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Safety evaluation of certain food additives - ipcs inchem

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PHYTOSTEROLS, PHYTOSTANOLS AND THEIR ESTERS 149<br />

3.3 International estimates <strong>of</strong> dietary exposure<br />

In light <strong>of</strong> a number <strong>of</strong> published studies on the dietary exposure <strong>of</strong><br />

phytosterols, phytostanols and their esters (summarized in European Food <strong>Safety</strong><br />

Authority, 2008), information concerning dietary exposure contained in letters<br />

responding to GRAS notifications in the USA (accessible at the USFDA/Center<br />

for Food <strong>Safety</strong> and Applied Nutrition [CFSAN] web site), and their specific use for<br />

the reduction <strong>of</strong> cholesterol in targeted subpopulations, the Committee chose not<br />

to prepare international estimates <strong>of</strong> dietary exposure to the phytosterols,<br />

phytostanols and their esters.<br />

3.4 National estimates <strong>of</strong> dietary exposure<br />

3.4.1 Background exposure from <strong>food</strong><br />

The natural background exposure to phytosterols, phytostanols and their<br />

esters from <strong>food</strong>s has been studied. They are found in numerous plant products,<br />

including seeds, nuts and vegetable oils. Both free and esterified forms are<br />

found. It has been estimated that the daily supply <strong>of</strong> phytosterols, phytostanols<br />

and their esters is in the range <strong>of</strong> 150–400 mg (Scientific Committee on Food,<br />

2002). This range is in keeping with more recent estimates <strong>of</strong> dietary exposure<br />

to phytosterols and phytostanols in Finland (305 and 237 mg/day for men and<br />

women, respectively), Spain (276 mg/day for the four main phytosterols) and<br />

the United Kingdom (300 and 293 mg/day for men and women, respectively) (Valsta<br />

et al., 2004; Jiménez-Escrig et al., 2006; Klingberg et al., 2007). The phytosterols<br />

are typically approximately 90% <strong>of</strong> the total phytosterol/phytostanol mix in a <strong>food</strong>.<br />

A study <strong>of</strong> 200 consumers <strong>of</strong> a typical German diet showed excretion rates <strong>of</strong><br />

10–25 mg phytostanols/day, taken to be equivalent to background exposure, as the<br />

phytostanols have very limited absorption in the human gut.<br />

3.4.2 “Directed” exposure from <strong>food</strong><br />

As discussed above, consumers <strong>of</strong> <strong>food</strong>s containing phytosterols,<br />

phytostanols and their esters are directed to consume them in one, two or three<br />

portions a day in order to achieve a physiologically effective dose <strong>of</strong> 2 g free<br />

phytosterols and/or phytostanols (3.4 g/day <strong>of</strong> the esterified forms). The Committee<br />

was aware that products containing phytosterols, phytostanols or their esters are<br />

markedly more expensive than the same products without them (up to 5 times the<br />

cost for some products in the United Kingdom market, as reported in European Food<br />

<strong>Safety</strong> Authority, 2008) and concluded that inadvertent purchase and consumption<br />

<strong>of</strong> such products over a lifetime were highly unlikely. Additionally, in the EU, labelling<br />

is required on <strong>food</strong> products containing phytosterols, phytostanols or their esters,<br />

stating that consumption <strong>of</strong> more than 3 g/day should be avoided. Therefore, the<br />

Committee concluded that dietary exposure to free phytosterols and phytostanols<br />

would be no more than 30 mg/kg bw per day for a 60-kg individual.

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