Atherosclerosis 2016; 253: 281-344.
  • The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice, 2016
    • 2016 European Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J 2016.
  • American College of Cardiology, 2016
    • 2016 ACC Expert consensus decision pathway on the role of non-statin therapies for LDL-cholesterol lowering in the management of atherosclerotic cardiovascular disease risk. JACC 2016
  • American Diabetes Association, 2016 
  • European Atherosclerosis Society, 2015
    • Wiegman et al. Familial hypercholesterolaemia in children and adolescents: gaining decades of life by optimizing detection and treatment. Eur Heart J 2015
  • National Lipid Association, 2015
    • Jacobson et al. National Lipid Association recommendations for patient-centered management of dyslipidemia: part 1 – full report. J Clin Lipidol 2015: 9; 129-169.
  • Joint British Societies, 2014
    • JBS 3 board: Joint British Societies' consensus recommendations for the  prevention of cardiovascular disease (JBS3). Heart 2014; 100: ii1-ii67 
  • European Atherosclerosis Society, 2014
    • Gylling H et al. Plant sterols and plant stanols in the management of dyslipidaemia and prevention of cardiovascular disease. Consensus statement of the European Atherosclerosis Society. Atherosclerosis 2014; 232: 346-360.
  • International Atherosclerosis Society, 2013
  • European Atherosclerosis Society, 2013
    • Nordestgaard et al. Familial hypercholesterolaemia is underdiagnosed and undertreated in the general population: guidance for clinicians to prevent coronary heart disease. Consensus statement of the European Atherosclerosis Society. Eur Heart J 2013; 34: 3478-3490.
  • American Diabetes Association, 2013
    • Evert AB et al. Nutrition therapy recommendations for the management of adults with diabetes. A position statement of American Diabetes Association. Diabetes Care 2013; 36: 3821-3842.
  • National Heart, Lung, and Blood Institute, 2011
    • Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents. Pediatrics 2011; 128: Suppl 5: S1-S44. NHLBI website
  • The Australian Heart Foundation, 2009
    • The Australian Heart Foundation. Position statement on phytosterol/stanol enriched foods 2007, updated December 2009. AHF Website
  • American Academy of Pediatrics, 2008
    • Stephen R. Daniels, Frank R. Greer and the Committee on Nutrition. Lipid Screening and Cardiovascular Health in Childhood. Pediatrics 2008; 122: 198-208.
  • American Diabetes Association & American College of Cardiology Foundation, 2008
    • Brunzell JD, Davidson M, Furberg CD et al. Lipoprotein Management in Patients With Cardiometabolic Risk: Consensus Conference Report From the American Diabetes Association and the American College of Cardiology Foundation.  J Am Coll Cardiol 2008; 51: 1512-24.
  • Joint WHO/FAO Expert Consultation, 2003