The effect of low glycemic index diet on body weight status and blood pressure in overweight adolescent girls: a randomized clinical trial
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Although several studies have assessed the influence of the glycemic index on body weight and blood pressure among adults, limited evidence exists for the pediatric age population. In the current study, we compared the effects of low glycemic index (LGI) diet to the healthy nutritional recommendation (HNR)-based diet on obesity and blood pressure among adolescent girls in pubertal ages. This 10-week parallel randomized clinical trial comprised of 50 overweight or obese and sexually mature girls less than 18 years of age years, who were randomly assigned to LGI or HNR-based diet. Macronutrient distribution was equivalently prescribed in both groups. Blood pressure, weight and waist circumference were measured at baseline and after intervention. Of the 50 participants, 41 subjects (include 82%) completed the study. The GI of the diet in the LGI group was 42.67± 0.067. A within-group analysis illustrated that in comparison to the baseline values, the body weight and body mass index (not waist circumference and blood pressure) decreased significantly after the intervention in both groups (P = 0.0001). The percent changes of the body weight status, waist circumference and blood pressure were compared between the two groups and the findings did not show any difference between the LGI diet consumers and those in the HNR group. In comparison to the HNR, LGI diet could not change the weight and blood pressure following a 10-week intervention. Further longitudinal studies with a long-term follow up should be conducted in this regard.
Abstract
Although several studies have assessed the influence of the glycemic index on body weight and blood pressure among adults, limited evidence exists for the pediatric age population. In the current study, we compared the effects of low glycemic index (LGI) diet to the healthy nutritional recommendation (HNR)-based diet on obesity and blood pressure among adolescent girls in pubertal ages. This 10-week parallel randomized clinical trial comprised of 50 overweight or obese and sexually mature girls less than 18 years of age years, who were randomly assigned to LGI or HNR-based diet. Macronutrient distribution was equivalently prescribed in both groups. Blood pressure, weight and waist circumference were measured at baseline and after intervention. Of the 50 participants, 41 subjects (include 82%) completed the study. The GI of the diet in the LGI group was 42.67± 0.067. A within-group analysis illustrated that in comparison to the baseline values, the body weight and body mass index (not waist circumference and blood pressure) decreased significantly after the intervention in both groups (P = 0.0001). The percent changes of the body weight status, waist circumference and blood pressure were compared between the two groups and the findings did not show any difference between the LGI diet consumers and those in the HNR group. In comparison to the HNR, LGI diet could not change the weight and blood pressure following a 10-week intervention. Further longitudinal studies with a long-term follow up should be conducted in this regard.
참고문헌 (40)
- Azadbakht L, "Predictors of cardiovascular risk factors in Tehranian adults: diet and lifestyle", East Mediterr Health J, 12, pp.88~97 (2006)
- Kelishadi R, "Childhood overweight, obesity, and the metabolic syndrome in developing countries", Epidemiol Rev, 29, pp.62~76 (2007)
- Reinehr T, "Long-term follow-up of cardiovascular disease risk factors in children after an obesity intervention", Am J Clin Nutr, 84, pp.490~496 (2006)
- Gaeini A, "Prevalence of underweight, overweight and obesity in preschool children of Tehran, Iran", J Res Med Sci, 16, pp.821~827 (2011)
- Acheson KJ, "Carbohydrate for weight and metabolic control: where do we stand", Nutrition, 26, pp.141~145 (2010)
- Livesey G, "Low-glycaemic diets and health: implications for obesity", Proc Nutr Soc, 64, pp.105~113 (2005)
- van Woudenbergh GJ, "Glycemic index and glycemic load and their association with C-reactive protein and incident type 2 diabetes", J Nutr Metab, 2011, pp.623076~ (2011)
- Sakurai M, "Dietary glycemic index and risk of type 2 diabetes mellitus in middle-aged Japanese men", Metabolism, 61, pp.47~55 (2012)
- Sloth B, "No difference in body weight decrease between a low-glycemic-index and a highglycemic- index diet but reduced LDL cholesterol after 10-wk ad libitum intake of the low-glycemic-index diet", Am J Clin Nutr, 80, pp.337~347 (2004)
- Iannuzzi A, "Comparison of two diets of varying glycemic index on carotid subclinical atherosclerosis in obese children", Heart Vessels, 24, pp.419~424 (2009)
- Sahyoun NR, "Dietary glycemic index and load, measures of glucose metabolism, and body fat distribution in older adults", Am J Clin Nutr, 82, pp.547~552 (2005)
- Murakami K, "Dietary fiber intake, dietary glycemic index and load, and body mass index: a cross-sectional study of 3931 Japanese women aged 18-20 years", Eur J Clin Nutr, 61, pp.986~995 (2007)
- Lau C, "Association between dietary glycemic index, glycemic load, and body mass index in the Inter99 study: is underreporting a problem", Am J Clin Nutr, 84, pp.641~645 (2006)
- Ebbeling CB, "Effects of a low-glycemic load vs low-fat diet in obese young adults: a randomized trial", JAMA, 297, pp.2092~2102 (2007)
- Barba G, "Glycaemic index and body fat distribution in children: the results of the ARCA pr", Nutr Metab Cardiovasc Dis, 22, pp.28~34 (2012)
- Buyken AE, "Breakfast glycemic index affects subsequent daily energy intake in free-living healthy children", Am J Clin Nutr, 86, pp.980~987 (2007)
- Buyken AE, "Relation of dietary glycemic index, glycemic load, added sugar intake, or fiber intake to the development of body composition between ages 2 and 7 y", Am J Clin Nutr, 88, pp.755~762 (2008)
- Ball SD, "Prolongation of satiety after low versus moderately high glycemic index meals in obese adolescents", Pediatrics, 111, pp.488~494 (2003)
- Henry CJ, "Effects of long-term intervention with low- and high-glycaemic-index breakfasts on food intake in children aged 8-11 years", Br J Nutr, 98, pp.636~640 (2007)
- Warren JM, "Low glycemic index breakfasts and reduced food intake in preadolescent children", Pediatrics, 112, pp.e414~ (2003)
- Siegel RM, "A comparison of low glycemic index and staged portion-controlled diets in improving BMI of obese children in a pediatric weight management program", Clin Pediatr (Phila), 50, pp.459~461 (2011)
- Young PC, "A pilot study to determine the feasibility of the low glycemic index diet as a treatment for overweight children in primary care practice", Ambul Pediatr, 4, pp.28~33 (2004)
- Rovner AJ, "The effect of a low-glycemic diet vs a standard diet on blood glucose levels and macronutrient intake in children with type 1 diabetes", J Am Diet Assoc, 109, pp.303~307 (2009)
- Fajcsak Z, "The effects of 6-week low glycemic load diet based on low glycemic index foods in overweight", obese children--pilot study, 2008, pp.27, 12~21
- Papadaki A, "The effect of protein and glycemic index on children's body composition: the DiOGenes randomized study", Pediatrics, 126, pp.e1143~e1152 (2010)
- Kelishadi R, "Obesity and associated modifiable environmental factors in Iranian adolescents: Isfahan Healthy Heart Program - Heart Health Promotion from Childhood", Pediatr Int, 45, pp.435~442 (2003)
- Cameron N, "The relationship of rapid weight gain in infancy to obesity and skeletal maturity in childhood", Obes Res, 11, pp.457~460 (2003)
- "BMI-for-age GIRLS" (2007)[URL]
- Fleiss JL, "The Design and Analysis of Clinical Experiments", pp.263~271 (1986), John Wiley and Sons
- Rahmani K, "Effects of daily milk supplementation on improving the physical and mental function as well as school performance among children: results from a school feeding program", J Res Med Sci, 16, pp.469~476 (2011)
- Institute of Medicine (US), "Energy, In Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids", pp.217~ (2005), National Academies Press
- Glycemic Index of Iranian Foods, "Azam-Taleban F", National Nutrition and Food Technology Research Institute, ~ (1999)
- Foster-Powell K, "International table of glycemic index and glycemic load values: 2002", Am J Clin Nutr, 76, pp.5~56 (2002)
- de Rougemont A, "Beneficial effects of a 5-week low-glycaemic index regimen on weight control and cardiovascular risk factors in overweight non-diabetic subjects", Br J Nutr, 98, pp.1288~1298 (2007)
- Moreno LA, "Waist circumference for the screening of the metabolic syndrome in children", Acta Paediatr, 91, pp.1307~1312 (2002)
- "National High Blood Pressure Education Program Working Group on high blood pressure in children and adolescents", Pediatrics, 114, pp.iv~ (2004)
- Parillo M, "Metabolic changes after a hypocaloric, low-glycemic-index diet in obese children", J Endocrinol Invest, 35, pp.629~633 (2012)
- LaCombe A, "Influence of two breakfast meals differing in glycemic load on satiety, hunger, and energy intake in preschool children", Nutr J, 9, pp.53~ (2010)
- Azadbakht L, "Dietary patterns and attention deficit hyperactivity disorder among Iranian children", Nutrition, 28, pp.242~249 (2012)
- Azadbakht L, "Legumes: a component of a healthy diet", J Res Med Sci, 16, pp.121~122 (2011)