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Elsevier, Journal of Lipid Research, 1(54), p. 232-237, 2013

DOI: 10.1194/jlr.m029934

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Effect of weight loss, independent of change in diet composition, on apolipoprotein AI kinetic in men with metabolic syndrome

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

We investigated the effect of weight loss, independent of change in diet composition, on HDL and apoAI metabolism in men with metabolic syndrome (MetS). Subjects (19 men with MetS [NCEP-ATPIII)]) were first fed an isoenergetic Mediterranean-style diet for 5 weeks (all foods provided). Participants then underwent a 20-week free-living period during which they were counseled to restrict energy intake, after which they were again fed an isoenergetic Mediterranean-style diet for 5 weeks. At the end of the two controlled diets, participants received a single bolus of [5,5,5-2H3] L-leucine and fasting blood samples were collected over a 96-hr period. ApoAI kinetic was assessed using multicompartmental modeling of the tracer enrichment data. Participants achieved a 9.1 ± 2.8% reduction in body weight (P<0.001). Weight loss resulted in an increase in plasma HDL-cholesterol (C) concentrations of 6.0% (P=0.059) and HDL3-C of 7.9% (P=0.045), attributable to a reduction in apoAI fractional catabolic rate (-7.8%, P=0.046) with no change in apoAI production rate (2.2%, P=0.58). These data indicate that weight loss, independent of variation in diet composition, increases plasma HDL primarily by delaying the catabolism of apoAI. ClinicalTrial.gov registration number: NCT00988650.