OBJECTIVE -The purpose of this article was to compare the effects of cod protein to those of other animal proteins on insulin sensitivity in insulin-resistant human subjects.RESEARCH DESIGN AND METHODS -Insulin sensitivity (M/I) was assessed using a hyperinsulinemic-euglycemic clamp in 19 insulin-resistant subjects fed a cod protein diet and a similar diet containing lean beef, pork, veal, eggs, milk, and milk products (BPVEM) for 4 weeks in a crossover design study. Both diets were formulated to differ only in protein source, thus providing equivalent amounts of dietary fibers and monounsaturated, polyunsaturated (including n-3), and saturated fatty acids (1.1:1.8:1.0). -Cell function, estimated by oral glucose tolerance test-derived parameters, was also assessed.RESULTS -There was a significant improvement in insulin sensitivity (P ϭ 0.027) and a strong tendency for a better disposition index (-cell function ϫ M/I) (P ϭ 0.055) in subjects consuming the cod protein diet compared with those consuming the BPVEM diet. When median baseline M/I (4.8 ϫ 10 Ϫ3 mg ⅐ kg Ϫ1 ⅐ min Ϫ1 ⅐ pmol Ϫ1 ) was taken into account, an interaction on the 30-min C-peptide-to-30-min glucose ratio, used as an index of -cell function, was observed between diet and M/I status (P ϭ 0.022). Indeed, this ratio strongly tended to increase in subjects with low M/I consuming the cod protein diet compared with those consuming the BPVEM diet (P ϭ 0.065).CONCLUSIONS -Dietary cod protein improves insulin sensitivity in insulin-resistant individuals and thus could contribute to prevention of type 2 diabetes by reducing the metabolic complications related to insulin resistance.
Diabetes Care 30:2816-2821, 2007I nsulin resistance contributes to the pathophysiology of type 2 diabetes (1). Studies to reduce insulin resistance using insulin-sensitizing agents, such as thiazolidinediones, suggest that such therapies may delay or prevent progression from insulin resistance to type 2 diabetes (2,3) and preserve -cell function (4). Among other therapeutic approaches, dietary interventions are also being studied.An increasing number of studies have been performed to investigate the metabolic effects of dietary proteins on insulin and glucose homeostasis. According to von Post-Skagegard et al. (5), a cod protein meal, compared with a milk protein meal, lowered insulin levels and reduced insulin-to-C-peptide and insulin-toglucose ratios in healthy women. In a previous study, both cod and soy proteins reduced fasting and postprandial glucose and insulin responses and increased peripheral insulin sensitivity compared with casein in rats fed a high-sucrose diet (6). Furthermore, dietary cod protein, compared with soy protein and casein, prevented the development of skeletal muscle insulin resistance (7) by normalizing insulin activation of the phosphatidylinositol 3-kinase/Akt-protein kinase B pathway and by improving GLUT4 translocation in skeletal muscle of high-fat-fed obese rats (8). Studies in humans also showed that including lean fish, whose major componen...