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Acute Endothelial Benefits of Fat Restriction over Carbohydrate Restriction in Type 2 Diabetes Mellitus: Beyond Carbs and Fats
被引:17
作者:

Barbosa-Yanez, Renate Luzia
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机构:
German Inst Human Nutr Potsdam Rehbrucke, Dept Clin Nutr, D-14558 Nuthetal, Germany
Deutsch Zentrum Diabet Forsch eV, German Ctr Diabet Res, Ingolstadter Landstr 1, D-85764 Neuherberg, Germany
Charite, Dept Endocrinol Diabet & Nutr, Campus Benjamin Franklin,Hindenburgdamm 30, D-12203 Berlin, Germany German Inst Human Nutr Potsdam Rehbrucke, Dept Clin Nutr, D-14558 Nuthetal, Germany

Dambeck, Ulrike
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German Inst Human Nutr Potsdam Rehbrucke, Dept Clin Nutr, D-14558 Nuthetal, Germany
Deutsch Zentrum Diabet Forsch eV, German Ctr Diabet Res, Ingolstadter Landstr 1, D-85764 Neuherberg, Germany
Charite, Dept Endocrinol Diabet & Nutr, Campus Benjamin Franklin,Hindenburgdamm 30, D-12203 Berlin, Germany German Inst Human Nutr Potsdam Rehbrucke, Dept Clin Nutr, D-14558 Nuthetal, Germany

Li, Linna
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Charite, Dept Endocrinol Diabet & Nutr, Campus Benjamin Franklin,Hindenburgdamm 30, D-12203 Berlin, Germany German Inst Human Nutr Potsdam Rehbrucke, Dept Clin Nutr, D-14558 Nuthetal, Germany

Machann, Juergen
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Deutsch Zentrum Diabet Forsch eV, German Ctr Diabet Res, Ingolstadter Landstr 1, D-85764 Neuherberg, Germany
Univ Tubingen, Inst Diabet Res & Metab Dis, Helmholtz Ctr Munich, D-72076 Tubingen, Germany
Univ Hosp Tubingen, Sect Expt Radiol, Dept Diagnost & Intervent Radiol, D-72076 Tubingen, Germany German Inst Human Nutr Potsdam Rehbrucke, Dept Clin Nutr, D-14558 Nuthetal, Germany

Kabisch, Stefan
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German Inst Human Nutr Potsdam Rehbrucke, Dept Clin Nutr, D-14558 Nuthetal, Germany
Deutsch Zentrum Diabet Forsch eV, German Ctr Diabet Res, Ingolstadter Landstr 1, D-85764 Neuherberg, Germany
Charite, Dept Endocrinol Diabet & Nutr, Campus Benjamin Franklin,Hindenburgdamm 30, D-12203 Berlin, Germany German Inst Human Nutr Potsdam Rehbrucke, Dept Clin Nutr, D-14558 Nuthetal, Germany

Pfeiffer, Andreas F. H.
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h-index: 0
机构:
German Inst Human Nutr Potsdam Rehbrucke, Dept Clin Nutr, D-14558 Nuthetal, Germany
Deutsch Zentrum Diabet Forsch eV, German Ctr Diabet Res, Ingolstadter Landstr 1, D-85764 Neuherberg, Germany
Charite, Dept Endocrinol Diabet & Nutr, Campus Benjamin Franklin,Hindenburgdamm 30, D-12203 Berlin, Germany German Inst Human Nutr Potsdam Rehbrucke, Dept Clin Nutr, D-14558 Nuthetal, Germany
机构:
[1] German Inst Human Nutr Potsdam Rehbrucke, Dept Clin Nutr, D-14558 Nuthetal, Germany
[2] Deutsch Zentrum Diabet Forsch eV, German Ctr Diabet Res, Ingolstadter Landstr 1, D-85764 Neuherberg, Germany
[3] Charite, Dept Endocrinol Diabet & Nutr, Campus Benjamin Franklin,Hindenburgdamm 30, D-12203 Berlin, Germany
[4] Univ Tubingen, Inst Diabet Res & Metab Dis, Helmholtz Ctr Munich, D-72076 Tubingen, Germany
[5] Univ Hosp Tubingen, Sect Expt Radiol, Dept Diagnost & Intervent Radiol, D-72076 Tubingen, Germany
来源:
关键词:
type;
2;
diabetes;
endothelial function;
intrahepatic lipids;
low fat diet;
low carbohydrate diet;
protein intake;
FLOW-MEDIATED DILATION;
WEIGHT-LOSS IMPROVES;
VERY-LOW CARBOHYDRATE;
INSULIN-RESISTANCE;
VASCULAR FUNCTION;
LIVER-DISEASE;
DIET;
OVERWEIGHT;
ADULTS;
VASODILATION;
D O I:
10.3390/nu10121859
中图分类号:
R15 [营养卫生、食品卫生];
TS201 [基础科学];
学科分类号:
100403 ;
摘要:
Background: Cardiovascular diseases (CVD) are the major cause of mortality in type 2 diabetes patients (T2DM). The causes are embedded in a complex interplay between excess body fat, insulin resistance and serum lipid anomalies. Endothelial homeostasis is strongly affected by this pathogenic network. Even though metabolic changes and weight loss improve vascular endothelial function, the effect of different dietary approaches is still uncertain for type 2 diabetes patients. Objective: We aimed to compare the acute effects of a hypocaloric very low carbohydrate (VLC) diet versus a hypocaloric low fat (LF) diet on flow mediated dilation (FMD), intrahepatic lipid (IHL) accumulation and visceral adipose tissue as independent risk factors of CVD in T2DM patients. Design: 36 T2DM patients (age 63 +/- 8 years, 60% females) were randomly assigned to the VLC diet (4-10% of total energy intake (E)) or to the LF diet (<30% E) for 3 weeks. Endothelial function was assessed by the flow mediated dilation (FMD) method. Adipose tissue depots and IHL were determined by magnetic resonance. Results: Both dietary strategies reduced body weight, body fat content and IHL. Unexpectedly, the LF group experienced significantly greater enhancement of FMD, compared to the VLC group. The FMD showed a positive correlation with protein intake and fat intake in the LF group, while it revealed a negative correlation with protein intake in the VLC diet group. Conclusions: Reduction of total and hepatic adiposity was shown to be successful using either the VLC or LF hypocaloric diets, however, improvements in FMD may be related to the interplay of fat and protein intake.
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Univ Reading, Fac Life Sci, Sch Chem Food & Pharm, Inst Cardiovasc & Metab Res, Reading, Berks, England Univ Reading, Fac Life Sci, Hugh Sinclair Unit Human Nutr, Sch Chem Food & Pharm,Dept Food & Nutr Sci, Reading, Berks, England

Givens, D. Ian
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Univ Reading, Sch Agr Policy & Dev, Fac Life Sci, Food Prod & Qual Res Div, Reading, Berks, England Univ Reading, Fac Life Sci, Hugh Sinclair Unit Human Nutr, Sch Chem Food & Pharm,Dept Food & Nutr Sci, Reading, Berks, England

Lovegrove, Julie A.
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Univ Reading, Fac Life Sci, Hugh Sinclair Unit Human Nutr, Sch Chem Food & Pharm,Dept Food & Nutr Sci, Reading, Berks, England
Univ Reading, Fac Life Sci, Sch Chem Food & Pharm, Inst Cardiovasc & Metab Res, Reading, Berks, England Univ Reading, Fac Life Sci, Hugh Sinclair Unit Human Nutr, Sch Chem Food & Pharm,Dept Food & Nutr Sci, Reading, Berks, England
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Can milk proteins be a useful tool in the management of cardiometabolic health? An updated review of human intervention trials
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Fekete, Agnes A.
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PROCEEDINGS OF THE NUTRITION SOCIETY,
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Fekete, Agnes A.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Reading, Dept Food & Nutr Sci, Fac Life Sci, Hugh Sinclair Unit Human Nutr, Reading RG6 6AR, Berks, England
Univ Reading, ICMR, Reading RG6 6AR, Berks, England
Univ Reading, Sch Agr Policy & Dev, Food Prod & Qual Res Div, Fac Life Sci, Reading RG6 6AR, Berks, England Univ Reading, Dept Food & Nutr Sci, Fac Life Sci, Hugh Sinclair Unit Human Nutr, Reading RG6 6AR, Berks, England

Givens, D. Ian
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Reading, Sch Agr Policy & Dev, Food Prod & Qual Res Div, Fac Life Sci, Reading RG6 6AR, Berks, England Univ Reading, Dept Food & Nutr Sci, Fac Life Sci, Hugh Sinclair Unit Human Nutr, Reading RG6 6AR, Berks, England

Lovegrove, Julie A.
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h-index: 0
机构:
Univ Reading, Dept Food & Nutr Sci, Fac Life Sci, Hugh Sinclair Unit Human Nutr, Reading RG6 6AR, Berks, England
Univ Reading, ICMR, Reading RG6 6AR, Berks, England Univ Reading, Dept Food & Nutr Sci, Fac Life Sci, Hugh Sinclair Unit Human Nutr, Reading RG6 6AR, Berks, England
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Non-Alcoholic Fatty Liver Disease (NAFLD) and Its Connection with Insulin Resistance, Dyslipidemia, Atherosclerosis and Coronary Heart Disease
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Gaggini, Melania
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Morelli, Mariangela
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DeFronzo, Ralph A.
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Bugianesi, Elisabetta
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Gastaldelli, Amalia
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NUTRIENTS,
2013, 5 (05)
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Gaggini, Melania
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CNR, Inst Clin Physiol, I-56100 Pisa, Italy CNR, Inst Clin Physiol, I-56100 Pisa, Italy

Morelli, Mariangela
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CNR, Inst Clin Physiol, I-56100 Pisa, Italy CNR, Inst Clin Physiol, I-56100 Pisa, Italy

Buzzigoli, Emma
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CNR, Inst Clin Physiol, I-56100 Pisa, Italy CNR, Inst Clin Physiol, I-56100 Pisa, Italy

DeFronzo, Ralph A.
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机构:
Univ Texas Hlth Sci Ctr San Antonio, Div Diabet, San Antonio, TX 78229 USA CNR, Inst Clin Physiol, I-56100 Pisa, Italy

Bugianesi, Elisabetta
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机构:
Univ Turin, San Giovanni Battista Hosp, Div Gastrohepatol, Dept Med Sci, I-10126 Turin, Italy CNR, Inst Clin Physiol, I-56100 Pisa, Italy

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