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Ensayo controlado aleatorizado2023Financiado por la industria

Financiado en parte por Almond Board of California

Premeal almond load decreases postprandial glycaemia, adiposity and reversed prediabetes to normoglycemia: A randomized controlled trial

Gulati S, Misra A, Tiwari R, Sharma M, Pandey RM, Upadhyay AD, Chandra Sati H

Clinical nutrition ESPEN · 14 citas

Etiquetas de revisión

Financiado por la industria

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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
Financiado por la industria
Grupo de la industria
Almond Board of California

Según 1 financiador declarado.

Publicación

Publicado
2022-12-29 · Clin Nutr ESPEN · vol. 54 · págs. 12–22
Editorial
Elsevier BV
Citado
18 citas · más que el 83% de estudios similares · 1.7× el promedio de su campo
Referencias
63 trabajos
Acceso
Acceso abierto (revista híbrida) · CC-BY-NC-ND
Áreas de investigación
Nuts composition and effects · Diabetes, Cardiovascular Risks, and Lipoproteins · Food composition and properties
Palabras clave
almond, prediabetes, type 2 diabetes prevention, postprandial hyperglycemia, insulin resistance, weight loss, waist circumference, Asian Indians, HbA1c, grip strength, dietary intervention
MeSH
humans, diabetes mellitus, type 2, prediabetic state, hyperglycemia, obesity, body weight, cholesterol, blood glucose, hand strength, adolescent, adult, middle aged, adiposity, young adult, prunus dulcis

7 autores

  • Seema Gulati🇮🇳National Diabetes Obesity and Cholesterol Foundation; Diabetes Foundation
  • Anoop Misra🇮🇳 · autor de correspondenciaNational Diabetes Obesity and Cholesterol Foundation; Diabetes Foundation; Fortis C-DOC Hospital
  • Rajneesh Tiwari🇮🇳National Diabetes Obesity and Cholesterol Foundation
  • Meenu Sharma🇮🇳National Diabetes Obesity and Cholesterol Foundation
  • Ravindra Mohan Pandey🇮🇳All India Institute of Medical Sciences
  • Ashish Datt Upadhyay🇮🇳All India Institute of Medical Sciences
  • Hem Chandra Sati🇮🇳All India Institute of Medical Sciences

Resumen

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

Background

Asian Indians show rapid conversion from prediabetes to type 2 diabetes (T2D). Novel dietary strategies are needed to arrest this progression, by targeting postprandial hyperglycaemia (PPHG).

Design

We conducted a free-living randomized controlled open-label parallel arm study to evaluate the effect of a premeal load of almonds (20 g) 30 min before major meals on anthropometric, glycaemic, and metabolic parameters over 3 months. Sixty-six participants with prediabetes in the age range of 18-60 yrs were recruited. The study was registered at clinicaltrials.gov (registration no. NCT04769726).

Results

Thirty participants in each arm completed the study. As per 'intention-to-treat' analysis, overall additional mean reductions were statistically significant for body weight, BMI, waist circumference (WC), subscapular and suprailiac skinfolds, and improved handgrip strength (Kg) (p < 0·001 for all) in the treatment arm vs. the control arm (after multiple adjustments). In the blood parameters, the additional mean reduction in the treatment arm vs. control arm was statistically significant for fasting and post-75 g oral glucose-load blood glucose, postprandial insulin, HOMA-IR, HbA1c, proinsulin, total cholesterol, and very low-density lipoprotein cholesterol (p < 0·001 for all). Most importantly, we observed a reversal to normoglycemic state (fasting blood glucose and 2 h post-OGTT glucose levels) in 23.3% (7 out of 30) of participants in the treatment arm which is comparable to that seen with Acarbose treatment (25%).

Conclusion

Incorporation of 20 g of almonds, 30 min before each major meal leads to significant improvement in body weight, WC, glycemia (particularly PPHG), and insulin resistance and shows potential for reversal of prediabetes to normal glucose regulation over 3 months.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-ND).

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