Carbohydrate quality and quantity affect glucose and lipid metabolism during weight regain in healthy men. 2013

Merit Lagerpusch, and Janna Enderle, and Ben Eggeling, and Wiebke Braun, and Maike Johannsen, and Detlef Pape, and Manfred J Müller, and Anja Bosy-Westphal
Institute of Human Nutrition and Food Science, Christian-Albrechts University, Kiel, Germany.

In this controlled, parallel-group feeding trial, we examined the impact of carbohydrate (CHO) intake and glycemic index (GI) on glucose and lipid metabolism during refeeding after weight loss. Healthy men (n = 32 total, age: 25.5 ± 3.9 y, BMI: 23.5 ± 2.0 kg/m2) overconsumed diets containing either 50% or 65% CHO for 1 wk (+50% of energy requirements) and then underwent 3 wk of calorie restriction (CR; -50%) followed by 2 wk of overconsuming (refeeding, +50%) the same diet but with either a low or high GI (40 vs.70 during CR, 41 vs.74 during refeeding) so that glycemic load (GL; dietary CHO content x GI) differed between groups during all phases. Glucose profiles were assessed by continuous interstitial glucose monitoring, insulin sensitivity (IS) by fasting blood sampling, oral glucose tolerance test (OGTT) and hyperinsulinemic-euglycemic clamp, and liver fat by MRI. Daytime area under the curve-glucose during refeeding was higher with high compared with low GI (P = 0.01) and 65% compared with 50% CHO intake (P = 0.05) and correlated with dietary GL (r = 0.71; P < 0.001). IS increased with CR and decreased again with refeeding in all groups. The decrease in OGTT-derived IS was greater with high- than with low-GI diets (-41 vs. -15%; P-interaction = 0.01) and correlated with dietary GL during refeeding (r = -0.51; P < 0.01). Serum triglycerides (TGs) and liver fat also improved with CR (-17 ± 38 mg/dL and -1.1 ± 1.3%; P < 0.05 and <0.001) and increased again with refeeding (+48 ± 48 mg/dL and +2.2 ± 1.6%; P < 0.001). After refeeding, serum TGs and liver fat were elevated above baseline values with 65% CHO intake only (+59.9 ± 37.5 mg/dL and +1.1 ± 1.7%, P-interaction <0.001 and <0.05). In conclusion, a diet low in GI and moderate in CHO content (i.e., low GL) may have health benefits by positively affecting daylong glycemia, IS, and liver fat.

UI MeSH Term Description Entries
D006963 Hyperphagia Ingestion of a greater than optimal quantity of food. Overeating,Polyphagia,Polyphagias
D007333 Insulin Resistance Diminished effectiveness of INSULIN in lowering blood sugar levels: requiring the use of 200 units or more of insulin per day to prevent HYPERGLYCEMIA or KETOSIS. Insulin Sensitivity,Resistance, Insulin,Sensitivity, Insulin
D008099 Liver A large lobed glandular organ in the abdomen of vertebrates that is responsible for detoxification, metabolism, synthesis and storage of various substances. Livers
D008297 Male Males
D001786 Blood Glucose Glucose in blood. Blood Sugar,Glucose, Blood,Sugar, Blood
D004040 Dietary Carbohydrates Carbohydrates present in food comprising digestible sugars and starches and indigestible cellulose and other dietary fibers. The former are the major source of energy. The sugars are in beet and cane sugar, fruits, honey, sweet corn, corn syrup, milk and milk products, etc.; the starches are in cereal grains, legumes (FABACEAE), tubers, etc. (From Claudio & Lagua, Nutrition and Diet Therapy Dictionary, 3d ed, p32, p277) Carbohydrates, Dietary,Carbohydrate, Dietary,Dietary Carbohydrate
D005951 Glucose Tolerance Test A test to determine the ability of an individual to maintain HOMEOSTASIS of BLOOD GLUCOSE. It includes measuring blood glucose levels in a fasting state, and at prescribed intervals before and after oral glucose intake (75 or 100 g) or intravenous infusion (0.5 g/kg). Intravenous Glucose Tolerance,Intravenous Glucose Tolerance Test,OGTT,Oral Glucose Tolerance,Oral Glucose Tolerance Test,Glucose Tolerance Tests,Glucose Tolerance, Oral
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D014280 Triglycerides An ester formed from GLYCEROL and three fatty acid groups. Triacylglycerol,Triacylglycerols,Triglyceride

Related Publications

Merit Lagerpusch, and Janna Enderle, and Ben Eggeling, and Wiebke Braun, and Maike Johannsen, and Detlef Pape, and Manfred J Müller, and Anja Bosy-Westphal
January 2002, Fiziologiia cheloveka,
Merit Lagerpusch, and Janna Enderle, and Ben Eggeling, and Wiebke Braun, and Maike Johannsen, and Detlef Pape, and Manfred J Müller, and Anja Bosy-Westphal
November 2009, Clinical and experimental pharmacology & physiology,
Merit Lagerpusch, and Janna Enderle, and Ben Eggeling, and Wiebke Braun, and Maike Johannsen, and Detlef Pape, and Manfred J Müller, and Anja Bosy-Westphal
June 1972, Journal of applied physiology,
Merit Lagerpusch, and Janna Enderle, and Ben Eggeling, and Wiebke Braun, and Maike Johannsen, and Detlef Pape, and Manfred J Müller, and Anja Bosy-Westphal
August 1972, European journal of clinical investigation,
Merit Lagerpusch, and Janna Enderle, and Ben Eggeling, and Wiebke Braun, and Maike Johannsen, and Detlef Pape, and Manfred J Müller, and Anja Bosy-Westphal
January 1966, Federation proceedings,
Merit Lagerpusch, and Janna Enderle, and Ben Eggeling, and Wiebke Braun, and Maike Johannsen, and Detlef Pape, and Manfred J Müller, and Anja Bosy-Westphal
November 2000, American journal of physiology. Endocrinology and metabolism,
Merit Lagerpusch, and Janna Enderle, and Ben Eggeling, and Wiebke Braun, and Maike Johannsen, and Detlef Pape, and Manfred J Müller, and Anja Bosy-Westphal
September 2005, Medicine and science in sports and exercise,
Merit Lagerpusch, and Janna Enderle, and Ben Eggeling, and Wiebke Braun, and Maike Johannsen, and Detlef Pape, and Manfred J Müller, and Anja Bosy-Westphal
January 2016, Nutrition & metabolism,
Merit Lagerpusch, and Janna Enderle, and Ben Eggeling, and Wiebke Braun, and Maike Johannsen, and Detlef Pape, and Manfred J Müller, and Anja Bosy-Westphal
November 1972, Metabolism: clinical and experimental,
Merit Lagerpusch, and Janna Enderle, and Ben Eggeling, and Wiebke Braun, and Maike Johannsen, and Detlef Pape, and Manfred J Müller, and Anja Bosy-Westphal
December 1999, European journal of pharmacology,
Copied contents to your clipboard!