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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Nicklas, Jacinda M. Sacks, Frank M. Smith, Steven R. LeBoff, Meryl S. Rood, Jennifer C. Bray, George A. Ridker, Paul M. |
| Description | Country affiliation: United States Author Affiliation: Nicklas JM ( Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Brookline, Massachusetts, USA. jnicklas1@partners.org) |
| Abstract | OBJECTIVE: Overweight and obesity are associated with increased high-sensitivity C-reactive protein (hsCRP) levels. The purpose of this study was to determine if weight loss diets differing in fat, protein, or carbohydrate composition differentially reduce hsCRP. DESIGN AND METHODS: POUNDS (preventing overweight using novel dietary strategies) LOST was a 2-year trial of overweight and obese adults randomly allocated to one of four weight loss diets with targeted percentages of energy derived from fat, protein, and carbohydrates (20, 15, 65%; 20, 25, 55%; 40, 15, 45%; 40, 25, 35%, respectively). hsCRP was measured at baseline, 6, and 24 months among 710 participants, and adiposity as measured by dual X-ray absorptiometry (N = 340) or abdominal computed tomography (N = 126) was correlated with hsCRP change. RESULTS: At 6 months, hsCRP was reduced in all trial participants by -24.7% (Interquartile range (IQR) +7%, -50%), weight by -6.7% (IQR -3%, -11%), and waist circumference by -6.0% (IQR -3%, -10%) (all P < 0.002), with no significant differences according to dietary composition. The percent change in hsCRP at 6 and 24 months correlated modestly with change in weight, waist circumference, fasting insulin, fasting glucose, HOMA, and most lipid levels. Reductions in hsCRP persisted despite â¼ 50% regain of weight by 24 months. The percent change in hsCRP at 24 months significantly correlated with changes in total body fat (r = 0.42), total abdominal adiposity (r = 0.52), subcutaneous abdominal adiposity (r = 0.52), visceral adiposity (r = 0.47), and hepatic tissue density (r = -0.34) (all P < 0.0006). CONCLUSION: Weight loss decreased hsCRP by similar magnitude, irrespective of dietary composition. Clinicians concerned about inflammation and cardiovascular risk should recommend weight loss diets most likely to succeed for their patients. |
| File Format | HTM / HTML |
| ISSN | 19307381 |
| e-ISSN | 1930739X |
| DOI | 10.1002/oby.20072 |
| Journal | Obesity |
| Issue Number | 4 |
| Volume Number | 21 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2013-04-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Endocrinology C-reactive Protein Metabolism Diet, Reducing Dietary Carbohydrates Administration & Dosage Dietary Fats Dietary Proteins Absorptiometry, Photon Adipose Tissue Chemistry Drug Effects Adiposity Biological Markers Blood Blood Glucose Body Composition Body Mass Index Body Weight Cholesterol Fasting Insulin Obesity Diet Therapy Waist Circumference Randomized Controlled Trial Research Support, N.i.h., Extramural |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Endocrinology |
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