Genetic variation of habitual coffee consumption and glycemic changes in response to weight-loss diet intervention: the Preventing Overweight Using Novel Dietary Strategies (POUNDS LOST) trial

Am J Clin Nutr. 2017 Nov;106(5):1321-1326. doi: 10.3945/ajcn.117.156232. Epub 2017 Sep 20.

Abstract

Background: Coffee consumption has been associated with glucose metabolism and risk of type 2 diabetes.Objective: We examined whether the genetic variation determining habitual coffee consumption affected glycemic changes in response to weight-loss dietary intervention.Design: A genetic risk score (GRS) was calculated based on 8 habitual coffee consumption-associated single nucleotide polymorphisms. We used general linear models to test changes in glycemic traits in groups randomly assigned to high- and low-fat diets according to tertiles of the GRS.Results: We observed significant interactions between the GRS and low compared with high dietary fat intake on 6-mo changes in fasting insulin and homeostasis model assessment of insulin resistance (HOMA-IR) (P-interaction = 0.023 and 0.022, respectively), adjusting for age, sex, race, physical activity, smoking, alcohol, seasonal variation, and baseline values of the respective outcomes. Participants with a higher GRS of habitual coffee consumption showed a greater reduction in fasting insulin and a marginally greater decrease in HOMA-IR in the low-fat diet intervention group.Conclusions: Our data suggest that participants with genetically determined high coffee consumption may benefit more by eating a low-fat diet in improving fasting insulin and HOMA-IR in a short term. This trial was registered at clinicaltrials.gov as NCT00072995 and NCT03258203.

Keywords: gene-diet interaction; genetic risk score; glycemic traits; habitual coffee consumption; weight-loss diets.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Blood Glucose / metabolism*
  • Body Mass Index
  • Cluster Analysis
  • Coffee*
  • Diet, Fat-Restricted
  • Diet, Reducing*
  • Dietary Fats / administration & dosage
  • Exercise
  • Female
  • Follow-Up Studies
  • Humans
  • Insulin / blood
  • Insulin Resistance
  • Linear Models
  • Male
  • Middle Aged
  • Overweight / prevention & control*
  • Patient Compliance
  • Polymorphism, Single Nucleotide*

Substances

  • Blood Glucose
  • Coffee
  • Dietary Fats
  • Insulin

Associated data

  • ClinicalTrials.gov/NCT00072995
  • ClinicalTrials.gov/NCT03258203