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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.

The British journal of nutrition
June 1, 2009
Birgitte Sloth et al. (6 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

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.

Extracted Claims (21)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AdultAnalysis of VarianceAppetite RegulationArea Under CurveBlood GlucoseBody Mass IndexBody WeightDiet, Fat-RestrictedEnergy IntakeFatty Acids, MonounsaturatedFemaleGlucagonGlucagon-Like Peptide 1Glucagon-Like Peptide 2Glycemic IndexHumansInsulinMaleObesityPancreatic PolypeptidePeptide YYTime FactorsTriglycerides
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations59
Citations/Year3.7
Relative Citation Ratio1.82
NIH Percentile71.7%
Research Impact Scores
APT Score0.95
Weight Score1.31
Normalized Score0.67
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