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Impact of Diets Rich in Whole Grains and Fruits and Vegetables on Cardiovascular Risk Factors in Overweight and Obese Women: A Randomized Clinical Feeding Trial.

Journal of the American College of Nutrition
May 5, 2018
Somaye Fatahi et al. (6 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effects of fiber-rich diets (fruits, vegetables, whole grains, or a combination) on weight loss and cardiovascular disease risk factors in overweight and obese women.

Results Summary

The study found that a diet rich in whole grains led to greater reductions in weight, waist circumference, and certain CVD risk factors compared to diets rich in fruits and vegetables or a combination. However, all groups showed significant improvements in weight, waist circumference, and fasting blood sugar.

Population

Overweight and obese women (N = 75)

Effective Dosage

Not specified

Duration

10 weeks

Interactions

None mentioned

Extracted Claims (24)
InterventionDirectionEndpointPopulationDosageImpactClaim #
weight loss diet rich in whole grains
decrease
weight
overweight and obese women
-
higher reductions in
#1
weight loss diet rich in whole grains
decrease
waist circumference
overweight and obese women
-
higher reductions in
#2
weight loss diet rich in whole grains
decrease
systolic blood pressure
overweight and obese women
-
higher reductions in
#3
weight loss diet rich in whole grains
decrease
fasting blood sugar
overweight and obese women
-
higher reductions in
#4
weight loss diet rich in whole grains
decrease
triglycerides
overweight and obese women
-
higher reductions in
#5
weight loss diet rich in whole grains
increase
high-density lipoprotein cholesterol
overweight and obese women
-
greater increase in
#6
weight loss diet rich in whole grains
decrease
CVD risk factors
overweight and obese women
-
more beneficial effect on
#7
weight loss diet rich in fruits and vegetables
decrease
weight
overweight and obese women
-
significant reductions in
#8
weight loss diet rich in fruits and vegetables
decrease
waist circumference
overweight and obese women
-
significant reductions in
#9
weight loss diet rich in fruits and vegetables
decrease
fasting blood sugar
overweight and obese women
-
significant reductions in
#10
weight loss diet rich in fruits and vegetables
decrease
low-density lipoprotein cholesterol
overweight and obese women
-
significant decreases in
#11
weight loss diet rich in whole grains
decrease
weight
overweight and obese women
-
significant reductions in
#12
weight loss diet rich in whole grains
decrease
waist circumference
overweight and obese women
-
significant reductions in
#13
weight loss diet rich in whole grains
decrease
fasting blood sugar
overweight and obese women
-
significant reductions in
#14
weight loss diet rich in whole grains
decrease
low-density lipoprotein cholesterol
overweight and obese women
-
significant decreases in
#15
weight loss diet rich in both whole grains and fruits and vegetables
decrease
weight
overweight and obese women
-
significant reductions in
#16
weight loss diet rich in both whole grains and fruits and vegetables
decrease
waist circumference
overweight and obese women
-
significant reductions in
#17
weight loss diet rich in both whole grains and fruits and vegetables
decrease
fasting blood sugar
overweight and obese women
-
significant reductions in
#18
weight loss diet rich in whole grains
no change
diastolic blood pressure
overweight and obese women
-
change in
#19
weight loss diet rich in fruits and vegetables
no change
diastolic blood pressure
overweight and obese women
-
change in
#20
weight loss diet rich in both whole grains and fruits and vegetables
no change
diastolic blood pressure
overweight and obese women
-
change in
#21
weight loss diet rich in whole grains
no change
low-density lipoprotein cholesterol
overweight and obese women
-
change in
#22
weight loss diet rich in fruits and vegetables
no change
low-density lipoprotein cholesterol
overweight and obese women
-
change in
#23
weight loss diet rich in both whole grains and fruits and vegetables
no change
low-density lipoprotein cholesterol
overweight and obese women
-
change in
#24
Abstract

OBJECTIVE: Previous interventions have reported desirable effects of diets rich in whole grains or rich in fruits and vegetables on cardiovascular disease (CVD) risk factors and weight management. However, data are lacking regarding the effect of these fiber sources separately. The aim of this randomized clinical feeding trial was to investigate the effects of fiber-rich diets with different sources of fiber (fruits, vegetables, and whole grains) on weight loss and CVD risk factors in overweight and obese women. METHODS: Overweight and obese women (N = 75) were randomized to one of three weight loss diets that were rich in whole grains, fruits and vegetables, or both for 10 weeks. Body weight, waist circumference, and risk factors of CVD were examined at baseline and 10 weeks. RESULTS: During the 10-week dietary intervention phase, the reductions in weight (p = 0.03), waist circumference (p = 0.001), systolic blood pressure (p = 0.04), fasting blood sugar (p = 0.03), and triglycerides (p = 0.001) were higher in the whole grains group compared with the fruits and vegetables group or the combination diet group. Also, the whole grain group had a greater increase (p = 0.01) in high-density lipoprotein cholesterol compared to the other groups. The change in other risk factors, including diastolic blood pressure and low-density lipoprotein cholesterol, was not different among the three diet groups. Within-group comparisons revealed significant reductions in weight, waist circumference, and fasting blood sugar in all groups. Only the fruits and vegetables group and the whole grains group had significant decreases in low-density lipoprotein cholesterol over 10 weeks (p ≤ 0.03). CONCLUSIONS: This trial suggests that in overweight and obese women, a weight loss diet rich in whole grains may have a more beneficial effect on CVD risk factors than diets rich in fruits and vegetables or a combination of whole grains and fruits and vegetables.

Medical Subject Headings (MeSH)
AdolescentAdultBlood PressureCardiovascular DiseasesDietFemaleFruitHumansMiddle AgedObesityOverweightRisk FactorsVegetablesWhole GrainsYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality85/10
Citation Metrics
Total Citations26
Citations/Year3.7
Relative Citation Ratio1.64
NIH Percentile68.2%
Research Impact Scores
APT Score0.75
Weight Score2.25
Normalized Score0.63
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