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Ensayo controlado aleatorizado2008

The effects of a whole grain-enriched hypocaloric diet on cardiovascular disease risk factors in men and women with metabolic syndrome

Katcher HI, Legro RS, Kunselman AR, Gillies PJ, Demers LM, Bagshaw DM, Kris-Etherton PM

The American journal of clinical nutrition · 181 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
No se indica

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Center for Research Resources
Gobierno
Eunice Kennedy Shriver National Institute of Child Health and Human Development
Gobierno
NICHD NIH HHS
Gobierno
NCRR NIH HHS
Subvenciones
Eunice Kennedy Shriver National Institute of Child Health and Human Development (K24 HD01476); National Center for Research Resources (M01 RR10732); National Center for Research Resources (C06 RR 016499)

Según 4 financiadores declarados.

Publicación

Publicado
2008-01-01 · Am J Clin Nutr · vol. 87 · número 1 · págs. 79–90
Editorial
Elsevier BV
Citado
319 citas · más que el 100% de estudios similares · 17.2× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
51 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Food composition and properties · Nutritional Studies and Diet · Diabetes, Cardiovascular Risks, and Lipoproteins
Palabras clave
whole grains, hypocaloric diet, metabolic syndrome, cardiovascular risk factors, weight loss, abdominal fat, C-reactive protein, cholesterol, dietary fiber, dietary magnesium, refined grains, obesity
MeSH
humans, cardiovascular diseases, obesity, weight loss, magnesium, cholesterol, c-reactive protein, body mass index, treatment outcome, diet, reducing, risk factors, body composition, dietary fiber, adult, aged, middle aged, female, male, abdominal fat, edible grain, metabolic syndrome

7 autores

  • Heather Ilene Katcher🇺🇸Pennsylvania State University
  • Richard S. Legro🇺🇸Pennsylvania State University
  • Allen R. Kunselman
  • Peter J. Gillies🇺🇸DuPont (United States)
  • Laurence M. Demers
  • Deborah Maddox Bagshaw🇺🇸Pennsylvania State University
  • Penny M. Kris‐Etherton🇺🇸 · autor de correspondenciaPennsylvania State University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Whole-grain foods are associated in observational studies with a lower body mass index and lower cardiovascular disease (CVD) risk. However, few clinical trials have tested whether incorporating whole grains into a hypocaloric diet increases weight loss and improves CVD risk factors.

Objective

The aim of this study was to determine whether including whole-grain foods in a hypocaloric (reduced by 500 kcal/d) diet enhances weight loss and improves CVD risk factors.

Design

Obese adults (25 M, 25 F) with metabolic syndrome were randomly assigned to receive dietary advice either to avoid whole-grain foods or to obtain all of their grain servings from whole grains for 12 wk. All participants were given the same dietary advice in other respects for weight loss.

Results

Body weight, waist circumference, and percentage body fat decreased significantly (P<0.001) in both groups over the study period, but there was a significantly (P=0.03) greater decrease in percentage body fat in the abdominal region in the whole-grain group than in the refined-grain group. C-reactive protein (CRP) decreased 38% in the whole-grain group independent of weight loss but was unchanged in the refined-grain group (P=0.01 for group x time interaction). Total, LDL, and HDL cholesterol decreased in both diet groups (P<0.05). Dietary fiber and magnesium intakes increased in the whole-grain but not the refined-grain group (P=0.007 and P<0.001, respectively, for group x time interaction).

Conclusions

Both hypocaloric diets were effective means of improving CVD risk factors with moderate weight loss. There were significantly (P<0.05) greater decreases in CRP and percentage body fat in the abdominal region in participants consuming whole grains than in those consuming refined grains.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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