The overall goal of this 2 year proposal is to examine the association of glycemic load (GL), derived from 24-hour dietary recalls, with body weight and blood lipids (including total cholesterol, LDL, HDL, and triglycerides), and to study seasonal and short-term variation of GL in a free-living healthy population. Results from short-term experimental studies and a limited number of observational studies suggest that GL, a measure of the quality and quantity of carbohydrate in foods, may be related to body weight and serum lipids, and GL potentially should be considered in dietary recommendations. However, neither the glycemic index (GI) nor GL is considered in the dietary guidelines of the American Heart Association, the U.S Department of Agriculture, or the American Diabetes Association. We will use dietary data collected from the Seasonal Variation in Blood Cholesterol Levels (SEASONS) (NHLBI: R01-HL52745) (1. Ockene - P.I.) study, in which 641 healthy adults in central Massachusetts were followed quarterly (baseline and four consecutive quarters: five sampling points in all) during this a one-year observational study. A total of fifteen 24-hour dietary and physical activity recalls were collected for each subject, with serum lipids and body weight measured five times. Serum lipids and body weight were measured once per quarter and three 24-hour recalls were administered (two weekdays and one weekend day) per quarter. If GL is found to be associated with body weight and blood lipids, a randomized clinical trial will be designed to evaluate the effects of a GL-based nutritional intervention program on hyperlipidemic patients. The methodology of this proposed study will involve several steps: 1) Data summarization of 9,067 24- hour diet recall records, 2) GL calculation and calculation of overall GI index, 3) Analysis of the relationship of GL to body weight and blood lipids, 4) Estimation of seasonal and short-term variations in GL, 5) Analysis of GL by meal type and identification of the top ten food contributors, 6) Analysis of the association of overall GI with body weight and blood lipids, and 7) Final report and manuscript preparation.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21HL074895-02
Application #
6875603
Study Section
Nutrition Study Section (NTN)
Program Officer
Obarzanek, Eva
Project Start
2004-04-01
Project End
2007-03-31
Budget Start
2005-04-01
Budget End
2007-03-31
Support Year
2
Fiscal Year
2005
Total Cost
$159,000
Indirect Cost
Name
University of Massachusetts Medical School Worcester
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
603847393
City
Worcester
State
MA
Country
United States
Zip Code
01655
Griffith, Jennifer A; Ma, Yunsheng; Chasan-Taber, Lisa et al. (2008) Association between dietary glycemic index, glycemic load, and high-sensitivity C-reactive protein. Nutrition 24:401-6
Ma, Yunsheng; Pagoto, Sherry L; Griffith, Jennifer A et al. (2007) A dietary quality comparison of popular weight-loss plans. J Am Diet Assoc 107:1786-91
Ma, Yunsheng; Li, Youfu; Chiriboga, David E et al. (2006) Association between carbohydrate intake and serum lipids. J Am Coll Nutr 25:155-63
Ma, Y; Olendzki, B C; Li, W et al. (2006) Seasonal variation in food intake, physical activity, and body weight in a predominantly overweight population. Eur J Clin Nutr 60:519-28
Ma, Yunsheng; Griffith, Jennifer A; Chasan-Taber, Lisa et al. (2006) Association between dietary fiber and serum C-reactive protein. Am J Clin Nutr 83:760-6
Olendzki, Barbara C; Ma, Yunsheng; Culver, Annie L et al. (2006) Methodology for adding glycemic index and glycemic load values to 24-hour dietary recall database. Nutrition 22:1087-95
Ma, Yunsheng; Olendzki, Barbara; Chiriboga, David et al. (2005) Association between dietary carbohydrates and body weight. Am J Epidemiol 161:359-67