Comparison of the long-term effects of high-fat v. low-fat diet consumption on cardiometabolic risk factors in subjects with abnormal glucose metabolism

Autor(en)
Lukas Schwingshackl, Georg Hoffmann
Abstrakt

The aim of the present systematic review and meta-analysis was to examine the long-term effects ( ≥ 12 months) of high-fat (HF) v. low-fat (LF) diet consumption on the indicators of glycaemic control as well as cardiovascular risk factors in pre-diabetic and diabetic individuals. Literature search was carried out using the electronic databases MEDLINE, Embase and the Cochrane Trial Register until November 2013. Study-specific weighted mean differences (MD) were pooled using a random-effects model of the Cochrane software package Review Manager 5.1 and Stata 12.0 was used for meta-regressions. A total of fourteen trials met the inclusion criteria and a maximum of 1753 subjects were included in the meta-analysis. HF regimens were found to result in a significant decrease in TAG levels (MD - 0·19 mmol/l, 95 % CI - 0·23, - 0·14, P< 0·001; I

2= 0 %, P= 0·58) and diastolic blood pressure (MD - 1·30 mmHg, 95 % CI - 1·73, - 0·87, P< 0·001; I

2= 0 %, P= 0·60) and a significant increase in HDL-cholesterol levels (MD 0·05 mmol/l, 95 % CI 0·01, 0·08, P= 0·01; I

2= 57 %, P= 0·01). In addition, MD in the reductions of fasting glucose levels ( - 0·41 mmol/l, 95 % CI - 0·74, - 0·08, P= 0·01; I

2= 56 %, P= 0·02) were significantly high in patients with type 2 diabetes adhering to a HF diet. HF and LF diets might not be of equal value in the management of either pre-diabetes or type 2 diabetes, leading to emphasis being placed on the recommendations of HF diets.

Organisation(en)
Department für Ernährungswissenschaften
Journal
British Journal of Nutrition
Band
111
Seiten
2047-2058
Anzahl der Seiten
12
ISSN
0007-1145
DOI
https://doi.org/10.1017/S0007114514000464
Publikationsdatum
06-2014
Peer-reviewed
Ja
ÖFOS 2012
303009 Ernährungswissenschaften
Schlagwörter
ASJC Scopus Sachgebiete
Nutrition and Dietetics, Medicine (miscellaneous)
Sustainable Development Goals
SDG 3 – Gesundheit und Wohlergehen
Link zum Portal
https://ucrisportal.univie.ac.at/de/publications/comparison-of-the-longterm-effects-of-highfat-v-lowfat-diet-consumption-on-cardiometabolic-risk-factors-in-subjects-with-abnormal-glucose-metabolism(080f2f3f-8ef2-4c9d-9a8b-34bdbe0eb455).html