PMID- 27187457 OWN - NLM STAT- MEDLINE DCOM- 20170306 LR - 20181113 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 8 IP - 5 DP - 2016 May 12 TI - Effects of Low-Fat Diets Differing in Protein and Carbohydrate Content on Cardiometabolic Risk Factors during Weight Loss and Weight Maintenance in Obese Adults with Type 2 Diabetes. LID - 10.3390/nu8050289 [doi] LID - 289 AB - Despite evidence for the benefits of higher-protein (HP) diets in weight loss, their role in type 2 diabetes mellitus (T2DM) management and weight maintenance is not clear. This randomised study compared the effects of a HP diet (38% carbohydrate, 30% protein, 29% fat) to a isocaloric higher-carbohydrate diet (HC: 53%:21%:23%) on cardiometabolic risk factors for 12 weeks in energy restriction (~30% reduction) followed by 12 weeks of energy balance whilst performing regular exercise. Outcomes were measured at baseline and the end of each phase. Sixty-one overweight/obese adults (BMI (body mass index) 34.3 +/- 5.1 kg/m(2), aged 55 +/- 8 years) with T2DM who commenced the study were included in the intention-to-treat analysis including the 17 participants (HP n = 9, HC n = 8) who withdrew. Following weight loss (M +/- SEM: -7.8 +/- 0.6 kg), there were significant reductions in HbA1c (-1.4% +/- 0.1%, p < 0.001) and several cardiometabolic health risk factors. Improvements were sustained for 12 weeks when weight was stabilised and weight loss maintained. Both the HP and HC dietary patterns with concurrent exercise may be effective strategies for weight loss and weight maintenance in T2DM although further studies are needed to determine the longer term effects of weight maintenance. FAU - Watson, Nerylee AU - Watson N AD - Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide 5001, SA, Australia. nerylee.watson@mymail.unisa.edu.au. FAU - Dyer, Kathryn AU - Dyer K AD - Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide 5001, SA, Australia. Kate.Dyer@unisa.edu.au. FAU - Buckley, Jonathan AU - Buckley J AD - Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide 5001, SA, Australia. Jon.Buckley@unisa.edu.au. FAU - Brinkworth, Grant AU - Brinkworth G AD - Food and Nutrition, Commonwealth Scientific and Industrial Research Organization, PO Box 10041, Adelaide 5000, SA, Australia. grant.brinkworth@csiro.au. FAU - Coates, Alison AU - Coates A AD - Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide 5001, SA, Australia. Alison.Coates@unisa.edu.au. FAU - Parfitt, Gaynor AU - Parfitt G AD - Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide 5001, SA, Australia. Gaynor.Parfitt@unisa.edu.au. FAU - Howe, Peter AU - Howe P AD - Clinical Nutrition Research Centre, School of Biomedical Sciences and Pharmacy, University of Newcastle, University Drive, Callaghan 2308, NSW, Australia. Peter.Howe@newcastle.edu.au. FAU - Noakes, Manny AU - Noakes M AD - Food and Nutrition, Commonwealth Scientific and Industrial Research Organization, PO Box 10041, Adelaide 5000, SA, Australia. manny.noakes@csiro.au. FAU - Murphy, Karen AU - Murphy K AD - Alliance for Research in Exercise, Nutrition and Activity, Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide 5001, SA, Australia. Karen.Murphy@unisa.edu.au. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20160512 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Proteins) SB - IM EIN - Nutrients. 2017 Nov 24;9(12 ):null. PMID: 29186772 MH - Adolescent MH - Adult MH - Aged MH - Cardiovascular Diseases/*blood MH - Diabetes Mellitus, Type 2/*diet therapy MH - *Diet, Fat-Restricted MH - Dietary Carbohydrates/*administration & dosage/analysis MH - Dietary Proteins/*administration & dosage/analysis MH - Female MH - Humans MH - Male MH - Middle Aged MH - Obesity/*diet therapy MH - Weight Loss MH - Young Adult PMC - PMC4882702 OTO - NOTNLM OT - cardiovascular disease risk OT - glycaemic OT - obesity OT - type 2 diabetes OT - weight loss OT - weight maintenance EDAT- 2016/05/18 06:00 MHDA- 2017/03/07 06:00 PMCR- 2016/05/01 CRDT- 2016/05/18 06:00 PHST- 2016/02/10 00:00 [received] PHST- 2016/04/26 00:00 [revised] PHST- 2016/05/05 00:00 [accepted] PHST- 2016/05/18 06:00 [entrez] PHST- 2016/05/18 06:00 [pubmed] PHST- 2017/03/07 06:00 [medline] PHST- 2016/05/01 00:00 [pmc-release] AID - nu8050289 [pii] AID - nutrients-08-00289 [pii] AID - 10.3390/nu8050289 [doi] PST - epublish SO - Nutrients. 2016 May 12;8(5):289. doi: 10.3390/nu8050289.