Food Security Research Center and Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.
Nutr Res Pract. 2013 Oct;7(5):385-92. doi: 10.4162/nrp.2013.7.5.385. Epub 2013 Oct 1.
Although several studies have assessed the influence of the glycemic index on body weight and blood pressure among adults, limited evidence exists for the pediatric age population. In the current study, we compared the effects of low glycemic index (LGI) diet to the healthy nutritional recommendation (HNR)-based diet on obesity and blood pressure among adolescent girls in pubertal ages. This 10-week parallel randomized clinical trial comprised of 50 overweight or obese and sexually mature girls less than 18 years of age years, who were randomly assigned to LGI or HNR-based diet. Macronutrient distribution was equivalently prescribed in both groups. Blood pressure, weight and waist circumference were measured at baseline and after intervention. Of the 50 participants, 41 subjects (include 82%) completed the study. The GI of the diet in the LGI group was 42.67 ± 0.067. A within-group analysis illustrated that in comparison to the baseline values, the body weight and body mass index (not waist circumference and blood pressure) decreased significantly after the intervention in both groups (P = 0.0001). The percent changes of the body weight status, waist circumference and blood pressure were compared between the two groups and the findings did not show any difference between the LGI diet consumers and those in the HNR group. In comparison to the HNR, LGI diet could not change the weight and blood pressure following a 10-week intervention. Further longitudinal studies with a long-term follow up should be conducted in this regard.
尽管有几项研究评估了血糖指数对成年人体重和血压的影响,但针对儿科人群的证据有限。在目前的研究中,我们比较了低血糖指数(LGI)饮食与基于健康营养推荐(HNR)的饮食对青春期肥胖和血压的影响。这是一项为期 10 周的平行随机临床试验,包括 50 名超重或肥胖且性成熟的女孩,年龄小于 18 岁,她们被随机分配到 LGI 或 HNR 饮食组。两组的宏量营养素分布相同。在基线和干预后测量血压、体重和腰围。在 50 名参与者中,有 41 名(占 82%)完成了研究。LGI 组的饮食 GI 为 42.67 ± 0.067。组内分析表明,与基线值相比,两组在干预后体重和体重指数(而非腰围和血压)均显著下降(P = 0.0001)。比较两组之间的体重状况、腰围和血压的百分比变化,发现 LGI 饮食组消费者与 HNR 组之间没有差异。与 HNR 相比,LGI 饮食在 10 周干预后不能改变体重和血压。在这方面应进行进一步的长期随访的纵向研究。