Big breakfast rich in protein and fat improves glycemic control in type 2 diabetics. (6th December 2013)

• Record Type: Journal Article
• Authors: Rabinovitz, Hadas Rachel; Boaz, Mona; Ganz, Tali; Jakubowicz, Daniela; Matas, Zipora; Madar, Zecharia; Wainstein, Julio
• Is Part Of: Obesity. Volume 22:Number 5(2014:May)
• Page Start: E46
• Page End: E54
• Publication Date: 2013-12-06
• Subjects: Obesity -- Periodicals; 616.398005
• DOI: 10.1002/oby.20654
• Languages: English
• ISSNs: 1930-7381

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="oby20654-sec-0001" sec-type="section"> <title>Objective</title> <p>Our goal was to evaluate the effect of breakfast size and composition on body weight, glycemic control, and metabolic markers in adults with type 2 diabetes mellitus (T2DM).</p> </sec> <sec id="oby20654-sec-0002" sec-type="section"> <title>Methods</title> <p>59 overweight/obese adults with T2DM were randomized to one of two isocaloric diabetic diets for 3 months; big breakfast (BB), breakfast was rich in fat and protein and provided 33% of total daily energy or small breakfast (SB), breakfast was rich in carbohydrates and provided 12.5% of total daily energy.</p> </sec> <sec id="oby20654-sec-0003" sec-type="section"> <title>Results</title> <p>Although body weight was reduced similarly in both groups, the BB group showed greater HbA1c and systolic blood pressure reductions (HbA1c: −4.62% vs. −1.46%, <italic>p</italic> = 0.047; SBP −9.58 vs. −2.43 mmHg; <italic>p</italic> = 0.04). T2DM medication dose was reduced in a greater proportion of the BB participants (31% vs. 0%; <italic>p</italic> = 0.002) while in the SB, a greater proportion of participants had a dose increases (16.7% vs. 3.4%; <italic>p</italic> = 0.002). Hunger scores were lower in the BB group and greater improvements in fasting glucose were observed in the BB group.</p> </sec> <sec id="oby20654-sec-0004" sec-type="section"> <title>Conclusions</title> <p>A simple dietary manipulation enriching breakfast with energy as protein and fat appears to confer metabolic benefits and might be a useful alternative for the management of T2DM.</p> </sec> </abstract>