Infancy-Onset Dietary Counseling of Low-Saturated-Fat Diet Improves Insulin Sensitivity in Healthy Adolescents 15―20 Years of Age: The Special Turku Coronary Risk Factor Intervention Project (STRIP) study
We reported previously that low-saturated-fat dietary counseling started in infancy improves insulin sensitivity in healthy children 9 years of age. The aim of this study was to evaluate the effect of lifelong dietary counseling on insulin sensitivity in healthy adolescents between 15 and 20 years o...
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| Veröffentlicht in: | Diabetes care 2013-10, Vol.36 (10), p.2952-2959 |
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| creator | ORANTA, Olli PAHKALA, Katja RAITAKARI, Olli T RUOTTINEN, Soile NIINIKOSKI, Harri LAGSTRÖM, Hanna VIIKARI, Jorma S. A JULA, Antti LOO, Britt-Marie SIMELL, Olli RÖNNEMAA, Tapani |
| description | We reported previously that low-saturated-fat dietary counseling started in infancy improves insulin sensitivity in healthy children 9 years of age. The aim of this study was to evaluate the effect of lifelong dietary counseling on insulin sensitivity in healthy adolescents between 15 and 20 years of age. In addition, we examined dietary fiber intake and the polyunsaturated fatty acid (PUFA)+monounsaturated (MUFA)-to-saturated fatty acid (SFA) ratio in the intervention and control adolescents and the association of these dietary factors with homeostasis model of insulin resistance (HOMA-IR).
The study comprised adolescents participating in the randomized, controlled Special Turku Coronary Risk Factor Intervention Project (STRIP) study, which aims to guide the study participants toward a diet beneficial for cardiovascular health. HOMA-IR was assessed annually between 15 and 20 years of age (n=518; intervention, n=245; control, n=273), along with diet, BMI, pubertal status, serum cotinine concentrations, and physical activity. Dietary counseling was given biannually during the follow-up.
HOMA-IR was lower (7.5% on average) in the intervention group than in the control group between 15 and 20 years of age (P=0.0051). The intervention effect was similar in girls and boys. The PUFA+MUFA-to-SFA ratio was higher (P |
| doi_str_mv | 10.2337/dc13-0361 |
| format | Article |
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The study comprised adolescents participating in the randomized, controlled Special Turku Coronary Risk Factor Intervention Project (STRIP) study, which aims to guide the study participants toward a diet beneficial for cardiovascular health. HOMA-IR was assessed annually between 15 and 20 years of age (n=518; intervention, n=245; control, n=273), along with diet, BMI, pubertal status, serum cotinine concentrations, and physical activity. Dietary counseling was given biannually during the follow-up.
HOMA-IR was lower (7.5% on average) in the intervention group than in the control group between 15 and 20 years of age (P=0.0051). The intervention effect was similar in girls and boys. The PUFA+MUFA-to-SFA ratio was higher (P<0.0001) and the dietary fiber (g/MJ) intake was higher (P=0.0058) in the intervention group compared with the control group. There was no association between the PUFA+MUFA-to-/SFA ratio and HOMA-IR, whereas dietary fiber intake (g/MJ) was associated with HOMA-IR in girls (P<0.0001).
Dietary counseling initiated in infancy and maintained until 20 years of age was associated with improved insulin sensitivity in adolescents.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/dc13-0361</identifier><identifier>PMID: 23801725</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Blood Glucose ; Childrens health ; Cholesterol ; Counseling ; Counseling - methods ; Diabetes therapy ; Diabetes. Impaired glucose tolerance ; Diet ; Diet, Fat-Restricted ; Dietary Fats ; Diseases of the cardiovascular system ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Fatty acids ; Female ; Health behavior ; Humans ; Insulin ; Insulin resistance ; Insulin Resistance - physiology ; Intervention ; Male ; Medical research ; Medical sciences ; Medicine, Experimental ; Metabolic diseases ; Original Research ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Risk factors ; Teenagers ; Young Adult ; Youth</subject><ispartof>Diabetes care, 2013-10, Vol.36 (10), p.2952-2959</ispartof><rights>2014 INIST-CNRS</rights><rights>COPYRIGHT 2013 American Diabetes Association</rights><rights>Copyright American Diabetes Association Oct 2013</rights><rights>2013 by the American Diabetes Association. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27789085$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23801725$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ORANTA, Olli</creatorcontrib><creatorcontrib>PAHKALA, Katja</creatorcontrib><creatorcontrib>RAITAKARI, Olli T</creatorcontrib><creatorcontrib>RUOTTINEN, Soile</creatorcontrib><creatorcontrib>NIINIKOSKI, Harri</creatorcontrib><creatorcontrib>LAGSTRÖM, Hanna</creatorcontrib><creatorcontrib>VIIKARI, Jorma S. A</creatorcontrib><creatorcontrib>JULA, Antti</creatorcontrib><creatorcontrib>LOO, Britt-Marie</creatorcontrib><creatorcontrib>SIMELL, Olli</creatorcontrib><creatorcontrib>RÖNNEMAA, Tapani</creatorcontrib><title>Infancy-Onset Dietary Counseling of Low-Saturated-Fat Diet Improves Insulin Sensitivity in Healthy Adolescents 15―20 Years of Age: The Special Turku Coronary Risk Factor Intervention Project (STRIP) study</title><title>Diabetes care</title><addtitle>Diabetes Care</addtitle><description>We reported previously that low-saturated-fat dietary counseling started in infancy improves insulin sensitivity in healthy children 9 years of age. The aim of this study was to evaluate the effect of lifelong dietary counseling on insulin sensitivity in healthy adolescents between 15 and 20 years of age. In addition, we examined dietary fiber intake and the polyunsaturated fatty acid (PUFA)+monounsaturated (MUFA)-to-saturated fatty acid (SFA) ratio in the intervention and control adolescents and the association of these dietary factors with homeostasis model of insulin resistance (HOMA-IR).
The study comprised adolescents participating in the randomized, controlled Special Turku Coronary Risk Factor Intervention Project (STRIP) study, which aims to guide the study participants toward a diet beneficial for cardiovascular health. HOMA-IR was assessed annually between 15 and 20 years of age (n=518; intervention, n=245; control, n=273), along with diet, BMI, pubertal status, serum cotinine concentrations, and physical activity. Dietary counseling was given biannually during the follow-up.
HOMA-IR was lower (7.5% on average) in the intervention group than in the control group between 15 and 20 years of age (P=0.0051). The intervention effect was similar in girls and boys. The PUFA+MUFA-to-SFA ratio was higher (P<0.0001) and the dietary fiber (g/MJ) intake was higher (P=0.0058) in the intervention group compared with the control group. There was no association between the PUFA+MUFA-to-/SFA ratio and HOMA-IR, whereas dietary fiber intake (g/MJ) was associated with HOMA-IR in girls (P<0.0001).
Dietary counseling initiated in infancy and maintained until 20 years of age was associated with improved insulin sensitivity in adolescents.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose</subject><subject>Childrens health</subject><subject>Cholesterol</subject><subject>Counseling</subject><subject>Counseling - methods</subject><subject>Diabetes therapy</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diet</subject><subject>Diet, Fat-Restricted</subject><subject>Dietary Fats</subject><subject>Diseases of the cardiovascular system</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Fatty acids</subject><subject>Female</subject><subject>Health behavior</subject><subject>Humans</subject><subject>Insulin</subject><subject>Insulin resistance</subject><subject>Insulin Resistance - physiology</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Medicine, Experimental</subject><subject>Metabolic diseases</subject><subject>Original Research</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Risk factors</subject><subject>Teenagers</subject><subject>Young Adult</subject><subject>Youth</subject><issn>0149-5992</issn><issn>1935-5548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk9uEzEYxUcIREtgwQWQJYRUFlP8dzzuAikKhEaK1KrJhtXI8XgmTid2sD1B2XEJrsUhOAmOGihFWSAvLNs_P7_v-cuylwieY0L4u1ohkkNSoEfZKRKE5YzR8nF2ChEVORMCn2TPQlhBCCkty6fZCSYlRByz0-zHxDbSql1-ZYOO4IPRUfodGLk-rTtjW-AaMHVf85mMvZdR1_lY3nFgst54t9UBTGzoEwtm2gYTzdbEHUjLSy27uNyBYe06HZS2MQDEfn77jiH4rKUPe-1hqy_AfKnBbKOVkR2Y9_62Twa8s3snNybcgrFU0fn0TtR-m3SMs-Dau5VWEZzN5jeT67cgxL7ePc-eNLIL-sVhHmTz8cf56DKfXn2ajIbTvKUFjnlNS7QoCaOoaeqSECprDJmUmNSFEJCIAhUM10oxjKHguig445AryrGCckEG2fs72U2_WOt6X5qXXbXxZp08V06a6uGJNcuqdduK8BKx9GeD7Owg4N2XXodYrU1KqOuk1a4PFaJFAQXlJfwPlHCEBGIsoa__QVeu9zYFsacEIiXmxT3Vyk5XxjYuWVR70WpIKGcYpkASlR-hWm11qsdZ3Zi0_YA_P8KnUeu1UUcvvPo7wz_h_e7NBLw5ADIo2TU-9akJ9xznpYAlI78AJk_xpw</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>ORANTA, Olli</creator><creator>PAHKALA, Katja</creator><creator>RAITAKARI, Olli T</creator><creator>RUOTTINEN, Soile</creator><creator>NIINIKOSKI, Harri</creator><creator>LAGSTRÖM, Hanna</creator><creator>VIIKARI, Jorma S. A</creator><creator>JULA, Antti</creator><creator>LOO, Britt-Marie</creator><creator>SIMELL, Olli</creator><creator>RÖNNEMAA, Tapani</creator><general>American Diabetes Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>5PM</scope></search><sort><creationdate>20131001</creationdate><title>Infancy-Onset Dietary Counseling of Low-Saturated-Fat Diet Improves Insulin Sensitivity in Healthy Adolescents 15―20 Years of Age: The Special Turku Coronary Risk Factor Intervention Project (STRIP) study</title><author>ORANTA, Olli ; PAHKALA, Katja ; RAITAKARI, Olli T ; RUOTTINEN, Soile ; NIINIKOSKI, Harri ; LAGSTRÖM, Hanna ; VIIKARI, Jorma S. 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Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Fatty acids</topic><topic>Female</topic><topic>Health behavior</topic><topic>Humans</topic><topic>Insulin</topic><topic>Insulin resistance</topic><topic>Insulin Resistance - physiology</topic><topic>Intervention</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Medicine, Experimental</topic><topic>Metabolic diseases</topic><topic>Original Research</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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A</au><au>JULA, Antti</au><au>LOO, Britt-Marie</au><au>SIMELL, Olli</au><au>RÖNNEMAA, Tapani</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infancy-Onset Dietary Counseling of Low-Saturated-Fat Diet Improves Insulin Sensitivity in Healthy Adolescents 15―20 Years of Age: The Special Turku Coronary Risk Factor Intervention Project (STRIP) study</atitle><jtitle>Diabetes care</jtitle><addtitle>Diabetes Care</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>36</volume><issue>10</issue><spage>2952</spage><epage>2959</epage><pages>2952-2959</pages><issn>0149-5992</issn><eissn>1935-5548</eissn><coden>DICAD2</coden><abstract>We reported previously that low-saturated-fat dietary counseling started in infancy improves insulin sensitivity in healthy children 9 years of age. The aim of this study was to evaluate the effect of lifelong dietary counseling on insulin sensitivity in healthy adolescents between 15 and 20 years of age. In addition, we examined dietary fiber intake and the polyunsaturated fatty acid (PUFA)+monounsaturated (MUFA)-to-saturated fatty acid (SFA) ratio in the intervention and control adolescents and the association of these dietary factors with homeostasis model of insulin resistance (HOMA-IR).
The study comprised adolescents participating in the randomized, controlled Special Turku Coronary Risk Factor Intervention Project (STRIP) study, which aims to guide the study participants toward a diet beneficial for cardiovascular health. HOMA-IR was assessed annually between 15 and 20 years of age (n=518; intervention, n=245; control, n=273), along with diet, BMI, pubertal status, serum cotinine concentrations, and physical activity. Dietary counseling was given biannually during the follow-up.
HOMA-IR was lower (7.5% on average) in the intervention group than in the control group between 15 and 20 years of age (P=0.0051). The intervention effect was similar in girls and boys. The PUFA+MUFA-to-SFA ratio was higher (P<0.0001) and the dietary fiber (g/MJ) intake was higher (P=0.0058) in the intervention group compared with the control group. There was no association between the PUFA+MUFA-to-/SFA ratio and HOMA-IR, whereas dietary fiber intake (g/MJ) was associated with HOMA-IR in girls (P<0.0001).
Dietary counseling initiated in infancy and maintained until 20 years of age was associated with improved insulin sensitivity in adolescents.</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>23801725</pmid><doi>10.2337/dc13-0361</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Diabetes care, 2013-10, Vol.36 (10), p.2952-2959 |
| issn | 0149-5992 1935-5548 |
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| source | Journals@Ovid Ovid Autoload; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adolescent Adult Biological and medical sciences Blood Glucose Childrens health Cholesterol Counseling Counseling - methods Diabetes therapy Diabetes. Impaired glucose tolerance Diet Diet, Fat-Restricted Dietary Fats Diseases of the cardiovascular system Endocrine pancreas. Apud cells (diseases) Endocrinopathies Fatty acids Female Health behavior Humans Insulin Insulin resistance Insulin Resistance - physiology Intervention Male Medical research Medical sciences Medicine, Experimental Metabolic diseases Original Research Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Risk factors Teenagers Young Adult Youth |
| title | Infancy-Onset Dietary Counseling of Low-Saturated-Fat Diet Improves Insulin Sensitivity in Healthy Adolescents 15―20 Years of Age: The Special Turku Coronary Risk Factor Intervention Project (STRIP) study |
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