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The effects of 6-week low glycemic load diet based on low glycemic index foods in overweight/obese children--pilot study.

Journal of the American College of Nutrition
February 1, 2008
Zsuzsanna Fajcsak et al. (4 authors)
Journal ArticleHuman Study
Study Details

Study Goal

To evaluate the effectiveness of a 6-week low Glycemic Load (GL) diet based on low Glycemic Index (GI) foods on body weight, body composition, metabolic risk factors, and satiety in overweight/obese pre-pubertal children.

Results Summary

The study found significant reductions in body fat percentage, waist-to-hip ratio, self-reported hunger levels, and total cardiovascular risk factors, despite no change in body weight. A strong negative correlation was observed between fasting glucose and insulin levels.

Population

Overweight/obese pre-pubertal children (average age 11, BMI 24.7 +/- 3.8 kg/m²).

Effective Dosage

Replacement of at least 50% of high GI foods with low-GI foods.

Duration

6 weeks

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
6-week low Glycemic Load (GL) diet intervention based on low Glycemic Index (GI) foods
no change
body weight
overweight/obese pre-pubertal children
no change
no change
#1
6-week low Glycemic Load (GL) diet intervention based on low Glycemic Index (GI) foods
decrease
% body fat
overweight/obese pre-pubertal children
29.4 +/- 4.2 vs. 25.4 +/- 5.3
significant reduction
#2
6-week low Glycemic Load (GL) diet intervention based on low Glycemic Index (GI) foods
decrease
Waist-to-Hip Ratio (WHR)
overweight/obese pre-pubertal children
0.87 +/- 0.053 vs. 0.86 +/- 0.05
decrease
#3
6-week low Glycemic Load (GL) diet intervention based on low Glycemic Index (GI) foods
decrease
self-reported hunger level
overweight/obese pre-pubertal children
4.37 +/- 0.74 vs. 1.75 +/- 0.75
decrease
#4
6-week low Glycemic Load (GL) diet intervention based on low Glycemic Index (GI) foods
decrease
total number of risk factors
overweight/obese pre-pubertal children
28 vs. 15
decrease
#5
6-week low Glycemic Load (GL) diet intervention based on low Glycemic Index (GI) foods
decrease
body fat content
overweight or obese children
-
positively modified
#6
6-week low Glycemic Load (GL) diet intervention based on low Glycemic Index (GI) foods
decrease
cardiovascular risk factors
overweight or obese children
-
positively modified
#7
Abstract

OBJECTIVE: To evaluate the effectiveness of a 6-week low Glycemic Load (GL) diet intervention based on low Glycemic Index (GI) foods on body weight, body composition, metabolic risk factors and satiety in overweight/obese pre-pubertal children. METHODS: Following a pediatric examination 8 healthy, average age 11 year old, Caucasian, pre-pubertal overweight/obese (BMI = 24, 7 +/- 3.8 kg/m(2)) children participated in the study. The Low GL diet intervention was based on the replacement of at least 50% of the high GI foods with Low-GI foods. The children with one of their parents participated in weekly nutrition consultations. Body composition, fasting glucose, insulin, cholesterol and triglyceride were measured before and after the study. Dietary changes were made based on weekly 4-day food-diaries. RESULTS: Despite no change in body weight, there was a significant (p < 0.05) reduction in % body fat (29.4 +/- 4.2 vs. 25.4 +/- 5.3), Waist-to-Hip Ratio (WHR 0.87 +/- 0.053 vs. 0.86 +/- 0.05), decrease in self-reported hunger level (4.37 +/- 0.74 vs. 1.75 +/- 0.75) and the total number of risk factors (28 vs. 15). There was a strong negative correlation between fasting glucose and insulin levels at baseline and in the magnitude of change after the study (r = -0.93 and r = -0.85 respectively; p < 0.01). CONCLUSIONS: A 6 week study demonstrated the practicality and effectiveness of this Low GL dietary approach. Despite of the unchanged body weight, Low GL diet consultations positively modified body fat content and cardiovascular risk factors in overweight or obese children.

Medical Subject Headings (MeSH)
Adipose TissueBlood GlucoseBody CompositionBody WeightChildChild Nutritional Physiological PhenomenaDietary CarbohydratesEnergy MetabolismFemaleGlycemic IndexHumansInsulinMaleObesityOverweightPilot ProjectsRisk FactorsSatiety ResponseTreatment OutcomeWaist-Hip RatioWeight Loss
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality70/10
Citation Metrics
Total Citations21
Citations/Year1.2
Relative Citation Ratio0.64
NIH Percentile34.3%
Research Impact Scores
APT Score0.75
Weight Score0.51
Normalized Score0.68
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