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Very low and higher carbohydrate diets promote differential appetite responses in adults with type 2 diabetes: A randomized trial

The Journal of Nutrition Jan 23, 2020

Struik NA, et al. - Researchers performed this secondary analysis on adults who were overweight or obese with type 2 diabetes, to compare appetite responses to an energy-restricted [30% of energy (%E) deficit] very low carbohydrate (VLC) diet vs a higher carbohydrate (HC) diet. The study sample comprised 44 men and 40 women, with mean ± SD, age of 58.7 ± 6.6 y (weight: 100.4 ± 15.5 kg; BMI: 34.5 ± 4.1 kg/m2; glycated hemoglobin: 7.3 ± 1.0%; duration of diabetes: 6.7 ± 5.6 y). The participants were randomly allocated to diets classified as VLC [14%E carbohydrate (< 50 g/d), 28%E protein, 58%E fat (< 10%E saturated fat)], or energy-matched HC [53%E carbohydrate, 17%E protein, 30%E fat (< 10%E saturated fat)] combined with progressive multicomponent exercise (60 min; 3 d/wk). At baseline and following 4 and 16 wk, the evaluation of body weight, average weekly “daily fasting” and “daily overall” appetite perceptions, was done. The groups showed no difference in terms of significant reductions in body weight. Findings revealed both HC and VLC energy-matched diets promoted comparable influences on fasting perceptions of appetite, in the context of energy restriction, but experts reported greater “daily overall” fullness and decreased prospective consumption in correlation with the HC diet.
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