A double-blinded, randomized, parallel intervention to evaluate biomarker-based nutrition plans for weight loss: The PREVENTOMICS study

Adult 0301 basic medicine Health-biomarker Metabolomic SDG 3 – Goede gezondheid en welzijn 796 Body Mass Index 03 medical and health sciences SDG 3 - Good Health and Well-being Weight management Weight Loss Faculty of Science Metabolomics Humans Obesity /dk/atira/pure/core/keywords/TheFacultyOfScience Nutrigenetics 2. Zero hunger Body Weight Personalized nutrition Precision nutrition Overweight Lipids 3. Good health Health-biomarkers Nutrigenetic Biomarkers
DOI: 10.1016/j.clnu.2022.06.032 Publication Date: 2022-06-30T15:52:25Z
ABSTRACT
Growing evidence suggests that biomarker-guided dietary interventions can optimize response to treatment. In this study, we evaluated the efficacy of PREVENTOMCIS platform-which uses metabolomic and genetic information classify individuals into different 'metabolic clusters' create personalized plans-for improving health outcomes in subjects with overweight or obesity.A 10-week parallel, double-blinded, randomized intervention was conducted 100 adults (82 completers) aged 18-65 years, body mass index ≥27 but <40 kg/m2, who were allocated either a diet group (n = 49) control 51). About 60% all food provided free-of-charge. No specific instruction restrict energy intake given. The primary outcome change fat from baseline, by dual X-ray absorptiometry. Other endpoints included weight, waist circumference, lipid profile, glucose homeostasis markers, inflammatory blood pressure, physical activity, stress eating behavior.There significant main effects time (P < 0.01), no effects, time-by-group interactions, for (personalized: -2.1 [95% CI -2.9, -1.4] kg; control: -2.0 -2.7, -1.3] kg) weight -3.1 -4.1, -2.1] -3.3 -4.2, -2.4] kg). difference between groups -0.1 kg (95% -1.2, 0.9 kg, P 0.77). Both diets resulted improvements insulin resistance there differences groups.Personalized plans did not result greater benefits over generic, generally healthy diet, clinical trial. Further studies are required establish soundness precision nutrition approaches, translate science clinically relevant advice reduce burden obesity its comorbidities.ClinicalTrials.gov registry (NCT04590989).
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