Evidence map›Paper›PMID 25005676›Full record

Trial reportEuropean journal of clinical nutrition2014

Carbohydrate intake and glycemic index affect substrate oxidation during a controlled weight cycle in healthy men.

J Kahlhöfer, M Lagerpusch, J Enderle, B Eggeling, W Braun, D Pape, M J Müller, A Bosy-Westphal

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Pathways and mechanisms linking dietary components to cardiometabolic disease: thinking beyond calories.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2018
    Review
  9. Article
  10. Review
  11. Article
  12. Impact of dietary glycemic challenge on fuel partitioning.European journal of clinical nutrition · 2017
    Review
  13. A review of the carbohydrate-insulin model of obesity.European journal of clinical nutrition · 2017
    Review
  14. Metabolic characterization of overweight and obese adults.The Physician and sportsmedicine · 2016
    Article
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

J KahlhöferInstitute of Nutritional Medicine, University Hohenheim, Stuttgart, Germany.
M LagerpuschInstitute of Human Nutrition and Food Science, Christian-Albrechts-University of Kiel, Kiel, Germany.
J EnderleInstitute of Human Nutrition and Food Science, Christian-Albrechts-University of Kiel, Kiel, Germany.
B EggelingInstitute of Human Nutrition and Food Science, Christian-Albrechts-University of Kiel, Kiel, Germany.
W BraunInstitute of Human Nutrition and Food Science, Christian-Albrechts-University of Kiel, Kiel, Germany.
D PapeInsuLean GmbH & Co. KG, Essen, Germany.
M J MüllerInstitute of Human Nutrition and Food Science, Christian-Albrechts-University of Kiel, Kiel, Germany.
A Bosy-Westphal1] Institute of Nutritional Medicine, University Hohenheim, Stuttgart, Germany [2] Institute of Human Nutrition and Food Science, Christian-Albrechts-University of Kiel, Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesBecause both, glycemic index (GI) and carbohydrate content of the diet increase insulin levels and could thus impair fat oxidation, we hypothesized that refeeding a low GI, moderate-carbohydrate diet facilitates weight maintenance. SUBJECTS/

methodsHealthy men (n=32, age 26.0±3.9 years; BMI 23.4±2.0 kg/m(2)) followed 1 week of controlled overfeeding, 3 weeks of caloric restriction and 2 weeks of hypercaloric refeeding (+50, -50 and +50% energy requirement) with low vs high GI (41 vs 74) and moderate vs high CHO intake (50% vs 65% energy). We measured adaptation of fasting macronutrient oxidation and the capacity to supress fat oxidation during an oral glucose tolerance test. Changes in fat mass were measured by quantitative magnetic resonance.

resultsDuring overfeeding, participants gained 1.9±1.2 kg body weight, followed by a weight loss of -6.3±0.6 kg and weight regain of 2.8±1.0 kg. Subjects with 65% CHO gained more body weight compared with 50% CHO diet (P<0.05) particularly with HGI meals (P<0.01). Refeeding a high-GI diet led to an impaired basal fat oxidation when compared with a low-GI diet (P<0.02), especially at 65% CHO intake. Postprandial metabolic flexibility was unaffected by refeeding at 50% CHO but clearly impaired by 65% CHO diet (P<0.05). Impairment in fasting fat oxidation was associated with regain in fat mass (r=0.43, P<0.05) and body weight (r=0.35; P=0.051).

conclusionsBoth higher GI and higher carbohydrate content affect substrate oxidation and thus the regain in body weight in healthy men. These results argue in favor of a lower glycemic load diet for weight maintenance after weight loss.

Indexed as

Body WeightDietGlycemic IndexAdipose TissueAdultBlood GlucoseBody Mass IndexCaloric RestrictionDietary CarbohydratesDietary FatsEnergy IntakeGlucose Tolerance TestHumansMaleOxidation-ReductionPostprandial PeriodBlood GlucoseDietary CarbohydratesDietary Fats

Identifiers

PMID25005676

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.