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High-fibre, low-fat diet predicts long-term weight loss and decreased type 2 diabetes risk: the Finnish Diabetes Prevention Study
Authors:J. Lindström  M. Peltonen  J. G. Eriksson  A. Louheranta  M. Fogelholm  M. Uusitupa  J. Tuomilehto
Affiliation:(1) Diabetes and Genetic Epidemiology Unit, Department of Epidemiology and Health Promotion, National Public Health Institute, Helsinki, Finland;(2) Kuopio University Hospital, Kuopio, Finland;(3) UKK Institute for Health Promotion Research, Tampere, Finland;(4) University of Kuopio, Kuopio, Finland;(5) Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland
Abstract:Aims/hypothesis The aim of this study was to investigate the association of dietary macronutrient composition and energy density with the change in body weight and waist circumference and diabetes incidence in the Finnish Diabetes Prevention Study.Subjects and methods Overweight, middle-aged men (n=172) and women (n=350) with impaired glucose tolerance were randomised to receive either ‘standard care’ (control) or intensive dietary and exercise counselling. Baseline and annual examinations included assessment of dietary intake with 3-day food records and diabetes status by repeated 75-g OGTTs. For these analyses the treatment groups were combined and only subjects with follow-up data (n=500) were included.Results Individuals with low fat (median) intakes lost more weight compared with those consuming a high-fat (>median), low-fibre (
Keywords:Diet  Energy density  Fat  Fibre  Lifestyle  Obesity  Prevention  Type 2 diabetes  Waist circumference
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