Department of Nutrition and Health, Federal University of Viçosa, Av. PH Rolfs, s/n, Viçosa, Minas Gerais, 36570-000, Brazil.
Eur J Nutr. 2014 Feb;53(1):49-60. doi: 10.1007/s00394-013-0497-7. Epub 2013 Feb 7.
To evaluate the effects of two dietary patterns in which carbohydrates and proteins were eaten mostly at lunch or dinner on body weight and composition, energy metabolism, and biochemical markers in overweight/obese men.
Fifty-eight men (30.0 ± 7.4 years; 30.8 ± 2.4 kg/m(2)) followed a covert hypocaloric balanced diet (-10 % of daily energy requirements) during 8 weeks. Subjects were randomly assigned to three groups: control diet (CT); diurnal carbohydrate/nocturnal protein (DCNP); and nocturnal carbohydrate/diurnal protein (NCDP). Main analyzed outcomes were weight loss, body composition, diet-induced thermogenesis (DIT), and glucose/lipid profile.
In all groups, a significant decrease in body weight, BMI, and fat mass (kg and %) was verified, without differences between groups. Interestingly, within group analyses showed that the fat-free mass (kg) significantly decreased in NCDP and in CT after 8-week intervention, but not in DCNP. A detrimental increase in fasting glucose, insulin, and homeostasis model assessment of insulin resistance (HOMAIR) was verified only in DCNP, while NCDP and CT groups presented a non-significant reduction. Moreover, significant differences between DCNP and the other groups were detected for fasting insulin and HOMAIR. After the adjustments, NCDP presented a significantly higher DIT and energy expenditure after lunch, compared with DCNP, but after dinner, there were no differences among groups.
Eating carbohydrates mostly at dinner and protein mostly at lunch within a hypocaloric balanced diet had similar effect on body composition and biochemical markers, but higher effect on DIT compared with control diet. Moreover, eating carbohydrates mostly at lunch and protein mostly at dinner had a deleterious impact on glucose homeostasis.
评估两种饮食模式对超重/肥胖男性体重和成分、能量代谢和生化标志物的影响,这两种模式中碳水化合物和蛋白质主要在午餐或晚餐时摄入。
58 名男性(30.0±7.4 岁;30.8±2.4kg/m²)接受了为期 8 周的隐蔽低热量平衡饮食(日常能量需求减少 10%)。受试者被随机分配到三组:对照组(CT);昼间碳水化合物/夜间蛋白质(DCNP);夜间碳水化合物/日间蛋白质(NCDP)。主要分析结果是体重减轻、身体成分、饮食诱导的产热(DIT)和血糖/脂质谱。
所有组的体重、BMI 和体脂量(kg 和%)均显著下降,但组间无差异。有趣的是,组内分析显示,NCDP 和 CT 组在 8 周干预后,除 DCNP 组外,FFM(kg)显著下降。仅在 DCNP 组中观察到空腹血糖、胰岛素和稳态模型评估的胰岛素抵抗(HOMAIR)的有害增加,而 NCDP 和 CT 组则未出现显著降低。此外,DCNP 组与其他两组之间空腹胰岛素和 HOMAIR 存在显著差异。调整后,NCDP 组午餐后 DIT 和能量消耗明显高于 DCNP 组,但晚餐后各组间无差异。
在低热量平衡饮食中,晚餐时摄入碳水化合物,午餐时摄入蛋白质,对身体成分和生化标志物的影响相似,但与对照组相比,对 DIT 的影响更大。此外,午餐时摄入碳水化合物,晚餐时摄入蛋白质对血糖稳态有不良影响。