Beef in an Optimal Lean Diet study: effects on lipids, lipoproteins, and apolipoproteins

Roussell, Michael A.; Hill, Alison; Gaugler, Trent; West, Sheila K.; Heuvel, John; Gillies, Peter J.; Kris‐Etherton, Penny M.

doi:10.4016/37777.01

Cited by 20 publications

(29 citation statements)

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“…Replacing carbohydrate with protein reduced total, LDL, and HDL cholesterol and triglycerides (10). The Beef in an Optimal Lean Diet Study found that the inclusion of lean beef in a low-saturated-fat DASH-like diet resulted in comparable effects on lipid and lipoprotein measures compared with a standard DASH diet (29). Sayer et al (30) recently showed that a DASH-style diet containing either lean pork or chicken and fish similarly reduced BP.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: a randomized controlled trial

Chiu¹,

Bergeron

Williams³

et al. 2016

The American Journal of Clinical Nutrition

268

124

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Background: The DASH (Dietary Approaches to Stop Hypertension) dietary pattern, which is high in fruit, vegetables, and low-fat dairy foods, significantly lowers blood pressure as well as low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol. Objective: The study was designed to test the effects of substituting full-fat for low-fat dairy foods in the DASH diet, with a corresponding increase in fat and a reduction in sugar intake, on blood pressure and plasma lipids and lipoproteins. Design: This was a 3-period randomized crossover trial in freeliving healthy individuals who consumed in random order a control diet, a standard DASH diet, and a higher-fat, lower-carbohydrate modification of the DASH diet (HF-DASH diet) for 3 wk each, separated by 2-wk washout periods. Laboratory measurements, which included lipoprotein particle concentrations determined by ion mobility, were made at the end of each experimental diet. Results: Thirty-six participants completed all 3 dietary periods. Blood pressure was reduced similarly with the DASH and HF-DASH diets compared with the control diet. The HF-DASH diet significantly reduced triglycerides and large and medium very-lowdensity lipoprotein (VLDL) particle concentrations and increased LDL peak particle diameter compared with the DASH diet. The DASH diet, but not the HF-DASH diet, significantly reduced LDL cholesterol, HDL cholesterol, apolipoprotein A-I, intermediatedensity lipoprotein and large LDL particles, and LDL peak diameter compared with the control diet. Conclusions: The HF-DASH diet lowered blood pressure to the same extent as the DASH diet but also reduced plasma triglyceride and VLDL concentrations without significantly increasing LDL cholesterol. This trial was registered at clinicaltrials.gov as NCT01404897. Am J Clin Nutr 2016;103:341-7.

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Section: Discussionmentioning

confidence: 99%

Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: a randomized controlled trial

Chiu¹,

Bergeron

Williams³

et al. 2016

The American Journal of Clinical Nutrition

268

124

View full text Add to dashboard Cite

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“…The use of these cuts of red meat would be consistent with the current recommendation from the American Heart Association to limit saturated fat intake to,7% of daily energy intake (3,7). Indeed, the inclusion of lean beef into a DASH-style diet produced reductions in BP in adults with BPs in the clinically normal (12) and prehypertensive (13) ranges as well as decreases in total cholesterol and LDL cholesterol (14). However, the effects of including lean cuts of pork in a DASHstyle diet require investigation.…”

Section: Introductionmentioning

confidence: 98%

Dietary Approaches to Stop Hypertension diet retains effectiveness to reduce blood pressure when lean pork is substituted for chicken and fish as the predominant source of protein

Sayer¹,

Wright²,

Chen

et al. 2015

The American Journal of Clinical Nutrition

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“…Recent studies (below), though, show the efficacy of targeting specific foods with a cumulative series of accomplishable smaller changes with DASH-compatible goals. In addition, nutritional, for example, higher protein goals are achievable within DASH principally by adding more servings of lower fat dairy, associated with reduced risk of T2D [37], e.g., adding 'Greek yogurt' (16-20 g of protein per 100 kcal nonfat serving), or even adding lean beef [30]. Both of these additions are nutrient-rich protein sources, contributing to high-quality protein distributed during the day.…”

Section: Policymentioning

confidence: 99%

“…DASH is low in saturated fat and emphasizes consumption of fruits, vegetables, low-fat dairy products, whole-grain products, fish, poultry, smaller portions of lean meats and nuts, with minimal sweets, added sugars, and sugarsweetened beverages. In addition, DASH can be the focus of treatment because recent evidence shows (1) the ready adaptability and enhanced metabolic and CVD risk benefits with DASH plus additional protein [30], (2) modest weight loss through exercise and DASH with reduced energy intake improves insulin sensitivity [31], (3) the association of refined carbohydrates, sugared beverages, and processed foods (i.e., high glycemic load)-and not all higher fat foods-with weight gain, while many foods featured in DASH (e.g., fruits and vegetables, whole grains, nuts) are associated with weight stabilization or loss [32,33], and (4) traditional reduced calorie, lower fat, and higher carbohydrate weight loss diets can result in reduced resting energy expenditure (REE) and total energy expenditure ( TEE), setting the stage for weight regain [7,11]. Studies indicate that the amount of initial weight loss often is not affected by the macronutrient content of the dietary plan, but a higher protein diet may limit weight regain [7,8,11,34,35].…”

Section: Policymentioning

confidence: 99%

Developing a new treatment paradigm for disease prevention and healthy aging

Winett

Davy

Marinik

et al. 2013

Behav. Med. Pract. Policy Res.

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An increasingly prevalent pattern of risk factors has emerged in middle-aged and older adults that includes the presence of type 2 diabetes or prediabetes, overweight or obese weight status with central obesity and very high body fat, low cardiorespiratory fitness (CRF), low strength, and a low lean-body-mass-to-body-fat ratio. Traditionally, these problems have been approached with a low-fat and low-calorie diet and with lower to moderate intensity activity such as walking. While the treatment has some clear benefits, this approach may no longer be optimal because it does not reflect more recent findings from nutrition and exercise sciences. Specifically, these fields have gained a greater understanding of the metabolic and functional importance of focusing on reducing body fat and central obesity while maintaining or even increasing lean body mass, a quality weight loss, and how to efficiently and effectively increase CRF and strength. Evidence is presented for shifting the treatment paradigm for disease prevention and healthy aging to include the DASH nutrition pattern but with additional protein, higher intensity, brief aerobic training, effortbased, brief resistance training, and structured physical activity. Recent interventions based on social cognitive theory for initiating and then maintaining health behavior changes show the feasibility and efficacy of the approach we are advocating especially within a multiple health behavior change format and the potential for translating the new treatment paradigm into practice. KEYWORDSDiabetes, Quality weight loss, Treatment paradigm, Multiple health behaviors IMPORTANCE OF THE PROBLEM, USUAL TREATMENT, CHANGING THE TREATMENT PARADIGM A pressing public health problem is the high prevalence of engagement in multiple, poor health behaviors, creating patterns of high risk for morbidity and mortality and contributing to considerable individual and societal financial burden [1,2]. One pattern that is becoming increasingly prevalent is the combination of prediabetes, overweight or obese weight status, central obesity (increased visceral adipose tissue), and low cardiorespiratory fitness (CRF) with gradual loss of lean body mass and strength [3], which further increases the risks for type 2 diabetes (T2D), cardiovascular diseases, and some cancers, disabilities, and premature death [4]. The prevalence of T2D, based on fasting glucose or hemoglobin A1c levels in adults, aged 45-64 years old, is~14 %, and the prevalence of prediabetes for adults >20 years old is~35 % [5]. For adults over 65 years old, the prevalence of T2D is 27 % and the prevalence of prediabetes is~50 % [5]. Overweight, not just obesity weight status, is often comorbid for central obesity (waist circumference (WC) ≥102 cm for men and ≥88 cm for women) [3], which is associated with increased risk of T2D, especially for women [6]. Overweight individuals with large WC's, though at high risk, are often not identified for interventions [6,7]. The normal agerelated loss of lean body mass beginning in m...

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Beef in an Optimal Lean Diet study: effects on lipids, lipoproteins, and apolipoproteins

Cited by 20 publications

References 0 publications

Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: a randomized controlled trial

Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: a randomized controlled trial

Dietary Approaches to Stop Hypertension diet retains effectiveness to reduce blood pressure when lean pork is substituted for chicken and fish as the predominant source of protein

Developing a new treatment paradigm for disease prevention and healthy aging

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