Effects of diet-induced weight loss on postprandial vascular function after consumption of a mixed meal: Results of a randomized controlled trial with abdominally obese men

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Abstract

Background: Effects of weight loss on postprandial vascular function have not been studied so far. We therefore examined (i) effects of diet-induced weight loss on postprandial changes in various vascular function markers after consumption of a mixed meal and (ii) differences between normal-weight and abdominally obese men of comparable age at baseline and after weight loss.

Methods: Fifty-four apparently healthy abdominally obese (waist circumference: 102-110 cm) and 25 normal-weight men (waist circumference:

Results: The mean weight loss was 10.3 kg in the weight-loss compared with the control group. The postprandial change in flow-mediated vasodilation of the brachial artery (FMD) was significantly higher at baseline in normal-weight as compared with the postprandial change in abdominally obese men (1.89 +/- 2.52 versus 0.48 +/- 2.50 percentage points; P = 0.027). However, no differences in postprandial changes were observed in the abdominally obese men after weight loss compared with the control treatment. Also, weight reduction did not affect postprandial changes in carotid-to-femoral pulse wave velocity, retinal microvascular caliber properties, or plasma markers of microvascular endothelial function. Even though postprandial increases in triacylglycerol (P = 0.028), insulin (P = 0.029) and C-peptide concentrations (P <0.001) were reduced in the abdominally obese men following weight loss, postprandial changes in FMD at the end of the weight-loss treatment were still more unfavorable as compared with those observed in normal-weight individuals.

Conclusion: In this trial with abdominally obese men, we did not find effects of diet-induced weight loss on postprandial changes in vascular endothelial function, arterial stiffness and markers of microvascular function. (C) 2020 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Original languageEnglish
Pages (from-to)2998-3004
Number of pages7
JournalClinical Nutrition
Volume39
Issue number10
DOIs
Publication statusPublished - Oct 2020

Keywords

  • Human trials
  • Weight loss
  • Postprandial
  • Vascular function
  • Abdominal obesity
  • ENDOTHELIUM-DEPENDENT VASODILATION
  • HIGH-FAT MEAL
  • FLOW-MEDIATED VASODILATION
  • EXPERT CONSENSUS DOCUMENT
  • BRACHIAL-ARTERY
  • BLOOD-PRESSURE
  • DYSFUNCTION
  • STIFFNESS
  • IMPROVES
  • MARKERS

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