1. A whole-grain diet reduces peripheral insulin resistance and improves glucose kinetics in obese adults: A randomized-controlled trial.
- Author
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Malin, Steven K., Kullman, Emily L., Scelsi, Amanda R., Haus, Jacob M., Filion, Julianne, Pagadala, Mangesh R., Godin, Jean-Philippe, Kochhar, Sunil, Ross, Alastair B., and Kirwan, John P.
- Subjects
GRAIN in human nutrition ,INSULIN resistance ,GLUCOSE ,OVERWEIGHT persons ,HEALTH of adults - Abstract
Background Whole-grain intake is associated with lower risk of type 2 diabetes but the mechanisms are unclear. Purpose We tested the hypothesis that a WG diet reduces insulin resistance and improves glucose use in individuals at risk for type 2 diabetes compared with an isocaloric-matched refined-grain diet. Methods A double-blind, randomized, controlled, crossover trial of 14 moderately obese adults (Age, 38 ± 2 y; BMI, 34.0 ± 1.1 kg/m 2 ). Insulin resistance and glucose metabolism was assessed using an oral glucose tolerance test combined with isotopic tracers of [6,6- 2 H 2 ]-glucose and [U- 13 C]-glucose, and indirect calorimetry. Peripheral and hepatic insulin resistance was assessed as 1/(rate of disposal/insulin), and endogenous glucose rates of appearance (R a ) iAUC 60–240 × insulin iAUC 60–240 , respectively. Both diets met ADA nutritional guidelines and contained either whole-grain (50 g per 1000 kcal) or equivalent refined-grain. All food was provided for 8 wk. with an 8–10 wk. washout period between diets. Results Post-prandial glucose tolerance, peripheral insulin sensitivity, and metabolic flexibility (insulin-stimulated – fasting carbohydrate oxidation) improvements were greater after whole-grain compared to the refined-grain diet (P < 0.05). Compared to baseline, body fat (~2 kg) and hepatic R a insulin resistance was reduced by both diets, while fasting glucose and exogenous glucose-meal were unchanged after both interventions. Changes in peripheral insulin resistance and metabolic flexibility correlated with improved glucose tolerance (P < 0.05). Conclusion Whole-grains reduced diabetes risk and the mechanisms appear to work through reduced post-prandial blood glucose and peripheral insulin resistance that were statistically linked to enhanced metabolic flexibility. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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