PMID- 37654524 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230902 IS - 1726-9148 (Electronic) IS - 1726-913X (Print) IS - 1726-913X (Linking) VI - 21 IP - 2 DP - 2023 Apr TI - Effect of a Reduced-Calorie Diet on Plasma Levels of Inflammatory and Metabolic Factors in Overweight/Obese Patients with Cardiovascular Risk Factors. PG - e135216 LID - 10.5812/ijem-135216 [doi] LID - e135216 AB - BACKGROUND: Calorie restriction without malnutrition is likely to improve cardiovascular risk factors. OBJECTIVES: The aim of this study was to investigate calorie restriction on markers of cardiometabolic risk in overweight/obese adults with cardiovascular risk factors. METHODS: In a parallel controlled trial, patients with overweight or obesity and one or more cardiovascular risk factor were randomized to a modest reduced-calorie diet (75% of the total calculated energy requirements) or control (no calorie restriction) groups and followed up for two months. Body weight, dietary intake, fasting plasma levels of C-reactive protein (CRP), monocyte chemoattractant protein-1 (MCP-1), intercellular adhesion molecule 1 (ICAM-1), vascular cell adhesion molecule 1 (VCAM-1), brain-derived neurotrophic factor (BDNF), neuropeptide Y (NPY), lipids, and glycemic factors were measured at baseline, and after two months. The differences were analyzed with analysis of covariance (ANCOVA). RESULTS: Sixty-six participants (33 in each group) completed the study. Body weight changed in the reduced-calorie diet group (- 3.05 +/- 2.65 kg), and blood pressure was improved (systolic -6.96 +/- 12.04 and diastolic - 3.90 +/- 8.97 mmHg). The reduced-calorie diet improved plasma ICAM-1 (change from baseline - 0.45 +/- 1.99 ng/mL, P = 0.033, ANCOVA), MCP-1 (change from baseline - 0.50 pg/mL, P = 0.011, ANCOVA), low-density lipoprotein cholesterol (change from baseline - 9.35 +/- 19.61 mg/dL, P < 0.001, ANCOVA), and triglyceride (change from baseline -33.66 +/- 49.08, P = 0.001, ANCOVA), but BDNF, NPY, and other cardiometabolic factors were not different. CONCLUSIONS: In overweight/obese subjects with cardiovascular risk factors which have been under medical treatment with risk-reducing medications, a modest weight loss induced by a reduced-calorie diet improved lipid profile, blood pressure, and reduced ICAM-1 and MCP-1 levels but had no effect on plasma BDNF or glycemic factors. CI - Copyright (c) 2023, International Journal of Endocrinology and Metabolism. FAU - Nasrollahzadeh, Javad AU - Nasrollahzadeh J AD - Department of Clinical Nutrition & Dietetics, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Khandouzi, Nafiseh AU - Khandouzi N AD - Department of Clinical Nutrition & Dietetics, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Maroofi, Mahsa AU - Maroofi M AD - Department of Clinical Nutrition & Dietetics, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. LA - eng PT - Journal Article DEP - 20230516 PL - Netherlands TA - Int J Endocrinol Metab JT - International journal of endocrinology and metabolism JID - 101235597 PMC - PMC10467581 OTO - NOTNLM OT - Calorie-Restriction OT - Cardiometabolic OT - Obesity COIS- Conflict of Interests: All authors declare that they have no conflict of interests. EDAT- 2023/09/01 06:43 MHDA- 2023/09/01 06:44 PMCR- 2023/04/01 CRDT- 2023/09/01 03:57 PHST- 2023/01/25 00:00 [received] PHST- 2023/04/16 00:00 [revised] PHST- 2023/05/01 00:00 [accepted] PHST- 2023/09/01 06:44 [medline] PHST- 2023/09/01 06:43 [pubmed] PHST- 2023/09/01 03:57 [entrez] PHST- 2023/04/01 00:00 [pmc-release] AID - 10.5812/ijem-135216 [doi] PST - epublish SO - Int J Endocrinol Metab. 2023 May 16;21(2):e135216. doi: 10.5812/ijem-135216. eCollection 2023 Apr.