Flora Pro.Activ Quiz 2013

1. Which of your patients can you recommend Flora pro.activ to?

Patients with elevated cholesterol levels

Patients on lipid lowering medication

Patients with familial hypercholesterolemia

Patients with type-2 diabetes

All of the above

Answer: All of the above –We always recommend that these patients consult their doctor to discuss additional use of plant sterol enriched foods.

Explanation

Answer: All of the above –We always recommend that these patients consult their doctor to discuss additional use of plant sterol enriched foods.

2. What food can lower your patients' cholesterol by up to 10% in just three weeks?

Soya-based products

Flora pro.activ cholesterol plant sterol enriched foods

Oats

Answer: B - Flora pro.activ contanins plant sterols which have been shown to lower cholesterol. 3 portions of Flora pro.activ milk or spread or 1 Flora pro.activ mini drink a day provides the optimum amount of plant sterols for cholesterol lowering. A daily consumption of 1.5-2.4g plant sterol can lower cholesterol by 7-10% in 2-3 weeks as part of a healthy diet and lifestyle.

Explanation

Answer: B - Flora pro.activ contanins plant sterols which have been shown to lower cholesterol. 3 portions of Flora pro.activ milk or spread or 1 Flora pro.activ mini drink a day provides the optimum amount of plant sterols for cholesterol lowering. A daily consumption of 1.5-2.4g plant sterol can lower cholesterol by 7-10% in 2-3 weeks as part of a healthy diet and lifestyle.

3. In England, around 58% of men and 61% of women have blood cholesterol levels of 5.0 mmol/l and above [6]. Despite this, what percentage of men and women in the UK aged 45+ do not know their cholesterol level?

70%

50%

40%

Answer: A - Data reveals 70% of men and women in the UK aged 45+ do not know their cholesterol level [7].

Explanation

Answer: A - Data reveals 70% of men and women in the UK aged 45+ do not know their cholesterol level [7].

4. What plant sterol enriched food can provide your patients with the same amount of sterols as is found in 425 tomatoes (the amount they would need to eat to achieve the optimum plant sterol intake [14,15,16])?

Just one Flora pro.activ mini drink every day provides the optimum plant sterol intake for cholesterol lowering

3 portions of Flora pro.activ milk or spread a day provides the optimum level of plant sterols for cholesterol lowering

Both A and B are true

Answer: C – Flora pro.activ contanins plant sterols which have been shown to lower cholesterol. 3 portions of Flora pro.activ milk or spread or 1 Flora pro.activ mini drink a day provides the optimum amount of plant sterols for cholesterol lowering A daily consumption of 1.5-2.4g plant sterol can lower cholesterol by 7-10% in 2-3 weeks as part of a healthy diet and lifestyle.

Explanation

Answer: C – Flora pro.activ contanins plant sterols which have been shown to lower cholesterol. 3 portions of Flora pro.activ milk or spread or 1 Flora pro.activ mini drink a day provides the optimum amount of plant sterols for cholesterol lowering A daily consumption of 1.5-2.4g plant sterol can lower cholesterol by 7-10% in 2-3 weeks as part of a healthy diet and lifestyle.

5. The optimum level of plant sterols that patients should consume for cholesterol-lowering is 1.5 to 2.4 grams per day as part of a healthy diet and lifestyle with sufficient fruit and vegetables. [9] But in reality what level of plant sterols do you think your patients consume from everyday foods through a normal diet without plant sterol enriched foods?

1 – 2 grams

Less than 0.5 grams

More than 2 grams

Answer: B - Patients tend to consume between 0.15-0.31g plant sterols per day from everyday foods [10,11,12] Flora pro.activ foods are enriched with plant sterols which have been shown to actively lower cholesterol. Just 3 portions of Flora pro.activ spread or milk or 1 Flora pro.activ mini drink a day provides the optimum amount of plant sterols for cholesterol lowering, to help your patients consume 1.5-2.4g of plant sterols per day.

Explanation

Answer: B - Patients tend to consume between 0.15-0.31g plant sterols per day from everyday foods [10,11,12] Flora pro.activ foods are enriched with plant sterols which have been shown to actively lower cholesterol. Just 3 portions of Flora pro.activ spread or milk or 1 Flora pro.activ mini drink a day provides the optimum amount of plant sterols for cholesterol lowering, to help your patients consume 1.5-2.4g of plant sterols per day.

6. By how much do you think 2 grams of plant sterols a day can reduce cholesterol absorption in the gut?

20-30%

30-40%

10-20%

Answer: B - Consuming 2 grams of plant sterols a day reduces the absorption of cholesterol
by 30-40%. The cholesterol that is not absorbed is then excreted (along with virtually all the plant sterols) [13]. Consuming 1.5-2.4g of sterols per day can lower cholesterol by 7-10% in 2-3 weeks as part of a healthy diet and lifestyle with sufficient fruit and vegetables.

Explanation

Answer: B - Consuming 2 grams of plant sterols a day reduces the absorption of cholesterol
by 30-40%. The cholesterol that is not absorbed is then excreted (along with virtually all the plant sterols) [13]. Consuming 1.5-2.4g of sterols per day can lower cholesterol by 7-10% in 2-3 weeks as part of a healthy diet and lifestyle with sufficient fruit and vegetables.

7. It is estimated that by 2030, almost 23.6 million people will die from CVD [1]. What % of CVD do you think is attributable to modifiable risks like diet and lifestyle?

20%

50%

80%

Answer: C – Cardiovascular disease (CVD) is the single biggest killer in the UK, responsible for one in three deaths each year [2]. According to the World Health Organization (WHO), 80% of premature CVD (heart disease and stroke) could be prevented [1]. Simple changes to everyday food choices and lifestyle are key to help reduce the risk of CVD.

Explanation

Answer: C – Cardiovascular disease (CVD) is the single biggest killer in the UK, responsible for one in three deaths each year [2]. According to the World Health Organization (WHO), 80% of premature CVD (heart disease and stroke) could be prevented [1]. Simple changes to everyday food choices and lifestyle are key to help reduce the risk of CVD.

8. By what percentage does a patient have to lower their cholesterol to see a 20% reduction in CVD risk?

They would need to lower their cholesterol by 10% to lower their CVD risk by 20%

They would need to lower their cholesterol by 20% to lower their CVD risk by 20%

They would need to lower their cholesterol by 30% to lower their CVD risk by 20%

Answer: A - Lowering LDL cholesterol by just 10% is estimated to reduce the risk of CVD by 20% in the long term [3].

Explanation

Answer: A - Lowering LDL cholesterol by just 10% is estimated to reduce the risk of CVD by 20% in the long term [3].

9. If you thought men were more at risk of CVD than women, you'd be mistaken. During the menopause, women's cholesterol levels begin to rise [4]. By how much does CVD risk increase in women in the 10 years after the menopause?

It doubles

It increases four-fold

It remains unchanged

Answer: B – Research suggests that CVD risk in women in the ten years after the menopause increases four-fold, partly as a result of the change in cholesterol levels [5] .

Explanation

Answer: B – Research suggests that CVD risk in women in the ten years after the menopause increases four-fold, partly as a result of the change in cholesterol levels [5] .

10. How many official dietary recommendations for cholesterol management include plant sterols?

Less than 5

5- 10

More than 10

Answer: C – The International Atherosclerosis Society [8], Heart UK, the US National Cholesterol Education Program (NCEP), Diabetes UK and many other international organisations including American Heart Association, Heart Foundation Australia, Dutch Heart Foundation, Finnish Nutrition Association, Finnish Medical Society, Spanish Atherosclerosis Society and Nutrition Foundation of Italy have all included plant sterols in their dietary recommendations for cholesterol management.

Explanation

Answer: C – The International Atherosclerosis Society [8], Heart UK, the US National Cholesterol Education Program (NCEP), Diabetes UK and many other international organisations including American Heart Association, Heart Foundation Australia, Dutch Heart Foundation, Finnish Nutrition Association, Finnish Medical Society, Spanish Atherosclerosis Society and Nutrition Foundation of Italy have all included plant sterols in their dietary recommendations for cholesterol management.

11. Which foods have approval from European Authorities to make cholesterol-lowering claims?

Oily fish

Flora pro.activ cholesterol plant sterol enriched foods

Oats

Answer: B and C - In order to make an EU disease risk reduction claim, all scientific evidence must be independently reviewed and endorsed by the European Food Safety Authority (EFSA). Unilever was the first to secure a disease risk reduction claim in the European market place in 2009 for its Flora pro.activ cholesterol lowering food range, enriched with plant sterols: “Plant sterols have been shown to reduce blood cholesterol. High cholesterol is a risk factor in the development of coronary heart disease”. Plant stanols are also allowed to bear the above claim. In December 2010, EFSA also approved a health claim linking consumption of oat beta-glucans with improved cholesterol levels. It is worth noting that compared to beta-glucan, plant sterols give a greater reduction in cholesterol, and no other food is more effective at lowering cholesterol.

Explanation

Answer: B and C - In order to make an EU disease risk reduction claim, all scientific evidence must be independently reviewed and endorsed by the European Food Safety Authority (EFSA). Unilever was the first to secure a disease risk reduction claim in the European market place in 2009 for its Flora pro.activ cholesterol lowering food range, enriched with plant sterols: “Plant sterols have been shown to reduce blood cholesterol. High cholesterol is a risk factor in the development of coronary heart disease”. Plant stanols are also allowed to bear the above claim. In December 2010, EFSA also approved a health claim linking consumption of oat beta-glucans with improved cholesterol levels. It is worth noting that compared to beta-glucan, plant sterols give a greater reduction in cholesterol, and no other food is more effective at lowering cholesterol.

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