The effect of a high-MUFA, low-glycaemic index diet and a low-fat diet on appetite and glucose metabolism during a 6-month weight maintenance period.
Study Goal
The researchers aimed to compare the effects of a low-fat diet (LF) with other diets (MUFA and CTR) on appetite, glucose, and fat metabolism following weight loss induced by a low-energy diet.
Results Summary
The LF diet reduced postprandial glycaemia and insulinaemia and lowered fasting insulin similarly to the MUFA diet, with no differences in body weight, energy intake, or appetite ratings between diets. The study also found lower levels of appetite-regulating peptides and increased appetite scores after the initial weight loss period.
Population
131 subjects (with 42 completing meal tests) following an 8-week low-energy diet and 2-3-week refeeding period.
Effective Dosage
20-30 energy percentage (E%) fat.
Duration
6 months.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
MUFA diet | decrease | postprandial glycaemia | subjects | - | reduced | #1 |
MUFA diet | decrease | postprandial insulinaemia | subjects | - | reduced | #2 |
MUFA diet | decrease | fasting insulin | subjects | - | lowered | #3 |
LF diet | decrease | postprandial glycaemia | subjects | - | reduced | #4 |
LF diet | decrease | postprandial insulinaemia | subjects | - | reduced | #5 |
LF diet | decrease | fasting insulin | subjects | - | lowered | #6 |
CTR diet | decrease | insulin sensitivity | - | - | indicated associations to lowering of | #7 |
8-week LED period | decrease | pancreatic polypeptide | - | - | lower levels of | #8 |
8-week LED period | decrease | peptide YY | - | - | lower levels of | #9 |
8-week LED period | decrease | glucagon-like peptide-1 | - | - | lower levels of | #10 |
8-week LED period | decrease | glucagon-like peptide-2 | - | - | lower levels of | #11 |
8-week LED period | increase | appetite scores | - | - | increased | #12 |
MUFA diet | no change | body weight | subjects | - | no difference in | #13 |
LF diet | no change | body weight | subjects | - | no difference in | #14 |
CTR diet | no change | body weight | subjects | - | no difference in | #15 |
MUFA diet | no change | energy intake | subjects | - | no difference in | #16 |
LF diet | no change | energy intake | subjects | - | no difference in | #17 |
CTR diet | no change | energy intake | subjects | - | no difference in | #18 |
MUFA diet | no change | appetite ratings | subjects | - | no difference in | #19 |
LF diet | no change | appetite ratings | subjects | - | no difference in | #20 |
CTR diet | no change | appetite ratings | subjects | - | no difference in | #21 |
We aimed to test the effects of three different weight maintenance diets on appetite, glucose and fat metabolism following an initial low-energy diet (LED) induced body weight loss. Following an 8-week LED and a 2-3-week refeeding period, 131 subjects were randomized to three diets for 6 months: MUFA, moderate-fat (35-45 energy percentage (E%) fat), high in MUFA with low glycaemic index; LF, low fat (20-30 E% fat) or CTR, control (35 E% fat). A meal test study was performed in a subgroup, before and after the 6-month dietary intervention, with forty-two subjects completing both meal tests. No difference in body weight, energy intake or appetite ratings were observed between diets. Both the LF and MUFA diets compared to CTR diet reduced postprandial glycaemia and insulinaemia and lowered fasting insulin from month 0 to month 6. Following the 8-week LED period lower levels of the appetite regulating peptides, pancreatic polypeptide, peptide YY, glucagon-like peptide-1 and glucagon-like peptide-2, along with increased appetite scores were seen in comparison to measurements performed after the 6-month dietary intervention. In conclusion, the two competing diets, MUFA and LF, were equally good with respect to glucose metabolism, whereas the CTR diet resembling the typical Western diet, high in SFA, sugar and high glycaemic carbohydrates, indicated associations to lowering of insulin sensitivity. Lower levels of appetite regulatory peptides along with increased appetite scores following an 8-week LED and 2-3-week refeeding period, suggest that strategies for physiological appetite control following a LED period are needed, in order to prevent weight regain.