Immune Function Response Following a Low-carbohydrate, High-fat Diet (LCHFD) in Patients with Type 2 Diabetes

AuthorGerrit Jan Breukelmanen
AuthorBrandon Stuwart Shawen
AuthorAlbertus Kotze Bassonen
AuthorTrayana Gueorguieva Djarovaen
AuthorLourens Millarden
AuthorIna Shawen
OrcidGerrit Jan Breukelman [0000-0003-2586-4668]en
OrcidBrandon Stuwart Shaw [0000-0002-2285-8361]en
OrcidAlbertus Kotze Basson [0000-0001-7685-2099]en
OrcidTrayana Gueorguieva Djarova [0000-0002-3685-7917]en
OrcidLourens Millard [0000-0002-5528-8983]en
OrcidIna Shaw [0000-0001-8400-8234]en
Issued Date2021-03-31en
AbstractBackground: Type 2 diabetes is a chronic metabolic disorder that can result in micro- and macrovascular complications and is complicated by an impaired healing process. Research suggests that both dietary factors and habitual physical activity influence the hemostatic system through several pathways. Objectives: The study attempted to investigate if a low-carbohydrate, high-fat diet (LCHFD), on its own or in conjunction with physical activity, could alter hematologic variables in patients with type 2 diabetes. Methods: Participants (n = 39; 31 - 71 y.) were assigned into three groups, which included either a 16 week continuous physical activity program with the consumption of an LCHFD (ExDG) (n = 13; 41 - 71 y), consuming only a LCHFD group (DietG) (n = 13; 31 - 71 y.), or a control group (ConG) (n = 13; 44 - 69 y). Participants in the ExDG were advised only to consume a diet high in fat and not consume more than 50 g of carbohydrates per day. Furthermore, participants had to walk a minimum of 10000 steps per day. The DietG were instructed to only consume a diet high in fat and low in carbohydrates, where the ConG continued with their normal daily routine. Results: No significant changes (P > 0.05) were observed in white blood cell count, neutrophils, lymphocytes, eosinophils, basophils, hemoglobin, red blood cell count, mean corpuscular volume, hematocrit, mean corpuscular hemoglobin, platelets, red blood cell distribution width, mean corpuscular hemoglobin concentration, and C-reactive protein following ExDG, DietG or in the ConG. Conclusions: A LCHFD on its own or in conjunction with physical activity does not have any effect on the measured hematologic variables in patients with type 2 diabetes. This may be due to the current popular recommendation of LCHFD not being useful in type 2 diabetics and 10000 steps being of insufficient intensity to improve hematologic parameters in type 2 diabetics.en
DOIhttps://doi.org/10.5812/asjsm.106582en
KeywordC-Reactive Proteinen
KeywordHigh-fat Dieten
KeywordGlutamineen
KeywordBlood Plateletsen
KeywordWhite Blood Cellsen
PublisherBrieflandsen
TitleImmune Function Response Following a Low-carbohydrate, High-fat Diet (LCHFD) in Patients with Type 2 Diabetesen
TypeResearch Articleen

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