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Comparison of short-term hypocaloric high-protein diets with a hypocaloric Mediterranean diet: Effect on body composition and health-related blood markers in overweight and sedentary young participants.

Nutrition (Burbank, Los Angeles County, Calif.)
January 1, 2021
Konstantinos Feidantsis et al. (11 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the short-term effects of a hypocaloric Mediterranean diet and two high-protein diets (with and without whey supplementation) on body composition, lipid profile, and inflammation/muscle-damage markers in overweight, sedentary young individuals.

Results Summary

The high-protein diets (with and without whey) led to less favorable outcomes compared to the Mediterranean diet, including increased subclinical inflammation and muscle-damage markers, and no significant improvement in lipid profile. Body and fat mass reductions were smaller in the high-protein groups than in the Mediterranean diet group.

Population

Overweight, sedentary young adults (mean age 22.8 ± 4.8 years; body mass 85.5 ± 10.2 kg; body fat percentage 34.3% ± 8.1%).

Effective Dosage

Not specified (hypocaloric -700 kcal/day for all diets).

Duration

6 weeks.

Interactions

None mentioned.

Extracted Claims (15)
InterventionDirectionEndpointPopulationDosageImpactClaim #
hypocaloric Mediterranean diet
decrease
body mass
overweight, sedentary, young participants
-3.5% ± 1.1%
were decreased
#1
hypocaloric Mediterranean diet
decrease
fat mass
overweight, sedentary, young participants
-5.9% ± 4.2%
were decreased
#2
hypocaloric Mediterranean diet
no change
fat-free mass
overweight, sedentary, young participants
no significant decline
no significant decline
#3
high-protein diet
decrease
body mass
overweight, sedentary, young participants
-1.7% ± 1.2%
were decreased
#4
high-protein diet
decrease
fat mass
overweight, sedentary, young participants
-2.0% ± 1.8%
were decreased
#5
hypocaloric Mediterranean diet
decrease
lipid profile
overweight, sedentary, young participants
-
beneficially altered
#6
high-protein diet
no change
lipid profile
overweight, sedentary, young participants
no significant changes
did not induce significant changes
#7
high-protein diet with whey supplementation
no change
lipid profile
overweight, sedentary, young participants
no significant changes
did not induce significant changes
#8
high-protein diet
increase
neutrophils
overweight, sedentary, young participants
7.4% ± 3.5%
significantly increased
#9
high-protein diet
increase
CRP
overweight, sedentary, young participants
66.6% ± 40.1%
significantly increased
#10
high-protein diet with whey supplementation
increase
neutrophils
overweight, sedentary, young participants
14.3% ± 6.4%
significantly increased
#11
high-protein diet with whey supplementation
increase
CRP
overweight, sedentary, young participants
266.6% ± 55.1%
significantly increased
#12
hypocaloric Mediterranean diet
decrease
neutrophils
overweight, sedentary, young participants
1.8% ± 1.2%
decreased
#13
hypocaloric Mediterranean diet
decrease
CRP
overweight, sedentary, young participants
-33.3% ± 10.1%
decreased
#14
hypocaloric Mediterranean diet
increase
body composition and metabolic profile
overweight, sedentary individuals
-
induced positive changes
#15
Abstract

OBJECTIVES: The aim of the present study was to compare the short-term effects of a hypocaloric Mediterranean diet and two high protein diets, with and without whey protein supplementation, on body composition, lipidemic profile, and inflammation and muscle-damage blood indices in overweight, sedentary, young participants. METHODS: Thirty-three young, overweight, male and female participants (mean ± SD age: 22.8 ± 4.8 y; body mass: 85.5 ± 10.2 kg; body fat percentage: 34.3% ± 8.1%) were randomly allocated to three different hypocaloric (-700 kcal/d) diets: a Mediterranean diet (MD; n = 10), a high-protein diet (HP; n = 10) diet, and a high-protein diet with whey supplementation (n = 10). The intervention lasted 6 wk. Body composition and biochemical indices were evaluated 1 wk before and after the nutritional interventions. RESULTS: Body and fat mass were decreased in the MD and HP groups (-3.5% ± 1.1% and -5.9% ± 4.2% for body and fat mass respectively in MD, and -1.7% ± 1.2% and -2.0% ± 1.8% for body and fat mass respectively in HP;P < 0.05), with no significant decline of fat-free mass observed in the MD group. The MD group's diet beneficially altered the lipid profile (P < 0.05), but the HP and HPW groups' diets did not induce significant changes. Subclinical inflammation and muscle-damage indices significantly increased in the HP and HPW groups (7.4% ± 3.5% and 66.6% ± 40.1% for neutrophils and CRP respectively in HP, and 14.3% ± 6.4% and 266.6% ± 55.1% for neutrophils and CRP respectively in HPW; P < 0.05) but decreased in the MD group (1.8% ± 1.2% and -33.3% ± 10.1% for neutrophils and CRP respectivelyc; P < 0.05). Energy intake of carbohydrates and proteins were significantly related to the changes in body composition and biochemical blood markers (r = -0.389 and -0.889; P < 0.05). CONCLUSIONS: Among the three hypocaloric diets, only the Mediterranean diet induced positive changes in body composition and metabolic profile in overweight, sedentary individuals.

Medical Subject Headings (MeSH)
AdolescentAdultBody CompositionBody Mass IndexDiet, High-ProteinDiet, MediterraneanDiet, ReducingFemaleHumansMaleObesityOverweightYoung Adult
Study Links
Quality Scores
Safety40
Efficacy30/10
Quality75/10
Citation Metrics
Total Citations15
Citations/Year3.8
Relative Citation Ratio1.20
NIH Percentile56.9%
Research Impact Scores
APT Score0.75
Weight Score2.45
Normalized Score0.43
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