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A legume-based hypocaloric diet reduces proinflammatory status and improves metabolic features in overweight/obese subjects.

European journal of nutrition
February 1, 2011
Helen Hermana M Hermsdorff et al. (4 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effects of a legume-based hypocaloric diet (including chickpeas) versus a legume-free hypocaloric diet on metabolic and inflammatory markers in obese subjects.

Results Summary

The legume-based diet (including chickpeas) led to greater weight loss, improved cholesterol levels, reduced systolic blood pressure, and lowered inflammatory markers (CRP and C3) compared to the legume-free diet, with some effects independent of weight loss.

Population

30 obese subjects (17 male, 13 female; BMI 32.5 ± 4.5 kg/m²; age 36 ± 8 years).

Effective Dosage

4 weekly servings (160-235 g per serving) of lentils, chickpeas, peas, or beans.

Duration

8 weeks.

Interactions

None mentioned.

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
calorie-restricted legume-based diet (L-diet)
decrease
body weight loss
obese subjects
-7.8 ± 2.9% vs. -5.3 ± 2.7%
achieved a greater body weight loss
#1
calorie-restricted legume-based diet (L-diet)
decrease
Total and LDL cholesterol levels
obese subjects
-
improved
#2
calorie-restricted legume-based diet (L-diet)
decrease
systolic BP
obese subjects
-
improved
#3
calorie-restricted legume-based diet (L-diet)
decrease
C-reactive protein (CRP) concentrations
obese subjects
-
resulted in a significant higher reduction
#4
calorie-restricted legume-based diet (L-diet)
decrease
complement C3 (C3) concentrations
obese subjects
-
resulted in a significant higher reduction
#5
calorie-restricted legume-based diet (L-diet)
decrease
CRP and C3 concentrations
obese subjects
-
reduction in the concentrations of CRP and C3 remained significantly higher
#6
calorie-restricted legume-based diet (L-diet)
decrease
CRP concentrations and systolic BP
obese subjects
-
reduction (%) in CRP concentrations was positively associated with decreases (%) in systolic BP
#7
calorie-restricted legume-based diet (L-diet)
decrease
CRP concentrations and total cholesterol concentration
obese subjects
-
reduction (%) in CRP concentrations was positively associated with decreases (%) in total cholesterol concentration
#8
consumption of legumes (4 servings/week) within a hypocaloric diet
decrease
proinflammatory markers, such as CRP and C3
overweight/obese subjects
-
resulted in a specific reduction
#9
consumption of legumes (4 servings/week) within a hypocaloric diet
improvement
lipid profile and BP
overweight/obese subjects
-
clinically significant improvement
#10
Abstract

BACKGROUND: The nutritional composition of the dietary intake could produce specific effects on metabolic variables and inflammatory marker concentrations. This study assessed the effects of two hypocaloric diets (legume-restricted- vs. legume-based diet) on metabolic and inflammatory changes, accompanying weight loss. METHODS: Thirty obese subjects (17 M/13F; BMI: 32.5 ± 4.5 kg/m(2); 36 ± 8 years) were randomly assigned to one of the following hypocaloric treatments (8 weeks): Calorie-restricted legume-free diet (Control: C-diet) or calorie-restricted legume-based diet (L-diet), prescribing 4 weekly different cooked-servings (160-235 g) of lentils, chickpeas, peas or beans. Body composition, blood pressure (BP), blood biochemical and inflammatory marker concentrations as well as dietary intake were measured at baseline and after the nutritional intervention. RESULTS: The L-diet achieved a greater body weight loss, when compared to the C-diet (-7.8 ± 2.9% vs. -5.3 ± 2.7%; p = 0.024). Total and LDL cholesterol levels and systolic BP were improved only when consuming the L-diet (p < 0.05). L-diet also resulted in a significant higher reduction in C-reactive protein (CRP) and complement C3 (C3) concentrations (p < 0.05), compared to baseline and C-diet values. Interestingly, the reduction in the concentrations of CRP and C3 remained significantly higher to L-diet group, after adjusting by weight loss (p < 0.05). In addition, the reduction (%) in CRP concentrations was positively associated with decreases (%) in systolic BP and total cholesterol concentration specifically in the L-diet group, independent from weight loss (p < 0.05). CONCLUSION: The consumption of legumes (4 servings/week) within a hypocaloric diet resulted in a specific reduction in proinflammatory markers, such as CRP and C3 and a clinically significant improvement of some metabolic features (lipid profile and BP) in overweight/ obese subjects, which were in some cases independent from weight loss.

Medical Subject Headings (MeSH)
AdultBlood PressureBody CompositionC-Reactive ProteinCholesterolCholesterol, LDLComplement C3Diet, ReducingFabaceaeFemaleHumansInflammation MediatorsMaleMetabolic SyndromeObesityOverweightSeedsTime FactorsTumor Necrosis Factor-alphaWeight Loss
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations142
Citations/Year10.1
Relative Citation Ratio4.97
NIH Percentile93%
Research Impact Scores
APT Score0.95
Weight Score1.53
Normalized Score0.70
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