Panacea Index Logo

Command Palette

Search for a command to run...

A plant-based diet in overweight individuals in a 16-week randomized clinical trial: metabolic benefits of plant protein.

Nutrition & diabetes
November 2, 2018
Hana Kahleova et al. (5 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the effects of a plant-based diet on body composition and insulin resistance, specifically investigating the role of plant protein in these outcomes.

Results Summary

The plant-based diet significantly improved body weight, fat mass, and insulin resistance markers compared to the control diet, with reductions linked to increased plant protein intake and decreased animal protein, leucine, and histidine intake.

Population

Overweight participants (n=75)

Effective Dosage

Not specified

Duration

16 weeks

Interactions

None mentioned

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
plant-based vegan diet
decrease
body weight, fat mass, and insulin resistance markers
overweight participants
-
proved to be superior to the control diet in improving
#1
plant-based vegan diet
decrease
body weight
overweight participants
-6.5 [95% CI -8.9 to -4.1] kg
significant reductions in
#2
plant-based vegan diet
decrease
fat mass
overweight participants
-4.3 [95% CI -5.4 to -3.2] kg
significant reductions in
#3
plant-based vegan diet
decrease
HOMA-IR
overweight participants
-1.0 [95% CI -1.2 to -0.8]
significant reductions in
#4
increased intake of plant protein
decrease
decrease in fat mass
overweight participants
r = -0.30
associated with
#5
decreased intake of animal protein
decrease
decrease in fat mass
overweight participants
r = +0.39
associated with
#6
decreased % leucine intake
decrease
decrease in fat mass
overweight participants
r = +0.40
associated with
#7
decreased % histidine intake
decrease
decrease in insulin resistance
overweight participants
r = +0.38
associated with
#8
plant protein, as a part of a plant-based diet, and the resulting limitation of leucine and histidine intake
improvement
body composition
overweight participants
-
associated with improvements in
#9
plant protein, as a part of a plant-based diet, and the resulting limitation of leucine and histidine intake
decrease
body weight
overweight participants
-
associated with reductions in
#10
plant protein, as a part of a plant-based diet, and the resulting limitation of leucine and histidine intake
decrease
insulin resistance
overweight participants
-
associated with reductions in
#11
Abstract

BACKGROUND AND OBJECTIVES: A plant-based diet is an effective strategy in the treatment of obesity. In this 16-week randomized clinical trial, we tested the effect of a plant-based diet on body composition and insulin resistance. As a part of this trial, we investigated the role of plant protein on these outcomes. SUBJECTS AND METHODS: Overweight participants (n = 75) were randomized to follow a plant-based (n = 38) or a control diet (n = 37). Dual X-ray Absorptiometry assessed body composition, Homeostasis Model Assessment (HOMA-IR) assessed insulin resistance, and a linear regression model was used to test the relationship between protein intake, body composition, and insulin resistance. RESULTS: The plant-based vegan diet proved to be superior to the control diet in improving body weight, fat mass, and insulin resistance markers. Only the vegan group showed significant reductions in body weight (treatment effect -6.5 [95% CI -8.9 to -4.1] kg; Gxt, p < 0.001), fat mass (treatment effect -4.3 [95% CI -5.4 to -3.2] kg; Gxt, p < 0.001), and HOMA-IR (treatment effect -1.0 [95% CI -1.2 to -0.8]; Gxt, p = 0.004). The decrease in fat mass was associated with an increased intake of plant protein and decreased intake of animal protein (r = -0.30, p = 0.011; and r = +0.39, p = 0.001, respectively). In particular, decreased % leucine intake was associated with a decrease in fat mass (r = +0.40; p < 0.001), in both unadjusted and adjusted models for changes in BMI and energy intake. In addition, decreased % histidine intake was associated with a decrease in insulin resistance (r = +0.38; p = 0.003), also independent of changes in BMI and energy intake. CONCLUSIONS: These findings provide evidence that plant protein, as a part of a plant-based diet, and the resulting limitation of leucine and histidine intake are associated with improvements in body composition and reductions in both body weight and insulin resistance.

Medical Subject Headings (MeSH)
AdultAgedBody CompositionBody WeightDiet, VeganFemaleHumansInsulin ResistanceMaleMiddle AgedOverweightTreatment OutcomeWeight Loss
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations87
Citations/Year12.4
Relative Citation Ratio4.74
NIH Percentile92.4%
Research Impact Scores
APT Score0.95
Weight Score2.36
Normalized Score0.70
Related Supplements
A plant-based diet in overweight individuals in a 16-week ra... | Panacea Index