Obesity

Impact of a 12‐week personalized dietary intervention on vascular function and cardiovascular risk factors

Diabetes Obes MetabPublished Secondary analysis of the PERSON randomised trial

Authors' conclusion

A 12-week diet improves metabolic and cardiovascular outcomes, but not vascular function in insulin-resistant adults with overweight or obesity. Whilst the LFHP diet resulted in greater improvements in cardiometabolic risk markers than the HMUFA diet, we found no significant differences between the PhenoDiet groups.

Study context

Population
Insulin-resistant adults with overweight or obesity, muscle insulin-resistant (MIR) or liver insulin-resistant (LIR) phenotype; 54 women, 61 ± 7 years, BMI 27.6 [26.4;30.0] kg/m²101 finished
Participants
119 adults
Comparison
PhenoDiet A vs PhenoDiet B; LFHP vs HMUFA diet
Primary endpoint
Vascular function
Methodological detailssub-analysis, Drop-out n = 18
  • Sub-analysis
  • Drop-out n = 18

Primary result

As reported in the abstract

Vascular function (carotid artery reactivity) · 12 weeks
Overall, vascular function not affected by diet
p = 0.485

Further findings

OutcomeP value
Matsuda index and total cholesterol, PhenoDiet B vs A · 12 weeksPhenoDiet B vs PhenoDiet A · Matsuda index tended to increase more with BP = 0.078
Matsuda index and total cholesterol, PhenoDiet B vs A · 12 weeksPhenoDiet B vs PhenoDiet A · total cholesterol tended to decrease more with BP = 0.052
Cholesterol, DBP and insulin resistance, LFHP vs HMUFA · 12 weeksMore pronounced improvements with LFHPall p < 0.05

BP, total cholesterol, HDL-C, Framingham risk score (overall) · 12 weeks

Significantly decreased after diet
all p < 0.05

Insulin resistance and disposition index (overall) · 12 weeks

Insulin resistance significantly improved
P ≤ 0.001
Disposition index not improved
P = 0.362

Original publication

Impact of a 12‐week personalized dietary intervention on vascular function and cardiovascular risk factors. Diabetes Obes Metab. Published 27 February 2025. doi:10.1111/dom.16261

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