Highlights
- •Salba-chia is one of the highest food sources of dietary fiber, α-linolenic fat per total fat, rich in minerals, and protein.
- •Isocaloric supplementation of Salba-chia for 6 months demonstrated greater body weight reduction compared to control.
- •Supplementation of Salba-chia may be a promising addition to conventional therapy in the treatment of obesity in diabetes.
Abstract
Background and Aim
Preliminary findings indicate that consumption of Salba-chia (Salvia hispanica L.), an ancient seed, improves management of type 2 diabetes and suppresses appetite.
The aim of this study was to assesse the effect of Salba-chia on body weight, visceral
obesity and obesity-related risk factors in overweight and obese adults with type
2 diabetes.
Methods
A double-blind, randomized, controlled trial with two parallel groups involved 77
overweight or obese patients with type 2 diabetes (HbA1c: 6.5–8.0%; BMI: 25–40 kg/m2). Both groups followed a 6-month calorie-restricted diet; one group received 30 g/1000 kcal/day
of Salba-chia, the other 36 g/1000 kcal/day of an oat bran-based control. Primary
endpoint was change in body weight over 6-months. Secondary endpoints included changes
in waist circumference, body composition, glycemic control, C-reactive protein, and
obesity-related satiety hormones.
Results
At 6-months, participants on Salba-chia had lost more weight than those on control
(1.9 ± 0.5 kg and 0.3 ± 0.4 kg, respectively; P = 0.020), accompanied by a greater reduction in waist circumference (3.5 ± 0.7 cm
and 1.1 ± 0.7 cm, respectively; P = 0.027). C-reactive protein was reduced by 1.1 ± 0.5 mg/L (39 ± 17%) on Salba-chia,
compared to 0.2 ± 0.4 mg/L (7 ± 20%) on control (P = 0.045). Plasma adiponectin on the test intervention increased by 6.5 ± 0.7%, with
no change observed on control (P = 0.022).
Conclusions
The results of this study, support the beneficial role of Salba-chia seeds in promoting
weight loss and improvements of obesity related risk factors, while maintaining good
glycemic control. Supplementation of Salba-chia may be a useful dietary addition to
conventional therapy in the management of obesity in diabetes.
Registration
clinicaltrials.gov identifier: NCT01403571.
Keywords
Abbreviations:
ALA (alpha-linolenic acid), ALT (alanine aminotransferase), CVD (cardiovascular disease), DXA (dual energy X-ray absorptiometry), GLP-1 (glucagon-like peptide-1), Hs-CRP (high-sensitivity C-reactive protein), PT (prothrombin-time), T2DM (type 2 diabetes)To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Nutrition, Metabolism and Cardiovascular DiseasesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Maps of trends in diagnosed diabetes and obesity.2015
- Weight management in type 2 diabetes: current and emerging approaches to treatment.Diabetes Care. 2015; 38: 1161-1172
- Weight science: evaluating the evidence for a paradigm shift.Nutr J. 2011; 10: 9
- Efficacy and safety of low-carbohydrate diets: a systematic review.J Am Med Assoc. 2003; 289: 1837-1850
- Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomized trial.JAMA. 2005; 293: 43-53
- The new England journal of medicine: comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates.New Engl J Med. 2009; 360: 859-873
- Dietary fiber for the treatment of type 2 diabetes mellitus: a meta-analysis.J Am Board Fam Med. 2012; 25: 16-23
- Comparison of weight loss among named diet programs in overweight and obese adults: a meta-analysis.JAMA. 2014; 312: 923-933
- Long-chain omega-3 polyunsaturated fatty acids may be beneficial for reducing obesity-a review.Nutrients. 2010; 2: 1212-1230
- Chia (Salvia hispanica): a review of native mexican seed and its nutritional and functional properties.Adv Food Nutr Res. 2015; 75: 53-75
- Supplementation of conventional therapy with the novel grain Salba (Salvia hispanica L.) improves major and emerging cardiovascular risk factors in type 2 diabetes: results of a randomized controlled trial.Diabetes Care. 2007; 30: 2804-2810
- Dietary alpha-linolenic acid increases the n-3 PUFA content of sow's milk and the tissues of the suckling piglet.Lipids. 2003; 38: 1045-1049
- Circulating levels of active ghrelin is associated with abdominal adiposity, hyperinsulinemia and insulin resistance in patients with type 2 diabetes mellitus.Eur J Endocrinol. 2004; 151: 573-577
- Adiponectin: more than just another fat cell hormone?.Diabetes Care. 2003; 26: 2442-2450
- Topiramate in the treatment of obese subjects with drug-naive type 2 diabetes.Diabetes Obes Metab. 2007; 9: 360-368
- Dietary treatment and long-term weight loss and maintenance in type 2 diabetes.Obes Res. 2001; 9: 348S-353S
- Effect of GLP-1 receptor agonists on waist circumference among type 2 diabetes patients: a systematic review and network meta-analysis.Endocrine. 2015; 48: 794-803
- 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association task force on practice guidelines and the obesity society.Circulation. 2014; 129: S102-S138
- Long-term efficacy and safety comparison of liraglutide, glimepiride and placebo, all in combination with metformin in type 2 diabetes: 2-year results from the LEAD-2.Diabetes Obes Metab. 2013 Mar; 15: 204-212
- Chia seed does not promote weight loss or alter disease risk factors in overweight adults.Nutr Res. 2009; 29: 414-418
- Dietary levels of chia: influence on yolk cholesterol, lipid content and fatty acid composition for two strains of hens.Poult Sci. 2000; 79: 724-739
- The seed's protein and oil content, fatty acid composition, and growing cycle length of a single genotype of chia (Salvia hispanica L.) as affected by environmental factors.J Oleo Sci. 2009; 58: 347-354
- Reduction in postprandial glucose excursion and prolongation of satiety: possible explanation of the long-term effects of whole grain Salba (Salvia hispanica L.).Eur J Clin Nutr. 2010; 64: 436-438
- Chia seed supplementation and disease risk factors in overweight women: a metabolomics investigation.J Altern Complement Med. 2012; 18: 700-708
- Normal-weight central obesity: implications for total and cardiovascular mortality.Ann Intern Med. 2015 Dec 1; 163: 827-835
- To JUPITER and beyond: statins, inflammation, and primary prevention.Crit Care. 2010; 14: 310
- Low-density lipoprotein-dependent and -independent effects of cholesterol-lowering therapies on C-reactive protein: a meta-analysis.J Am Coll Cardiol. 2007; 49: 2003-2009
- Viscous fibers, health claims, and strategies to reduce cardiovascular disease risk.Am J Clin Nutr. 2000; 71: 401-402
- Inulin-type fructans: functional food ingredients.J Nutr. 2007; 137: 2493S-2502S
- Dietary antioxidant capacity and concentration of adiponectin in apparently healthy adults: the ATTICA study.Eur J Clin Nutr. 2010; 64: 161-168
- Effects of omega-3 fatty acids supplementation on serum adiponectin levels and some metabolic risk factors in women with polycystic ovary syndrome.Asia Pac J Clin Nutr. 2012; 21: 511-518
- Fiber facts: benefits and recommendations for individuals with type 2 diabetes.Curr Diab Rep. 2009; 9: 405-411
- Effects of dietary fibre on subjective appetite, energy intake and body weight: a systematic review of randomized controlled trials.Obes Rev. 2011; 12: 724-739
- Effect of dietary fiber on circulating C-reactive protein in overweight and obese adults: a meta-analysis of randomized controlled trials.Int J Food Sci Nutr. 2015; 66: 114-119
- Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates.N Engl J Med. 2009; 360: 859-873
- Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet.N Engl J Med. 2008; 359: 229-241
Article info
Publication history
Published online: December 08, 2016
Accepted:
November 29,
2016
Received in revised form:
October 25,
2016
Received:
May 12,
2016
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2016 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.