|Title||Dairy proteins, dairy lipids, and postprandial lipemia in persons with abdominal obesity (DairyHealth) : A 12-wk, randomized, parallel-controlled, double-blinded, diet intervention study|
|Author(s)||Bohl, Mette; Bjørnshave, Ann; Rasmussen, Kia V.; Schioldan, Anne Grethe; Amer, Bashar; Larsen, Mette K.; Dalsgaard, Trine K.; Holst, Jens J.; Herrmann, Annkatrin; O'Neill, Sadhbh; O'Driscoll, Lorraine; Afman, Lydia; Jensen, Erik; Christensen, Merete M.; Gregersen, Søren; Hermansen, Kjeld|
|Source||American Journal of Clinical Nutrition 101 (2015)4. - ISSN 0002-9165 - p. 870 - 878.|
Chair Nutrition Metabolism and Genomics
|Publication type||Refereed Article in a scientific journal|
|Keyword(s)||Abdominal obesity - Adipose tissue gene expression - ApoB-48 - Casein - Dairy - Incretin - Mediumchain saturated fatty acid - Milk fat - Milk protein - Postprandial lipemia - Whey|
Background: Abdominal obesity and exaggerated postprandial lipemia are independent risk factors for cardiovascular disease (CVD) and mortality, and both are affected by dietary behavior. Objective: We investigated whether dietary supplementation with whey protein and medium-chain saturated fatty acids (MC-SFAs) improved postprandial lipid metabolism in humans with abdominal obesity. Design: We conducted a 12-wk, randomized, double-blinded, diet intervention study. Sixty-three adults were randomly allocated to one of 4 diets in a 2 3 2 factorial design. Participants consumed 60 g milk protein (whey or casein) and 63 g milk fat (with high or low MCSFA content) daily. Before and after the intervention, a high-fat meal test was performed. We measured changes from baseline in fasting and postprandial triacylglycerol, apolipoprotein B-48 (apoB-48; reflecting chylomicrons of intestinal origin), free fatty acids (FFAs), insulin, glucose, glucagon, glucagon-like peptide 1 (GLP-1), and gastric inhibitory polypeptide (GIP). Furthermore, changes in the expression of adipose tissue genes involved in lipid metabolism were investigated. Two-factor ANOVA was used to examine the difference between protein types and fatty acid compositions, as well as any interaction between the two. Results: Fifty-two participants completed the study. We found that the postprandial apoB-48 response decreased significantly after whey compared with casein (P = 0.025) independently of fatty acid composition. Furthermore, supplementation with casein resulted in a significant increase in the postprandial GLP-1 response compared with whey (P = 0.003). We found no difference in postprandial triacylglycerol, FFA, insulin, glucose, glucagon, or GIP related to protein type or MC-SFA content. We observed no interaction between milk protein and milk fat on postprandial lipemia. Conclusion: We found that a whey protein supplement decreased the postprandial chylomicron response compared with casein in persons with abdominal obesity, thereby indicating a beneficial impact on CVD risk.