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Effects of low-fat, high-carbohydrate diets on risk factors for ischemic heart disease in postmenopausal women
Open accessAbstract
The effects of variations in dietary carbohydrate and fat on various aspects of carbohydrate and lipoprotein metabolism were evaluated in 10 healthy, postmenopausal women. The two diets were isoenergetic, assigned in random fashion, and consisted (as a % of total energy) of 15% protein, 60% carbohydrate, and 25% fat (60%-carbohydrate diet) or 15% protein, 40% carbohydrate, and 45% fat (40%-carbohydrate diet). Fasting plasma triacylglycerol, very-low-density-lipoprotein (VLDL) triacylglycerol, and VLDL-cholesterol concentrations were higher (P < 0.05-0.001) after the 60%-carbohydrate diet, whereas high-density-lipoprotein (HDL) cholesterol was lower (P < 0.05). Plasma insulin and triacylglycerol concentrations were also higher (P < 0.001) from 0800 to 0000 with the 60%-carbohydrate diet than with the 40%-carbohydrate diet. In addition, when vitamin A was given with the noon meal, the ensuing concentrations of retinyl palmitate were also higher after ingestion of the 60%-carbohydrate diet. Resistance to insulin-mediated glucose disposal, quantified at baseline by determining the steady state plasma glucose (SSPG) concentration at the end of a 180-min infusion of somatostatin, insulin, and glucose, correlated with the incremental increases in postprandial concentrations of plasma glucose (r = 0.68, P = 0.06), insulin (r = 0.82, P < 0.02), triacylglycerol (r = 0.77, P < 0.05), and retinyl palmitate (r = 0.68, P = 0.06) and with the Sf > 400 triacylglycerol (r = 0.77, P < 0.05), Sf 20-400 triacylglycerol (r = 0.72, P < 0.05), and Sf > 400 retinyl palmitate (r = 0.75, P < 0.01) lipoprotein fractions. Because all of these changes would increase risk of ischemic heart disease in postmenopausal women, it seems reasonable to question the wisdom of recommending that postmenopausal women consume low-fat, high-carbohydrate diets.
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“These findings have intensified the focus on carbohydrates, because diets rich in highly processed carbohydrates can lead to raised triglycerides (TGs),9 reductions in high-density lipoprotein cholesterol (HDL-C),10 and increasing CHD risk.11”
From Associations of Glycemic Index and Load With Coronary Heart Disease Events: A Systematic Review and Meta‐Analysis of Prospective Cohorts (2012) · cites this paper as [11]
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Metadata
- Authors
- Jeppesen, J., Schaaf, P., Jones, C., Zhou, M., Chen, Y., & Reaven, G.
- Affiliations
- Stanford Medicine (US)
- ORCID
- Jeppesen, J
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 1997-04
- Volume
- 65
- Issue
- 4
- Pages
- 1027-1033
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W1831066255
- Cited by
- 232
- References
- 51
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2021: 10 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 7 · 2014: 9 · 2013: 4 · 2012: 13
- FWCI
- 8.54
- Type
- journal article
- Language
- en
- Update notices
- erratum (1997-08-01)
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL08506)
- National Center for Research Resources (RR 00 070, M01RR000070)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- 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
- Keywords
- low-fat high-carbohydrate diet, dietary carbohydrates, dietary fat, postmenopausal women, ischemic heart disease risk factors, lipoprotein metabolism, HDL cholesterol, insulin resistance, insulin-stimulated glucose disposal, postprandial lipemia, retinyl palmitate, vitamin A, plasma insulin, plasma triglycerides
- MeSH terms
- Retinyl Esters, Aged, Blood Glucose, Cholesterol, Dietary Carbohydrates, Dietary Fats, Diterpenes, Female, Humans, Insulin, Insulin Resistance, Cholesterol, HDL, Middle Aged, Risk Factors, Triglycerides, Vitamin A, Myocardial Ischemia, Postmenopause, Diet, Fat-Restricted, Carbohydrate Metabolism, Lipid Metabolism
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