Abstract | BACKGROUND: Long-term dietary weight loss results in complex metabolic changes. However, its effect on cholesterol metabolism in obese subjects is still unclear. OBJECTIVE: DESIGN: RESULTS: We observed a significant upregulation of the markers of cholesterol absorption ( campesterol: +16.8%, P < 0.001) and a downregulation of the markers of cholesterol synthesis ( lanosterol: -16.5%, P = 0.008) during the active weight-loss phase (first 6 mo, weight loss of 5%, 6%, and 10% in the 3 diet groups, respectively), followed by a rebound ( campesterol: -6.2%, P = 0.045; lanosterol: +43.7%, P < 0.001) during the next 18 mo ( weight gain of 1%, 1%, and 2% in the 3 diet groups, respectively). HDL cholesterol continuously increased during the study (17.0%, P < 0.001), whereas LDL cholesterol remained constant. At the end of the 24-mo follow-up period, campesterol (P < 0.001) and lanosterol (P = 0.016) amounts were significantly higher than baseline values. The concentration of apolipoprotein B-100 correlated with cholesterol metabolism (ρ = 0.299 and P = 0.020 for lanosterol; ρ = -0.105 and NS for campesterol), and the homeostasis model assessment of insulin resistance correlated with lanosterol (ρ = 0.09, P = 0.001). CONCLUSIONS: Long-term weight loss is related to a characteristic response suggestive of altered cholesterol and apolipoprotein metabolism. Various diets have a similar effect on these effects. DIRECT is registered at clinicaltrials.gov as NCT00160108.
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Authors | Alexander B Leichtle, Christin Helmschrodt, Uta Ceglarek, Iris Shai, Yaakov Henkin, Dan Schwarzfuchs, Rachel Golan, Yftach Gepner, Meir J Stampfer, Matthias Blüher, Michael Stumvoll, Joachim Thiery, Georg M Fiedler |
Journal | The American journal of clinical nutrition
(Am J Clin Nutr)
Vol. 94
Issue 5
Pg. 1189-95
(Nov 2011)
ISSN: 1938-3207 [Electronic] United States |
PMID | 21940598
(Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Apolipoprotein A-I
- Apolipoprotein B-100
- Phytosterols
- Lanosterol
- Cholesterol
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Topics |
- Adult
- Apolipoprotein A-I
(blood)
- Apolipoprotein B-100
(blood)
- Body Weight
(physiology)
- Cholesterol
(metabolism)
- Diet, Reducing
(methods, standards)
- Humans
- Lanosterol
(blood)
- Male
- Middle Aged
- Obesity
(blood, diet therapy, metabolism)
- Phytosterols
(blood)
- Statistics, Nonparametric
- Weight Loss
(physiology)
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