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Title

Comparison of Two Calorie-Reduced Diets of Different Carbohydrate and Fiber Contents and a Simple Dietary Advice Aimed to Modify Carbohydrate Intake on Glycemic Control and Inflammatory Markers in Type 2 Diabetes: A Randomized Trial

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Abstract

 Objectives: The aim of this study was to compare the effect of a simple Dietary advice with two energy-restricted Diets with different carbohydrate and fiber contents on anthropometric, biochemical, and inflammatory markers over an 8-wk intervention period in individuals with diabetes. Methods: Forty-seven patients with Type 2 Diabetes (31 women and 16 men; age: 52. 9 8. 0 years, body mass index: 29. 5 4. 9 kg. m-2) completed an 8-wk randomized intervention trial that compared a simple Dietary advice aimed to modulate carbohydrate intake (n = 13) with the two calorie-restricted (CR) Diets (25% caloric restriction from total energy requirements) differing with regard to carbohydrate and fiber content, one with higher fiber (CRHF) containing 55% energy from carbohydrate plus a tablespoon of Psyllium powder (n = 18) and the other with lower carbohydrate (CRLC) containing 40% energy from carbohydrate plus placebo powder (n = 16). Weight, plasma concentrations of glucose, Insulin, lipids, interleukin-6 (IL-6), and tumor necrosis factor alpha (TNF- ) were determined at baseline and after 8 weeks. Results: The mean change of body weight and plasma lipids were not different between the groups. Fasting plasma Insulin and the homeostasis model assessment of Insulin resistance (HOMA-IR) were significantly lower in the CRHF group (changes from baseline values in simple advice, CRHF, and CRLC were 1. 3 1. 9,-1. 0 1. 2, and 0. 3 3. 1  IL/mL for Insulin and 0. 5 0. 7,-0. 3 0. 6, and 0. 2 0. 9 for HOMA-IR, respectively). The levels of IL-6 significantly decreased in the CRHF and CRLC groups (changes from baseline values in simple advice, CRHF, and CRLC were 7. 5 6. 8,-1. 2 4. 7, and-4. 2 5. 6 pg/mL, respectively). TNF- levels were significantly lower only in the CRHF compared to the advice group (P < 0. 05). Conclusions: Our results suggest that in comparison with simple advice to modify carbohydrate intake, a calorie-restricted, moderate carbohydrate Diet supplemented with Psyllium has better effects on plasma Insulin and pro-inflammatory cytokines in patients with Type 2 Diabetes.

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    APA: Copy

    Ghalandari, Hamid, Kamalpour, Mahdieh, ALIMADADI, ASHRAF, & NASROLLAHZADEH, JAVAD. (2018). Comparison of Two Calorie-Reduced Diets of Different Carbohydrate and Fiber Contents and a Simple Dietary Advice Aimed to Modify Carbohydrate Intake on Glycemic Control and Inflammatory Markers in Type 2 Diabetes: A Randomized Trial. INTERNATIONAL JOURNAL OF ENDOCRINOLOGY AND METABOLISM (IJEM), 16(1), 0-0. SID. https://sid.ir/paper/748439/en

    Vancouver: Copy

    Ghalandari Hamid, Kamalpour Mahdieh, ALIMADADI ASHRAF, NASROLLAHZADEH JAVAD. Comparison of Two Calorie-Reduced Diets of Different Carbohydrate and Fiber Contents and a Simple Dietary Advice Aimed to Modify Carbohydrate Intake on Glycemic Control and Inflammatory Markers in Type 2 Diabetes: A Randomized Trial. INTERNATIONAL JOURNAL OF ENDOCRINOLOGY AND METABOLISM (IJEM)[Internet]. 2018;16(1):0-0. Available from: https://sid.ir/paper/748439/en

    IEEE: Copy

    Hamid Ghalandari, Mahdieh Kamalpour, ASHRAF ALIMADADI, and JAVAD NASROLLAHZADEH, “Comparison of Two Calorie-Reduced Diets of Different Carbohydrate and Fiber Contents and a Simple Dietary Advice Aimed to Modify Carbohydrate Intake on Glycemic Control and Inflammatory Markers in Type 2 Diabetes: A Randomized Trial,” INTERNATIONAL JOURNAL OF ENDOCRINOLOGY AND METABOLISM (IJEM), vol. 16, no. 1, pp. 0–0, 2018, [Online]. Available: https://sid.ir/paper/748439/en

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