PMID- 22889406 OWN - NLM STAT- MEDLINE DCOM- 20130424 LR - 20171116 IS - 1557-8518 (Electronic) IS - 1540-4196 (Linking) VI - 10 IP - 6 DP - 2012 Dec TI - Effect of a low-fat versus a low-gycemic-load diet on inflammatory biomarker and adipokine concentrations. PG - 437-42 LID - 10.1089/met.2012.0012 [doi] AB - BACKGROUND: Low-grade inflammation is linked to metabolic syndrome and obesity. We studied the effects of weight loss and dietary composition on serum concentrations of biomarkers of inflammation and adipokines. METHODS: Men and women (n=181) aged 30-65 years with a body mass index (BMI) of 28-40 kg/m(2) (28-35 kg/m(2) for women) and one or more components of metabolic syndrome were randomized to follow one of two hypocaloric diets, a low-fat or low-glycemic-load diet for 3 months. Blood samples were taken pre- and postintervention. Serum concentrations of interleukin-6 (IL-6), tumor necrosis factoralpha (TNF-alpha), plasminogen activator inhibitor-1 (PAI-1), monocyte chemoattractant protein-1 (MCP-1), and adipokines (leptin, resistin, and adiponectin) were analyzed using multiplexed microsphere immunoassays. RESULTS: Weight loss was not different in the low-fat (4.4%+/-3.8%) and low-glycemic-load (4.9%+/-3.2%) groups. Concentrations of IL-6, TNF-alpha, PAI-1, and leptin were significantly reduced in both dietary groups with no between-group differences, whereas MCP-1 and adiponectin concentrations did not change. Subjects with full metabolic syndrome (three or more components; n=109) experienced greater weight loss than subjects (n=72) with one to two components and greater reduction in leptin [7.08 (95% confidence interval 5.19, 8.97) vs. 3.46 (0.91, 6.00) ng/mL; p=0.02] and a tendency to greater reduction in TNF-alpha (1.00 [0.60, 1.44] vs 0.40 [0.02, 0.78] pg/mL; p=0.05). CONCLUSION: Hypocaloric diets improved inflammatory biomarkers and adipokines independently of dietary composition. The response tended to be greater in subjects with three or more components of metabolic syndrome than their counterparts with one to two components. FAU - Heggen, Eli AU - Heggen E AD - Department of Preventive Medicine, Preventive Cardiology, Oslo University Hospital, Ulleval, Oslo, Norway. eli.heggen@uus.no FAU - Klemsdal, Tor Ole AU - Klemsdal TO FAU - Haugen, Fred AU - Haugen F FAU - Holme, Ingar AU - Holme I FAU - Tonstad, Serena AU - Tonstad S LA - eng SI - ClinicalTrials.gov/NCT00230919 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20120813 PL - United States TA - Metab Syndr Relat Disord JT - Metabolic syndrome and related disorders JID - 101150318 RN - 0 (Adipokines) RN - 0 (Biomarkers) SB - IM MH - Adipokines/analysis/*blood MH - Adult MH - Aged MH - Biomarkers/analysis/*blood MH - *Diet, Carbohydrate-Restricted MH - *Diet, Fat-Restricted MH - Female MH - Glycemic Index/physiology MH - Humans MH - Inflammation/*blood/etiology MH - Male MH - Metabolic Syndrome/blood/*diet therapy/etiology MH - Middle Aged MH - Osmolar Concentration MH - Risk Factors EDAT- 2012/08/15 06:00 MHDA- 2013/04/25 06:00 CRDT- 2012/08/15 06:00 PHST- 2012/08/15 06:00 [entrez] PHST- 2012/08/15 06:00 [pubmed] PHST- 2013/04/25 06:00 [medline] AID - 10.1089/met.2012.0012 [doi] PST - ppublish SO - Metab Syndr Relat Disord. 2012 Dec;10(6):437-42. doi: 10.1089/met.2012.0012. Epub 2012 Aug 13.