Dietary Carbohydrate Intake Research Articles

Dietary intake of carbohydrates, daytime sleepiness and obstructive sleep apnoea in adults from reykjavík, Iceland

Dietary intake of carbohydrates, daytime sleepiness and obstructive sleep apnoea in adults from reykjavík, Iceland

Transcriptomics, metabolomics and histology indicate that high-carbohydrate diet negatively affects the liver health of blunt snout bream (Megalobrama amblycephala)

BackgroundGlobal trend of the introduction of high levels of relatively cheap carbohydrates to reduce the amount of costly protein in the aquatic animal feed production has affected the aquaculture of an economically important cyprinid fish, blunt snout bream (Megalobrama amblycephala). This dietary shift has resulted in increased prevalence of metabolic disorders, often causing economic losses. High dietary intake of carbohydrates, associated with obesity, is one of the major causes of non-alcoholic fatty liver disease (NAFLD) in humans.ResultsWe have conducted an eight-week feeding trial to better understand how a high-carbohydrate diet (HCBD) affects the liver health in this fish. Hepatosomatic index and lipid content were significantly (P < 0.05) higher in the HCBD group. Histology results also suggested pathological changes in the livers of HCBD group, with excessive lipid accumulation and indication of liver damage. Metabolomics and serum biochemistry analyses showed that a number of metabolites indicative of liver damage were increased in the HCBD group. This group also exhibited low levels of betaine, which is a metabolite crucial for maintaining the healthy liver functions. Transcriptomic and qPCR analyses indicated that HCBD had a strong impact on the expression of a large number of genes associated with the NAFLD and insulin signalling pathways, which may lead to the development of insulin resistance in hepatocytes, pathological liver changes, and eventually the NAFLD.ConclusionsTranscriptomics, metabolomics and histology results all indicate early symptoms of liver damage. However whether these would actually lead to the development of NAFLD after a longer period of time, remains inconclusive. Additionally, a very high number of upregulated genes in the HCBD group associated with several neurodegenerative diseases is a strong indication of neurodegenerative changes caused by the high-carbohydrate diet in blunt snout bream. This suggests that fish might present a good model to study neurodegenerative changes associated with high-carbohydrate diet in humans.

Non-Alcoholic Fatty Liver Disease and Nutritional Implications: Special Focus on Copper.

Non-alcoholic fatty liver disease (NAFLD) is characterized by excess lipids in hepatocytes, due to excessive fatty acid influx from adipose tissue, de novo hepatic lipogenesis, in addition to excessive dietary fat and carbohydrate intake. Chronic hepatic lipid overload induces mitochondrial oxidative stress and cellular damage leading the development of NAFLD into a more severe liver disease condition, non-alcoholic steato-hepatitis (NASH). In turn, this can progress to cirrhosis and hepatocellular carcinoma (HCC). Among others, copper is one of the main bio-metals required for the preponderance of the enzymes involved in physiological redox reactions, which primarily occurs during mitochondrial respiration. Thus, copper homeostasis could be considered a target point for counteracting the progression of NAFLD. Accordingly, many diseases are correlated to unbalanced copper levels and, actually, some clinical trials are examining the use of copper chelating agents. Currently, no pharmacological interventions are approved for NAFLD, but nutritional and lifestyle modifications are always recommended. Fittingly, antioxidant food agents recognized to improve NAFLD and its complications have been described in the literature to bind copper. Therefore, this review describes the role of nutrition in the development and progression of NAFLD with a particular focus on copper and copper-binding antioxidant compounds against NAFLD.

Dietary carbohydrates, components of energy balance, and associated health outcomes

The role of dietary carbohydrates in the development of obesity and associated metabolic dysfunction has recently been questioned. Within the last decade, the Scientific Advisory Committee on Nutrition carried out a comprehensive evaluation of the role of dietary carbohydrates in human health. The current review aims to complement and extend this report by providing specific consideration of the effects of the component parts of energy balance, their interactions, and their culmination on energy storage and health. PubMed was searched for all published trials that had a minimum follow-up period of 3 months and were designed to manipulate dietary carbohydrate intake, irrespective of resultant differences in absolute carbohydrate dose (grams per day). Dietary carbohydrate manipulation has little effect on the individual components of energy balance that have been assessed. However, the role of dietary carbohydrates in influencing physical activity has yet to be assessed using gold-standard measurement tools. Moreover, adherence to a diet of modified carbohydrate content has not been found to result in a consistent pattern of changes in weight or indirect measures of metabolic health. However, certain markers of cardiovascular disease risk (ie, blood triglycerides and high-density lipoprotein cholesterol) may respond positively to a reduction in dietary carbohydrates.

Associations among dietary non-fiber carbohydrate, ruminal microbiota and epithelium G-protein-coupled receptor, and histone deacetylase regulations in goats

BackgroundDiet-derived short-chain fatty acids (SCFAs) in the rumen have broad effects on the health and growth of ruminants. The microbe-G-protein-coupled receptor (GPR) and microbe-histone deacetylase (HDAC) axes might be the major pathway mediating these effects. Here, an integrated approach of transcriptome sequencing and 16S rRNA gene sequencing was applied to investigate the synergetic responses of rumen epithelium and rumen microbiota to the increased intake of dietary non-fiber carbohydrate (NFC) from 15 to 30% in the goat model. In addition to the analysis of the microbial composition and identification of the genes and signaling pathways related to the differentially expressed GPRs and HDACs, the combined data including the expression of HDACs and GPRs, the relative abundance of the bacteria, and the molar proportions of the individual SCFAs were used to identify the significant co-variation of the SCFAs, clades, and transcripts.ResultsThe major bacterial clades promoted by the 30% NFC diet were related to lactate metabolism and cellulose degradation in the rumen. The predominant functions of the GPR and HDAC regulation network, under the 30% NFC diet, were related to the maintenance of epithelium integrity and the promotion of animal growth. In addition, the molar proportion of butyrate was inversely correlated with the expression of HDAC1, and the relative abundance of the bacteria belonging to Clostridum_IV was positively correlated with the expression of GPR1.ConclusionsThis study revealed that the effects of rumen microbiota-derived SCFA on epithelium growth and metabolism were mediated by the GPR and HDAC regulation network. An understanding of these mechanisms and their relationships to dietary components provides better insights into the modulation of ruminal fermentation and metabolism in the promotion of livestock production.

Combined effects of ultrasound and pulsed-vacuum on air-drying to obtain unripe banana flour

Abstract In order to increase the water migration rate during unripe banana drying process, two pre-treatments were applied. Experiments were performed as following: 20 min of ultrasound (US) + air-drying at 50 °C; 20 min of US + 60 min of pulsed-vacuum (PV) + air-drying at 50 °C; 25 min of US + air-drying at 60 °C and 25 min of US + 60 min of PV + air-drying at 60 °C. Experimental data were adjusted to five models and the Midilli model resulted to fit best experimental data with r2 > 0.999, RMSE Industrial relevance In this work, ultrasound and ultrasound-pulsed vacuum pre-treatments prior to air-drying were applied as an alternative to produce unripe banana flour (UBF). This study indicates that the drying kinetics increased due to the application of ultrasound, preserving the resistant starch content of the final product. Hence, this technology diminishes the drying time and consequently reduces the energy costs, in comparison with to the conventional process. Therefore, the UBF rich in resistant starch content can be considered a functional ingredient that promotes dietary intake of unavailable carbohydrates, which may reduce the risks of non-communicable diseases.

Abstract 3270: Association of low-carbohydrate diet and macronutrient intake with colorectal cancer survival

Abstract Background: Metabolic reprogramming is a hallmark of cancer characterized by the switch from oxidative phosphorylation to aerobic glycolysis. Accumulating evidence suggests that reducing dietary carbohydrate intake may ameliorate metabolic reprogramming and suppress proliferation of tumor cells. However, the clinical benefit of carbohydrate restriction remains unknown. Objective: To examine the low-carbohydrate diet and macronutrient intake after colorectal cancer diagnosis in relation to mortality among stage I-III patients. Methods: We evaluated data on 1,303 colorectal cancer patients in the Nurses’ Health Study (1980-2012) and Health Professionals Follow-up Study (1986-2012) who completed a validated food frequency questionnaire at least one year after diagnosis. An overall low-carbohydrate-diet score was created based on the percentage of energy as carbohydrate, fat, and protein (a higher score reflects a higher intake of fat and protein and a lower intake of carbohydrate). We also created an animal- and vegetable-based low-carbohydrate-diet score on the basis of the intake from animal and vegetable food sources, respectively. We prospectively assessed the association of the low-carbohydrate-diet score and macronutrient intake with CRC-specific and overall mortality using Cox proportional hazards regression. Multivariable hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated after adjusting for a variety of potential confounding factors, including age, sex, cancer stage, grade of differentiation, subsite, alcohol use, smoking status, physical activity, body mass index, regular use of aspirin, total calorie, and intake of folate, calcium, fiber, processed red meat, and vitamin D. Results: We observed 584 deaths, of which 132 were classified as colorectal cancer-specific deaths over a median of 10 years of follow-up. No association was found for overall and animal-based low-carbohydrate-diet score with colorectal cancer-specific mortality, with the HR comparing the highest to the lowest quartiles of 0.92 (95% CI, 0.77-1.09, P for trend=0.33) for the overall score and 0.99 (95% CI, 0.84-1.17, P for trend=0.94) for the animal-based score. In contrast, vegetable-based low-carbohydrate-diet score was associated with lower colorectal cancer-specific mortality (HR, 0.67, 95% CI, 0.53-0.85, P for trend&amp;lt;0.001). Replacement of carbohydrate with fat, particularly vegetable fat, was associated with lower mortality of colorectal cancer (HR per 10%-energy substitution, 0.49, 95% CI, 0.29-0.85, P for trend=0.01). Similar results were found for all-cause mortality. Conclusion: Among patients with colorectal cancer, replacing carbohydrates with vegetable fat may reduce the risk of all-cause and colorectal cancer-specific mortality. Citation Format: Mingyang Song, Kana Wu, Jeffrey Meyerhardt, Omer Yilmaz, Shuji Ogino, Charles Fuchs, Edward Giovannucci, Andrew T. Chan. Association of low-carbohydrate diet and macronutrient intake with colorectal cancer survival [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2017; 2017 Apr 1-5; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2017;77(13 Suppl):Abstract nr 3270. doi:10.1158/1538-7445.AM2017-3270

Challenges and opportunities in the use of low‐energy sugar replacers

Challenges and opportunities in the use of low‐energy sugar replacers

Carbohydrate intake during early pregnancy is inversely associated with abnormal glucose challenge test results in Japanese pregnant women.

In East Asian countries, which have a high prevalence of underweight individuals, there is little information about the association between dietary factors and abnormal glucose tolerance during pregnancy. We examined the association between carbohydrate intake and moderately abnormal glucose tolerance in Japanese pregnant women. We conducted a prospective study on 325 Japanese pregnant women without a diagnosis of diabetes mellitus prior to pregnancy. Dietary carbohydrate intake (% of total energy intake) was assessed using a 3-day dietary record during weeks 8-15 of pregnancy. Glucose tolerance was assessed by the 50g glucose challenge test (GCT) during weeks 24-28 of pregnancy. A positive GCT result was defined by a 1-hour plasma concentration≥7.8mmol/L. Odds ratios of a positive GCT were calculated for the top and middle tertile categories of carbohydrate intake using the bottom category as reference. Mean (standard deviation) body mass index at the first prenatal visit was 19.7 (1.9) kg/m2 , and 95 women were underweight. Seventy-four women had positive GCT results. Carbohydrate intake was negatively associated with a positive GCT result after adjusting for age, parity, body mass index at first prenatal visit, family history of diabetes mellitus, rate of gestational weight gain, energy intake, and dietary fiber intake (odds ratio for top category: 0.46 [95% CI, 0.23-0.93]). These findings suggest that high carbohydrate intake was negatively associated with moderately abnormal glucose tolerance in a population with a high prevalence of underweight individuals.

A meta-analysis between dietary carbohydrate intake and colorectal cancer risk: evidence from 17 observational studies.

The association between dietary carbohydrate intake and colorectal cancer (CRC) risk remains controversial. We therefore conducted this meta-analysis to assess the relationship between them. A literature search from the databases of PubMed, Embase, Web of Science and Medline was performed for available articles published in English (up to September 2016). Pooled relative risk (RR) with 95% confidence interval (CI) was calculated to evaluate the association between dietary carbohydrate intake and CRC risk. The random-effect model (REM) was selected as the pooling method. Publication bias was estimated using Egger’s regression asymmetry test and funnel plot. A total of 17 articles involving 14402 CRC patients and 846004 participants were eligible with the inclusion criteria in this meta-analysis. The pooled RR with 95% CI of dietary carbohydrate intake for CRC, colon cancer and rectum cancer risk were 1.08 (95% CI =0.93–1.23, I2 =68.3%, Pheterogeneity<0.001), 1.09 (95% CI =0.95–1.25, I2 =48.3%) and 1.17 (95% CI =0.98–1.39, I2 =17.8%) respectively. When we conducted the subgroup analysis by gender, the significant association was found in men’s populations (summary RR =1.23, 95% CI =1.01–1.57), but not in the women’s populations. In the further subgroup analyses for study design and geographic locations, we did not find any association between dietary carbohydrate intake and CRC risk in the subgroup results respectively. No significant publication bias was found either by the Egger’s regression asymmetry test or by the funnel plot. This meta-analysis suggested that higher dietary carbohydrate intake may be an increased factor for CRC risk in men populations. Further studies are wanted to confirm this relationship.

Dietary intake is independently associated with the maximal capacity for fat oxidation during exercise ,

Background: Substantial interindividual variability exists in the maximal rate of fat oxidation (MFO) during exercise with potential implications for metabolic health. Although the diet can affect the metabolic response to exercise, the contribution of a self-selected diet to the interindividual variability in the MFO requires further clarification.Objective: We sought to identify whether recent, self-selected dietary intake independently predicts the MFO in healthy men and women.Design: The MFO and maximal oxygen uptake (V̇O2 max) were determined with the use of indirect calorimetry in 305 healthy volunteers [150 men and 155 women; mean ± SD age: 25 ± 6 y; body mass index (BMI; in kg/m2): 23 ± 2]. Dual-energy X-ray absorptiometry was used to assess body composition with the self-reported physical activity level (SRPAL) and dietary intake determined in the 4 d before exercise testing. To minimize potential confounding with typically observed sex-related differences (e.g., body composition), predictor variables were mean-centered by sex. In the analyses, hierarchical multiple linear regressions were used to quantify each variable’s influence on the MFO.Results: The mean absolute MFO was 0.55 ± 0.19 g/min (range: 0.19–1.13 g/min). A total of 44.4% of the interindividual variability in the MFO was explained by the V̇O2 max, sex, and SRPAL with dietary carbohydrate (carbohydrate; negative association with the MFO) and fat intake (positive association) associated with an additional 3.2% of the variance. When expressed relative to fat-free mass (FFM), the MFO was 10.8 ± 3.2 mg · kg FFM−1 · min−1 (range: 3.5–20.7 mg · kg FFM−1 · min−1) with 16.6% of the variability explained by the V̇O2 max, sex, and SRPAL; dietary carbohydrate and fat intakes together explained an additional 2.6% of the variability. Biological sex was an independent determinant of the MFO with women showing a higher MFO [men: 10.3 ± 3.1 mg · kg FFM−1 · min−1 (3.5–19.9 mg · kg FFM−1 · min−1); women: 11.2 ± 3.3 mg · kg FFM−1 · min−1 (4.6–20.7 mg · kg FFM−1 · min−1); P < 0.05].Conclusion: Considered alongside other robust determinants, dietary carbohydrate and fat intake make modest but independent contributions to the interindividual variability in the capacity to oxidize fat during exercise. This trial was registered at http://clinicaltrials.gov as NCT02070055.

Genetic variation in the AMY1 gene is associated with dietary carbohydrate and starch intake in a young adult population

BackgroundGenetic variation contributes to individual differences in energy and nutrient intake and may be a contributing factor to the selection of certain foods and macronutrient preference. Salivary amylase is encoded by the AMY1 gene, which displays high copy number variation (CNV) and plays an important role in starch digestion. Research has found that AMY1 CNV is positively correlated with both salivary amylase concentration and activity and higher AMY1 copy numbers have been found in populations with high starch diets. Individual single nucleotide polymorphisms (SNPs) near the amylase genes have been found to correlate with AMY1 copy number within populations. The objective of this study was to determine whether common variants in the AMY1 gene are associated with habitual dietary intake.MethodsFasting blood samples were drawn from a total of 1,600 ethno‐culturally diverse participants aged 20–29 years from the Toronto Nutrigenomics and Health Study for genotyping of 9 SNPs associated with AMY1 copy number: rs4244372 (T/A), rs11577390 (C/T), rs1566154 (A/G), rs10881197(G/C), rs2132957 (A/G), rs11185098(G/A), rs1999478(C/A), rs1330403(A/G) and rs6696797(A/G). Dietary intake was assessed using a one‐month, 196‐item Toronto‐modified Willett food frequency questionnaire. An analysis of covariance adjusted for age, sex, ethnicity, BMI, and physical activity was used to determine the association between AMY1 genotypes and dietary intake.ResultsAmong Caucasians (n = 620), carriers of the minor allele in rs10881197 had a significantly lower energy intake (1838 vs 2089 kcal/day, p = 0.005). Carriers of the minor allele in rs11185098 had significantly higher total carbohydrate (CHO) and starch intakes (273 vs 266 g CHO/day, p =0.03 and 122 vs 117g starch/day, p= 0.02 respectively). Among East Asians (n = 465), carriers of the minor allele in rs1999478 had significantly higher total energy and sugar intakes (1985 vs 1828 kcal/day, p = 0.02 and 113 vs 105 g sugar/day, p = 0.03 respectively). No other associations were observed between AMY1 variants and carbohydrate or starch intake.ConclusionPolymorphisms in the AMY1 gene are associated with dietary intake patterns. Identifying the genetic determinants of dietary intake and food preference may enhance our understanding of excessive caloric intake and obesity, a common risk factor of many chronic conditions and provide further evidence to support the use of personalized nutrition recommendations.Support or Funding InformationResearch support from Mitacs

Abstract P221: Relationship of Dietary Carbohydrate and Fiber Intake to Risk of Cardiovascular Disease Mortality in Japanese: NIPPON DATA80

Aims: The association between carbohydrate intake and cardiovascular disease (CVD) risk has been investigated; however, it remains unclear. Carbohydrate quality is considered to be more important than its amount. Carbohydrate consists of fiber and available carbohydrate which includes starch and sugar. The aim of this study was to examine the relationship of each of carbohydrate, available carbohydrate, starch and fiber intake to the long-term CVD mortality risk in Japanese population. We also examined the relationship of the ratios of carbohydrate, available carbohydrate or starch-to-fiber to CVD risk. Methods: We prospectively followed 8,925 participants (3,916 men and 5,009 women) aged 30-79 years without CVD who participated in the National Nutrition Survey in 1980 from 300 randomly selected areas in Japan. The participants were followed for 24 years. To identify the cause of death, the National Vital Statistics database of Japan was used. Food intake survey using weighed food records over three days in each household was conducted. The nutrient intake reported for each household was proportionally allocated to each household member according to the mean consumption rate by age and sex in 1995. Ratios of carbohydrate, available carbohydrate or starch intake (g/day) divided by dietary fiber intake (g/day) were also calculated. Cox proportional hazards models were used to estimate multivariable-adjusted hazard ratios (HRs) for CVD mortality by sex-specific quartiles of fiber (g/1000kcal), carbohydrate (%kcal), available carbohydrate (%kcal), starch (%kcal) and their ratios. HRs were adjusted for age, sex, lifestyle factors (smoking status, drinking status, BMI, medication of hypertension, past history of diabetes mellitus), and dietary factors (intakes of sodium, saturated fatty acids and long-chain n-3 polyunsaturated fatty acids). Results: During 24-years of follow up, 823 CVD deaths were observed (419 men and 404 women). Adjusted HR for CVD mortality was lower in the highest quartile (Q4) of fiber intake (0.71, 95%CI: 0.57-0.89, P -trend 0.003) compared with the lowest (Q1). However, carbohydrate, available carbohydrate and starch intake were not associated with CVD mortality (Adjusted HR for Q4 compared with Q1: 1.00, 95%CI: 0.76-1.32, P -trend 0.875; 1.07, 0.82-1.40, 0.757; 0.92, 0.71-1.20, 0.619; respectively). The ratios of carbohydrate, available carbohydrate or starch-to-fiber were all positively associated with CVD mortality (Adjusted HR for Q4 compared with Q1: 1.40, 95%CI: 1.13-1.73, P -trend 0.003; 1.33, 1.08-1.64, 0.006; 1.23, 0.99-1.52, 0.032; respectively). Conclusions: Dietary fiber intake was inversely related to long-term CVD mortality risk in Japanese. The ratios of carbohydrate, available carbohydrate or starch-to-fiber were positively associated with long-term CVD mortality risk; they might be useful indexes to predict future CVD risk.

Effect of the interaction between diet composition and the PPM1K genetic variant on insulin resistance and β cell function markers during weight loss: results from the Nutrient Gene Interactions in Human Obesity: implications for dietary guidelines (NUGENOB) randomized trial

Background: Circulating branched-chain amino acids (BCAAs) and aromatic amino acids (AAAs) have been shown to be associated with insulin resistance and diabetes risk. The common rs1440581 T allele in the protein phosphatase Mg2+/Mn2+ dependent 1K (PPM1K) gene has been related to elevated BCAA concentrations and risk of type 2 diabetes.Objective: In the present study, we tested whether dietary fat and carbohydrate intakes influenced the association between the rs1440581 PPM1K genetic variant and glucose-metabolism traits during weight loss.Design: The rs1440581 PPM1K genetic variant was genotyped in a total of 757 nondiabetic individuals who were randomly assigned to 1 of 2 energy-restricted diets that differed in macronutrient composition (low-fat diet: 20-25% fat, 15% protein, and 60-65% carbohydrate; high-fat diet: 40-45% fat, 15% protein, and 40-45% carbohydrate). The changes in fasting glucose, fasting insulin, insulin resistance (homeostasis model assessment of insulin resistance) and homeostasis model assessment of β cell function (HOMA-B) were measured after a mean ± SD weight loss of 6.8 ± 3.4 kg over 10 wk and analyzed according to the presence of the T allele of rs1440581.Results: The rs1440581 T allele was associated with a smaller improvement in glucose concentrations after the 10-wk dietary intervention (β ± SE: 0.05 ± 0.02 mg/dL; P = 0.03). In addition, significant gene-diet interactions were shown for the rs1440581 PPM1K genetic variant in relation to changes in insulin and HOMA-B (P-interaction = 0.006 and 0.002, respectively). In response to the high-fat diet, the T allele was associated with a higher reduction of insulin (β ± SE: -0.77 ± 0.40 μU/mL; P = 0.04) and HOMA-B (β ± SE: -13.2 ± 3.81; P = 0.003). An opposite effect was observed in the low-fat diet group, although in this group the T allele was marginally (P = 0.10) and not significantly (P = 0.24) associated with insulin and HOMA-B, respectively.Conclusion:PPM1K rs1440581 may affect changes in glucose metabolism during weight loss, and this effect is dependent on dietary fat and carbohydrate intakes. This trial was registered at controlled-trials.com as ISRCTN25867281.

Mulberry-extract improves glucose tolerance and decreases insulin concentrations in normoglycaemic adults: Results of a randomised double-blind placebo-controlled study.

BackgroundHigh sugar and refined carbohydrate intake is associated with weight gain, increased incidence of diabetes and is linked with increased cardiovascular mortality. Reducing the health impact of poor quality carbohydrate intake is a public health priority. Reducose, a proprietary mulberry leaf extract (ME), may reduce blood glucose responses following dietary carbohydrate intake by reducing absorption of glucose from the gut.MethodsA double-blind, randomised, repeat measure, phase 2 crossover design was used to study the glycaemic and insulinaemic response to one reference product and three test products at the Functional Food Centre, Oxford Brooks University, UK. Participants; 37 adults aged 19–59 years with a BMI ≥ 20kg/m2 and ≤ 30kg/m2. The objective was to determine the effect of three doses of mulberry-extract (Reducose) versus placebo on blood glucose and insulin responses when co-administered with 50g maltodextrin in normoglycaemic healthy adults. We also report the gastrointestinal tolerability of the mulberry extract.ResultsThirty-seven participants completed the study: The difference in the positive Incremental Area Under the Curve (pIAUC) (glucose (mmol / L x h)) for half, normal and double dose ME compared with placebo was -6.1% (-18.2%, 5.9%; p = 0.316), -14.0% (-26.0%, -2.0%; p = 0.022) and -22.0% (-33.9%, -10.0%; p<0.001) respectively. The difference in the pIAUC (insulin (mIU / L x h)) for half, normal and double dose ME compared with placebo was -9.7% (-25.8%, 6.3%; p = 0.234), -23.8% (-39.9%, -7.8%; p = 0.004) and -24.7% (-40.8%, -8.6%; p = 0.003) respectively. There were no statistically significant differences between any of the 4 groups in the odds of experiencing one or more gastrointestinal symptoms (nausea, abdominal cramping, distension or flatulence).ConclusionsMulberry leaf extract significantly reduces total blood glucose rise after ingestion of maltodextrin over 120 minutes. The pattern of effect demonstrates a classical dose response curve with significant effects over placebo. Importantly, total insulin rises were also significantly suppressed over the same time-period. There were no statistically significant differences between any of the treatment groups (including placebo) in the odds of experiencing one or more gastrointestinal symptoms. Mulberry extract may have multiple modes of action and further studies are necessary to evaluate ME as a potential target for the prevention of type 2 diabetes and the regulation of dysglycaemia.

Dietary carbohydrate and fat intakes are differentially associated with lipid abnormalities in Korean adults

A high prevalence of metabolic syndrome along with increasing rates of low high-density lipoprotein cholesterol (HDL-C) and elevated triglycerides (TGs) is shown in Korean adults. Little is known about the associations between macronutrient intake and lipid abnormalities in the Asian population, whose major energy source is carbohydrates. We examined the associations of dietary carbohydrate and fat intakes with lipid abnormalities in Korean adults. A total of 14,301 adults (5715 men and 8586 women) aged ≥30years with no diagnosis and treatment for diabetes, hypertension, or dyslipidemia were selected from the 2008 to 2012 Korea National Health and Nutrition Examination Survey data. From the 24-hour recall data, dietary carbohydrate and fat intakes were estimated. Multivariate logistic regression was used to estimate odds ratios for lipid abnormalities, that is, elevated total cholesterol (TC), low HDL-C, high TC to HDL-C ratio, elevated non-HDL-C, elevated LDL cholesterol (LDL-C), and elevated TG across quintiles of dietary carbohydrate and fat intakes. Percentage of energy from carbohydrate was positively associated with elevated TG and low HDL-C but inversely associated with elevated TC and elevated LDL-C in both men and women. Energy-adjusted carbohydrate intake also showed a positive association with low HDL-C. Dietary fat intakes had the opposite associations with lipid abnormalities than results for carbohydrate. High carbohydrate diet is undesirable with regard to increased TG and reduced HDL-C despite the benefit for LDL-C. Dietary strategies emphasizing appropriate macronutrient intakes by the type of lipid abnormalities are recommended for the prevention of cardiovascular disease in Korean adults.

Mineral and vitamin consumption and telomere length among adults in the United States.

INTRODUCTION Shorter leukocyte telomere length (TL) is associated with several chronic diseases, but only a few studies have assessed the associations of dietary components and dietary patterns with TL in adults in the United States (US). OBJECTIVES This study was aimed to determine the relation of dietary components and dietary patterns with TL among adults in the US. PATIENTS AND METHODS National Health and Nutrition Examination Survey (NHANES) participants with data on dietary intake and TL measures from 1999 to 2001 were included. Daily intakes of 60 nutrients and bioactive compounds were calculated for each participant. Factor analysis, followed by a varimax rotation, was applied to derive the major nutrient patterns. All statistical analyses accounted for the survey design and sample weights. RESULTS Of the 10 568 eligible participants, 48.0% (n = 5020) were men; the mean age was 44.1 years. Mean (adjusted for sex, age, and race) dietary intakes of carbohydrate, dietary fiber, total folate, vitamin B6, magnesium, iron, copper, polyunsaturated fatty acids 22:5, and vitamin C monotonically increased across TL quarters (P <0.05 for all), while total fat and caffeine decreased across TL quarters (P <0.05 for all). Three food patterns together explaining 56.8% of the variance of the dietary nutrient consumption were identified. We found that the second food pattern, which was a representative of minerals and vitamins, monotonically increased across TL quarters and had a positive association with TL. CONCLUSIONS Higher mineral and vitamin consumption is associated with longer telomeres among adults in the US.

The Combined Effects of Genetic Variation in the CNDP1 and CNDP2 Genes and Dietary Carbohydrate and Carotene Intake on Obesity Risk

Background/Aims: It is possible that carnosinase (CNDP1) and cellular nonspecific dipeptidase (CNDP2) have important roles in protecting cells and tissues against the damage of oxidative stress. Oxidative stress and subsequent inflammation are key factors in the development of common chronic metabolic diseases, such as obesity. We aimed to investigate the combined effects of genetic variations in CNDP1 and CNDP2 and dietary carbohydrate and carotene intake on obesity risk. Methods: A total of 1,059 Japanese men were randomly selected from participants who visited a medical center for routine medical checkups. We analyzed the relationships between the genotypes of 4 single-nucleotide polymorphisms (SNPs) (rs12605520, rs7244647, rs4891558, and rs17089368) in the CNDP1/CNDP2 locus and body mass index or prevalence of obesity/overweight taking into account dietary carbohydrate and carotene intake. Results: We found that 2 SNPs (rs7244647 in CNDP1 and rs4891558 in CNDP2) were associated with obesity risk. In addition, these associations were observed only in the group with high carbohydrate and low carotene intake but not in the group with low carbohydrate and high carotene intake. Conclusions: Our findings indicate that the combination of genetic variations in CNDP1 and CNDP2 and dietary carbohydrate/carotene intake modulate obesity risk.

Circulating Triglycerides and the Association of Triglycerides with Dietary Intake Are Altered by Alpha-2-Heremans-Schmid Glycoprotein Polymorphisms

Background: Circulating fetuin-A (FetA) inhibits insulin receptor signaling and activates the toll-like receptor 4 proinflammatory cascade; thus, it may contribute to metabolic syndrome. Polymorphisms in alpha-2-Heremans-Schmid glycoprotein (AHSG), the gene which codes FetA, may influence metabolic syndrome progression in higher-risk ethnic groups. We aimed to identify whether individual variation in AHSG influences biomarkers of metabolic disease and obesity in young Mexican adults. Methods: The participants were Mexican college applicants (18-25 years, n = 641). Dietary intake, anthropometric data, and blood for the analysis of biomarkers and genetics were collected. Single nucleotide polymorphisms (SNPs) in AHSG (rs2518136 and rs4917) were genotyped. Results: Neither AHSG SNP was associated with body mass index (BMI) or waist circumference. rs4917 C allele carriers had lower triglycerides (TG) than T allele homozygotes (98.85 ± 2.3 vs. 112.2 ± 5.2 mg/dL, p = 0.0113). BMI was strongly associated with TG (p < 0.0001) regardless of genotype. The relationship between circulating TG and dietary intake of carbohydrates and saturated fat was significant in rs4917 CT allele heterozygotes only (p = 0.03 and p = 0.02, respectively). Conclusions: rs4917 T allele carriers had higher TG. This relationship was exaggerated in individuals with overweight and obesity. Dietary intake was significantly associated with TG in only those with heterozygosity at rs4917, suggesting that these individuals may be more susceptible to dietary interventions.

Vegetarian, Gluten-Free, and Energy Restricted Diets in Female Athletes

Female athletes who follow a diet that fails to meet energy and nutrient needs are at risk for musculoskeletal injuries, menstrual disturbances, and poor sports performance. Common nutritional concerns for the female athlete include low energy availability (EA) (i.e., energy intake from food remaining for metabolic processes after accounting for energy expended during exercise) and inadequate dietary intakes (i.e., not meeting sports nutrition guidelines) of carbohydrates, protein, essential fatty acids (EFAs), B-vitamins, calcium, iron, and vitamin D. Low EA and the associated nutrient deficiencies are more common in athletes who compete in weight-sensitive sports (i.e., aesthetic, gravitational, and weight category sports) because low body fat and mass confer a competitive advantage. Other athletes at risk for energy and nutrient deficits include athletes following a vegetarian or gluten-free diet (GFD). Careful dietary planning can help an athlete meet energy and nutrient needs. This review covers the nutrition issues associated with low EA and special diets (i.e., vegetarian and GFD) and describes strategies to help female athletes meet their energy and nutrient needs.