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Psyllium supplementation in adolescents improves fat distribution & lipid profile: a randomized, participant-blinded, placebo-controlled, crossover trial.

PloS one
May 5, 2012
Martin de Bock et al. (8 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to assess the effects of psyllium supplementation on insulin sensitivity and metabolic syndrome parameters in at-risk adolescent males.

Results Summary

Psyllium supplementation (6 g/day for 6 weeks) led to a 4% reduction in android-to-gynoid fat ratio and a 6% reduction in LDL cholesterol, with no reported adverse events.

Population

45 healthy adolescent males aged 15-16 years from lower socio-economic areas with high obesity rates.

Effective Dosage

6 g/day

Duration

6 weeks

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
psyllium supplementation
decrease
android fat to gynoid fat ratio
at risk adolescent population
4%
led to a 4% reduction
#1
psyllium supplementation
decrease
LDL cholesterol
at risk adolescent population
0.12 mmol/l (6%)
led to a 0.12 mmol/l (6%) reduction
#2
Dietary supplementation with 6 g/day of psyllium over 6 weeks
increase
fat distribution
at risk population of adolescent males
-
improves
#3
Dietary supplementation with 6 g/day of psyllium over 6 weeks
increase
lipid profile (parameters of the metabolic syndrome)
at risk population of adolescent males
-
improves
#4
Abstract

AIMS: We aimed to assess the effects of psyllium supplementation on insulin sensitivity and other parameters of the metabolic syndrome in an at risk adolescent population. METHODS: This study encompassed a participant-blinded, randomized, placebo-controlled, crossover trial. Subjects were 47 healthy adolescent males aged 15-16 years, recruited from secondary schools in lower socio-economic areas with high rates of obesity. Participants received 6 g/day of psyllium or placebo for 6 weeks, with a two-week washout before crossing over. Fasting lipid profiles, ambulatory blood pressure, auxological data, body composition, activity levels, and three-day food records were collected at baseline and after each 6-week intervention. Insulin sensitivity was measured by the Matsuda method using glucose and insulin values from an oral glucose tolerance test. RESULTS: 45 subjects completed the study, and compliance was very high: 87% of participants took >80% of prescribed capsules. At baseline, 44% of subjects were overweight or obese. 28% had decreased insulin sensitivity, but none had impaired glucose tolerance. Fibre supplementation led to a 4% reduction in android fat to gynoid fat ratio (p = 0.019), as well as a 0.12 mmol/l (6%) reduction in LDL cholesterol (p = 0.042). No associated adverse events were recorded. CONCLUSIONS: Dietary supplementation with 6 g/day of psyllium over 6 weeks improves fat distribution and lipid profile (parameters of the metabolic syndrome) in an at risk population of adolescent males. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12609000888268.

Medical Subject Headings (MeSH)
Adipose TissueAdolescentCross-Over StudiesDietary FiberDietary SupplementsHumansInsulin ResistanceLipid MetabolismMaleMetabolic SyndromePlacebosPsylliumRiskSingle-Blind Method
Study Links
Quality Scores
Safety95
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations24
Citations/Year1.8
Relative Citation Ratio1.00
NIH Percentile50.2%
Research Impact Scores
APT Score0.75
Weight Score1.56
Normalized Score0.90
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Psyllium supplementation in adolescents improves fat distrib... | Panacea Index