PMID- 19083444 OWN - NLM STAT- MEDLINE DCOM- 20090306 LR - 20081216 IS - 1879-0739 (Electronic) IS - 0271-5317 (Linking) VI - 28 IP - 7 DP - 2008 Jul TI - Short-term changes in lipoprotein subclasses and C-reactive protein levels of hypertriglyceridemic adults on low-carbohydrate and low-fat diets. PG - 443-9 LID - 10.1016/j.nutres.2008.03.013 [doi] AB - Diets designed to promote weight loss and improve atherogenic lipid profiles traditionally include a reduction in total fat and, in particular, saturated fats. This study was designed to test the efficacy of a low-fat diet vs a carbohydrate (CHO)-restricted (low-CHO) diet in hypertriglyceridemic patients on lipid profile, weight loss, high-sensitivity C-reactive protein (hs-CRP), and satiety. Twenty-eight hypertriglyceridemic subjects (based on fasting triacylglycerol [TG] levels exceeding 1.69 mmol/L) were randomized to either the low-CHO or low-fat diet for 8 weeks. Fasting bloods were acquired at weeks 0 and 8 and analyzed for lipids and hs-CRP. Body weight and other anthropometric measures were also obtained. Three random 24-hour food recalls were used to assess compliance during the trial and 2 recalls before randomization to permit individualized dietary education. A significant time-by-treatment interaction was observed (P = .045), wherein the small low-density lipoprotein cholesterol concentrations were reduced by 46% in the low-CHO-assigned subjects and increased by 36% for those assigned the low-fat plan. The observed decrease in TG (18%) among low-CHO subjects, in contrast to the 4% increase for low-fat group, was not significant, nor were there significant differences in hs-CRP, overall dietary compliance, satiety, or the magnitude of body weight loss between groups (low-CHO group, -3.8% vs low-fat group, -1.6%). Favorable reductions in small low-density lipoprotein concentrations after 8 weeks suggest that a moderately restricted carbohydrate diet (20% CHO as energy) can promote a less atherogenic lipid profile when compared to the low-fat diet. FAU - Stoernell, Colene K AU - Stoernell CK AD - Country Villa Health Services, Arcadia, CA 90017, USA. FAU - Tangney, Christy C AU - Tangney CC FAU - Rockway, Susie W AU - Rockway SW LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Nutr Res JT - Nutrition research (New York, N.Y.) JID - 8303331 RN - 0 (Lipoproteins) RN - 0 (Lipoproteins, LDL) RN - 0 (Triglycerides) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adult MH - C-Reactive Protein/*analysis MH - *Diet, Carbohydrate-Restricted MH - *Diet, Fat-Restricted MH - Fasting MH - Female MH - Humans MH - Hypertriglyceridemia/blood/*diet therapy MH - Lipoproteins/*blood MH - Lipoproteins, LDL/blood MH - Male MH - Middle Aged MH - Patient Compliance MH - Satiation MH - Triglycerides/blood EDAT- 2008/12/17 09:00 MHDA- 2009/03/07 09:00 CRDT- 2008/12/17 09:00 PHST- 2008/01/11 00:00 [received] PHST- 2008/03/09 00:00 [revised] PHST- 2008/03/14 00:00 [accepted] PHST- 2008/12/17 09:00 [entrez] PHST- 2008/12/17 09:00 [pubmed] PHST- 2009/03/07 09:00 [medline] AID - S0271-5317(08)00069-9 [pii] AID - 10.1016/j.nutres.2008.03.013 [doi] PST - ppublish SO - Nutr Res. 2008 Jul;28(7):443-9. doi: 10.1016/j.nutres.2008.03.013.