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Chronic consumption of a low-fat diet improves cardiometabolic risk factors according to the CLOCK gene in patients with coronary heart disease.

Molecular nutrition & food research
December 1, 2015
Francisco Gomez-Delgado et al. (12 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether the chronic consumption of a low-fat diet interacts with specific CLOCK gene SNPs to improve lipid metabolism and inflammation in patients with coronary heart disease.

Results Summary

The study found that major allele carriers (C/C) of the rs4580704 SNP showed a greater decrease in inflammation (high sensitivity C-reactive protein) and improved HDL/apolipoprotein A1 ratio compared to minor allele carriers (G/G + C/G) after 12 months on a low-fat diet. No other significant gene-diet interactions were observed.

Population

897 patients with coronary heart disease from the CORDIOPREV clinical trial.

Effective Dosage

Not specified

Duration

12 months

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-fat (LF) diet
decrease
high sensitivity C-reactive protein
major allele carriers C/C of rs4580704 SNP
-
displayed a greater decrease
#1
low-fat (LF) diet
increase
HDL/apolipoprotein A1 ratio
major allele carriers C/C of rs4580704 SNP
-
significant increase
#2
low-fat (LF) diet
neutral
inflammation status
patients with coronary heart disease (CHD)
-
interacts with
#3
low-fat (LF) diet
neutral
dyslipidemia
patients with coronary heart disease (CHD)
-
interacts with
#4
Abstract

SCOPE: Single nucleotide polymorphisms (SNPs) of the circadian locomotor output cycles kaput (CLOCK) gene have been associated with cardiometabolic conditions such as obesity and dyslipidemia. Our aim was to examine whether the chronic consumption of two healthy diets interacts with SNPs of the CLOCK gene in order to improve lipid metabolism and inflammation status in patients with coronary heart disease (CHD). METHODS AND RESULTS: The diets were low-fat (LF) diet and Mediterranean diet (MedDiet). CLOCK SNPs (rs1801260, rs3749474, rs4580704) and the study procedures were performed in 897 patients from the CORDIOPREV clinical trial. After 12 months of intervention, we found significant gene-diet interactions between rs4580704 SNP and the LF diet. Specifically, major allele carriers C/C displayed a greater decrease in high sensitivity C-reactive protein (p < 0.001) and a significant increase in HDL/apolipoprotein A1 ratio (p = 0.029) than minor G allele carriers (G/G + C/G). No other gene-diet interactions were observed in this research. CONCLUSION: These results suggest that rs4580704 SNP interacts with the LF diet improving inflammation status and dyslipidemia related with CHD. The shift toward "personalized nutrition" based on gene-nutrient interactions may be suitable for promoting cardiovascular health in patients with CHD.

Medical Subject Headings (MeSH)
CLOCK ProteinsCoronary Artery DiseaseDiet, Fat-RestrictedDiet, MediterraneanFemaleHumansLipid MetabolismMaleMiddle AgedOlive OilPolymorphism, Single NucleotideRisk Factors
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations31
Citations/Year3.1
Relative Citation Ratio1.25
NIH Percentile58.4%
Research Impact Scores
APT Score0.75
Weight Score1.94
Normalized Score0.72
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