PMID- 29746789 OWN - NLM STAT- MEDLINE DCOM- 20190318 LR - 20190610 IS - 1715-5320 (Electronic) IS - 1715-5312 (Linking) VI - 43 IP - 12 DP - 2018 Dec TI - Effect of carbohydrate restriction-induced weight loss on aortic pulse wave velocity in overweight men and women. PG - 1247-1256 LID - 10.1139/apnm-2018-0113 [doi] AB - Increased aortic stiffness, measured by carotid-to-femoral pulse wave velocity (PWV), is an independent predictor of cardiovascular disease, and past data have shown that low-fat and low-energy diets, fed for 8-24 weeks, lower PWV. The purpose of this study was to determine whether a reduction in PWV would be achieved by dietary carbohydrate (CHO) restriction, shown to bring about weight loss over a shorter timeframe. Men (n = 10, age: 41.8 +/- 10.2 years, BMI: 34.2 +/- 3.0 kg/m(2) (mean +/- SD)) and women (n = 10, age: 38.6 +/- 6.1 years, BMI: 33.5 +/- 3.8 kg/m(2)) with characteristics of insulin resistance and the metabolic syndrome consumed a structured, CHO-restricted diet for 4 weeks (energy deficit, 645 kcal/day). For the whole group, subjects lost 5.4% +/- 0.5% (P < 0.001) of body weight and experienced significant reductions in blood pressure (6%-8%), plasma insulin (34%), and triglycerides (34%). PWV was reduced by 6% +/- 2% (7.1 +/- 0.2 m/s to 6.7 +/- 0.2 m/s, P = 0.008) and surprisingly, in women, it fell significantly (from 7.2 +/- 0.3 m/s to 6.3 +/- 0.3 m/s, P = 0.028), while no changes were observed in men (7.2 +/- 0.3 vs. 7.0 +/- 0.3 m/s, P = 0.144). This is the first study to demonstrate that weight loss can improve PWV in as little as 4 weeks and that dietary CHO restriction may be an effective treatment for reducing aortic stiffness in women. Future studies are needed to establish the mechanisms by which dietary CHO restriction may confer more cardiovascular benefits to women than to men. FAU - Syed-Abdul, Majid M AU - Syed-Abdul MM AD - a Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, MO 65211, USA. FAU - Hu, Qiong AU - Hu Q AD - a Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, MO 65211, USA. FAU - Jacome-Sosa, Miriam AU - Jacome-Sosa M AD - a Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, MO 65211, USA. FAU - Padilla, Jaume AU - Padilla J AD - a Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, MO 65211, USA. AD - b Dalton Cardiovascular Research Center, University of Missouri, Columbia, MO 65211, USA. AD - c Department of Child Health, School of Medicine, University of Missouri, Columbia, MO 65212, USA. FAU - Manrique-Acevedo, Camila AU - Manrique-Acevedo C AD - d Division of Endocrinology, School of Medicine, University of Missouri, Columbia, MO 65212, USA. FAU - Heimowitz, Colette AU - Heimowitz C AD - e Atkins Nutritionals, Inc., Denver, CO 80202, USA. FAU - Parks, Elizabeth J AU - Parks EJ AD - a Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, MO 65211, USA. AD - c Department of Child Health, School of Medicine, University of Missouri, Columbia, MO 65212, USA. LA - eng PT - Clinical Trial PT - Journal Article DEP - 20180510 PL - Canada TA - Appl Physiol Nutr Metab JT - Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme JID - 101264333 RN - 0 (Dietary Carbohydrates) SB - IM MH - Adult MH - Aorta/*physiology MH - *Diet, Carbohydrate-Restricted MH - Dietary Carbohydrates MH - Eating MH - Female MH - Humans MH - Insulin Resistance/physiology MH - Male MH - Middle Aged MH - *Overweight/diet therapy/epidemiology/physiopathology MH - *Pulse Wave Analysis MH - Weight Loss/*physiology OTO - NOTNLM OT - carbohydrate metabolism OT - insulin resistance OT - insulinoresistance OT - metabolism OT - metabolisme OT - metabolisme des sucres OT - perte de poids OT - pulse wave velocity OT - vitesse de l'onde de pouls OT - weight loss EDAT- 2018/05/11 06:00 MHDA- 2019/03/19 06:00 CRDT- 2018/05/11 06:00 PHST- 2018/05/11 06:00 [pubmed] PHST- 2019/03/19 06:00 [medline] PHST- 2018/05/11 06:00 [entrez] AID - 10.1139/apnm-2018-0113 [doi] PST - ppublish SO - Appl Physiol Nutr Metab. 2018 Dec;43(12):1247-1256. doi: 10.1139/apnm-2018-0113. Epub 2018 May 10.