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Low iron status and enhanced insulin sensitivity in lacto-ovo vegetarians
Open accessAbstract
The efficacy of insulin in stimulating whole-body glucose disposal (insulin sensitivity) was quantified using direct methodology in thirty lacto-ovo vegetarians and in thirty meat-eaters. All subjects were adult, lean (BMI <23 kg/m 2), healthy and glucose tolerant. Lacto-ovo vegetarians were more insulin sensitive than meat-eaters, with a steady-state plasma glucose (mmol/l) of 4·1 (95 % CI 3·5, 5·0)v.6·9 (95 % CI 5·2, 7·5; P=0·0028) respectively. In addition, lacto-ovo vegetarians had lower body Fe stores, as indicated by a serum ferritin concentration (μg/l) of 35 (95 % CI 21, 49) compared with 72 (95 % CI 45, 100) for meat-eaters (P=0·0012). To test whether or not Fe status might modulate insulin sensitivity, body Fe was lowered by phlebotomy in six male meat-eaters to levels similar to that seen in vegetarians, with a resultant approximately 40 % enhancement of insulin-mediated glucose disposal (P=0·0008). Our results demonstrate that lacto-ovo vegetarians are more insulin sensitive and have lower Fe stores than meat-eaters. In addition, it seems that reduced insulin sensitivity in meat-eaters is amenable to improvement by reducing body Fe. The latter finding is in agreement with results from animal studies where, no matter how induced, Fe depletion consistently enhanced glucose disposal.
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“Lowering iron improves insulin sensitivity [598,614], and metallothionein is also protective [615-619].”
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Metadata
- Authors
- Hua, N. W., Stoohs, R. A., & Facchini, F. S.
- Affiliations
- San Francisco General Hospital (US)
- Corresponding author
- Facchini, Francesco S.
- ORCID
- Stoohs, Riccardo A.
- Venue
- British Journal of Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2001-10
- Volume
- 86
- Issue
- 4
- Pages
- 515-519
- ISSN
- 0007-1145 (ISSN-L)
- 1475-2662
- OpenAlex
- W2114291848
- Cited by
- 110
- References
- 51
- Citations by year
- 2026: 1 · 2023: 4 · 2022: 1 · 2021: 4 · 2020: 4 · 2018: 2 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 10 · 2013: 2 · 2012: 9
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal Of Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- lacto-ovo-vegetarian diet, iron status, serum ferritin, iron stores, insulin sensitivity, insulin-stimulated glucose disposal, phlebotomy, meat-eaters, dietary iron restriction
- MeSH terms
- Adult, Blood Glucose, Female, Ferritins, Glucose, Humans, Infusions, Intravenous, Insulin, Insulin Resistance, Iron, Male, Nutritional Status, Somatostatin, Diet, Vegetarian, Linear Models, Phlebotomy
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