12-OR: Beneficial Effects of Mediterranean Diet on Body Composition and Glucose Metabolism—A Randomised Controlled Trial



Introduction and Objective: The rising prevalence of obesity and metabolic disorders, such as type 2 diabetes, highlights the need for effective dietary strategies to improve health outcomes. The Mediterranean diet has been well studied and shown to reduce chronic disease risk through its beneficial effects on body composition and glucose metabolism. The Australian Guide to Healthy Eating (AGHE) was intended to offer a balanced dietary framework, yet its comparative efficacy with the Mediterranean diet remains unexplored. Thus, this study aims to compare the efficacy of the Mediterranean diet with AGHE on body composition and glucose metabolism.Methods: We conducted a randomised controlled trial including 57 participants (median age 31, IQR: 25-37 years; 71.9% female, BMI = 25.1 kg/m2), with 23 participants randomised to the Mediterranean diet and 34 participants to the AGHE diet for eight weeks. Anthropometric measurements, estimated metabolic rate (indirect calorimetry) and body composition (Dual-Energy X-ray Absorptiometry, DEXA) were assessed. Fasting serum samples were collected to measure glucose and insulin concentrations. Paired t-tests were employed for within-group comparisons, and analysis of covariance (ANOVA) was used for between-group comparisons, adjusted for age and baseline values.Results: The Mediterranean diet intervention resulted in a significant decrease in waist circumference (-1.3 cm, p = 0.043), body fat percentage (-1.8%, p = 0.014), resting metabolic rate (RMR) (-17.9 kcal/day, p = 0.02), and fasting insulin concentration (-1.2 μIU/mL, p = 0.016), along with an increase in body lean mass percentage (1.7%, p = 0.015) compared to AGHE group.Conclusion: The Mediterranean diet demonstrated greater efficacy in improving body composition and maintaining metabolic variables compared to the AGHE. These findings may support the use of the Mediterranean diet in improving health outcomes related to obesity and metabolic disorders.

Disclosure

R.H. Kabthymer: None. B. de Courten: None. J. Danaher: None.



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