Short-term benefits of an unrestricted-calorie traditional Mediterranean diet, modified with a reduced consumption of carbohydrates at evening, in overweight-obese patients

Roberto Salvia, Simona D’Amore, Giusi Graziano, Caterina Capobianco, Moris Sangineto, Domenico Paparella, Paola de Bonfils, Giuseppe Palasciano, Michele Vacca

Research output: Contribution to journalArticlepeer-review

Abstract

The Mediterranean diet (MeD) is believed to promote health; nevertheless, changes in the nutritional patterns in the Mediterranean area (increased intake of refined carbohydrates/saturated fats; reduced fibers intake; main calorie load shifted to dinner) led to reduced MeD benefits in recent decades. We retrospectively investigated the effects of a MeD with a low intake of refined carbohydrates in the evening (“MeDLowC”) on body weight (BW) and metabolic profile of overweight/obese subjects. According to their adherence to MeDLowC, subjects were classified into 44 (41%) individuals with “excellent” adherence and 63 (59%) with “poor” adherence. Nutritional counseling induced an improvement in BW, glucose metabolism and liver transaminases in both groups, with an increased magnitude of these effects in the “Excellent” adherence group. “Excellent” adherence to MeDLowC improved insulin sensitivity and lipid metabolism. In conclusion, MeD with a restriction of carbohydrates in the evening significantly ameliorates obesity and associated metabolic complications.

Original languageEnglish
Pages (from-to)1-15
Number of pages15
JournalInternational Journal of Food Sciences and Nutrition
DOIs
Publication statusAccepted/In press - Sep 12 2016

Keywords

  • carbohydrates
  • dyslipidemia
  • insulin resistance
  • Mediterranean diet
  • metabolic syndrome
  • weight loss

ASJC Scopus subject areas

  • Food Science

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