Meal Replacement Research Articles

Efficacy and Safety of Meal Replacement in Patients With Type 2 Diabetes.

Meal replacement (MR) is beneficial for the management of type 2 diabetes (T2D). However, MR prescription and patient characteristics vary substantially between studies using MR in T2D patients. This work aimed to evaluate the efficacy and safety of MR in T2D patients by meta-analysis, with a focus on subgroup analysis of variable participant characteristics and MR prescription. We searched PubMed, CENTRAL, Embase, Web of Science, and the clinical trial registration database up to March 2022. We included randomized controlled trials (RCTs) of 2 weeks or more assessing the effect and safety of MR in T2D patients in comparison with conventional diabetic diets (CDs). A total of 17 RCTs involving 2112 participants were ultimately included. Compared with CDs, MR significantly reduced glycated hemoglobin A1c (HbA1c) (MD -0.46%; P < .001), fasting blood glucose (FBG, -0.62 mmol/L; P < .001), body weight (-2.43 kg; P < .001), and body mass index (BMI, -0.65; P < .001), and improved other cardiometabolic risk factors. In subgroup analyses, total MR showed greater improvement in HbA1c (-0.72% vs -0.32%; P = .01), FBG (-1.45 vs -0.56 mmol/L; P = .02), body weight (-6.57 vs -1.58 kg; P < .001), and BMI (-2.78 vs -0.37; P < .001) than partial MR. MR with caloric restriction showed more reduction in body weight (-3.20 vs -0.75 kg; P < .001) and BMI (-0.84 vs -0.24; P = .003) compared with those without caloric restriction. MR showed similar benefits in studies that included patients using insulin and those that did not. Both partial and total MR were well tolerated. Compared with CDs, the MR-based dietary pattern further improved the glycemic control and adipose indicators in T2D patients. Appropriate calorie restriction and total MR might be more beneficial, while both patients treated with or without insulin treatment could similarly benefit from MR usage.

Customizable non-charging material for eliminating electrostatic charge of particles at source

Contact electrification causes the electrostatic adhesion of particles onto surfaces. This causes a vast range of severe problems. In industry, fouling causes blockages of processes (e.g., vessels and pipes) and prevents Process Analytical Technology (PAT) probes from functioning. In research laboratories, adhesion causes expensive powders to be routinely lost during normal operations. To address these wide-ranging problems, this study describes a non-conductive polymeric material that resists triboelectric charging against powders (e.g., pharmaceutical and food). The material is a novel blend of two approved food- and pharmaceutical-grade polymers at a specific proportion. One polymer tends to charge positively (i.e., polyvinyl acetate; PVAc), whereas the other tends to charge negatively (i.e., polyvinylidene fluoride; PVDF), against the targeted powder. The non-charging polymer blend of PVAc and PVDF is successfully designed, translated, and deployed into industrially relevant situations. The polymer blend prevented milk powder and ethylcellulose powder from fouling the stainless-steel surface of a vessel in the food industry (e.g., for blending). It prevented aspirin powder from fouling an NIR probe used for accurate continuous monitoring of moisture during the drying process in a standard pharmaceutical industry glass filter dryer (GFD) for a long time of > 210 min. The original probe stopped functioning within 5 min. It prevented the adhesion of different types of expensive protein and enzyme powders onto tubes (e.g., for storage and transfer) commonly used in research laboratories. Therefore, this non-charging polymer blend is a universal solution for preventing particle adhesion and fouling for different types of processes, industries (e.g., food or pharmaceutical manufacturing), and powders.

Association between the use of muscle-building supplements and DNA damage in resistance training practitioners

ObjectivesLittle is known about the relationship between the supplements used for sport and safety, especially regarding the induction of genotoxicity. Therefore, more knowledge about a DNA damage possibly caused using sport supplements is necessary. The aim of this study was to investigate the potential association between the use of muscle-building supplements and DNA damage in resistance training practitioners. MethodsMuscle-building supplements were classified into three categories based on evidence of efficacy and safety: Strong Evidence to Support Efficacy and Apparently Safe (SESEAS); Limited or Mixed Evidence to Support Efficacy (LMESE), and Little to No Evidence to Support Efficacy and/or Safety (LNESES). DNA damage was evaluated by the comet assay (DNA damage index and frequency) and buccal micronucleus by the cytome assay (micronuclei and nuclear buds). In the sequence, the adjusted analysis of covariance was performed. This study included 307 individuals ages 37.99 ± 13.95 y (52.1% men), of which 157 consumed supplements. ResultsThe results of the comet assay revealed that participants who used supplements had higher DNA damage indexes (P = 0.018) and damage frequency (P = 0.045) than those who reported using no supplements. Moreover, the comet assay also indicated that the participants who used supplements classified into the SESEAS category presented the highest DNA damage index (P = 0.025) and frequency (P = 0.044) compared with those who used no supplements. However, we found no significant difference in the micronuclei and nuclear buds in the evaluated groups (P > 0.05). ConclusionSupplement use is not associated with permanent damage, suggesting that SESEAS supplements are safe for consumption.

Development and validation of HPLC-DAD methodology for simultaneous qualitative and quantitative determination of thirteen substances with a steroid structure

Using supplements in different sports is a common practice for many athletes. Unfortunately, the growth of this market has entailed some speculations, such as the addition of excessive doses of potentially toxic ingredients. Sometimes the doses listed on the package do not correspond to the real content. Some nutritional supplements on sale may contain undeclared ingredients. Some of those supplements are prohibited substances according to different regulations. Herein, a simple HPLC/DAD procedure that is easy to apply in conventional laboratory practice was developed for the simultaneous determination of 13 substances with steroid structure in nutritional supplements for sport: testosterone, testosterone propionate, testosterone enanthate, methyltestosterone, nandrolone, nandrolone propionate, nandrolone decanoate, methandienone, androstenedione, trenbolone, trenbolone acetate, trenbolone enanthate and boldenone undecylenate. The methodology includes gradient elution with mobile phase A: MeOH:ddH2O (55:45) and mobile phase B: 100% MeOH in a standard HPLC system containing a Halo 90 Å, C18 (150 x 4.6 mm, 2.7 µm) column, flow rate 0.6 mL/min, UV wavelength of 254 nm, temperature of 40 °C and 20 μL injection volume. The developed methodology was validated according to the corresponding official documents. The key parameters used for the selection of the optimal HPLC conditions were the ability of the mobile phase and solvents to be used with both an HPLC/MS and a GC/MS chromatographic system. The obtained total run time, the reproducibility of the retention times, the separation of all peaks and peak characteristics meet all requirements.

Mechanism of Insoluble Aggregate Formation in a Reconstituted Solution of Spray-Dried Protein Powder

BackgroundSpray-drying is considered a promising alternative drying method to lyophilization (freeze-drying) for therapeutic proteins. Particle counts in reconstituted solutions of dried solid dosage forms of biologic drug products are closely monitored to ensure product quality. We found that high levels of particles formed after reconstitution of protein powders that had been spray-dried under suboptimal conditions.MethodsVisible and subvisible particles were evaluated. Soluble proteins in solution before spray-drying and in the reconstituted solution of spray-dried powder were analyzed for their monomer content levels and melting temperatures. Insoluble particles were collected and analyzed by Fourier transform infrared microscopy (FTIR), and further analyzed with hydrogen-deuterium exchange (HDX).ResultsParticles observed after reconstitution were shown not to be undissolved excipients. FTIR confirmed their identity as proteinaceous in nature. These particles were therefore considered to be insoluble protein aggregates, and HDX was applied to investigate the mechanism underlying aggregate formation. Heavy-chain complementarity-determining region 1 (CDR-1) in the aggregates showed significant protection by HDX, suggesting CDR-1 was critical for aggregate formation. In contrast, various regions became more conformationally dynamic globally, suggesting the aggregates have lost protein structural integrity and partially unfolded after spray-drying.DiscussionThe spray-drying process could have disrupted the higher-order structure of proteins and exposed the hydrophobic residues in CDR-1 of the heavy chain, contributing to the formation of aggregate through hydrophobic interactions upon reconstitution of spray-dried powder. These results can contribute to efforts to design spray-dry resilient protein constructs and improve the robustness of the spray-drying process.

Dietary β-Alanine Intake Assessed by Food Records Does Not Associate With Muscle Carnosine Content in Healthy, Active, Omnivorous Men and Women.

β-Alanine (BA) is one of the most widely used sport supplements, due to its capacity to improve high-intensity exercise performance by increasing muscle carnosine (MCarn) content, and consequently, the buffering capacity of the muscle. BA is also available in a variety of animal foods, but little is currently known about the influence of dietary BA intake on MCarn. The aim of the current study was to compile a detailed summary of available data on the BA content of commonly consumed foods, and to explore whether associations could be detected between self-reported dietary BA intake and skeletal MCarn in a group of 60 healthy, active, omnivorous men and women. Dietary BA intake was assessed via 3-day food records, and MCarn content assessed by high-performance liquid chromatography. A series of univariate and multivariate linear regression models were used to explore associations between estimated dietary BA and MCarn. No evidence of associations between dietary BA intake and MCarn were identified, with effect sizes close to zero calculated from models accounting for key demographic variables (f2 ≤ 0.02 for all analyses). These findings suggest that capacity to increase MCarn via dietary strategies may be limited, and that supplementation may be required to induce increases of the magnitude required to improve performance.

‘The fact that I know I can do it is quite a motivator now’: a qualitative study exploring experiences maintaining weight loss 6 months after completing a weight loss programme for knee osteoarthritis

ObjectiveTo explore experiences maintaining weight loss 6 months after completing a multicomponent weight loss programme for knee osteoarthritis.DesignQualitative study based on an interpretivist paradigm and a phenomenological approach that was...

Inclusive diets within planetary boundaries

Inclusive diets within planetary boundaries

Serum-derived bovine immunoglobulin/protein isolate binds to various opportunistic microbes along with associated virulence factors

The gut microbiome consists of a complex population of bacteria, fungi, and viruses that aid the host in various physiological functions. When the microbiota is imbalanced, known as dysbiosis, symbiotic microbes can become opportunistic and excrete virulence factors that decrease intestinal barrier function, causing chronic inflammation that leads to disease. Therefore, maintaining gut microbiome balance is critical to overall health. Endogenous immunoglobulins play a positive role in gut homeostasis and immunoglobulin supplements can assist the body with microbiome maintenance. Serum-derived bovine immunoglobulin/protein isolate (SBI), a spray-dried protein powder enriched in immunoglobulins (IgG, IgA, IgM), is clinically proven to help manage loose and frequent stools associated with gastrointestinal enteropathies. A previous study used an in vitro cell culture model to show that SBI binds and neutralizes pattern-associated molecular patterns by steric/immune exclusion mechanisms. The goal of our study is to expand the list of antigens to which SBI binds. We hypothesize the IgG in SBI binds additional opportunistic microbes found in the gut and their associated virulence factors. Heliobacter pylori ( H. pylori), Shigella dysenteriae, Escherichia coli ( E. coli), and Candida albicans ( C. albicans) are common microbes associated with human gastroenteropathies. Therefore, we initially tested the binding of SBI to H. pylori lysate, H. pylori cytotoxicity-associated immunodominant antigen (CagA), Shiga toxin type-1 (Stx1), E. coli cytolethal distending toxin (CDT), C. albicans lysate, and C. albicans agglutinin-like protein 3 (Als3) by a dot blot method. SBI demonstrated binding to all antigens except the H. pylori lysate. To validate specificity of IgG, further binding studies were completed using a modified ELISA. The absorbance of IgG bound to immobilized antigens increased proportionally to SBI concentration (CagA R 2 =0.98, Stx1 R 2 =0.97, CDT subunit A R 2 =0.99, CDT subunit C R 2 =0.99, C. albicans lysate R 2 =0.99, and Als3 R 2 =0.99). Control experiments verified effective blocking, non-specific binding, and functionality (denatured SBI), as no significant absorbance was measured for any antigen tested. Together, the dot blot and modified ELISA showed the IgG in SBI was found to bind to a variety of opportunistic microbes and their associated virulence factors, including CagA, Stx1, CDT subunit A, CDT subunit C, C. albicans lysate, and Als3. Future work will examine if IgG binding can promote gut microbiome balance. Proliant Health and Biologicals This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Analysis of Commonly Used Sport Supplements

The famous Olympic phrase "faster, higher, stronger" continues to inspire millions of athletes who strive to improve their athletic performance. There has also been a debate in sports history over whether to allow athletes to use sports supplements. This article aims to analyze several different commonly used sports supplements. At the same time, this study also provides a scientific method of supplementing sports supplements for athletes according to the different functions and disadvantages of these supplements. In the end, it can be concluded that, in combination with the various needs of athletes, different supplements can help athletes recover quickly to maximize their potential during sports.

Effect of Wheat Gluten and Peanut Protein Ratio on the Moisture Distribution and Textural Quality of High-Moisture Extruded Meat Analogs from an Extruder Response Perspective.

Wheat gluten (WG) and peanut protein powder (PPP) mixtures were extruded at high moisture to investigate the potential application of this mixture in meat analog production. Multiple factors, including the water absorption index (WAI), water solubility index (WSI), rheological properties of the mixed raw materials, die pressure, torque and specific mechanical energy (SME) during high moisture extrusion, texture properties, color, water distribution, and water activity of extrudates were analyzed to determine the relationships among the raw material characteristics, extruder response parameters, and extrudate quality. At a WG ratio of 50%, the extrudates have the lowest hardness (2.76 kg), the highest springiness (0.95), and a fibrous degree of up to 1.75. The addition of WG caused a significant rightward shift in the relaxation time of hydrogen protons in the extrudates, representing increased water mobility and water activity. A ratio of 50:50 gave the smallest total color difference (ΔE) (about 18.12). When the added amount of WG was 50% or less, it improved the lightness and reduced the ΔE compared to >50% WG. Therefore, clarifying the relationship among raw material characteristics, extruder response parameters, and extruded product quality is helpful in the systematic understanding and regulation of the fiber textural process of binary protein meat analogs.

Does dietary inclusion of defatted yellow mealworm (Tenebrio molitor) affect growth and body composition of juvenile common carp (Cyprinus carpio)?

The objective of this study was to evaluate the effects of total and partial replacement of fishmeal with defatted yellow mealworm (Tenebrio molitor) meal on one-summer-old common carp (Cyprinus carpio) with an initial bodyweight of 97.54 g ± 51.0 g. Fish were kept in an experimental recirculating aquaculture system (9 x 250 L tanks) and fed with two experimental diets formulated with mealworm meal replacements and one control, which had 100 g/kg fishmeal without mealworm meal (MWM0). In the first treatment, 50% of fishmeal was replaced with mealworm meal (MWM50). In the second treatment, fishmeal was replaced totally with mealworm meal (MWM100). Fish were fed three times per day at 3.0% of fish biomass. After six weeks of the experimental period, growth performance, nutrient utilization, body composition, and biometric indices were compared. The results revealed that the growth performance of common carp was not affected significantly by the inclusion level of mealworm meal. However, the highest weight gain was observed in MWM100, where specific growth rate was 0.76 ± 0.10 g/day. Crude fat content of the fish body differed significantly between experimental groups and the control. This investigation demonstrated that MWM could be used as an alternative dietary protein source to replace fishmeal without adverse effects on the growth performance of one-summer-old common carp.

Morula (Sclerocarya birrea) kernel cake as a partial soybean meal replacer in Ross 308 broiler diets: Effects on feed utilisation, growth performance, and selected blood parameters

The effects of replacing soybean meal (SBM) with graded levels of morula kernel cake (MKC) on growth performance and haemo-biochemical parameters in broiler chickens were studied. Four isonitrogenous and iso-caloric diets were formulated by replacing the SBM component at 0, 40, 80 and 120 g/kg with MKC as protein source in grower and finisher diets. One hundred and sixty 2-week-old chicks were randomly allocated to the treatments, which were replicated five times (eight birds/pen). Growth performance and blood parameters were measured. Results showed that neither linear nor quadratic trends were observed for weekly feed intake (WFI), weekly weight gain (WWG), weekly feed conversion ratio (WFCR), and growth performance with MKC levels. However, packed cell volume (PCV) quadratically decreased (Y=37.4±1.2+1.4±0.5+0.13±0.03X²; R2=0.39; p=0.005) with MKC levels, heterophils increased (y=50.9±1.8+1.18±0.73x; R2=0.35, p=0.009) while lymphocytes decreased linearly (y=40.7±1.67-1.42±0.67x; R2=0.35, p=0.02) with MKC levels. There was a linear decrease (Y=0.81±0.02-0.01±0.01x; R2=0.2895; p=0.02) in magnesium while phosphorus increased quadratically with MKC levels. Quadratic trends (Y=17.2±0.6+0.7±0.2+0.04±0.02X²; R2=0.47; p=0.05) were also observed in iron as MKC levels increased. All the parameters of blood biochemistry fell within the normal range for birds. The present results indicate that inclusion of MKC up to 120 g/kg does not result in adverse effects on diet utilisation, growth performance, and health status of Ross 308 broiler chickens, indicating that MKC has the potential to be used as an alternative protein source to SBM.

Weight Regain in the Second Year after Sleeve Gastrectomy Could Be a Predictor of Long-Term Outcomes?

Background and Objectives: Sleeve gastrectomy (SG) is an effective surgical procedure in the treatment of obesity. However, a significant percentage of patients suffer from weight regain over long-term follow-up. The mechanisms responsible for this process are still poorly understood. The aim of the study is to evaluate the predictive effect of weight regain in the second year after SG on long-term bariatric surgery effectiveness. Methods: A retrospective cohort study was performed using the database of routinely collected information about patients undergoing SG in the Department of General, Minimally Invasive and Elderly Surgery in Olsztyn. Patients were divided into two groups according to the change in body weight between the first and second years after the surgery: weight gainers (WG) and weight maintainers (WM). Results: A study group consisting of 206 patients, with follow-up over 5 years, was included in the study. The WG group consisted of 69 patients while the WM group had 137 patients. There were no significant differences between the patient characteristics (p > 0.05). The WM group had a mean %EWL of 7.45% (SD, 15.83%) and %TWL of 3.74 (SD, 8.43). The WG group had a mean %EWL of 22.78% (SD, 17.11%) and %TWL of 11.29% (SD, 8.68). The difference between the groups was statistically significant (p < 0.05). The study showed significantly better results in WM compared to WG (p < 0.05). Conclusion: Weight regain in the second year after SG may be a good factor for long-term bariatric surgery effectiveness prognosis.

Fish Meal Replacement and Early Mild Stress Improve Stress Responsiveness and Survival of Fish after Acute Stress.

Stress responsiveness and fish meal (FM) replacement are two of the most important concerns toward achieving sustainable aquaculture. The purpose of this study was to see how early mild stress (netting) and FM replacement with meat and bone meal (MBM) affected oscar (Astronotus ocellatus; 5.2 ± 0.9 g) growth, hematology, blood biochemistry, immune responses, antioxidant system, liver enzymes, and stress responses. Oscars were subjected to a 3 × 3 experimental design (three fish meal replacement levels: 250, 180 and 110 g/kg of FM in diets; three stress periods: 0-, 2- and 3-times early mild stress). After ten weeks of the experiment, FM levels in diets did not affect growth data, but the survival rate after the acute confinement (AC) stress was lower in 11FM treatments (47.7% compared to 67.7%) than others. Fish exposed to the 3Stress schedule had a lower growth (31.03 ± 6.50 g) and survival rate (55.5%) after the AC stress than the 2Stress group (38.92 ± 6.82 g and 70.0%). Lower survival and growth rate in the 3Stress and 11FM groups coincided with the lowest blood performance, total protein, lysozyme, complement C4, complement C3, immunoglobulin, superoxide dismutase, catalase, glutathione peroxidase, and the highest glucose, cortisol, low-density lipoprotein and aspartate aminotransferase serum levels. Altogether, this study revealed that it is possible to replace FM with MBM up to 28% (180 g/kg of FM) without negative effects on the growth and health of juvenile oscar as dietary 110 g/kg of FM impaired fish health. While fish welfare should be considered, we can conclude that mild stress (2Stress) during the farming period, but without adding excessive alternative protein sources, can improve the stress responsiveness of oscar.

Carnosine and Beta-Alanine Supplementation in Human Medicine: Narrative Review and Critical Assessment

The dipeptide carnosine is a physiologically important molecule in the human body, commonly found in skeletal muscle and brain tissue. Beta-alanine is a limiting precursor of carnosine and is among the most used sports supplements for improving athletic performance. However, carnosine, its metabolite N-acetylcarnosine, and the synthetic derivative zinc-L-carnosine have recently been gaining popularity as supplements in human medicine. These molecules have a wide range of effects-principally with anti-inflammatory, antioxidant, antiglycation, anticarbonylation, calcium-regulatory, immunomodulatory and chelating properties. This review discusses results from recent studies focusing on the impact of this supplementation in several areas of human medicine. We queried PubMed, Web of Science, the National Library of Medicine and the Cochrane Library, employing a search strategy using database-specific keywords. Evidence showed that the supplementation had a beneficial impact in the prevention of sarcopenia, the preservation of cognitive abilities and the improvement of neurodegenerative disorders. Furthermore, the improvement of diabetes mellitus parameters and symptoms of oral mucositis was seen, as well as the regression of esophagitis and taste disorders after chemotherapy, the protection of the gastrointestinal mucosa and the support of Helicobacter pylori eradication treatment. However, in the areas of senile cataracts, cardiovascular disease, schizophrenia and autistic disorders, the results are inconclusive.

Accidental Ingestion of Allergic Food at Eating-Out and Home Meal Replacement by Children with Food Allergy

Introduction: In Japan, there are no regulations for allergy labeling in eating-out and home meal replacement (HMR). Consequently, patients with food allergy are at risk of accidental ingestion when using these services. It is necessary to understand the current situation of accidental food ingestion at eating-out and HMR to consider related legislation in the future. Methods: A Web-based survey was conducted from August to September 2021 among patients participating in the survey. The survey included information on the use of eating-out and HMR, frequency of accidental ingestion, medical institution visits and treatment, and reasons for accidental ingestion. Results: There were 1,141 valid responses, with 8 (5–15) years as the median age of the participants. Moreover, 769 (67.4%) participants had a history of anaphylaxis, 622 (54.5%) experienced accidental ingestion, of which 485 (42.5%) and 348 (30.6%) occurred while eating-out and at HMR, respectively. A total of 71 (14.6%) and 31 (8.9%) participants who had accidental ingestion while eating-out and at HMR, respectively, required hospitalization. Age, milk allergy, and a history of anaphylaxis were risk factors significantly associated with accidental ingestion. The reasons for the accidental ingestions were personal and store-side error for a total of 438 cases and of 356 cases, respectively. Discussion/Conclusion: It is necessary for both stores and patients to take measures to prevent accidental ingestion in eating-out and HMR. Additionally, the fact is that the lack of allergy labeling guidelines for eating-out and HMR is a major factor in the occurrence of accidental ingestion.

Associations between social media use, fitness- and weight-related online content, and use of legal appearance- and performance-enhancing drugs and substances

Prior research has documented the connection between social media use and engaging with fitspiration with body dissatisfaction, disordered eating behaviors, and various health risk behaviors (e.g., substance use). However, gaps remain in the knowledge base on whether social media use and engaging with fitness- and weight-related online content are associated with the use of legal appearance- and performance-enhancing drugs and substances (APEDS; e.g., whey protein), which was the aim of this study. Data from participants ages 16–30 years in Canadian Study of Adolescent Health Behaviors (N = 2731) were analyzed. Multiple modified Poisson regression analyses were conducted to determine the associations between hours per day of social media use and any engagement with fitness- and weight-related online content in the past 30 days and use of 10 different legal APEDS in the past 30 days. Greater time on social media was significantly associated with use of energy drinks and pre-workout drinks or powders in the past 30 days. Engaging with fitness- and weight-related online content was significantly associated with the use of caffeine, creatine monohydrate, pre-workout drinks or powders, probiotics, protein bars, and whey protein powders or shakes in the past 30 days. These findings expand prior research on the correlates of social media use and engagement with fitness- and weight-related online content among young people and have important implications for healthcare and public health professionals, as well as technology companies.

ERGOGENIC AID USE IN ADOLESCENTS AND YOUNG ADULTS WITH INFLAMMATORY BOWEL DISEASE AND MEDICAL PROFESSIONAL COMFORTABILITY IN NUTRITIONAL EDUCATION

There is concern for the lack of data regarding the efficacy and negative effects of ergogenic aids (sport supplements) in patients with Inflammatory Bowel Disease (IBD). This is a prospective research project designed to determine which ergogenic aids are used in pediatric and young adult populations with IBD, the reasons patients use these products, and medical professional comfortability in discussing nutritional concerns with patients.

The effects of a low carbohydrate diet combined with partial meal replacement on obese individuals

ObjectiveWe explored the dietary effects of replacing normal dietary staple foods with supplementary nutritional protein powder, dietary fiber, and fish oil on several metabolic parameters. We examined weight loss, glucose and lipid metabolism, and intestinal flora in obese individuals when compared with individuals on a reduced staple food low carbohydrate diet.MethodsFrom inclusion and exclusion criteria, 99 participants (28 kg/m2 ≤ body mass index (BMI) ≤ 35 kg/m2) were recruited and randomly assigned to control and intervention 1 and 2 groups. Physical examinations and biochemical indices were performed/gathered before the intervention and at 4 and 13 weeks post intervention. After 13 weeks, feces was collected and 16s rDNA sequenced.ResultsAfter 13 weeks, when compared with controls, body weight, BMI, waist circumference, hip circumference, systolic blood pressure, and diastolic blood pressure values in intervention group 1 were significantly reduced. In intervention group 2, body weight, BMI, waist circumference, and hip circumference were significantly reduced. Triglyceride (TG) levels in both intervention groups were significantly reduced. Fasting blood glucose, glycosylated hemoglobin, glycosylated albumin, total cholesterol, and apolipoprotein B levels in intervention group 1 were decreased, while high density lipoprotein cholesterol (HDL-c) decreased slightly. Glycosylated albumin, TG, and total cholesterol levels in intervention group 2 decreased, while HDL-c decreased slightly, High sensitive C-reactive protein, MPO, Ox-LDL, LEP, TGF-β1, IL-6, GPLD1, pro NT, GPC-4, and LPS levels in both intervention groups were lower when compared with controls. Adiponectin (ADPN) levels in intervention groups were higher when compared with controls. Tumor necrosis factor-α (TNF-α) levels in intervention group 1 were lower when compared with controls. There is no obvious difference in α diversity and β diversity between intestinal flora of 3 groups. Among the first 10 species of Phylum, only the control group and the intervention group 2 had significantly higher Patescibacteria than the intervention group 1. Among the first 10 species of Genus, only the number of Agathobacter in intervention group 2 was significantly higher than that in control group and intervention group 1.ConclusionsWe showed that an LCD, where nutritional protein powder replaced some staple foods and dietary fiber and fish oil were simultaneously supplemented, significantly reduced weight and improved carbohydrate and lipid metabolism in obese individuals when compared with an LCD which reduced staple food intake.