Sex-Related Differences in the Effects of the Mediterranean Diet on Glucose and Insulin Homeostasis

Objective. To document sex differences in the impact of the Mediterranean diet (MedDiet) on glucose/insulin homeostasis and to verify whether these sex-related effects were associated with changes in nonesterified fatty acids (NEFA). Methods. All foods were provided to 38 men and 32 premenopausal wo...

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Main Authors: Alexandra Bédard, Louise Corneau, Benoît Lamarche, Sylvie Dodin, Simone Lemieux
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Nutrition and Metabolism
Online Access:http://dx.doi.org/10.1155/2014/424130
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author Alexandra Bédard
Louise Corneau
Benoît Lamarche
Sylvie Dodin
Simone Lemieux
author_facet Alexandra Bédard
Louise Corneau
Benoît Lamarche
Sylvie Dodin
Simone Lemieux
author_sort Alexandra Bédard
collection DOAJ
description Objective. To document sex differences in the impact of the Mediterranean diet (MedDiet) on glucose/insulin homeostasis and to verify whether these sex-related effects were associated with changes in nonesterified fatty acids (NEFA). Methods. All foods were provided to 38 men and 32 premenopausal women (24–53 y) during 4 weeks. Variables were measured during a 180 min OGTT before and after the MedDiet. Results. A sex-by-time interaction for plasma insulin iAUC was found (men: −17.8%, P=0.02; women: +9.4%, P=0.63; P for sex-by-time interaction = 0.005). A sex-by-time interaction was also observed for insulin sensitivity (Cederholm index, P=0.03), for which only men experienced improvements (men: +8.1%, P=0.047; women: −5.9%, P=0.94). No sex difference was observed for glucose and C-peptide responses. Trends toward a decrease in NEFA AUC (P=0.06) and an increase in NEFA suppression rate (P=0.06) were noted, with no sex difference. Changes in NEFA were not associated with change in insulin sensitivity. Conclusions. Results suggest that the more favorable changes in glucose/insulin homeostasis observed in men compared to women in response to the MedDiet are not explained by sex differences in NEFA response. This clinical trial is registered with clinicaltrials.gov NCT01293344.
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spelling doaj-art-27bc3475ff054469b781ce6ad5c8e1912025-02-03T06:13:50ZengWileyJournal of Nutrition and Metabolism2090-07242090-07322014-01-01201410.1155/2014/424130424130Sex-Related Differences in the Effects of the Mediterranean Diet on Glucose and Insulin HomeostasisAlexandra Bédard0Louise Corneau1Benoît Lamarche2Sylvie Dodin3Simone Lemieux4Institute of Nutrition and Functional Foods (INAF), Laval University, 2440 Hochelaga Boulevard, Québec, QC, G1V 0A6, CanadaInstitute of Nutrition and Functional Foods (INAF), Laval University, 2440 Hochelaga Boulevard, Québec, QC, G1V 0A6, CanadaInstitute of Nutrition and Functional Foods (INAF), Laval University, 2440 Hochelaga Boulevard, Québec, QC, G1V 0A6, CanadaInstitute of Nutrition and Functional Foods (INAF), Laval University, 2440 Hochelaga Boulevard, Québec, QC, G1V 0A6, CanadaInstitute of Nutrition and Functional Foods (INAF), Laval University, 2440 Hochelaga Boulevard, Québec, QC, G1V 0A6, CanadaObjective. To document sex differences in the impact of the Mediterranean diet (MedDiet) on glucose/insulin homeostasis and to verify whether these sex-related effects were associated with changes in nonesterified fatty acids (NEFA). Methods. All foods were provided to 38 men and 32 premenopausal women (24–53 y) during 4 weeks. Variables were measured during a 180 min OGTT before and after the MedDiet. Results. A sex-by-time interaction for plasma insulin iAUC was found (men: −17.8%, P=0.02; women: +9.4%, P=0.63; P for sex-by-time interaction = 0.005). A sex-by-time interaction was also observed for insulin sensitivity (Cederholm index, P=0.03), for which only men experienced improvements (men: +8.1%, P=0.047; women: −5.9%, P=0.94). No sex difference was observed for glucose and C-peptide responses. Trends toward a decrease in NEFA AUC (P=0.06) and an increase in NEFA suppression rate (P=0.06) were noted, with no sex difference. Changes in NEFA were not associated with change in insulin sensitivity. Conclusions. Results suggest that the more favorable changes in glucose/insulin homeostasis observed in men compared to women in response to the MedDiet are not explained by sex differences in NEFA response. This clinical trial is registered with clinicaltrials.gov NCT01293344.http://dx.doi.org/10.1155/2014/424130
spellingShingle Alexandra Bédard
Louise Corneau
Benoît Lamarche
Sylvie Dodin
Simone Lemieux
Sex-Related Differences in the Effects of the Mediterranean Diet on Glucose and Insulin Homeostasis
Journal of Nutrition and Metabolism
title Sex-Related Differences in the Effects of the Mediterranean Diet on Glucose and Insulin Homeostasis
title_full Sex-Related Differences in the Effects of the Mediterranean Diet on Glucose and Insulin Homeostasis
title_fullStr Sex-Related Differences in the Effects of the Mediterranean Diet on Glucose and Insulin Homeostasis
title_full_unstemmed Sex-Related Differences in the Effects of the Mediterranean Diet on Glucose and Insulin Homeostasis
title_short Sex-Related Differences in the Effects of the Mediterranean Diet on Glucose and Insulin Homeostasis
title_sort sex related differences in the effects of the mediterranean diet on glucose and insulin homeostasis
url http://dx.doi.org/10.1155/2014/424130
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