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Short-term low carbohydrate/high-fat diet intake increases postprandial plasma glucose and glucagon-like peptide-1 levels during an oral glucose tolerance test in healthy men.

European journal of clinical nutrition
August 1, 2012
S Numao et al. (7 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether a short-term low-carbohydrate/high-fat diet (LC/HFD) affects postprandial plasma glucose and incretin levels during an oral glucose tolerance test (OGTT) in healthy men.

Results Summary

The study found that a 3-day LC/HFD significantly increased postprandial plasma glucose and GLP-1 levels while reducing first-phase insulin secretion compared to a normal diet.

Population

Nine healthy young men (average age 27, BMI 22 kg/m²).

Effective Dosage

Energy from ~69% fat (total energy intake similar to normal diet).

Duration

3 days per dietary intervention.

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
3-day low-carbohydrate/high-fat diet (LC/HFD)
increase
plasma glucose levels during the OGTT
healthy young men
-
significantly higher
#1
3-day low-carbohydrate/high-fat diet (LC/HFD)
increase
incremental area under the curve during the OGTT
healthy young men
-
significantly higher
#2
3-day low-carbohydrate/high-fat diet (LC/HFD)
increase
increase in GLP-1 levels during the OGTT
healthy young men
-
significantly higher
#3
3-day low-carbohydrate/high-fat diet (LC/HFD)
decrease
first-phase insulin secretion indexes
healthy young men
-
significantly lower
#4
short-term LC/HFD
increase
postprandial plasma glucose levels
healthy young men
-
increased
#5
short-term LC/HFD
increase
GLP-1 levels
healthy young men
-
increased
#6
short-term LC/HFD
decrease
first-phase insulin secretion
-
-
decrease
#7
Abstract

BACKGROUND/OBJECTIVES: Postprandial hyperglycemia increases the risks of development of type 2 diabetes and cardiovascular diseases. The purpose of this study was to determine whether a 3-day low-carbohydrate/high-fat diet (LC/HFD) alters postprandial plasma glucose and incretin levels during oral glucose tolerance test (OGTT) in healthy men. SUBJECTS/METHODS: Nine healthy young men (age (mean ± s.e.), 27 ± 1 years; body mass index, 22 ± 1 kg/m(2)) consumed either a normal diet (ND: energy from ∼22% fat) or a LC/HFD (energy from ∼69% fat) for 3 days each. The total energy intake from each diet was similar. An OGTT was performed after each 3-day dietary intervention. Postprandial plasma glucose, insulin, free fatty acid and glucagon-like peptide-1 (GLP-1) levels were determined at rest and during the OGTT. RESULTS: Plasma glucose levels and incremental area under the curve during the OGTT were significantly higher in the LC/HFD trial than in the ND trial (P=0.024). In addition, increase in GLP-1 levels was significantly higher in the LC/HFD trial than in the ND trial (P=0.025). The first-phase insulin secretion indexes were significantly lower in the LC/HFD trial than in the ND trial (P<0.041). CONCLUSIONS: These results demonstrate that even short-term LC/HFD increased postprandial plasma glucose and GLP-1 levels in healthy young men. A decrease in first-phase insulin secretion may partially contribute to the short-term LC/HFD-induced increase in postprandial plasma glucose levels.

Medical Subject Headings (MeSH)
AdultBlood GlucoseBody CompositionBody Mass IndexDiet, High-FatDietary CarbohydratesEnergy IntakeFatty Acids, NonesterifiedGlucagon-Like Peptide 1Glucose Tolerance TestHumansInsulinInsulin SecretionMaleMotor ActivityPostprandial Period
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations62
Citations/Year4.8
Relative Citation Ratio2.15
NIH Percentile76.7%
Research Impact Scores
APT Score0.75
Weight Score1.49
Normalized Score0.61
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