Abstract
The purposes of this study were to determine the effect of almonds rich in oleic acid as an alternative to complex carbohydrates on metabolic and anthropometric parameters during weight reduction and to evaluate self-reported satiety and satisfaction. A convenience sample of 57 adults was recruited from the Diabetes and Cardiovascular Risk Reduction Program at City of Hope National Medical Center. Subjects were randomized to an almond-enriched hypocaloric diet or to a complex carbohydrate-enriched hypocaloric diet for twenty-four weeks. Mixed model analysis showed that the use of almonds more favorably influenced weight loss (p< 0.0001), body mass index (p = 0.0001), waist circumference (p = 0.0255) and fat mass (p = 0.0205) compared to complex carbohydrates. Additionally, blood ketone levels were statistically significantly higher in the almond group (p = 0.0230) than in the complex carbohydrate group. No significant difference was found in the total cholesterol:HDL ratio between the groups, however both groups had statistically improved ratios over time with resulting decreases in cardiovascular risk. The glucose (p = 0.0006), insulin (p< 0.0001), insulin:glucose ratio (p = 0.0008), HgbAlc (p
Department
Nutrition
School
School of Public Health
First Advisor
Joan Sabaté
Second Advisor
Zaida R. Cordero-Maclntyre
Third Advisor
Fouad Kandeel
Degree Name
Doctor of Public Health (DrPH)
Degree Level
Ph.D.
Year Degree Awarded
2002
Date (Title Page)
6-2002
Language
English
Library of Congress/MESH Subject Headings
Obesity -- diet therapy; Diet, Reducing; Fatty Acids -- metabolism; Energy Intake; Cholesterol, Dietary; Weight Loss.
Type
Dissertation
Page Count
xiii; 140
Digital Format
Digital Publisher
Loma Linda University Libraries
Copyright
Author
Usage Rights
This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.
Recommended Citation
Wien, Michelle Ann, "The Effects of a Hypocaloric Diet Enriched in Oleic Acid Using Almonds Versus Complex Carbohydrates on Metabolic and Anthropometric Parameters During Weight Reduction" (2002). Loma Linda University Electronic Theses, Dissertations & Projects. 978.
https://scholarsrepository.llu.edu/etd/978
Collection
Loma Linda University Electronic Theses and Dissertations
Collection Website
http://scholarsrepository.llu.edu/etd/
Repository
Loma Linda University. Del E. Webb Memorial Library. University Archives