Controversy exists about the role of dietary glycemic index (GI) and fat content and cardiovascular risk. Our aim was to assess the long term effects of altering dietary GI, carbohydrate, and fat on body weight, lipids, glucose homeostasis, and C reactive protein (CRP) in overweight and obese subjects. Men and post-menopausal women with body mass index values between 28-38 kg/m2 were placed on an isoweight average American diet for 5 weeks, then randomized to one of 4 diets which differed in GI, carbohydrate and fat content with calorie restriction for 12 weeks. The same diets were continued for 5 weeks under isoweight conditions, and in the free-living state for 48 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
TRIPLE
Enrollment
107
Change in body weight
Time frame: Baseline to 12 weeks
Change in fasting plasma high density lipoprotein cholesterol
Time frame: Baseline to 12 weeks, 17 weeks, and 16 months
Change in fasting plasma low density lipoprotein cholesterol-cholesterol
Time frame: Baseline to 12 weeks, 17 weeks, and 16 months
Change in fasting plasma very low density lipoprotein cholesterol-cholesterol
Time frame: Baseline to 12 weeks, 17 weeks, and 16 months
Change in fasting plasma triglycerides
Time frame: Baseline to 12 weeks, 17 weeks, and 16 months
Change in fasting plasma insulin
Time frame: Baseline to 12 weeks, 17 weeks, and 16 months
Change in fasting blood glucose
Time frame: Baseline to 12 weeks, 17 weeks, and 16 months
Change in glycated hemoglobin
Time frame: Baseline to 12 weeks, 17 weeks, and 16 months
Change in plasma C-reactive protein
Time frame: Baseline to 12 weeks, 17 weeks, and 16 months
Change in body fat
Time frame: Baseline to 12 weeks and 17 weeks
Change in resting metabolic rate
Time frame: Baseline to 12 weeks and 17 weeks
Change in blood pressure
Time frame: Baseline to 12weeks, 17weeks and 16months
Change in body weight
Time frame: Baseline to 17weeks and 16months
Change in postprandial blood glucose
Oral glucose tolerance test
Time frame: Baseline to 12weeks and 17weeks
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