Extended effects of evening meal carbohydrate-to-fat ratio on fasting and postprandial substrate metabolism
Open accessAbstract
Background High-fat and high-carbohydrate diets lead to insulin resistance, gastrointestinal adaptation, and high plasma triacylglycerol concentrations. It is unclear, however, how rapidly these changes occur. Objective We sought to determine the effects of both high-fat and high-carbohydrate evening meals on parameters of insulin resistance, hypertriglyceridemia, and gastrointestinal hormones. Design Twelve healthy men were studied on 4 separate occasions. On 2 occasions, the subjects received a high-fat evening meal (62% of energy from fat) and on the other 2 occasions the subjects received a low-fat evening meal (16% of energy from fat). The morning after each meal the subjects were administered either an oral-fat-tolerance test or an oral-glucose-tolerance test. Plasma samples were analyzed for glucose, insulin, fatty acids, 3-hydroxybutyrate, triacylglycerol, pancreatic polypeptide, peptide YY, and cholecystokinin. Postchallenge data were analyzed by two-way analysis of variance with interaction and fasting concentrations analyzed by repeated-measures analysis of variance. Results Fasting plasma concentrations of triacylglycerol were significantly elevated 12 h after each evening meal, but fatty acid and 3-hydroxybutyrate concentrations were reduced. No effects on glucose or insulin concentrations were detected. The high-fat evening meals elevated plasma cholecystokinin concentrations, reduced fasting concentrations of pancreatic polypeptide, and had no significant effect on peptide YY concentrations. The ratio of fat to carbohydrate in the evening meal produced significant effects on plasma triacylglycerol and fatty acids during both the oral-fat-tolerance and oral-glucose-tolerance tests. Conclusions The present study showed that the effects of high-fat and high-carbohydrate evening meals persist at least overnight and suggests that knowledge of recent dietary history is essential to the effective design of metabolic studies.
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Meals rich in carbohydrate or fat on the evening before a meal-challenge test have significant effects the following day: fat tolerance is poorer after a carbohydrate-rich evening meal, and glucose tolerance is poorer after a fat-rich low-carbohydrate evening meal.
“Meals rich in either CHO or fat on the evening before a meal-challenge test have significant effects the following day: fat tolerance is poorer following a CHOrich evening meal; glucose tolerance is poorer following a fat-rich (low-CHO) evening meal (Robertson et al. 2002).”
From Glycaemic index methodology (2005) · cites this paper as Robertson et al. 2002
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Experimental — accuracy not yet measuredThe effect of evening meal macronutrient composition on fat tolerance is much more marked than its effect on glucose tolerance.
“However, the effect of evening meal macronutrient composition on fat tolerance is much more marked than the effect on glucose tolerance (Robertson et al. 2002).”
From Glycaemic index methodology (2005) · cites this paper as Robertson et al. 2002
The Oral-fat-tolerance test section reports differences in fatty acids and triacylglycerol after the two evening meals, while the Glucose and insulin concentrations section reports a significant difference in glucose response (P = 0.006). The paper does not establish that the effect on fat tolerance was much more marked than the effect on glucose tolerance; its Figure 3 caption describes the evening-meal effect on triacylglycerol during the fat-tolerance test as only nearly significant (P = 0.078). Page numbers are unavailable in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIntake of dietary resistant starch on the day before a meal challenge may improve glucose tolerance.
“Intake of dietary RS on the day before a meal challenge may improve glucose tolerance (Robertson et al. 2002).”
From Glycaemic index methodology (2005) · cites this paper as Robertson et al. 2002
The Oral-glucose-tolerance test section reports improved next-morning glucose tolerance after a high-carbohydrate evening meal. But the Test meal composition and protocol section says the meals were very low in dietary fiber, and the paper does not identify or test resistant starch. The finding therefore supports the timing and glucose-tolerance outcome, not the claim about resistant starch specifically. Page numbers are unavailable in our copy. (LLM, conf=0.88)
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- Authors
- Robertson, M. D., Henderson, R. A., Vist, G. E., & Rumsey, R. D. E.
- Affiliations
- University of Oxford (GB)
- Corresponding author
- Rumsey, R David E
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2002-03
- Volume
- 75
- Issue
- 3
- Pages
- 505-510
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2158725352
- Cited by
- 105
- References
- 23
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 1 · 2022: 6 · 2021: 12 · 2020: 3 · 2019: 6 · 2018: 4 · 2017: 6 · 2016: 3 · 2015: 4 · 2014: 4 · 2013: 4 · 2012: 8
- FWCI
- 3.27
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Health Sciences › Medicine › Physiology › Dietary Effects on Health
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- dinner, carbohydrate-to-fat ratio, high-fat diet, high-carbohydrate diet, insulin resistance, hypertriglyceridemia, plasma triglycerides, fatty acids, beta-hydroxybutyrate, gastrointestinal hormones, cholecystokinin, pancreatic polypeptide, peptide YY, substrate metabolism, dietary history
- MeSH terms
- Adult, Analysis of Variance, Blood Glucose, Cholecystokinin, Dietary Carbohydrates, Dietary Fats, Energy Metabolism, Fasting, Fatty Acids, Fatty Acids, Nonesterified, Gastrointestinal Hormones, Glucose Tolerance Test, Humans, Insulin Resistance, Male, Pancreatic Polypeptide, Triglycerides, Postprandial Period, Area Under Curve, Peptide YY, 3-Hydroxybutyric Acid
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