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Associations of changes in reported and estimated protein and energy intake with changes in insulin resistance, glycated hemoglobin, and BMI during the PREVIEW lifestyle intervention study.

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اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • بيانات النشر:
      Oxford University Press (OUP)
    • الموضوع:
      2022
    • Collection:
      University of Auckland Research Repository - ResearchSpace
    • الموضوع:
      United States
    • نبذة مختصرة :
      Background Observed associations of high-protein diets with changes in insulin resistance are inconclusive. Objectives We aimed to assess associations of changes in both reported and estimated protein (PRep; PEst) and energy intake (EIRep; EIEst) with changes in HOMA-IR, glycated hemoglobin (HbA1c), and BMI (in kg/m2), in 1822 decreasing to 833 adults (week 156) with overweight and prediabetes, during the 3-y PREVIEW (PREVention of diabetes through lifestyle intervention and population studies In Europe and around the World) study on weight-loss maintenance. Eating behavior and measurement errors (MEs) of dietary intake were assessed. Thus, observational post hoc analyses were applied. Methods Associations of changes in EIEst, EIRep, PEst, and PRep with changes in HOMA-IR, HbA1c, and BMI were determined by linear mixed-model analysis in 2 arms [high-protein-low-glycemic-index (GI) diet and moderate-protein-moderate-GI diet] of the PREVIEW study. EIEst was derived from energy requirement: total energy expenditure = basal metabolic rate × physical activity level; PEst from urinary nitrogen, and urea. MEs were calculated as [(EIEst - EIRep)/EIEst] × 100% and [(PRep - PEst)/PEst] × 100%. Eating behavior was determined using the Three Factor Eating Questionnaire, examining cognitive dietary restraint, disinhibition, and hunger. Results Increases in PEst and PRep and decreases in EIEst and EIRep were associated with decreases in BMI, but not independently with decreases in HOMA-IR. Increases in PEst and PRep were associated with decreases in HbA1c. PRep and EIRep showed larger changes and stronger associations than PEst and EIEst. Mean ± SD MEs of EIRep and PRep were 38% ± 9% and 14% ± 4%, respectively; ME changes in EIRep and En% PRep were positively associated with changes in BMI and cognitive dietary restraint and inversely with disinhibition and hunger. Conclusions During weight-loss maintenance in adults with prediabetes, increase in protein intake and decrease in energy intake were not associated with decrease ...
    • File Description:
      Print; application/pdf
    • ISSN:
      0002-9165
      1938-3207
    • Relation:
      The American journal of clinical nutrition; American journal of clinical nutrition 114(5):1847-1858 Nov 2021; https://hdl.handle.net/2292/58742; 6347605
    • الرقم المعرف:
      10.1093/ajcn/nqab247
    • Rights:
      Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. ; https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm ; https://creativecommons.org/licenses/by-nc/4.0/ ; Copyright: The author ; http://purl.org/eprint/accessRights/OpenAccess
    • الرقم المعرف:
      edsbas.FEF17100