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This study examined whether dietary-induced reductions in lipoprotein-associated phospholipase A2 (Lp-PLA2) activity in peripheral blood mononuclear cells (PBMC) and plasma affected metabolic profiles in PBMCs and plasma.
Eighty nonobese patients (aged 40-70 years) with prediabetes or newly diagnosed type-2 diabetes were randomly assigned to a control group (normal diet with refined rice) or a whole-grain group (replacement of refined rice with whole-grains and legumes). This dietary intervention replaced approximately 7% of carbohydrate-derived energy with approximately 4% of protein-derived energy and approximately 3% of fat-derived energy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Refined rice | Placebo Comparator |
| |
| Whole grains and legumes | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dietary intervention-refined rice | Dietary Supplement | Subjects in the control group maintained the usual refined-rice diet. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Lp-PLA2 Activity in Plasma | Change from baseline in Lp-PLA2 at 12 weeks | |
| Lp-PLA2 Activity in PBMC | Change from baseline in Lp-PLA2 at 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| PBMC metabolites | Change in L-leucine, oleamide, lysoPC (16:0), and lysoPC (18:0) |
| Measure | Description | Time Frame |
|---|---|---|
| LDL particle size | Changes from baseline in LDL particle size at 12 weeks |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jong Ho Lee, PhD | Yonsei University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yonsei University | Seoul | 120-749 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26788114 | Derived | Kim M, Song G, Kang M, Yoo HJ, Jeong TS, Lee SH, Lee JH. Replacing carbohydrate with protein and fat in prediabetes or type-2 diabetes: greater effect on metabolites in PBMC than plasma. Nutr Metab (Lond). 2016 Jan 19;13:3. doi: 10.1186/s12986-016-0063-4. eCollection 2016. |
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| Dietary intervention-whole grains and legumes | Dietary Supplement | Subjects in the whole-grain group replaced refined rice with a mix of 1/3 legumes, 1/3 barley, and 1/3 wild rice three times per day, and increased vegetable intake to at least 6 units (30-70 g/unit) per day for sufficient dietary fiber intake. |
|
| ID | Term |
|---|---|
| D011236 | Prediabetic State |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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