Cited by 44Diabetes, Cardiovascular Risks, and LipoproteinsNutritional Studies and DietDiet and metabolism studies

Long-term effects of a reduced fat diet intervention on cardiovascular disease risk factors in individuals with glucose intolerance

Ley, Sarah J, Metcalf, Patricia A, Scragg, Robert K.R, Swinburn, Boyd A·2004·Diabetes Research and Clinical Practice

Abstract

The long-term effects on cardiovascular disease risk factors of a reduced fat (RF), ad libitum diet were compared with usual diet (control, CD) in glucose intolerance individuals. Participants were 136 adults aged > or =40 years with 'glucose intolerance' (2h blood glucose 7-11.0 mmol/l) detected at a Diabetes Survey who completed at 1 year intervention study of reduced fat, ad libitum diet versus usual diet. They were re-assessed at 2, 3 and 5 years. Main outcome measures were blood pressure, serum concentrations of total cholesterol, HDL and LDL cholesterol, total cholesterol:HDL ratio, triglycerides and body weight. The reduced fat diet lowered total cholesterol (P<0.01), LDL cholesterol (P< or =0.05), total cholesterol:HDL ratio (P< or =0.05), body weight (P<0.01) and systolic blood pressure (P< or =0.05) initially and diastolic blood pressure (P<0.01) long-term. No significant changes occurred in HDL cholesterol or triglycerides. In the more compliant 50% of the intervention group, systolic and diastolic blood pressure levels and body weight were lower at 1, 2 and 3 years (P<0.05). It was concluded that a reduced fat ad libitum diet has short-term benefits for cholesterol, body weight and systolic blood pressure and long-term benefits for diastolic blood pressure without significantly effecting HDL cholesterol and triglycerides despite participants regaining their lost weight.

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Crossref · 10.1016/j.diabres.2003.09.001

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Authors
Ley, S. J., Metcalf, P. A., Scragg, R. K. R., & Swinburn, B. A.
Affiliations
  • University of Auckland (NZ)
  • Deakin University (AU)
Corresponding author
Metcalf, Patricia A
Venue
Diabetes Research and Clinical Practice
Publisher
Elsevier BV
Published
2004-02
Volume
63
Issue
2
Pages
103-112
ISSN
0168-8227 (ISSN-L)
OpenAlex
W2024534514
Cited by
43
References
36
Citations by year
2026: 2 · 2025: 1 · 2024: 3 · 2023: 1 · 2021: 1 · 2020: 3 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 3 · 2013: 2 · 2012: 5
FWCI
0.61
Type
journal article
Language
en
Open access
closed
Locations
  • Diabetes Research and Clinical Practice (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Heart Foundation of New Zealand
  • Health Research Council of New Zealand
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Medicine › Physiology › Diet and metabolism studies
Keywords
reduced-fat diet, impaired glucose tolerance, prediabetes, cardiovascular risk factors, blood pressure, cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, body weight, weight regain, ad libitum feeding, older adults
MeSH terms
Blood Pressure, Body Weight, Cardiovascular Diseases, Cholesterol, Diastole, Female, Humans, Cholesterol, HDL, Cholesterol, LDL, Male, Middle Aged, Patient Compliance, Risk Factors, Systole, Triglycerides, Weight Loss, Glucose Intolerance, Diet, Fat-Restricted

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