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Background: Hypertriglyceridemia is a common condition in the United States and is often associated with other metabolic disturbances, including insulin resistance, metabolic syndrome, and a predominance of small dense LDL particles. Objective: The objective of this trial was to evaluate the effects of a combination of egg protein (Epro) and unsaturated fatty acids (UFAs) substituted for refined starches and added sugars on insulin sensitivity (primary outcome) and other cardiometabolic health markers in overweight or obese adults with elevated triglyceride (TG) concentrations. Methods: Subjects with elevated TG concentrations were given test foods prepared by using Epro powder (∼8% of energy) and vegetable oil (∼8% of energy; Epro and UFA condition) or test foods prepared by using refined starch and sugar (∼16% of energy; carbohydrate condition) in a randomized, double-blind, controlled-feeding, crossover trial (3 wk/condition, 2-wk washout). The Matsuda insulin sensitivity index (MISI), fasting lipids, and other cardiometabolic health markers were assessed at baseline and the end of each diet condition. Responses were compared by using repeated-measures ANCOVA. Results: Twenty-five participants [11 men, 14 women; mean ± SEM: age, 46.3 ± 2.4 y; body mass index (in kg/m 2 ), 31.8 ± 1.0] with a median (interquartile range limits) fasting serum TG concentration of 173 mg/dL (159, 228 mg/dL) completed the trial. The MISI value increased 18.1% ± 8.7% from baseline during the Epro and UFA condition and decreased 5.7% ± 6.2% from baseline during the carbohydrate condition ( P < 0.001). The disposition index increased 23.8% ± 20.8% during the Epro and UFA condition compared with a decrease of 16.3% ± 18.8% during carbohydrate ( P = 0.042) and LDL peak particle size increased 0.12 nm (-0.12, 0.28 nm) with Epro and UFA compared with a decrease of 0.15 nm (-0.33, 0.12 nm) with carbohydrate ( P = 0.019). TG and VLDL cholesterol concentrations were lowered by 18.5% (-35.7%, -6.9%) and 18.6% (-34.8%, -7.4%), respectively, after the Epro and UFA condition and by 2.5% (-13.4%, 17.0%) and 3.6% (-12.5%, 16.2%), respectively, after the carbohydrate diet condition ( P < 0.002). Conclusions: The replacement of refined carbohydrates with a combination of Epro and UFA increased the MISI value and altered several markers of cardiometabolic health in overweight or obese adults with elevated TG concentrations. This trial was registered at clinicaltrials.gov as NCT02924558., Competing Interests: Author disclosures: KC Maki, OM Palacios, E Lindner, KM Nieman, M Bell, and J Sorce, no conflicts of interest., (© 2017 American Society for Nutrition.)

A cross-sectional study was conducted to examine the influence of sportfish consumption on body burden of nine polybrominated diphenyl ether (PBDE) congeners in 36 New York State (NYS) anglers. Participating anglers who had previously reported consuming sportfish from Lake Ontario and its tributaries were found to have significantly higher blood plasma levels of BDE-28, BDE-47, BDE-99, BDE-100, and the sum of measured PBDE congeners (SigmaPBDE), than anglers who had previously reported no consumption of sportfish from these waters. Bivariate analysis was used to evaluate potential dietary predictors of PBDE plasma levels, including indicators of consumption of sportfish, as well as commercial fish, wild waterfowl, dairy products, and beef. The number of years of reported consumption of Lake Ontario sportfish between 1980 and 1990 was found to be correlated with plasma levels of BDE-47, BDE-85, BDE-99, BDE-100, BDE-153, BDE-154, and SigmaPBDE. The number of meals, eaten in the year prior to study participation, of Lake Ontario sportfish species known to have high levels of other persistent organic pollutants (POPs) was correlated with plasma levels of BDE-28, BDE-47, BDE-85, BDE-99, BDE-100, BDE-154, and SigmaPBDE. Multiple linear regression revealed that the number of years consuming Lake Ontario sportfish between 1980 and 1990, after adjusting for plasma lipids, was a weak, but statistically significant, predictor of SigmaPBDE plasma levels (beta=0.130, 95% CI: 0.007-0.254). These results suggest that sportfish consumption can contribute measurably to PBDE body burden in NYS anglers, although there are likely to be additional, more significant, sources of exposure.