scholarly journals The possible mediatory role of adipokines in the association between low carbohydrate diet and depressive symptoms among overweight and obese women

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257275
Author(s):  
Leila Setayesh ◽  
Reyhane Ebrahimi ◽  
Sara Pooyan ◽  
Habib Yarizadeh ◽  
Elaheh Rashidbeygi ◽  
...  

Background Previous studies showed the possible association between obesity, dietary pattern, and depressive symptoms. Due to the lack of enough data to confirm the association of obesity and depression in the Middle East, here, we aimed to explore the possible mediatory role of adipokines Galectin-3, transforming growth factor-beta (TGF-β), and endothelial plasminogen activator inhibitor (PAI-1) in the association between low carbohydrate diet (LCD) and depressive symptoms. Methods A total of 256 women aged 17–56 years old were grouped based on their LCD score. Depression anxiety stress scales-21 (DASS-21) self-administered questionnaire was used to evaluate the three negative emotional states of stress, depressive symptoms, and anxiety. Body composition and dietary intake were assessed. Enzyme-linked immunosorbent assay (ELISA) was used to measure the serum levels of Galectin-3, TGF-β, and PAI-1. Results No significant difference was observed regarding Galectin-3, TGF-β, and PAI-1 levels between the groups with dissimilar adherence to LCD or the groups with different levels of depressive symptoms (P>0.05). However, there was a negative association between LCD score as a covariant and depressive symptoms as an independent variable (P = 0.02) and remarkably, a regression model linear analysis using Galectin-3, TGF-β, and PAI-1 as confounding variables indicated the mediatory role of these adipokines in this association (P>0.05). In other words, adipokines eliminated the significance of the relationship between adherence to LCD and depressive symptoms. Conclusion It seems that higher adherence to LCD is probably associated with a lower prevalence of depressive symptoms in obese adults through the mediatory role of adipokines.

2020 ◽  
Author(s):  
Leila Setayesh ◽  
Sara Pooyan ◽  
Reyhane Ebrahimi ◽  
Habib Yarizadeh ◽  
Elaheh Rashidbeygi ◽  
...  

Abstract Background Due to lack of enough date to confirm the association of obesity and depression in middle east, We aimed to explore the possible mediatory role of adipokines such as galactin1, transforming growth factor beta (TGF-beta), and endothelial plasminogen activator inhibitor (PAI-1) in the association between obesity and depression.Methods A total of 256 women ranged between 18-48 years old were grouped based on their low carbohydrate diet (LCD) score. Body composition and dietary intake were assessed. Enzyme-linked immunosorbent assay was used to measure serum adipokines levels.Results There was a negative association between LCD score as a covariant and depression as an independent variable (P= 0.02) (beta ±SE= -0.143±0.031) (CI= -0.129 to -0.08). A regression model linear analysis using galactin1, TGF-β, and PAI 1 as a covariant indicated the mediatory effects of these adipokines (P > 0.05). The higher adherence to LCD was associated with a decrease of anthropometric components (p < 0.05).Conclusion We indicated that a higher adherence to LCD would probably ameliorate depression through the mediatory role of the study adipokines. The higher adherence of LCD in depressive obese individuals due to possible improvement effects on mental health.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Atefeh Tavakoli ◽  
Atieh Mirzababaei ◽  
Forough Sajadi ◽  
Khadijeh Mirzaei

Abstract Background Low carbohydrate diet (LCD) can improve inflammation and obesity and also circadian rhythm disorders can lead to increased inflammation in obese individuals. The purpose of this study is to evaluate the association between adherence of LCD and circadian rhythm mediated by inflammatory markers including transforming growth factor-β (TGF-β), interleukin-1β (IL-1β) and Galectin-3 in overweight and obese women. Methods 304 women affected by overweight and obesity were enrolled. We evaluated LCD scores by Semi-quantitative food frequency questionnaire (FFQ) of 147 items. The morning-evening questionnaire (MEQ) was applied to evaluate the circadian rhythm. Biochemical parameters such as inflammatory markers and anthropometric components were assessed. Results There was a negative significant correlation between adherence of LCD and circadian rhythm status. In other words, as the LCD scores increased, the odds of circadian rhythm disturbance in intermediate group and morning type persons decreased compared to evening type. It was showed that, IL-1β and Galectin-3 in intermediate and morning type groups, destroyed the significance of this relationship and may be considered as mediating markers. Conclusion Adherence of LCD can improve the circadian rhythm by reducing levels of inflammatory markers and may be considered as a treatment for obesity.


2018 ◽  
Vol 2 (S1) ◽  
pp. 1-3 ◽  
Author(s):  
Koji Ebe ◽  
Hiroshi Bando

The role of this journal, “Asploro Journal of Biomedical and Clinical Case Reports (AJBCCR)” would be providing meaningful information on medical practice and research widely in the world. The word ASPLORO means Research which is coined from the language Esperanto. In the special issue concerning diet therapy, various research and case reports will be expected such as Low Carbohydrate Diet (LCD), Calorie Restriction (CR) Diet, the Mediterranean Diet, and other kinds of methods.


2021 ◽  
Vol 12 ◽  
Author(s):  
Yuxin Han ◽  
Bingfei Cheng ◽  
Yanjun Guo ◽  
Qing Wang ◽  
Nailong Yang ◽  
...  

ObjectiveMultiple studies have confirmed that diet restrictions can effectively realize glycemic control and reduce metabolic risks in patients with type 2 diabetes mellitus (T2DM). In 2018, the American Diabetes Association (ADA) and European Association for the Study of Diabetes (EASD) stated that individuals can select a low-carbohydrate diet (LCD) according to their needs and preferences. Owing to the influence of Chinese traditional eating habits, only a small portion of patients in China have achieved their blood glucose goals. As a result, the Chinese government will incur huge expenditures.MethodThis study recruited 134 T2DM participants and randomly assigned them to the LCD group (n = 67) or the low-fat diet (LFD) group (n = 67). All of the patients had a fixed amount of exercise and were guided by clinicians. After a period of dietary washout, all of the patients received corresponding dietary education according to group. The follow-up time was 6 months. The indicators for anthropometry, glycemic control, and medication application parameters were collected and compared between the two groups.ResultsThere were 121 participants who finally entered the study. The proportions of calories from three major nutrients the participants consumed met the requirements of LCD and LFD. Compared with baseline, the pre-postdifferences of body weight, BMI, and several other indicators were significant except for dosages of insulin used in the LCD group and MES in the LFD group. After the intervention, body weight, body weight index (BMI), fasting blood glucose (FBG), postprandial 2-h blood glucose (PPG), and glycosylated hemoglobin (HbA1c) levels in the LCD group decreased significantly (p &lt; 0.05) compared with the LFD group. The number of patients using lipid-lowering agents was significant higher in the LCD group and lower in the LFD group. However, there was no significant difference between the two groups for antihypertensive, hormone-replacement, and other agents.ConclusionsThe LCD diet can decrease body weight, glycemic levels, MES, and lipid-lowering agents more than the LFD diet, thus decreasing cost burden in Chinese patients with T2DM. Strict diet control and monitoring are the keys to managing diabetes.


Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1307
Author(s):  
Li-Juan Tan ◽  
Seong-Ah Kim ◽  
Sangah Shin

This study investigated the blood lipid levels of 5921 Chinese adults aged >18 years using data from the China Health and Nutrition Survey 2009. Diet information was collected through 3 day, 24 h recalls by trained professionals. The low-carbohydrate diet (LCD) score was determined according to the percentage of energy obtained from carbohydrate, protein, and fat consumption. Dyslipidemia was defined when one or more of the following abnormal lipid levels were observed: high cholesterol levels, high triglyceride levels, and low high-density lipoprotein cholesterol levels. Multivariate adjusted odds ratios (ORs) and their 95% confidence intervals (95% CIs) were calculated using logistic regression models. After adjusting the confounding variables, in males, the OR of hypercholesterolemia was 1.87 (95% CI, 1.23–2.85; p for trend = 0.0017) and the OR of hypertriglyceridemia was 1.47 (95% CI, 1.04–2.06; p for trend = 0.0336), on comparing the highest and lowest quartiles of the LCD score. The animal-based LCD score showed a similar trend. The OR of hypercholesterolemia was 2.15 (95% CI, 1.41–3.29; p for trend = 0.0006) and the OR of hypertriglyceridemia was 1.51 (95% CI, 1.09–2.10; p for trend = 0.0156). However, there was no significant difference between plant-based LCD scores and dyslipidemia. In females, lipid profiles did not differ much among the quartiles of LCD scores—only the animal-based LCD score was statistically significant with hypercholesterolemia. The OR of hypercholesterolemia was 1.64 (95% CI, 1.06–2.55), on comparing the highest and lowest quartiles of the LCD score. In conclusion, a higher LCD score, indicating lower carbohydrate intake and higher fat intake, especially animal-based fat, was significantly associated with higher odds of hypercholesterolemia and hypertriglyceridemia in Chinese males. Future studies investigating the potential mechanisms by which macronutrient types and sex hormones affect lipid metabolism are required.


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