1. Appraisal of Triglyceride-Related Markers as Early Predictors of Metabolic Outcomes in the PREVIEW Lifestyle Intervention: A Controlled Post-hoc Trial
- Author
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Santiago Navas-Carretero, Rodrigo San-Cristobal, Pia Siig Vestentoft, Jennie C. Brand-Miller, Elli Jalo, Margriet Westerterp-Plantenga, Elizabeth J. Simpson, Teodora Handjieva-Darlenska, Gareth Stratton, Maija Huttunen-Lenz, Tony Lam, Roslyn Muirhead, Sally Poppitt, Kirsi H. Pietiläinen, Tanja Adam, Moira A. Taylor, Svetoslav Handjiev, Melitta A. McNarry, Sylvia Hansen, Shannon Brodie, Marta P. Silvestre, Ian A. Macdonald, Nadka Boyadjieva, Kelly A. Mackintosh, Wolfgang Schlicht, Amy Liu, Thomas M. Larsen, Mikael Fogelholm, Anne Raben, J. Alfredo Martinez, Department of Food and Nutrition, HUS Abdominal Center, Department of Medicine, Clinicum, University of Helsinki, Endokrinologian yksikkö, RS: NUTRIM - R1 - Obesity, diabetes and cardiovascular health, Bedrijfsbureau NTM, and Nutrition and Movement Sciences
- Subjects
obesity ,TYG INDEX ,Endocrinology, Diabetes and Metabolism ,Overweight ,law.invention ,0302 clinical medicine ,Randomized controlled trial ,law ,Weight loss ,Faculty of Science ,TX341-641 ,030212 general & internal medicine ,Prediabetes ,precision nutrition ,POPULATION ,2. Zero hunger ,education.field_of_study ,Nutrition and Dietetics ,diabetes ,Diabetes ,ASSOCIATION ,3. Good health ,Glycemic index ,3143 Nutrition ,medicine.symptom ,Pre-diabetes ,triglycerides (PubChem CID: 5460048) ,Hypertriglyceridemic-waist phenotype ,medicine.medical_specialty ,Population ,WEIGHT-LOSS ,030209 endocrinology & metabolism ,EXERCISE ,Carbohydrate metabolism ,DIET ,03 medical and health sciences ,Insulin resistance ,triglycerides (PubChem CID ,pre-diabetes ,5460048) [Triglycerides (PubChem CID] ,Internal medicine ,medicine ,carbohydrate metabolism ,Obesity ,education ,5460048) ,Nutrition. Foods and food supply ,business.industry ,lipid markers ,Precision nutrition ,Lipid markers ,medicine.disease ,PREVENTION ,FASTING PLASMA-GLUCOSE ,PERSONALIZED NUTRITION ,hypertriglyceridemic-waist phenotype ,3121 General medicine, internal medicine and other clinical medicine ,RISK-FACTORS ,business ,Food Science - Abstract
Background: Individuals with pre-diabetes are commonly overweight and benefit from dietary and physical activity strategies aimed at decreasing body weight and hyperglycemia. Early insulin resistance can be estimated via the triglyceride glucose index {TyG = Ln [TG (mg/dl) × fasting plasma glucose (FPG) (mg/dl)/2]} and the hypertriglyceridemic-high waist phenotype (TyG-waist), based on TyG x waist circumference (WC) measurements. Both indices may be useful for implementing personalized metabolic management. In this secondary analysis of a randomized controlled trial (RCT), we aimed to determine whether the differences in baseline TyG values and TyG-waist phenotype predicted individual responses to type-2 diabetes (T2D) prevention programs.Methods: The present post-hoc analyses were conducted within the Prevention of Diabetes through Lifestyle intervention and population studies in Europe and around the world (PREVIEW) study completers (n = 899), a multi-center RCT conducted in eight countries (NCT01777893). The study aimed to reduce the incidence of T2D in a population with pre-diabetes during a 3-year randomized intervention with two sequential phases. The first phase was a 2-month weight loss intervention to achieve ≥8% weight loss. The second phase was a 34-month weight loss maintenance intervention with two diets providing different amounts of protein and different glycemic indices, and two physical activity programs with different exercise intensities in a 2 x 2 factorial design. On investigation days, we assessed anthropometrics, glucose/lipid metabolism markers, and diet and exercise questionnaires under standardized procedures.Results: Diabetes-related markers improved during all four lifestyle interventions. Higher baseline TyG index (p < 0.001) was associated with greater reductions in body weight, fasting glucose, and triglyceride (TG), while a high TyG-waist phenotype predicted better TG responses, particularly in those randomized to physical activity (PA) of moderate intensity.Conclusions: Two novel indices of insulin resistance (TyG and TyG-waist) may allow for a more personalized approach to avoiding progression to T2D.Clinical Trial Registration:https://clinicaltrials.gov/ct2/show/NCT01777893 reference, identifier: NCT01777893.
- Published
- 2021
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