Document Detail


Consumption of a legume-enriched, low-glycemic index diet is associated with biomarkers of insulin resistance and inflammation among men at risk for colorectal cancer.
MedLine Citation:
PMID:  19889807     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Legume Inflammation Feeding Experiment is, to our knowledge, the first randomized crossover feeding trial testing the effects of a legume-enriched, low-glycemic index (GI) diet among men characterized for colorectal adenomas and insulin resistance (IR) status. This study was designed to test the effects of a legume-enriched diet compared with a healthy American (HA) diet under weight-stable conditions. The primary objective was to assess effects on C-reactive protein (CRP) and C-peptide levels. The secondary objective was to assess changes by IR status or history of adenomas. A total of 64 men who completed a colonoscopy within the previous 2 y consumed 2 diets in random order each for 4 wk separated by a washout period. The diets were a legume-enriched (250 g/d), low-GI (GI 38) diet and a high-GI (GI 69) HA diet. We measured fasting glucose, insulin, C-peptide, CRP, and soluble tumor necrosis factor-alpha receptors I and II (sTNFRI/II) at the beginning and end of the diet periods. Participants who consumed both the legume and HA diets had favorably improved CRP (-20.2 and -18.3%) and sTNFRI (-3.7 and -4.4%) concentrations, respectively. The sTNFRII concentrations declined marginally during the legume diet period (-3.8%; P = 0.060) and significantly during the HA diet period (-5.1%; P < 0.001). Fasting glucose increased significantly during both the legume (+1.8%) and HA (-2.2%) diet periods. Only the changes in glucose differed between the diet periods. Serum C-peptide and plasma insulin levels did not change in participants consuming either diet. Healthful dietary changes can improve biomarkers of IR and inflammation.
Authors:
Terryl J Hartman; Paul S Albert; Zhiying Zhang; Deborah Bagshaw; Penny M Kris-Etherton; Jan Ulbrecht; Carla K Miller; Gerd Bobe; Nancy H Colburn; Elaine Lanza
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2009-11-04
Journal Detail:
Title:  The Journal of nutrition     Volume:  140     ISSN:  1541-6100     ISO Abbreviation:  J. Nutr.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-21     Completed Date:  2010-01-21     Revised Date:  2011-09-26    
Medline Journal Info:
Nlm Unique ID:  0404243     Medline TA:  J Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  60-7     Citation Subset:  IM    
Affiliation:
Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA 16870, USA. tjh9@psu.edu
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MeSH Terms
Descriptor/Qualifier:
Biological Markers*
Colorectal Neoplasms / metabolism,  prevention & control*
Cross-Over Studies
Diet*
Fabaceae*
Glycemic Index / physiology*
Humans
Inflammation / blood*
Insulin Resistance*
Male
Middle Aged
Risk Factors
Grant Support
ID/Acronym/Agency:
M01 RR 10732/RR/NCRR NIH HHS; M01 RR010732-128535/RR/NCRR NIH HHS; M01 RR010732-136641/RR/NCRR NIH HHS; M01 RR010732-145061/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Biological Markers
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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