A plant-based diet in overweight individuals in a 16-week randomized clinical trial: metabolic benefits of plant protein.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.