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Dietary glycemic index, glycemic load and insulin resistance in the Framingham Offspring Cohort


, : Dietary glycemic index, glycemic load and insulin resistance in the Framingham Offspring Cohort. FASEB Journal 17(4-5): Abstract No 437 1, March

The role of carbohydrate nutrition in the etiology of insulin resistance is poorly understood. One hypothesis is that greater intake of carbohydrates with high glycemic index (an indicator of carbohydrates ability to raise blood glucose) produces greater insulin resistance. Furthermore, the glycemic load, a measure of both the quality and quantity of carbohydrate in the diet, may be associated with insulin resistance. We examined the association between glycemic index and glycemic load on insulin resistance using the homeostasis model assessment (HOMA-IR) in 1289 men and 1544 women of the Framingham Offspring Cohort. HOMA-IR was calculated using the following formula: (fasting plasma insulin x plasma glucose)/22.5. After adjustment for age, sex, smoking dose, body mass index, waist-hip ratio, multi-vitamin use, treatment for blood pressure, alcohol intake, total energy intake, percentage saturated and polyunsaturated fat, the mean HOMA-IR values for ascending quintiles of glycemic index were 6.4, 6.7, 6.8, 6.8, 7.0 (P <0.001 for trend) and for ascending quintiles of glycemic load were 6.7, 6.5, 6.7, 6.8, 7.0 (P <0.05 for trend). These associations remained significant after further adjustment for cereal fiber. These data support the hypothesis that high glycemic index diets are associated with insulin resistance.

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