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Disorders of Lipoprotein Metabolism


UNSATURATED FATTY ACID INTAKE PROTECTS AGAINST INSULIN RESISTANCE

Jessica Nye, PhD
|
January 3, 2024
High unsaturated fatty acid intake relative to total fat consumption may lower
insulin resistance risk.

High unsaturated fatty acid (UFA) intake relative to total fat consumption is
associated with a reduced risk for insulin resistance, according to study
findings published in Lipids in Health and Disease.



Although previous study findings support an association between UFA intake and
improved insulin sensitivity, much of these data were from small-scale,
single-center studies.

To assess the relationship between dietary UFA intake and insulin resistance,
researchers conducted a cross-sectional study using data from the National
Health and Nutrition Examination Survey (NHANES) collected between 2017 and
2020. Exclusion criteria were participants under 20 years of age and pregnant
individuals.



The outcomes were triglyceride-glucose (TyG) index, Homeostatic Model Assessment
for Insulin Resistance (HOMA-IR), and insulin resistance status. The researchers
defined UFA intake on the basis of the UFA to total fat (UFA/TF) ratio. 

The study included a total of 7630 participants (mean age, 50.95 years; SD,
17.34), of whom 50.9% were women, 35.9% were White, 26.8% were Black, 36.4% had
hypercholesteremia, and 15.6% had diabetes.

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Compared with individuals in the lower UFA/TF ratio tertiles, those in the
highest tertile had a higher mean age and high-density lipoprotein cholesterol
levels and lower body mass index (BMI), waist-to-hip ratio, insulin levels,
fasting blood glucose, triglycerides, total cholesterol, and low-density
lipoprotein cholesterol levels (all P £.047).

In the fully adjusted model, UFA/TF ratio was negatively correlated with TyG
index scores (b, -0.436; 95% CI, -0.704 to -0.168; P =.001) and HOMA-IR scores
(b, -4.855; 95% CI, -9.114 to -0.595; P =.026).


“
Based on these results, we suggest that higher levels of unsaturated fat in the
diet may be a protective factor associated with a lower risk of developing
insulin resistance.


Compared with participants in the lowest UFA/TF ratio tertile, those in the
highest tertile were at lower risk for insulin resistance (adjusted odds ratio
[aOR], 0.805; 95% CI, 0.648-1; P =.049).

In the subgroup analyses, the relationship between UFA/TF ratio and insulin
resistance was significant among participants with stroke (aOR, 0.002; 95% CI,
0-0.695; P =.036) and those without coronary artery disease (aOR, 0.254; 95% CI,
0.070-0.929; P =.038).

Study limitations include the lack of stratification by type of UFA, the
exclusion of smoking status as a covariate, and a proportionally smaller
representation of ethnic groups besides Black and White.

“The results of this study suggest that a higher level of dietary intake of
unsaturated fats is associated with lower blood lipid and glucose levels, and
that increasing the proportion of dietary unsaturated fat intake may improve
glucose and lipid metabolism,” the researchers concluded. “Based on these
results, we suggest that higher levels of unsaturated fat in the diet may be a
protective factor associated with a lower risk of developing insulin
resistance.”



References:

Chen X, Gu J, Huang Y. High dietary intake of unsaturated fatty acids is
associated with improved insulin resistance – a cross-sectional study based on
the NHANES database. Lipids Health Dis. Published online December 5, 2023.
doi:10.1186/s12944-023-01982-1


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These cookies are necessary for the website to function and cannot be switched
off in our systems. They are usually only set in response to actions made by you
which amount to a request for services, such as setting your privacy
preferences, logging in or filling in forms.    You can set your browser to
block or alert you about these cookies, but some parts of the site will not then
work. These cookies do not store any personally identifiable information.

 * FUNCTIONAL COOKIES
   
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   These cookies enable the website to provide enhanced functionality and
   personalisation. They may be set by us or by third party providers whose
   services we have added to our pages.    If you do not allow these cookies
   then some or all of these services may not function properly.

DO NOT SELL PERSONAL INFORMATION

Do Not Sell Personal Information

 * SOCIAL MEDIA COOKIES
   
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   These cookies are set by a range of social media services that we have added
   to the site to enable you to share our content with your friends and
   networks. They are capable of tracking your browser across other sites and
   building up a profile of your interests. This may impact the content and
   messages you see on other websites you visit.    If you do not allow these
   cookies you may not be able to use or see these sharing tools.

 * PERFORMANCE COOKIES
   
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   These cookies allow us to count visits and traffic sources so we can measure
   and improve the performance of our site. They help us to know which pages are
   the most and least popular and see how visitors move around the site.    All
   information these cookies collect is aggregated and therefore anonymous. If
   you do not allow these cookies we will not know when you have visited our
   site, and will not be able to monitor its performance.

 * TARGETING COOKIES
   
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   These cookies may be set through our site by our advertising partners. They
   may be used by those companies to build a profile of your interests and show
   you relevant adverts on other sites.    They do not store directly personal
   information, but are based on uniquely identifying your browser and internet
   device. If you do not allow these cookies, you will experience less targeted
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