Cardiovascular Diabetology,
Journal Year:
2024,
Volume and Issue:
23(1)
Published: March 16, 2024
Abstract
Background
Tissue-specific
insulin
resistance
(IR)
predominantly
in
muscle
(muscle
IR)
or
liver
(liver
has
previously
been
linked
to
distinct
fasting
metabolite
profiles,
but
postprandial
profiles
have
not
investigated
tissue-specific
IR
yet.
Given
the
importance
of
metabolic
impairments
pathophysiology
cardiometabolic
diseases,
we
compared
plasma
response
a
high-fat
mixed
meal
between
individuals
with
predominant
IR.
Methods
This
cross-sectional
study
included
data
from
214
women
and
men
BMI
25–40
kg/m
2
,
aged
40–75
years,
was
assessed
using
sensitivity
index
(MISI)
hepatic
(HIRI),
which
were
calculated
glucose
responses
during
7-point
oral
tolerance
test.
Plasma
samples
collected
before
(T
=
0)
after
30,
60,
120,
240
min)
consumption
247
measures,
including
lipoproteins,
cholesterol,
triacylglycerol
(TAG),
ketone
bodies,
amino
acids,
quantified
nuclear
magnetic
resonance
spectroscopy.
Differences
iAUCs
tested
ANCOVA
adjustment
for
age,
sex,
center,
BMI,
waist-to-hip
ratio.
P
-values
adjusted
false
discovery
rate
(FDR)
0.05
Benjamini–Hochberg
method.
Results
Sixty-eight
significantly
different
Liver
characterized
by
greater
large
VLDL
(
p
0.004),
very
0.002),
medium-sized
LDL
particles
0.026),
TAG
small
0.025),
0.003),
all
subclasses
(all
<
0.05),
HDL
0.011),
In
IR,
fatty
acid
(FA)
profile
consisted
higher
percentage
saturated
FA
0.013),
lower
polyunsaturated
0.008),
Conclusion
People
more
unfavorable
those
Frontiers in Nutrition,
Journal Year:
2022,
Volume and Issue:
9
Published: Sept. 2, 2022
Precision
Nutrition
(PN)
is
an
approach
to
developing
comprehensive
and
dynamic
nutritional
recommendations
based
on
individual
variables,
including
genetics,
microbiome,
metabolic
profile,
health
status,
physical
activity,
dietary
pattern,
food
environment
as
well
socioeconomic
psychosocial
characteristics.
PN
can
help
answer
the
question
“What
should
I
eat
be
healthy?”,
recognizing
that
what
healthful
for
one
may
not
same
another,
understanding
responses
diet
change
over
time.
The
growth
of
market
has
been
driven
by
increasing
consumer
interest
in
individualized
products
services
coupled
with
advances
technology,
analytics,
omic
sciences.
However,
important
concerns
are
evident
regarding
adequacy
scientific
substantiation
supporting
claims
current
services.
An
additional
limitation
accessing
cost
diagnostic
tests
wearable
devices.
Despite
these
challenges,
holds
great
promise
a
tool
improve
healthspan
reduce
healthcare
costs.
Accelerating
advancement
will
require:
(a)
investment
multidisciplinary
collaborations
enable
development
user-friendly
tools
applying
technological
omics,
sensors,
artificial
intelligence,
big
data
management,
analytics;
(b)
engagement
professionals
payers
support
equitable
broader
adoption
medicine
shifts
toward
preventive
personalized
approaches;
(c)
system-wide
collaboration
between
stakeholders
advocate
continued
evidence-based
PN,
develop
regulatory
framework
maintain
trust
engagement,
allow
reach
its
full
potential.
EBioMedicine,
Journal Year:
2022,
Volume and Issue:
85, P. 104303 - 104303
Published: Oct. 18, 2022
BackgroundThe
menopause
transition
is
associated
with
unfavourable
alterations
in
health.
However,
postprandial
metabolic
changes
and
their
mediating
factors
are
poorly
understood.MethodsThe
PREDICT
1
UK
cohort
(n=1002;
pre-
n=366,
peri-
n=55,
post-menopausal
females
n=206)
assessed
phenotypic
characteristics,
anthropometric,
diet
gut
microbiome
data,
fasting
(0–6
h)
cardiometabolic
blood
measurements,
including
continuous
glucose
monitoring
(CGM)
data.
Differences
between
menopausal
groups
were
the
an
age-matched
subgroup,
adjusting
for
age,
BMI,
hormone
therapy
(MHT)
use,
smoking
status.FindingsPost-menopausal
had
higher
measures
(glucose,
HbA1c
inflammation
(GlycA),
6%,
5%
4%
respectively),
sugar
intakes
(12%)
poorer
sleep
compared
pre-menopausal
(p<0.05
all).
Postprandial
responses
glucose2hiauc
insulin2hiauc
(42%
respectively)
CGM
(glycaemic
variability
time
range)
post-
versus
pre-menopause
In
subgroups
(n=150),
remained
post-menopause
(peak0-2h
4%).
MHT
was
favourable
visceral
fat,
(glucose
insulin)
(triglyceride6hiauc)
measures.
Mediation
analysis
showed
that
associations
health
indicators
(visceral
GlycA360mins
glycaemia
(peak0-2h))
part
mediated
by
bacterial
species.InterpretationFindings
from
this
large
scale,
in-depth
nutrition
study
of
menopause,
support
importance
risk
type-2
diabetes
cardiovascular
disease
mid-life
to
older
women
reduce
morbidity
mortality
oestrogen
decline.FundingZoe
Ltd.
Nutrients,
Journal Year:
2022,
Volume and Issue:
14(21), P. 4465 - 4465
Published: Oct. 24, 2022
Digital
health
technologies
may
support
the
management
and
prevention
of
disease
through
personalized
lifestyle
interventions.
Wearables
smartphones
are
increasingly
used
to
continuously
monitor
in
everyday
life,
targeting
maintenance.
Here,
we
aim
demonstrate
potential
wearables
(1)
detect
eating
moments
(2)
predict
explain
individual
glucose
levels
healthy
individuals,
ultimately
supporting
self-management.
Twenty-four
individuals
collected
continuous
data
from
interstitial
monitoring,
food
logging,
activity,
sleep
tracking
over
14
days.
We
demonstrated
use
monitoring
activity
detecting
with
a
prediction
model
showing
an
accuracy
92.3%
(87.2-96%)
76.8%
(74.3-81.2%)
training
test
datasets,
respectively.
Additionally,
showed
peaks
tracking,
overall
mean
absolute
error
0.32
(+/-0.04)
mmol/L
for
0.62
(+/-0.15)
data.
With
Shapley
additive
explanations,
personal
elements
important
predicting
were
identified,
providing
basis
advice.
Pending
further
validation
these
digital
biomarkers,
they
show
promise
type
2
diabetes
recommendations.
Nutrients,
Journal Year:
2022,
Volume and Issue:
14(19), P. 4104 - 4104
Published: Oct. 2, 2022
Personalized
nutrition
is
an
approach
that
tailors
advice
to
individuals
based
on
individual's
genetic
information.
Despite
interest
among
scholars,
the
impact
of
this
lifestyle
habits
and
health
has
not
been
adequately
explored.
Hence,
a
systematic
review
randomized
trials
reporting
effects
personalized
dietary,
physical
activity,
outcomes
was
conducted.
A
search
seven
electronic
databases
manual
resulted
in
identifying
nine
relevant
trials.
Cochrane's
Risk
Bias
used
determine
trials'
methodological
quality.
Although
were
moderate
high
quality,
findings
did
show
consistent
benefits
improving
behavioral,
or
outcomes.
There
also
lack
evidence
from
regions
other
than
North
America
Europe
with
diseases,
affecting
generalizability
results.
Furthermore,
complex
relationship
between
genes,
interventions,
may
have
contributed
scarcity
positive
findings.
We
suggested
several
areas
for
improvement
future
regarding
nutrition.
Nutrients,
Journal Year:
2023,
Volume and Issue:
15(12), P. 2787 - 2787
Published: June 17, 2023
For
nearly
a
century,
researchers
have
associated
periodontal
disease
(PD)
with
risks
of
other
adverse
health
outcomes
such
as
cardiovascular
disease,
diabetes
mellitus,
and
respiratory
diseases,
well
pregnancy
outcomes.
Those
findings
led
to
the
hypothesis
that
PD
causes
those
either
by
increasing
systemic
inflammation
or
action
periodontopathic
bacteria.
However,
experiments
largely
failed
support
hypothesis.
Instead,
association
is
casual,
not
causal,
due
shared
underlying
modifiable
risk
factors,
including
smoking,
diet,
obesity,
low
levels
physical
activity,
vitamin
D
status.
Diabetes
mellitus
also
considered
factor
for
PD,
whereas
red
processed
meat
are
most
important
dietary
factors
diabetes.
Because
generally
develops
before
outcomes,
diagnosis
can
alert
patients
they
could
reduce
lifestyle
changes.
In
addition,
type
2
often
be
reversed
rapidly
adopting
an
anti-inflammatory,
nonhyperinsulinemic
diet
emphasizes
healthful,
whole
plant-based
foods.
This
review
describes
evidence
proinflammatory
prohyperinsulinemia
diets
status
We
make
recommendations
regarding
patterns,
food
groups,
serum
25-hydroxyvitamin
concentrations.
Oral
professionals
should
routinely
inform
their
severe
many
making
appropriate
Gut Microbes,
Journal Year:
2023,
Volume and Issue:
15(1)
Published: Aug. 1, 2023
Short-chain
fatty
acids
(SCFA)
are
involved
in
immune
system
and
inflammatory
responses.
We
comprehensively
assessed
the
host
genetic
gut
microbial
contribution
to
a
panel
of
eight
serum
stool
SCFAs
two
cohorts
(TwinsUK,
n
=
2507;
ZOE
PREDICT-1,
328),
examined
their
postprandial
changes
explored
links
with
chronic
acute
responses
healthy
individuals
trauma
patients.
report
low
concordance
between
circulating
fecal
SCFAs,
significant
most
heritable
component
(average
h2:
14%(SD
14%);
12%(SD
6%)).
Furthermore,
we
find
that
microbiome
can
accurately
predict
levels
(AUC>0.71)
while
presenting
weaker
associations
serum.
Finally,
different
correlation
patterns
markers
depending
on
type
response
(chronic
or
trauma).
Our
results
illustrate
breadth
physiological
relevance
human
metabolic
highlighting
need
for
deeper
understanding
this
important
class
molecules.
Nutrients,
Journal Year:
2023,
Volume and Issue:
15(11), P. 2638 - 2638
Published: June 5, 2023
Postprandial
metabolomic
profiles
and
their
inter-individual
variability
are
not
well
characterised.
Here,
we
describe
postprandial
metabolite
changes,
correlations
with
fasting
values
inter-
intra-individual
variability,
following
a
standardised
meal
in
the
ZOE
PREDICT
1
cohort.In
study
(n
=
1002
(NCT03479866)),
250
metabolites,
mainly
lipids,
were
measured
by
Nightingale
NMR
panel
(4
6
h
after
3.7
MJ
mixed
nutrient
meal,
second
2.2
at
4
h)
serum
samples.
For
each
metabolite,
over
time
was
evaluated
using
linear
modelling
intraclass
correlation
coefficients
(ICC)
calculated.Postprandially,
85%
(of
metabolites)
significantly
changed
from
(47%
increased,
53%
decreased;
Kruskal-Wallis),
37
measures
increasing
>25%
14
>50%.
The
largest
changes
observed
very
large
lipoprotein
particles
ketone
bodies.
Seventy-one
percent
of
circulating
metabolites
strongly
correlated
(Spearman's
rho
>0.80)
between
timepoints,
5%
weakly
(rho
<0.50).
median
ICC
0.91
(range
0.08-0.99).
lowest
ICCs
(ICC
<0.40,
4%
measures)
found
for
glucose,
pyruvate,
bodies
(β-hydroxybutyrate,
acetoacetate,
acetate)
lactate.In
this
large-scale
study,
highly
variable
individuals
sequential
meals.
Findings
suggest
that
challenge
may
yield
responses
divergent
measures,
specifically
glycolysis,
essential
amino
acid,
body
size
metabolites.