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OBJECTIVES: Elevated fetuin-A (Fet-A) has been shown to be a risk factor for several metabolic diseases and understanding the effects of moderate weight loss on changes in Fet-A and other inflammatory markers could allow for lifestyle intervention strategies. The association of inflammatory markers and Fet-A with incremental body weight loss is unknown. The objective of the study was to evaluate the association of inflammatory markers, including TNF-alpha (TNF-α), adiponectin, and C-reactive protein (CRP), Fet-A, and it's phosphorylated form, pFet-A, with incremental body weight loss. METHODS: Sixteen men achieved a targeted weight loss of 8% to 10% of initial body weight. In this study, we analyzed changes in serum TNF-α, adiponectin, and CRP inflammatory cytokines to changes in serum serum-Fet-A and pFet-A. We also examined the relationship of changes in cytokine profile to alterations in anthropometrics and other metabolic indices. All statistical analyses were performed using GraphPad Prism version 8.0. RESULTS: A moderate body weight loss of 8% to 10%, significantly decreased serum CRP, but did not affect TNF-α or adiponectin concentrations in individuals with obesity. Serum CRP started to decrease with 4% to 6% body weight loss, demonstrating a mean change in serum CRP concentrations of – 0.15 mg/L and – 0.10 mg/L, for 4%-6% and 8%-10% body weight loss, respectively, for each 1 kg of body weight loss. Weight-loss induced change in serum CRP concentrations were not significantly associated with a decrease in serum Fet-A or pFet-A, although a trend was observed for change in serum pFet-A (r = 0.44, P = 0.09). CONCLUSIONS: A moderate weight loss improved serum inflammatory marker C-reactive protein but did not affect TNF-α or adiponectin concentrations in individuals with obesity. These changes were not significantly associated with a decrease in serum pFet-A although a trend was observed. FUNDING SOURCES: This work was supported by the American Diabetes Association (ADA 7–04-JF-36); the Alabama Agricultural Experiment Station (ALA080–052).

OBJECTIVES: The consumption of non-nutritive sweeteners (NNS) through foods and beverages have increased worldwide. The effects of NNS consumption on body weight, glycemic control, or type 2 diabetes incidence are not well understood. While studies in animal models suggest potentially harmful effects of NNS on metabolic health, randomized controlled trials in humans suggest moderate benefits of NNS use on body weight. The relationship between artificial sweeteners and metabolic disease may be linked to their purported effects on sweet taste preference. The Evidence Analysis Library of the Academy of Nutrition and Dietetics has given a grade of V, concluding that adequately powered studies have not been conducted to evaluate effect of aspartame on preference for sweet taste. Thus, the goal of this study was to test the effect of aspartame, an artificial non-saccharide sweetener, on sweet taste preference in college-aged students. We hypothesized that a short-term increased intake of aspartame will increase sweet-taste preference. METHODS: Sixteen college-aged students, between the ages of 18 and 24 were recruited from Samford University, and randomized into 2 experimental groups and a control group. The experimental groups received either a nomal-dose of 543 mg aspartame (EQUAL) or a high-dose of 2172 mg aspartame, which was the equivalent to drinking 3 or 12, 12-oz cans of aspartame-containing beverage, respectively. The control group received 200 mg blue food-coloring, which was also added to experimental groups. The intervention period was for 7 days. Body weight, height, 24-hour food recall (ASA-24), and the Monell two-series forced-choice test for sweet preference testing were completed, both before and after the intervention period. RESULTS: Our studies showed a significant increase in sweet taste preference for the higher dose aspartame group. This was not associated with an increase in total or added sugars, total fat intake, or change in body weight. CONCLUSIONS: These findings raise the possibility that a short-term increased intake of aspartame may influence sweet taste preference in college-aged students. FUNDING SOURCES: None.