Insulin resistance is the best prediction factor for the clinical onset of type 2 diabetes. It was suggested that intramuscular triglyceride store may be a primary pathogenic factor for its development. To test this hypothesis, 14 young lean offspring of type 2 diabetic parents, a model of in vivo insulin resistance with increased risk to develop diabetes, and 14 healthy subjects matched for anthropomorphic parameters and life habits were studied with 1) euglycemic-hyperinsulinemic clamp to assess whole body insulin sensitivity, 2) localized 1H nuclear magnetic resonance (NMR) spectroscopy of the soleus (higher content of fiber type I, insulin sensitive) and tibialis anterior (higher content of fiber type IIb, less insulin sensitive) muscles to assess intramyocellular triglyceride content, 3) 13C NMR of the calf subcutaneous adipose tissue to assess composition in saturated/unsaturated carbons of triglyceride fatty acid chains, and 4) dual X-ray energy absorption to assess body composition. Offspring of diabetic parents, notwithstanding normal fat content and distribution, were characterized by insulin resistance and increased intramyocellular triglyceride content in the soleus (P < 0.01) but not in the tibialis anterior (P = 0.19), but showed a normal content of saturated/unsaturated carbons in the fatty acid chain of subcutaneous adipocytes. Stepwise regression analysis selected intramyocellular triglyceride soleus content and plasma free fatty acid levels as the main predictors of whole body insulin sensitivity. In conclusion, 1H and 13C NMR spectroscopy revealed intramyocellular abnormalities of lipid metabolism associated with whole body insulin resistance in subjects at high risk of developing diabetes, and might be useful tools for noninvasively monitoring these alterations in diabetes and prediabetic states.

The total antioxidant activity (TAA) of 13 typical Italian wines was determined (average 12.3 and 1.6 mM Trolox equivalents for red and white wines, respectively), and the resulting values were correlated with total phenols (1365−3326 and 96−146 mg/L for red and white wines, respectively), flavanols (203−805 and 11−49 mg/L, for red and white wines, respectively), and flavonols. Only the red wines contained appreciable amounts of flavonols (average 15.3 mg/L), with quercetin and rutin being the most abundant, followed by myricetin, kaempferol, and isorhamnetin accounting for only 0.7−3% of TAA. The TAA of investigated wines are well correlated with phenol (r = 0.9902) and flavanol (r = 0.9270) content. These results confirm that red wine polyphenols are in vitro significant antioxidants and may explain the beneficial effects of a moderate daily intake of red wines, probably through a sparing action of highly bioavailable vitamins C, E, and β-carotene. Keywords: Wine; antioxidant; phenols; flavanols; flavonols

The reduction in serum lipid risk factors for cardiovascular disease supports the FDA's approval of a health claim for a dietary fiber intake of 4 servings/d. Although relatively small in terms of patient treatment, the reduction in cardiovascular disease risk is likely to be significant on a population basis.