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Safety and tolerability of a low glycemic load dietary intervention in adults with cystic fibrosis: A pilot study

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Mar 14, 2024 version files 16.39 KB

Abstract

Context: To achieve and maintain adequate weight, people with cystic fibrosis (CF) may often consume energy-dense, nutrient-poor foods high in added sugars and refined carbohydrates; however, little is known about the glycemic and metabolic effects of dietary composition in this patient population.

Objective: To investigate the safety and tolerability of a low glycemic load (LGL) diet in adults with CF and abnormal glucose tolerance (AGT).

Design: Prospective, open-label pilot study.

Intervention: Each participant followed his/her typical diet for eight weeks, then transitioned to an LGL diet via meal delivery service for eight weeks.

Participants: Ten adults with CF and AGT completed the trial. Mean age was 27.0±2.1 years, 64% were female, and all had pancreatic insufficiency.

Outcome Measures: The primary outcome was a change in weight from baseline to study completion, with safety established if no significant decline was noted. Other key safety outcomes included change in hypoglycemia measured by patient reports and continuous glucose monitoring (CGM). Exploratory outcomes included changes in other CGM measures, body composition by dual-energy X-ray absorptiometry (DXA), and patient-reported outcomes.

Results: There were no significant changes in weight or in subjectively-reported or objectively-measured hypoglycemia. Favorable non-significant trends were noted in CGM measures of hyperglycemia and glycemic variability, DXA measures of fat mass, and gastrointestinal symptom surveys.  

Conclusions: An LGL dietary intervention was safe and well tolerated in adults with CF and AGT. These results lay the groundwork for future trials investigating the impact of low-glycemic dietary interventions on metabolic outcomes in the CF population.