Diet Period Research Articles

Effect of vitamin E and omega-3 fatty acids early posthatch supplementation on reducing the severity of wooden breast myopathy in broilers

The wooden breast (WB) myopathy is identified by the palpation of a rigid pectoralis major (P. major) muscle and is characterized as a fibrotic, necrotic P. major muscle disorder in broilers resulting in reduced breast meat quality. Breast muscle affected with WB is under severe oxidative stress and inflammation. The objectives were to identify the effects of dietary vitamin E (VE) and omega-3 (n-3) fatty acids independently or in combination when fed during the starter phase (0–10 D) or grower phase (11–24 D) on growth performance, meat yield, meat quality, and severity of WB myopathy and to determine the most beneficial dietary supplementation period. A total of 210 Ross 708 broiler chicks were randomly assigned into 7 experimental groups with 10 replicates of 3 birds each. The control group was fed with corn–soybean meal basal diet with VE (10 IU/kg) and n-3 fatty acids (n-6/n-3 ratio of 30:1) at a standard level during the entire study (0–58 D). Supplementation of VE (200 IU/kg), n-3 fatty acids (n-6/n-3 ratio of 3:1), or combination of both was performed during the starter phase or grower phase. Growth performance, meat yield, meat quality, and WB scores were obtained. There was no significant difference in final body weight and meat yield when VE was increased (P > 0.05). In contrast, n-3 fatty acids supplementation in starter diets significantly decreased final body weight, hot carcass weight, and chilled carcass weight of broilers (P ≤ 0.05). The P. major muscle from broilers supplemented with VE in starter diets had lower shear force than in grower diets (P ≤ 0.05). Supplemental VE reduced the severity of WB and in starter diets showed a more beneficial effect than those fed VE in the grower diets. These data are suggestive that additional supplementation of dietary VE may reduce the severity of WB and promote breast meat quality without adversely affecting growth performance and meat yield.

Relationship of residual feed intake and protein efficiency in lactating cows fed high- or low-protein diets

Our objectives were to determine the repeatability of residual feed intake (RFI) across dietary protein levels and to determine the association between RFI and protein efficiency in lactating cows. Holstein cows (n = 166; 92 primiparous, 74 multiparous) with initial milk yield 41.3 ± 9.8 kg/d were fed diets with high or low protein in peak lactation. Experiments were conducted as crossovers with 2 treatment periods of 28 to 35 d. Production of 69 of the 166 cows (42 primiparous, 27 multiparous) was also measured in late lactation. Low-protein diets were 14% crude protein (CP) in peak lactation and 13% CP in late lactation and were formulated to contain adequate rumen-degradable protein to maintain rumen function. High-protein diets were 18% CP in peak lactation and 16% CP in late lactation and contained extra expeller soybean meal to increase absorbed protein. Cows were milked twice daily; DMI and milk yield were recorded daily. Milk composition was measured over 4 consecutive milkings weekly, and body weight (BW) was measured 3 times weekly. Fixed effects of diet, parity, and treatment period, interaction of parity and diet, and random effects of experiment and cow nested within experiment were included in the model to compare intake and production performance between cows fed different levels of CP. The RFI value was calculated for each cow on each treatment based on the actual intake, milk energy output, metabolic BW, and body energy (calculated from BW change and body condition score over the treatment period) change. Ranking of cows for RFI was moderately repeatable across dietary protein in peak lactation (r = 0.59) but less repeatable in late lactation (r = 0.41). Negative correlation was observed between RFI and protein efficiency values (dietary protein captured in milk) for cows in both peak lactation (r = -0.42) and late lactation (r = -0.24), which suggested that cows with higher energy efficiency had greater protein efficiency. In conclusion, RFI was repeatable across dietary protein levels within lactation stage, and cows with lower RFI values utilized protein more efficiently.

Effect of a balanced Korean diet on metabolic risk factors among overweight/obese Korean adults: a randomized controlled trial.

This study was to see the effects of a balanced Korean diet (BKD) on metabolic risk factors in overweight or obese Korean adults, comparing with those of a typical American diet (TAD) and a diet recommended by the 2010 Dietary Guidelines for Americans (2010DGA). The study was designed as a randomized crossover controlled trial, in which 61 overweight or obese volunteers were divided into six groups and each consumed the BKD, 2010DGA, and TAD in a random order for 4weeks separated by 2-week washout intervals. Anthropometric indices, blood pressure, blood lipid content, fasting blood glucose, and blood insulin level were measured at the beginning and end of each diet period. A total of 54 participants completed the trial. The BKD caused more significant reductions of body mass index (BMI) (p < 0.001), body fat percent (p < 0.001), blood total cholesterol (p < 0.001), and low-density lipoprotein (LDL) cholesterol (p = 0.007) compared with the 2010DGA or TAD (all p values for differences between diets < 0.05). All three diets significantly lowered blood triglyceride levels (p < 0.05). The BKD decreased high-density lipoprotein (HDL) cholesterol (p = 0.001) and increased fasting blood glucose (p = 0.018), whereas TAD and 2010DGA increased HDL cholesterol and did not affect blood glucose levels. Furthermore, the BKD significantly decreased the proportion of individuals with elevated total cholesterol (p < 0.001) and LDL cholesterol (p < 0.01), whereas the 2010DGA significantly reduced the number of obese individuals (p < 0.05), and the TAD decreased the number of participants with elevated triglyceride levels (p < 0.05), but increased that of those with elevated LDL cholesterol (p < 0.05). The Korean diet based on dietary guidelines improved metabolic risk factors such as BMI, body fat percent, and blood lipid profiles in overweight or obese Korean adults. These results provide evidence to recommend the Korean diet for preventing various metabolic diseases. The trial was registered at the Clinical Research Information Service (CRIS) in Korea, the primary registry of the World Health Organization (WHO) international clinical trial registry platform, under number KCT0002437.

Starch sources influence lipidaemia of diabetic dogs

BackgroundHyperlipidaemia is considered a cause of other diseases that are clinically important and potentially life threatening. Combination of pea and barley as exclusive starch sources is known to interfere with glycemic control in diabetic dogs, but their effect on lipid profile of hiperlipidaemic dogs is yet to be evaluated. Twelve adult diabetic dogs were fed three dry extruded diets with different starch sources and different fat levels: peas and barley (PB), maize (Mi), and peas, barley and rice (Ba) with 15.7, 15.6 and 9.0% of their dry matter as fat, respectively. Plasmatic cholesterol and triglycerides concentration curves over 10 h were obtained after 60 days on each diet and with the same NPH insulin dose. ANOVA test or Friedman test were used to compare the dietary effects on triglycerides and cholesterol variables among the diets.ResultsDogs presented lower mean (p = 0.05), fasting (p = 0.03), and time 8-h postprandial (p = 0.05) triglyceridemia after PB diet period than Ba diet period and time 4-h postprandial (p = 0.02) lower after PB than Mi diet. Cholesterolemia mean, minimum, maximum, area under the cholesterol curve and times points: 2, 4, 6, 8 and 10-h postprandial, had lower values after PB ingestion in comparison to Mi, without difference to Ba diet.ConclusionInclusion of pea and barley, as exclusive starch sources, in therapeutic diets for diabetic dogs can minimize plasmatic triglycerides and cholesterol concentration at fasting and at different postprandial time, compared to the maize diet or diet with lesser fat content.

Glycemic profile is improved by High Slowly Digestible Starch diet in type 2 diabetic patients

AbstractIntroductionConsidering the dramatically increasing incidence of type 2 diabetes (T2D), decreasing glycemic variability in T2D patients is a key challenge to limit the occurrence of diabetic complications. Diet appears as one potential lever that can be set up above medications. Particularly, the ingestion of foods with a high content in slowly digestible starch (SDS) demonstrated both lower postprandial glycemic and insulin responses in healthy and insulin resistant subjects. This study aimed at designing a full high-SDS diet by selecting high-SDS starchy food products and at studying its impact on glycemic response and variability in T2D.Materials and methodsThis pilot randomized controlled cross-over study included eight T2D patients (HbA1c = 7.0 ± 0.2%, BMI = 31.7 ± 2.1 kg/m2, treated by Metformin &amp; Sitagliptin) who consumed twice, for one week a controlled diet containing starchy food products screened and selected to be either High (High-SDS) or Low (Low-SDS) in SDS, as determined by the SDS in-vitro method developed by Englyst et al. During each diet period, the glycemic profile was monitored for 6 days using a Continuous Glucose Monitoring System (CGMS). Multiple metrics related to variability and glycemic responses were calculated.Results222 SDS analyses were realized on commercial food products as consumed. 23 High-SDS and 20 Low-SDS food items with associated specific cooking instructions were selected to design two diets consistent with local T2D recommendations. The High-SDS diet demonstrated a significantly higher SDS content compared to the Low-SDS diet (61.6 vs 11.6 g/day; p &lt; 0.0001), mainly driven by selected pasta, rice and high-SDS biscuits (75.6% of the consumed SDS content). The % of total daily energy intake (TDEI) for all macronutrients remained similar between diets (p &gt; 0.05) and the carbohydrate content specifically represented 49 ± 1 % and 47 ± 2 % of the TDEI for High-SDS and Low-SDS diets, respectively. With the high-SDS diet, the Mean Amplitude of Glycemic Excursion, a key parameter of glycemic variability, was significantly decreased (79.6 for Low-SDS vs 61.6 mg/dL for High-SDS; p = 0.0067). The significant correlation between the meals SDS contents and various glycemic parameters such as postprandial iAUC, tAUC (up to 180 min) or peak value strengthen this finding (p &lt; 0.05 for all).DiscussionIt was the first demonstration that a diet including selected starchy food items and cooking recommendations designed to favor products’ high SDS content beneficially impacts glycemic profile in T2D subjects. Carefully selecting starchy food may be a simple and valuable tool to improve glycemic control in T2D.

The repeatability of feed intake and feed efficiency in beef cattle offered high-concentrate, grass silage and pasture-based diets

Breeding values for feed intake and feed efficiency in beef cattle are generally derived indoors on high-concentrate (HC) diets. Within temperate regions of north-western Europe, however, the majority of a growing beef animal’s lifetime dietary intake comes from grazed grass and grass silage. Using 97 growing beef cattle, the objective of the current study was to assess the repeatability of both feed intake and feed efficiency across 3 successive dietary test periods comprising grass silage plus concentrates (S+C), grazed grass (GRZ) and a HC diet. Individual DM intake (DMI), DMI/kg BW and feed efficiency-related parameters, residual feed intake (RFI) and gain to feed ratio (G : F) were assessed. There was a significant correlation for DMI between the S+C and GRZ periods (r = 0.32; P < 0.01) as well as between the S+C and HC periods (r = 0.41; P < 0.001), whereas there was no association for DMI between the GRZ and HC periods. There was a significant correlation for DMI/kg BW between the S+C and GRZ periods (r = 0.33; P < 0.01) and between the S+C and HC periods (r = 0.40; P < 0.001), but there was no association for the trait between the GRZ and HC periods. There was a significant correlation for RFI between the S+C and GRZ periods (r = 0.25; P < 0.05) as well as between S+C and HC periods (r = 0.25; P < 0.05), whereas there was no association for RFI between the GRZ and HC periods. Gain to feed ratio was not correlated between any of the test periods. A secondary aspect of the study demonstrated that traits recorded in the GRZ period relating to grazing bite rate, the number of daily grazing bouts and ruminating bouts were associated with DMI (r = 0.28 to 0.42; P < 0.05 - 0.001), DMI/kg BW (r = 0.36 to 0.45; P < 0.01 - 0.001) and RFI (r = 0.31 to 0.42; P < 0.05 - 0.001). Additionally, the number of ruminating boli produced per day and per ruminating bout were associated with G : F (r = 0.28 and 0.26, respectively; P < 0.05). Results from this study demonstrate that evaluating animals for both feed intake and feed efficiency indoors on HC diets may not reflect their phenotypic performance when consuming conserved forage-based diets indoors or when grazing pasture.

Effects of High-Fiber Diets and Macronutrient Substitution on Bloating: Findings From the OmniHeart Trial

OBJECTIVES:To examine the effects of high-fiber, isocaloric, macronutrient substitutions on bloating.METHODS:The OmniHeart study is a randomized 3-period crossover feeding trial conducted from April 2003 to June 2005. Participants were provided 3 isocaloric versions of high-fiber (∼30 g per 2,100 kcal) diet, each different in carbohydrate, protein, and unsaturated fat composition. Each feeding period lasted for 6 weeks with a 2- to 4-week washout period between diets. Participants reported the presence and severity of bloating at baseline (participants were eating their own diet) and at the end of each feeding period.RESULTS:One hundred sixty-four participants were included in the analysis (mean age: 53.1 years; 45% women; 55% black). The prevalence of bloating at baseline and at the end of the carbohydrate-rich, protein-rich, and unsaturated fat-rich diet period was 18%, 24%, 33%, and 30%, respectively. Compared with baseline, the relative risk of bloating for the carbohydrate-rich, protein-rich, and unsaturated fat-rich high-fiber diet was 1.34 (95% confidence interval [CI]: 0.93, 1.92), 1.78 (95% CI: 1.32, 2.40), and 1.63 (95% CI: 1.17, 2.26), respectively. The protein-rich diet increased the risk of bloating more than the carbohydrate-rich diet (relative risk = 1.40; 95% CI: 1.03, 1.88). Bloating did not significantly vary between protein-rich vs unsaturated fat-rich or unsaturated fat-rich vs carbohydrate-rich diets. Black participants compared with non-black participants had a higher risk of bloating after all 3 versions of the high-fiber OmniHeart diet (P-value for interaction = 0.012).DISCUSSION:Substitution of protein with carbohydrate may be an effective strategy to decrease bloating among individuals experiencing gastrointestinal bloating from a high-fiber diet.

252 Combined soluble fiber improve the obesity phenotype and insulin sensitivity of diet-induced obese mice by regulating the intestinal microbial composition

Abstract With the global spread of obesity, we recognize the importance of healthy diet and it is necessary to increase the dietary fiber intake. To investigate the effects of the combined soluble fiber (CSF) on the health of obese individuals, we divided 14 obese C57BL/6J male mice into two groups: Control group (n = 7) and CSF group (n = 7). Both groups received a 12-week high-fat diet (Period 1) and a 4-week low-fat chow diet (Period 2), but CSF was added into diets for the CSF group and equivalently replaced for cellulose. Compared with the Control group, the CSF group maintained a similar body weight and feed intake, but had higher insulin sensitivity, during the period 1. During the period 2, both groups lost weight, but the CSF group lost more weight, and decreased the Lee’s index as well as the daily feed intake, improved the insulin sensitivity. The CSF group increased the levels of PYY and GLP-1 in the postprandial blood, and increased the level of adiponectin while decreased the levels of endotoxin, leptin, interleukin-6 and TNF-α in the fasting blood. The CSF group increased mucosal layer thickness, crypt length and Brdu positive cell rate of the colon tissue. Stool samples were collected at the 16th week and analyzed with 16s rRNA gene sequencing. Results indicated that the CSF group reduced the relative abundance of the phyla Proteobacteria and Firmicutes, while increased Bacteroides and the Bacteroides/Firmicutes ratio. CSF group had higher levels of acetic acid, propionic acid and total short-chain fatty acids (SCFAs) in stool. These results suggest that CSF may promote the production of SCFAs by regulating intestinal microbial composition, promote the releases of satiety hormones, thereby reducing feed intake. On the other hand, CSF improves the intestinal integrity, reduces inflammation, and then improve insulin sensitivity.

PSX-33 Effect of supplementing different proportions of sericea lespedeza with alfalfa silage on intake, digestibility, and nitrogen balance in sheep

Abstract Dietary manipulations to include tannins can change the proportion and amounts of N excreted in the urine and feces as well as improve N-use efficiency in ruminants. This study was conducted to investigate effects on animal digestion parameters of adding different proportions of sericea lespedeza hay (SL) to alfalfa silage. Alfalfa was harvested in June 2018 at 75% bloom, chopped, and then packed at 55% moisture into plastic-lined bins and allowed to ensile for 3 months. Alfalfa silage was either offered alone or mixed with 9, 18, or 27% SL on a DM basis. These diets were offered randomly for ad libitum consumption to 16 ewes (41.8 ± 4.61 kg BW) in a randomized complete block design experiment with 2 periods to provide 4 observations per treatment per experimental period, each consisting of a 14-d dietary adaptation period followed by 5 d of total fecal and urine collection. Data were analyzed using PROC MIXED of SAS and orthogonal linear and quadratic trend analyses were tested. Digestibility (%) of DM and OM and digestible DM and OM intake (g/kg BW) decreased linearly (P &amp;lt; 0.05) with increasing SL addition to the diet. Digestibility of NDF and ADF decreased linearly (P &amp;lt; 0.01) with increasing SL, and apparent absorption (%) of N decreased linearly (P &amp;lt; 0.05) with increasing SL in the diet. Urinary N excretions (g/d) tended (P = 0.10) to decrease linearly while fecal N (g/day) tended to increase (P = 0.10) linearly with increasing SL proportion in the diet. In this study, supplementation with sericea lespedeza as a tannin source to alfalfa silage decreased forage digestibility and digestible organic matter intake and did not positively influence nitrogen use. The study was supported in part by USDA-ARS specific cooperative agreement 58-3655-4-052 and by USDA NIFA grant 2018-67019-27804.

Comparative toxicity of nanoparticulate and ionic copper following dietary exposure to common carp (Cyprinus carpio)

Copper is an essential element for the normal growth and survival of all organisms including fish. However, its excessive presence in the environment can cause bioaccumulation and aquatic toxicology. The aim of the present study was to compare the dietary toxicity effects of two different Cu compounds, copper oxide nanoparticles (CuO-NPs) and ionic copper (CuSO4) in juvenile common carp, Cyprinus carpio. To prepare experimental diets, two nominal concentrations of 100 and 1000 mg Cu kg−1 diet were added to a basal diet. Carp (n = 450, average initial weight of 35.94 ± 5.35 g) were fed on the Cu-supplemented diets and basal diets for two 21-day courses as dietary exposure and recovery periods, respectively. The growth performance, survival rate and blood biochemical indices as well as copper accumulation in target organs of fish were investigated at the end of each exposure period. The results showed that the weight gain (WG) of carp significantly decreased coincident with increasing concentration of the both dietary Cu forms (P = 0.00). Both Cu sources at concentrations of 100 mg kg−1 diet decreased the survival rate of fish (P = 0.003), likely due to more feed intake and thus increased copper toxicity. The both forms of dietary Cu at two different concentrations significantly decreased the plasma glutamate oxaloacetate transaminase (GOT) level compared to the control group (P = 0.008). Fish exposed to diets containing Cu sources except 100 mg Cu kg−1 of CuO-NPs showed the lower glutamate pyruvate transaminase (GPT) activity in comparison to the control (P = 0.00). The plasma sodium level in1000 mg CuO-NPs kg−1 diet was significantly lower than the control (P = 0.001). The plasma potassium level increased in the all Cu-supplemented groups except 100 mg kg−1 of CuO-NPs after the dietary exposure period (P = 0.035). The copper accumulation was dose-dependent in all target organs. In 100 mg Cu kg−1 dietary groups, the liver showed the highest Cu accumulation (P = 0.00), while in 1000 mg Cu kg−1 dietary groups, the highest Cu content was observed in the intestine (P = 0.00). The results demonstrated the enhanced toxicological responses in fish after 21 days of dietary exposure, but the levels of most of biochemical indices and tissues Cu content decreased or returned to the control values after the recovery period.

Evaluation of the Impact Induced by High Dietary Sucrose Concentration and Glucocorticoid Medication on Dentin Formation of Young Rats

The impact of sucrose and systemic cortisone treatment on the response of dentin was examined in an experimental rat model. After 2 months of a modified diet and/or medication period, the areas of dentin formation and dentinal caries were quantified in the mandibular molars of growing animals. The 60% sucrose diet significantly reduced dentin formation and increased dentinal caries progression. The presence of glucocorticoid medication alone reduced dentin formation. Cortisone medication in combination with sucrose diet further decreased dentin apposition. Rats receiving the control diet positively responded to the dentinal caries by increasing dentin formation to prevent pulpal exposure. The rate of dentine formation was lower in rats with high sucrose diet and predentin area was wider compared to the control group fed normal diet. The enlargement of the predentin region in sucrose diet rats reflects changes in the functionality of the odontoblasts, such as reduction of matrix synthesis and alteration of the mineralization process. These results indicate that the functional alterations in the pulpo-dentinal complex might contribute to dentinal caries progression through systemic mechanism irrespective of the causative factors.

Environmental sustainability assessment of tropical dairy buffalo farming vis-a-vis sustainable feed replacement strategy

Feeding management in dairy animals is crucial for ensuring optimal production apart from making the farming as a whole, a more sustainable activity. In our study we evaluated the production and environmental effects of two different feeding regimens i.e., one dominated by traditional cottonseed meal (CSM) and other with coated urea (slow release urea - SRU) as a replacement for CSM on dairy buffalo production. The SRU at 2% level was evaluated by conducting two different trials using twelve lactating Murrah buffaloes and four adult Murrah buffalo bulls. Neither diet nor dry period management showed any substantial effect on milk components, intakes, nutrients’ digestibility coefficients, and nutritive values. The SRU diet revealed increased (P < 0.01) rumen pH, ammonia nitrogen, volatile fatty acids, and microbial nitrogen yield, which were interacted with time of post-prandial sampling. The dynamics of nitrogen metabolism revealed unaltered N-based parameters, except for degradable-N intake and serum urea-N at 3 hr post-feeding. The CSM replacements did not influence (P > 0.05) the residual feed intake, but led to an enhanced milk retention efficiency of nitrogen, calcium, and phosphorus contents, thus reducing their impact on soil pollution and eutrophication of water bodies. Despite an unaltered (P > 0.05) enteric methane emission, SRU diets achieved in decreasing manure methane and nitrous oxide emission. Furthermore, the virtual water flow and lifecycle assessment revealed a water sparing effect and low carbon foot print per unit milk production. In summary, the CSM replacements with SRU could achieve an economical and eco-friendly production system from animal nutrition perspective.

Evaluation of the Impact Induced by High Dietary Sucrose Concentration and Glucocorticoid Medication on Dentin Formation of Young Rats

The impact of sucrose and systemic cortisone treatment on the response of dentin was examined in an experimental rat model. After 2 months of a modified diet and/or medication period, the areas of dentin formation and dentinal caries were quantified in the mandibular molars of growing animals. The 60% sucrose diet significantly reduced dentin formation and increased dentinal caries progression. The presence of glucocorticoid medication alone reduced dentin formation. Cortisone medication in combination with sucrose diet further decreased dentin apposition. Rats receiving the control diet positively responded to the dentinal caries by increasing dentin formation to prevent pulpal exposure. The rate of dentine formation was lower in rats with high sucrose diet and predentin area was wider compared to the control group fed normal diet. The enlargement of the predentin region in sucrose diet rats reflects changes in the functionality of the odontoblasts, such as reduction of matrix synthesis and alteration of the mineralization process. These results indicate that the functional alterations in the pulpo-dentinal complex might contribute to dentinal caries progression through systemic mechanism irrespective of the causative factors. Keywords: diet, sucrose, cortisone, dentin

Variation in diagnostic NAFLD/NASH read-outs in paired liver samples from rodent models

IntroductionIn animal models of non-alcoholic fatty liver disease (NAFLD), assessment of disease severity and treatment effects of drugs rely on histopathological scoring of liver biopsies. However, little is known about the sampling variation in liver samples from animal models of NAFLD, even though several histopathological hallmarks of the disease are known to be affected by sampling variation in patients. The aim of this study was to assess the sampling variation in multiple paired liver biopsies from three commonly used diet-induced rodent models of NAFLD. MethodsEight male C57BL/6 mice, 8 male Sprague Dawley rats and 16 female Hartley guinea pigs were fed a NAFLD-inducing high-fat diet for 16 weeks (mice and rats), 20 or 24 weeks (guinea pigs). After the initial diet period, liver sections were sampled and subsequently assessed by histopathological scoring and biochemical analyses. ResultsFibrosis was heterogeneously distributed throughout the liver in mice, manifesting as both intra- and interlobular statistically significant differences. Hepatic triglyceride content showed interlobular differences in mice, and both intra- and interlobular differences in guinea pigs (24-week time point) all of which were statistically significant. Also, hepatic cholesterol content was subject to significant intra-lobular sampling variation in mice, and hepatic glycogen content differed significantly between lobes in mice and guinea pigs. DiscussionDependent on animal model, both histopathological and biochemical end-points differed between sampling sites in the liver. Based on these findings, we recommend that sample site location is highly standardized and properly reported in order to minimize potential sampling variation and to optimize reproducibility and meaningful comparisons of preclinical studies of NAFLD.

Heart Rate Recovery, Blood Pressure Recovery, and 24-hour Heart Rate among Firefighters

The purpose of the present study was to examine the effects of 3 days isoenergetic high-fat/low-carbohydrate diet (HF-LC) relative to low-fat/high-carbohydrate diet (LF-HC) on the exercise-induced growth hormone (GH) response in healthy male subjects.Ten healthy young males participated in this study. Each subject consumed the HF-LC (18 ± 1% protein, 61 ± 2% fat, 21 ± 1% carbohydrate, 2720 kcal per day) for 3 consecutive days after consuming the LF-HC (18 ± 1% protein, 20 ± 1% fat, 62 ± 1% carbohydrate, 2755 kcal per day) for 3 consecutive days. After each dietary intervention period, the hormonal and metabolic responses to an acute exercise (30 min of continuous pedaling at 60% of V˙O2max) were compared. The intramyocellular lipid (IMCL) contents in the vastus lateralis, soleus, and tibialis anterior were evaluated by proton magnetic resonance spectroscopy.Serum GH concentrations increased significantly during the exercise after both the HF-LC and LF-HC periods (P < 0.05). However, the exercise-induced GH response was not significantly different between the two periods. Fat utilization and lipolytic responses during the exercise were enhanced significantly after the HF-LC period compared with the LF-HC period. IMCL content did not differ significantly in any portion of muscle after the dietary interventions.We could not show that short-term HF-LC consumption changed significantly exercise-induced GH response or IMCL content in healthy young males.

Pharmacokinetic interaction between modified Atkins diet and antiepileptic drugs in adults with drug-resistant epilepsy.

The aim was to examine the influence of modified Atkins diet on serum concentration of antiepileptic drugs (AEDs). Prospective data from 63 adult patients with either focal or generalized drug-resistant epilepsy recruited to 12-week dietary treatment as add-on to AEDs are analyzed. AED serum concentrations, ketones, glucose, and hemoglobin A1c were measured before and after the dietary intervention. Paired t test was used and Spearman correlation coefficient, r, was estimated. Mean age was 37years (range 16-65years). Mean serum concentrations of carbamazepine, clobazam, and valproate were significantly reduced after 4 and 12weeks of the diet period (<.001≤P≤.02). Levels of lacosamide, lamotrigine, and topiramate were less reduced (.02≤P≤.08), whereas the serum concentrations of oxcarbazepine, zonisamide, and levetiracetam were unchanged (.06≤P≤.90). The largest reduction in serum concentration was found for clobazam: mean reduction after 12weeks was 1.5μmol/L (34%). Percent change in serum concentration after 4 and 12weeks of all drugs analyzed was -10.5% (95% confidence interval [CI] -14.1 to -6.8; n=60; P<.001) and -13.5% (95% CI -18.8 to -8.3; n=56; P<.001), respectively. Percent change in serum concentration of AEDs was not significantly correlated to percent change in seizure frequency after 12weeks of dietary treatment (r=.14, P=.33, n=53) but negatively correlated to urine ketosis (r=-.43; P=.003; n=46). A reduction in AED serum concentrations may counteract a seizure-reducing effect of the diet, and in patients without such an effect, it may cause seizure aggravation. Thus, we recommend that clinicians who are treating patients with ketogenic diets monitor serum concentrations of the concomitant AEDs.

P4662Advanced glycation end products accumulate in aortic valve tissue during calcification development in the absence of diabetes mellitus. A spectroscopic study

Abstract Background Advanced glycation end products (AGPs) promote human aortic smooth muscle cell calcification in vitro. Moreover, reduction of AGPs levels and inhibition of RAGE signaling decrease vascular calcification in vivo in animal studies. The role of AGPs in aortic valve calcification has not been investigated. Purpose We sought to investigate the role of AGPs in aortic valve calcification, in the absence of diabetes mellitus (DM). Methods We used human and animal cohorts. Firstly, we obtained aortic valves from patients without DM that underwent aortic valve replacement due to aortic valve stenosis. We studied the valves with Fourier-Transformed Infrared spectroscopy (FT-IR, Nicolet 6700 spectrometer, with Attenuated Total Reflection-ATR accessory, each spectrum consisted of 120 co-added spectra) in order to evaluate chemical changes. In the animal cohort, New Zealand male rabbits where randomized in calcification diet (normal chow+cholesterol 0,5%+3500 IU ergocalciferol/kg daily) and control group and sacrificed at 2, 4, 6, 8 10 and 12 weeks. The valves were longitudinally assessed with FT-IR. Results A total of 200 human aortic valves were studied (age 64–78). All patients demonstrated characteristic vibrations at the area about 1165 cm-1, where the C-O-C bonds absorb, attributed to AGPs. Thirty six rabbit valves were used, 3 per group. Glucose levels were within normal range and did not differ between groups. The FT-IR spectra of the rabbit aortic valves showed increasing intensity of the C-O-C band at 1165 cm-1 in experimental group in comparison to control group. The band at 1744 cm-1 is attributed to aldehyde formation due to oxidative stress and inflammation. Shifts and shape changes were detected at the bands of amide I and II at 1650 cm-1 and 1550 cm-1, respectively, concerning protein misfolding, fiber formation and sclerosis. The bands in the region 1299–900 cm-1 correspond to phosphate groups of phospholipidsand the formed calcium phosphate salts and non-biological hydroxyapatite Ca3(PO4)2 formation. All vibrations increased significantly longitudinally during experimental diet period. Representative FT-IR spectra of valves Conclusions Advanced glycation end products are detected in human calcified aortic valves irrespectively of DM. Moreover, AGPs correlate with presence and gradual development of aortic valve calcification in experimental rabbit model, along with acidosis, oxidation and protein secondary misfolding. Accumulation of AGPs in valve tissue is implicated in mechanisms of disease development.

Reversal of Pulmonary Hypertension, Diabetes, and Retinopathy after Adoption of a Whole Food Plant-Based Diet

BACKGROUND: The whole food plant-based (WFPB) diet has been shown to be successful in reversing and preventing cardiovascular disease, type 2 diabetes, and some types of cancers. Here we report a case study of a patient showing significant reversal of both pulmonary hypertension (PH) and retinopathy, and total reversal of type 2 diabetes. This occurred 15 months after switching from a flexitarian diet to a WFPB diet. Furthermore, these reversals have now been maintained for a period of over six years without the use of targeted pharmaceutical interventions nor daytime oxygen. In particular, the patient’s six-minute walk test (6MWT) mean distance, visual acuity, and A1c measurements changed from 220 m, 20/200 ft and 15% respectively within three months of PH diagnosis to 409 m, 20/46 ft and 5.6% at 15 months after commencement of the WFPB diet. A total of 6 right heart catheterization procedures were performed: her mean pulmonary arterial pressure (mPAP) was 55 mmHg on the day of diagnosis and her last mPAP measurement was 40 mmHg, which was taken towards the beginning of the WFPB diet period. The reversals reported herein have been now maintained for a period of 6 years, without the use of targeted pharmaceuticals nor daytime oxygen. Although the patient was treated to several combinations PH drug interventions, spanning all three available biological pathways for promoting vasodilation, none of these combinations of drugs was as effective as the WFPB diet alone on her quality of life.CASE HISTORY: A 51-year-old Caucasian female voluntarily admitted herself in February 2007 to a local acute care facility exhibiting symptoms of type 2 diabetes, significant edema in her lower extremities; dyspnea at rest with exertion and during sleep, recurrent syncope, and neuropathic pain in both feet. Immediately after admission, the patient was treated with metformin and replaglinide to control her diabetes. In December 2007, the patient was diagnosed with idiopathic pulmonary arterial hypertension (IPAH) and commenced a series of targeted therapeutic drug interventions to treat her IPAH while consuming a flexitarian diet. None of these drug combinations was successful in improving her 6MWT result beyond 369m. After commencing two of thepharmaceutical interventions she experienced adverse side effects: loss of visual acuity to the point of legal blindness, 80 lb of fluid retention within 2 months. After five years post diagnosis of IPAH, the patient commenced consuming a WFPB diet that resulted in the disease reversals detailed above.CONCLUSIONS: Consumption of a WFPB diet resulted in better treatment outcomes for IPAH, retinopathy, and type 2 diabetes for the patient in this study compared with targeted drug interventions. is observation adds credence to the hypothesis that a WFPB diet is a viable method of ameliorating symptoms for PH patients. It is also consistent with recent animal model studies on ameliorating PH with consumption of dietary nitrates and a short-term clinical trial. While these data are hypothesis generating, a prospective clinical trial, including both 6MWT and cardiopulmonary hemodynamic measurements, is needed to fully demonstrate the efficacy of a WFPB diet on PH patient health.

"Cleanse" detoxification diet program in Appalachia: Participant characteristics and perceived health effects.

Introduction Numerous detoxification or "detox" diets purport to eliminate toxins from the body, help with weight loss, and improve health. Despite the claims of proponents, few of these programs have evidence of effectiveness. They often have significant associated costs and may have potential for harm, but they seem to be quite popular. Members of a community in Appalachia were invited to participate as a group in one such diet (called a "cleanse"). We conducted a study to explore characteristics of people who chose to complete the program, including their motivations and their perceptions of the health effects related to participation. Methods Those who volunteered to participate were educated on this program's definition of a "clean" diet through an information session and were given written guidelines. The diet was to last 21 days, and instructions were outlined as to which foods were allowed and which were to be eliminated. This study evaluated participants in two cohorts (June 2014 and January 2015). Individuals who registered for the study were asked to complete three anonymous surveys: one pretest before beginning the program (PRE), one roughly 1 week after completion (1wPOST), and one follow-up 8 weeks after the end of the diet period (8wPOST). Descriptive statistics, Skillings-Mack test, and Wilcoxon signed rank test were used to analyze results. Results Thirty-four individuals completed the PRE surveys, 15 individuals completed the 1wPOST surveys (44% of those completing the PRE surveys), and 8 individuals completed the 8wPOST surveys (24% of those completing the PRE surveys). Comparing results from the PRE, 1wPOST, and 8wPOST surveys, there were significant overall differences seen in the following health characteristics: cravings for sweet/salty foods (p=0.03), "giving in" to cravings (p=0.04), energy levels (p=0.001), and sleep quality (p=0.0001). These differences seen were between the PRE and 1wPOST surveys. Weight satisfaction and overall health did not show any overall significant differences. Conclusions While participants in Appalachia could benefit from a program that could improve health, this program's participants did not share socioeconomic characteristics reflective of most people from that area. Most were college-educated females with a reported family income and level of education that were higher than the average population. Self-reported health characteristics related to cravings, energy levels, and sleep quality demonstrated overall significant improvements from the PRE to the 1wPOST surveys. This exploratory study provides insight into the popularity of such programs. While measurement rather than self-report of clinical outcomes would be needed to more definitively determine the effects of this program, it would be worthwhile to explore further in an experimental study the outcomes identified in this study as being affected (cravings, energy, sleep, and weight).

Effects of Consuming Almonds on Insulin Sensitivity and Other Cardiometabolic Health Markers in Adults With Prediabetes

Objective: This study was designed to assess the effects of replacing high-carbohydrate (CHO) foods with raw almonds on insulin sensitivity and cardiometabolic health markers in overweight or obese adults with prediabetes.Method: This randomized crossover study consisted of two 6-week dietary intervention periods, separated by a ≥ 4-week washout. Subjects incorporated 1.5 oz of raw almonds twice daily or isocaloric CHO-based foods into their diets, with instructions to maintain body weight. Dietary intakes as well as insulin sensitivity, CHO metabolism indices, lipoprotein lipids and particles, and inflammatory markers were assessed.Results: Thirty-three subjects (17 male, 16 female), mean age 48.3 ± 2.2 years and body mass index 30.5 ± 0.7 kg/m2, provided evaluable data. Compared to CHO, almonds resulted in significantly (p < 0.01) higher intakes of protein, fat (unsaturated fatty acids), fiber, and magnesium and significantly (p < 0.001) lower intakes of CHO and sugars. No differences were observed between diet conditions for changes from baseline in the insulin sensitivity index from a short intravenous glucose tolerance test or other indices of glucose homeostasis. No significant differences were observed in biomarkers of cardiovascular risk except that the CHO intervention led to a shift toward a higher concentration of cholesterol in small, dense low-density lipoprotein subfraction 3+4 (LDL3 + 4) particles (p = 0.024 vs almonds).Conclusions: Intake of 3.0 oz/d raw almonds, vs energy-matched CHO foods, improved the dietary nutrient profile, but did not significantly affect insulin sensitivity and most markers of cardiometabolic health in overweight and obese men and women with prediabetes.