Effects of Higher Dietary Protein and Fiber Intakes at Breakfast on Postprandial Glucose, Insulin, and 24-h Interstitial Glucose in Overweight Adults

Nutrients. 2017 Apr 2;9(4):352. doi: 10.3390/nu9040352.

Abstract

Dietary protein and fiber independently influence insulin-mediated glucose control. However, potential additive effects are not well-known. Men and women (n = 20; age: 26 ± 5 years; body mass index: 26.1 ± 0.2 kg/m²; mean ± standard deviation) consumed normal protein and fiber (NPNF; NP = 12.5 g, NF = 2 g), normal protein and high fiber (NPHF; NP = 12.5 g, HF = 8 g), high protein and normal fiber (HPNF; HP = 25 g, NF = 2 g), or high protein and fiber (HPHF; HP = 25 g, HF = 8 g) breakfast treatments during four 2-week interventions in a randomized crossover fashion. On the last day of each intervention, meal tolerance tests were completed to assess postprandial (every 60 min for 240 min) serum glucose and insulin concentrations. Continuous glucose monitoring was used to measure 24-h interstitial glucose during five days of the second week of each intervention. Repeated-measures ANOVA was applied for data analyses. The HPHF treatment did not affect postprandial glucose and insulin responses or 24-h glucose total area under the curve (AUC). Higher fiber intake reduced 240-min insulin AUC. Doubling the amount of protein from 12.5 g to 25 g/meal and quadrupling fiber from 2 to 8 g/meal at breakfast was not an effective strategy for modulating insulin-mediated glucose responses in these young, overweight adults.

Keywords: breakfast; continuous glucose monitoring; dietary fiber; dietary protein; meal tolerance test; overweight.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Blood Glucose / analysis
  • Body Mass Index
  • Breakfast*
  • Cross-Over Studies
  • Diabetes Mellitus, Type 2 / epidemiology
  • Diabetes Mellitus, Type 2 / etiology
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Dietary Fiber / adverse effects
  • Dietary Fiber / therapeutic use*
  • Dietary Proteins / adverse effects
  • Dietary Proteins / therapeutic use*
  • Double-Blind Method
  • Extracellular Fluid / chemistry
  • Female
  • Glucose / analysis
  • Humans
  • Hyperglycemia / prevention & control*
  • Hyperinsulinism / prevention & control*
  • Indiana / epidemiology
  • Insulin / blood
  • Male
  • Overweight / blood
  • Overweight / diet therapy*
  • Overweight / metabolism
  • Overweight / physiopathology
  • Postprandial Period
  • Risk
  • Young Adult

Substances

  • Blood Glucose
  • Dietary Fiber
  • Dietary Proteins
  • Insulin
  • Glucose