Whole-grain ready-to-eat oat cereal, as part of a dietary program for weight loss, reduces low-density lipoprotein cholesterol in adults with overweight and obesity more than a dietary program including low-fiber control foods.

OBJECTIVE: Weight loss and consumption of viscous fibers both lower low-density lipoprotein (LDL) cholesterol levels. We evaluated whether or not a whole-grain, ready-to-eat (RTE) oat cereal containing viscous fiber, as part of a dietary program for weight loss, lowers LDL cholesterol levels and improves other cardiovascular disease risk markers more than a dietary program alone. DESIGN: Randomized, parallel-arm, controlled trial. SUBJECTS/SETTING: Free-living, overweight and obese adults (N=204, body mass index 25 to 45) with baseline LDL cholesterol levels 130 to 200 mg/dL (3.4 to 5.2 mmol/L) were randomized; 144 were included in the main analysis of participants who completed the trial without significant protocol violations. INTERVENTION: Two portions per day of whole-grain RTE oat cereal (3 g/day oat b-glucan) or energy-matched low-fiber foods (control), as part of a reduced energy ( approximately 500 kcal/day deficit) dietary program that encouraged limiting consumption of foods high in energy and fat, portion control, and regular physical activity. MAIN OUTCOME MEASURES: Fasting lipoprotein levels, waist circumference, triceps skinfold thickness, and body weight were measured at baseline and weeks 4, 8, 10, and 12. RESULTS: LDL cholesterol level was reduced significantly more with whole-grain RTE oat cereal vs control (-8.7+/-1.0 vs -4.3+/-1.1%, P=0.005). Total cholesterol (-5.4+/-0.8 vs -2.9+/-0.9%, P=0.038) and non-high-density lipoprotein-cholesterol (-6.3+/-1.0 vs -3.3+/-1.1%, P=0.046) were also lowered significantly more with whole-grain RTE oat cereal, whereas high-density lipoprotein and triglyceride responses did not differ between groups. Weight loss was not different between groups (-2.2+/-0.3 vs -1.7+/-0.3 kg, P=0.325), but waist circumference decreased more (-3.3+/-0.4 vs -1.9+/-0.4 cm, P=0.012) with whole-grain RTE oat cereal. Larger reductions in LDL, total, and non-high-density lipoprotein cholesterol levels and waist circumference were evident as early as week 4 in the whole-grain RTE oat cereal group. CONCLUSIONS: Consumption of a whole-grain RTE oat cereal as part of a dietary program for weight loss had favorable effects on fasting lipid levels and waist circumference.

Zinc absorption adapts to zinc supplementation in postmenopausal women.

OBJECTIVE: To determine if human Zn absorption adapts to chronic high Zn intakes. METHODS: Zn absorption was measured at 0, 8, and 16 wk in healthy postmenopausal women who consumed controlled diets with approximately 5 mg Zn from food, supplemented to 14 (n = 6), 32 (n = 3), or 47 (n = 3) mg Zn/d for 22 wk. Zn absorption for 1 day was determined by (65)Zn-labeling of meals and whole body scintillation counting. RESULTS: At wk 0, less Zn was absorbed from diets with 14, compared with 32 or 47 mg/d (4.6, 8.7, and 10.3 mg/d, respectively; pooled SE = 0.9; p < 0.05). These differences were not apparent at wk 8 (5.4, 5.8, 6.4; NS) and became negligible by wk 16 (5.0, 5.0, 5.1; NS). Plasma Zn concentrations were unaffected. The results are consistent with a saturation response model of Zn absorption. CONCLUSION: Within several weeks, postmenopausal women biologically adapted to absorb a relatively uniform amount of 5 mg Zn/d when controlled, Zn-supplemented diets supplied consistent Zn intakes between 14 and 47 mg/d.

Dietary calcium does not exacerbate phytate inhibition of zinc absorption by women from conventional diets.

BACKGROUND: Although calcium inhibits zinc bioavailability in rats, especially from high-phytate diets, the effect of calcium on zinc absorption by humans from practical diets remains unclear. OBJECTIVE: The objective was to test the inhibitory effect of dietary calcium, in Western diets with high and low phytate content, on zinc absorption. DESIGN: Using a 2 x 2 factorial design, zinc absorption was determined in 10 healthy women from 1-d diets with moderate and high calcium contents of approximately 700 and 1800 mg/d and low and high phytate contents of approximately 440 and 1800 mg/d. Absorption was measured by using extrinsically added (65)Zn and subsequent whole-body scintillation counting. RESULTS: Mean (+/-SE) fractional zinc absorption was 32.8 +/- 2.3% from the moderate-calcium, low-phytate diet; 26.9 +/- 2.4% from the moderate-calcium, high-phytate diet; 39.4 +/- 2.4% from the high-calcium, low-phytate diet; and 26.2 +/- 2.3% from the high-calcium, high-phytate diet. The respective values for absolute zinc absorption were 3.8 +/- 0.3, 3.0 +/- 0.3, 4.5 +/- 0.3, and 3.2 +/- 0.3 mg/d. Phytate significantly reduced fractional zinc absorption by approximately 10 percentage points and reduced absolute zinc absorption by 25%, or approximately 1 mg/d. Differences in dietary calcium did not affect zinc absorption, regardless of a high or low dietary phytate content. CONCLUSIONS: In healthy women consuming 1-d menus of ordinary foods (some fortified with calcium), dietary phytate reduces zinc absorption, but calcium does not impair zinc absorption, regardless of whether dietary phytate is low or high.

Adaptation in human zinc absorption as influenced by dietary zinc and bioavailability.

BACKGROUND: An understanding of the relations among dietary zinc intake, bioavailability, and absorption is necessary for making dietary intake recommendations. OBJECTIVES: We aimed to assess adaptation in human zinc absorption to controlled differences in zinc and phytate intakes and to apply the results to predictive models. DESIGN: In 3 experiments, radiotracers were used to assess zinc absorption by healthy adults (n = 109) from controlled diets, before and after 4 or 8 wk of dietary equilibration. Subjects consumed 4-29 mg Zn/d from 1 of 10 diets, 5 with molar ratios of phytate to zinc from 2 to 7 and 5 with ratios from 15 to 23. RESULTS: Absorptive efficiency was inversely related to dietary zinc from both low- and high-phytate diets. In response to low zinc intakes (<11 mg/d) for 4-8 wk, zinc absorption was up-regulated to as high as 92%, but only if the diets were low in phytate. The results help validate and refine a published saturable transport model that predicts zinc absorption from dietary zinc and phytate. Possible biomarkers of impaired zinc status, including erythrocyte osmotic fragility, in vitro erythrocyte (65)Zn uptake, and leukocyte expression of the zinc transport proteins Zip1 and ZnT1, were unresponsive to dietary zinc content. CONCLUSIONS: Humans absorbed zinc more efficiently from low-zinc diets and adapted to further increase zinc absorption after consuming low-zinc, low-phytate diets for several weeks. Such adaptation did not occur with higher phytate diets. Zinc absorption can be predicted from dietary zinc and phytate after allowing for dietary equilibration.

Iron bioavailability from maize and beans: a comparison of human measurements with Caco-2 cell and algorithm predictions.

BACKGROUND: An in vitro digestion and Caco-2 cell model may predict iron bioavailability to humans; however, direct comparisons are lacking. OBJECTIVE: The objective was to test the differences in iron bioavailability between 2 maize varieties and 2 bean varieties (white beans and colored beans) by comparing human, Caco-2, and algorithm results. DESIGN: Two randomized, 2 x 2 factorial experiments compared women's iron absorption from 2 maize varieties (ACR and TZB; n = 26) and 2 bean varieties (great northern and pinto; n = 13), each fed with and without ascorbic acid (AA) from orange juice. Nonheme iron bioavailability was determined from 2-wk retention of extrinsic radioiron tracers and was compared with Caco-2 cell and algorithm results from identical meals. RESULTS: Without AA supplementation, women absorbed only about 2% of the iron from the maize or bean meals. The results were unaffected by the variety of either maize or beans. Adding AA (15-20 molar ratios of AA:iron) roughly tripled the iron absorption (P < 0.0001) from all test meals. Although the Caco-2 model predicted a slightly improved bioavailability of iron from ACR maize than from TZB maize (P < 0.05), it accurately predicted relative iron absorption from the maize meals. However, the Caco-2 model inaccurately predicted both a considerable difference between bean varieties (P < 0.0001) and a strong interaction between bean varieties and enhancement by AA (P < 0.0001). The algorithm method was more qualitatively than quantitatively useful and requires further development to accurately predict the influence of polyphenols on iron absorption. CONCLUSIONS: Caco-2 predictions confirmed human iron absorption results for maize meals but not for bean meals, and algorithm predictions were only qualitatively predictive.

Eating restraint is negatively associated with biomarkers of bone turnover but not measurements of bone mineral density in young women.

Relationships among bone mineral density (BMD), bone turnover markers, cortisol, calcium and vitamin D intakes, and cognitive eating restraint score were examined. Sixty-five healthy women, ages 18 to 25 years, had total body, spine, hip, and forearm BMD measured by dual-energy x-ray absorptiometry. Serum osteocalcin, urinary cross-linked N-telopeptide of type I collagen (NTx), and salivary cortisol were measured, and intakes of calcium and vitamin D were estimated from questionnaires. Cognitive eating restraint scores were determined from the Eating Inventory. Associations between measures were analyzed by Pearson correlations; predictors of BMD and bone turnover markers were tested using stepwise regression. Serum osteocalcin (P<0.01) and urinary NTx (P<0.05) were negatively related to cognitive eating restraint score. Intakes of calcium (P<0.05) and vitamin D (P<0.05) were associated with forearm BMD. Regression analyses indicated that vitamin D intake predicted total body (P<0.08) and forearm (P<0.01) BMD. Negative associations between cognitive eating restraint score and bone biomarkers suggest a reduction in bone remodeling, not reflected in current BMD.

Distal tibia areal bone mineral density: use in detecting low aBMD of the hip in young women.

Dual-energy X-ray absorptiometry (DXA) is a primary clinical tool for identification of adults with low areal bone mineral density (aBMD) and who are at increased risk for future osteoporosis and fragility fractures. Procedures for several aBMD scans of clinical interest might be limited by artifact, inaccessible anatomical regions, and positioning errors. Sites for scanning that overcome these limitations need further investigation for application to large-scale screening and relevance to clinical decisions regarding diagnosis and treatment. In this study, 146 women (mean +/- SE age = 20.1 +/- 0.1 yr, height = 163.3 +/- 0.2 cm, weight = 60.0 +/- 0.2 kg) underwent DXA of the total body (TB) and right and left total proximal femurs (TPF), total forearms (TF), and distal tibiae (DT). Osteopenia was identified in 24 women. Areal BMD was positively related among all measurement sites (r = 0.55-0.81, all p < 0.001). Total body, TF, and DT aBMD each displayed low sensitivity (0.29-0.33) and high specificity (0.95-0.98) to detect osteopenia of the TPF. Addition of TB fat-free mass slightly enhanced the predictive value of DT aBMD. Overall, DT aBMD can discriminate between osteopenic and normal subjects with comparable accuracy to TB or TF aBMD.

Cognitive eating restraint scores are associated with body fatness but not with other measures of dieting in women.

Nearly 50% of women report dieting to lose weight, but the ability of cognitive eating restraint (CER) scores to separate women based on indicators of restricted intake has not been adequately demonstrated. We examined the ability of the CER subscale of the eating inventory to distinguish differences in resting energy expenditure (REE), body composition, cortisol, dietary intake, and physical activity, in a group of women. Subjects (20.4+/-2.3 years) were divided into high (score>9; n=31) and low (score< or =9; n=34) CER groups based on questionnaire responses. Indirect calorimetry was used to measure REE and dual-energy X-ray absorptiometry to measure body composition. Salivary and 24-hour urinary cortisol were measured by bioassays. Food frequency questionnaires and 4-day food records, physical activity recalls, and anthropometric measures were completed. Women in the high CER group possessed more fat mass (p<0.05) and higher body fat percent (p<0.05) and consumed more servings of fruits and vegetables per day (p<0.05) compared to women in the low CER group. Differences in other indicators were not observed between CER groups. Our findings suggest that cognitive restraint and body fatness may not be independent of one another.