Skip to main content
Top
Published in: Nutrition & Metabolism 1/2014

Open Access 01-12-2014 | Research

Different types of soluble fermentable dietary fibre decrease food intake, body weight gain and adiposity in young adult male rats

Authors: Clare L Adam, Patricia A Williams, Matthew J Dalby, Karen Garden, Lynn M Thomson, Anthony J Richardson, Silvia W Gratz, Alexander W Ross

Published in: Nutrition & Metabolism | Issue 1/2014

Login to get access

Abstract

Background

Dietary fibre-induced satiety offers a physiological approach to body weight regulation, yet there is lack of scientific evidence. This experiment quantified food intake, body weight and body composition responses to three different soluble fermentable dietary fibres in an animal model and explored underlying mechanisms of satiety signalling and hindgut fermentation.

Methods

Young adult male rats were fed ad libitum purified control diet (CONT) containing 5% w/w cellulose (insoluble fibre), or diet containing 10% w/w cellulose (CELL), fructo-oligosaccharide (FOS), oat beta-glucan (GLUC) or apple pectin (PECT) (4 weeks; n = 10/group). Food intake, body weight, and body composition (MRI) were recorded, final blood samples analysed for gut satiety hormones, hindgut contents for fermentation products (including short-chain fatty acids, SCFA) and intestinal tissues for SCFA receptor gene expression.

Results

GLUC, FOS and PECT groups had, respectively, 10% (P < 0.05), 17% (P < 0.001) and 19% (P < 0.001) lower food intake and 37% (P < 0.01), 37% (P < 0.01) and 45% (P < 0.001) lower body weight gain than CONT during the four-week experiment. At the end they had 26% (P < 0.05), 35% (P < 0.01) and 42% (P < 0.001) less total body fat, respectively, while plasma total glucagon-like peptide-1 (GLP-1) was 2.2-, 3.2- and 2.6-fold higher (P < 0.001) and peptide tyrosine tyrosine (PYY) was 2.3-, 3.1- and 3.0-fold higher (P < 0.001). There were no differences in these parameters between CONT and CELL. Compared with CONT and CELL, caecal concentrations of fermentation products increased 1.4- to 2.2-fold in GLUC, FOS and PECT (P < 0.05) and colonic concentrations increased 1.9- to 2.5-fold in GLUC and FOS (P < 0.05), with no consistent changes in SCFA receptor gene expression detected.

Conclusions

This provides animal model evidence that sustained intake of three different soluble dietary fibres decreases food intake, weight gain and adiposity, increases circulating satiety hormones GLP-1 and PYY, and increases hindgut fermentation. The presence of soluble fermentable fibre appears to be more important than its source. The results suggest that dietary fibre-induced satiety is worthy of further investigation towards natural body weight regulation in humans.
Appendix
Available only for authorised users
Literature
1.
go back to reference Chaudri OB, Wynne K, Bloom SR: Can gut hormones control appetite and prevent obesity?. Diabetes Care. 2008, 31 (Suppl 2): S284-S289.CrossRef Chaudri OB, Wynne K, Bloom SR: Can gut hormones control appetite and prevent obesity?. Diabetes Care. 2008, 31 (Suppl 2): S284-S289.CrossRef
2.
go back to reference Weiss R: Devices for the treatment of obesity: will understanding the physiology of satiety unravel new targets for intervention?. J Diabetes Sci Technol. 2008, 2: 501-508.CrossRef Weiss R: Devices for the treatment of obesity: will understanding the physiology of satiety unravel new targets for intervention?. J Diabetes Sci Technol. 2008, 2: 501-508.CrossRef
3.
go back to reference Hellström PM: Satiety signals and obesity. Curr Opin Gastroenterol. 2013, 29: 222-227.CrossRef Hellström PM: Satiety signals and obesity. Curr Opin Gastroenterol. 2013, 29: 222-227.CrossRef
4.
go back to reference Slavin J, Green H: Dietary fibre and satiety. Nutr Bull. 2007, 32 (Suppl 1): 32-42.CrossRef Slavin J, Green H: Dietary fibre and satiety. Nutr Bull. 2007, 32 (Suppl 1): 32-42.CrossRef
5.
go back to reference Lattimer JM, Haub MD: Effects of dietary fiber and its components on metabolic health. Nutrients. 2010, 2: 1266-1289.CrossRef Lattimer JM, Haub MD: Effects of dietary fiber and its components on metabolic health. Nutrients. 2010, 2: 1266-1289.CrossRef
6.
go back to reference Wanders AJ, van den Borne JJ, de Graaf C, Hulshof T, Jonathan MC, Kristensen M, Mars M, Schols HA, Feskens EJ: Effects of dietary fibre on subjective appetite, energy intake and body weight: a systematic review of randomized controlled trials. Obes Rev. 2011, 12: 724-739. Wanders AJ, van den Borne JJ, de Graaf C, Hulshof T, Jonathan MC, Kristensen M, Mars M, Schols HA, Feskens EJ: Effects of dietary fibre on subjective appetite, energy intake and body weight: a systematic review of randomized controlled trials. Obes Rev. 2011, 12: 724-739.
7.
go back to reference Slavin J: Fiber and prebiotics: mechanisms and health benefits. Nutrients. 2013, 5: 1417-1435.CrossRef Slavin J: Fiber and prebiotics: mechanisms and health benefits. Nutrients. 2013, 5: 1417-1435.CrossRef
8.
go back to reference Clark MJ, Slavin JL: The effect of fiber on satiety and food intake: a systematic review. J Am Coll Nutr. 2013, 32: 200-211.CrossRef Clark MJ, Slavin JL: The effect of fiber on satiety and food intake: a systematic review. J Am Coll Nutr. 2013, 32: 200-211.CrossRef
9.
go back to reference Huang XF, Yu Y, Beck EJ, South T, Li Y, Batterham MJ, Tapsell LC, Chen J: Diet high in oat β-glucan activates the gut-hypothalamic (PYY3-36-NPY) axis and increases satiety in diet-induced obesity in mice. Mol Nutr Food Res. 2011, 55: 118-1121.CrossRef Huang XF, Yu Y, Beck EJ, South T, Li Y, Batterham MJ, Tapsell LC, Chen J: Diet high in oat β-glucan activates the gut-hypothalamic (PYY3-36-NPY) axis and increases satiety in diet-induced obesity in mice. Mol Nutr Food Res. 2011, 55: 118-1121.CrossRef
10.
go back to reference Schroeder N, Marquart LF, Gallaher DD: The role of viscosity and fermentability of dietary fibers on satiety- and adiposity-related hormones in rats. Nutrients. 2013, 5: 2093-2113.CrossRef Schroeder N, Marquart LF, Gallaher DD: The role of viscosity and fermentability of dietary fibers on satiety- and adiposity-related hormones in rats. Nutrients. 2013, 5: 2093-2113.CrossRef
11.
go back to reference Pirman T, Ribeyre MC, Mosoni L, Rémond D, Vrecl M, Salobir J, Patureau Mirand P: Dietary pectin stimulates protein metabolism in the digestive tract. Nutrition. 2007, 23: 69-75.CrossRef Pirman T, Ribeyre MC, Mosoni L, Rémond D, Vrecl M, Salobir J, Patureau Mirand P: Dietary pectin stimulates protein metabolism in the digestive tract. Nutrition. 2007, 23: 69-75.CrossRef
12.
go back to reference Knapp BK, Bauer LL, Swanson KS, Tappenden KA, Fahey GC, de Godoy MR: Soluble fiber dextrin and soluble corn fiber supplementation modify indices of health in cecum and colon of Sprague–Dawley rats. Nutrients. 2013, 5: 396-410.CrossRef Knapp BK, Bauer LL, Swanson KS, Tappenden KA, Fahey GC, de Godoy MR: Soluble fiber dextrin and soluble corn fiber supplementation modify indices of health in cecum and colon of Sprague–Dawley rats. Nutrients. 2013, 5: 396-410.CrossRef
13.
go back to reference Cani PD, Hoste S, Guiot Y, Delzenne NM: Dietary non-digestible carbohydrates promote L-cell differentiation in the proximal colon of rats. Br J Nutr. 2007, 98: 32-37.CrossRef Cani PD, Hoste S, Guiot Y, Delzenne NM: Dietary non-digestible carbohydrates promote L-cell differentiation in the proximal colon of rats. Br J Nutr. 2007, 98: 32-37.CrossRef
14.
go back to reference Mudgil D, Barak S: Composition, properties and health benefits of indigestible carbohydrate polymers as dietary fiber: A review. Int J Biol Macromol. 2013, 61: 1-6.CrossRef Mudgil D, Barak S: Composition, properties and health benefits of indigestible carbohydrate polymers as dietary fiber: A review. Int J Biol Macromol. 2013, 61: 1-6.CrossRef
15.
go back to reference El Khoury D, Cuda C, Luhovyy BL, Anderson GH: Beta glucan: health benefits in obesity and metabolic syndrome. J Nutr Metab. 2012, 2012: 851362- El Khoury D, Cuda C, Luhovyy BL, Anderson GH: Beta glucan: health benefits in obesity and metabolic syndrome. J Nutr Metab. 2012, 2012: 851362-
16.
go back to reference Overduin J, Schoterman MH, Calame W, Schonewille AJ, Ten Bruggencate SJ: Dietary galacto-oligosaccharides and calcium: effects on energy intake, fat-pad weight and satiety-related, gastrointestinal hormones in rats. Br J Nutr. 2013, 109: 1338-1348.CrossRef Overduin J, Schoterman MH, Calame W, Schonewille AJ, Ten Bruggencate SJ: Dietary galacto-oligosaccharides and calcium: effects on energy intake, fat-pad weight and satiety-related, gastrointestinal hormones in rats. Br J Nutr. 2013, 109: 1338-1348.CrossRef
17.
go back to reference Woods SC: Metabolic signals and food intake. Forty years of progress. Appetite. 2013, 71: 440-444.CrossRef Woods SC: Metabolic signals and food intake. Forty years of progress. Appetite. 2013, 71: 440-444.CrossRef
18.
go back to reference Del Prete A, Iadevaia M, Loguercio C: The role of gut hormones in controlling the food intake: what is their role in emerging diseases?. Endocrinol Nutr. 2012, 59: 197-206.CrossRef Del Prete A, Iadevaia M, Loguercio C: The role of gut hormones in controlling the food intake: what is their role in emerging diseases?. Endocrinol Nutr. 2012, 59: 197-206.CrossRef
19.
go back to reference Cani PD, Dewever C, Delzenne NM: Inulin-type fructans modulate gastrointestinal peptides involved in appetite regulation (glucagon-like peptide-1 and ghrelin) in rats. Br J Nutr. 2004, 92: 521-526.CrossRef Cani PD, Dewever C, Delzenne NM: Inulin-type fructans modulate gastrointestinal peptides involved in appetite regulation (glucagon-like peptide-1 and ghrelin) in rats. Br J Nutr. 2004, 92: 521-526.CrossRef
20.
go back to reference Lin N, Li Y, Tang L, Shi J, Chen Y: In vivo effect of oat cereal β-glucan on metabolic indexes and satiety-related hormones in diet-induced obesity C57-Bl mice. Mol Nutr Food Res. 2013, 57: 1291-1294.CrossRef Lin N, Li Y, Tang L, Shi J, Chen Y: In vivo effect of oat cereal β-glucan on metabolic indexes and satiety-related hormones in diet-induced obesity C57-Bl mice. Mol Nutr Food Res. 2013, 57: 1291-1294.CrossRef
21.
go back to reference McFarlane S, McFarlane GT: Regulation of short-chain fatty acid production. Proc Nutr Soc. 2003, 62: 67-72.CrossRef McFarlane S, McFarlane GT: Regulation of short-chain fatty acid production. Proc Nutr Soc. 2003, 62: 67-72.CrossRef
22.
go back to reference Tazoe H, Otomo Y, Kaji I, Tanaka R, Karaki SI, Kuwahara A: Roles of short-chain fatty acids receptors, GPR41 and GPR43 on colonic functions. J Physiol Pharmacol. 2008, 59 (Suppl 2): 251-262. Tazoe H, Otomo Y, Kaji I, Tanaka R, Karaki SI, Kuwahara A: Roles of short-chain fatty acids receptors, GPR41 and GPR43 on colonic functions. J Physiol Pharmacol. 2008, 59 (Suppl 2): 251-262.
23.
go back to reference Kaji I, Karaki S, Tanaka R, Kuwahara A: Density distribution of free fatty acid receptor 2 (FFA2)-expressing and GLP-1-producing enteroendocrine L cells in human and rat lower intestine, and increased cell numbers after ingestion of fructo-oligosaccharide. J Mol Histol. 2011, 42: 27-38.CrossRef Kaji I, Karaki S, Tanaka R, Kuwahara A: Density distribution of free fatty acid receptor 2 (FFA2)-expressing and GLP-1-producing enteroendocrine L cells in human and rat lower intestine, and increased cell numbers after ingestion of fructo-oligosaccharide. J Mol Histol. 2011, 42: 27-38.CrossRef
24.
go back to reference Sleeth ML, Thompson EL, Ford HE, Zac-Varghese SE, Frost G: Free fatty acid receptor 2 and nutrient sensing: a proposed role for fibre, fermentable carbohydrates and short-chain fatty acids in appetite regulation. Nutr Res Rev. 2010, 23: 135-145.CrossRef Sleeth ML, Thompson EL, Ford HE, Zac-Varghese SE, Frost G: Free fatty acid receptor 2 and nutrient sensing: a proposed role for fibre, fermentable carbohydrates and short-chain fatty acids in appetite regulation. Nutr Res Rev. 2010, 23: 135-145.CrossRef
25.
go back to reference Tolhurst G, Heffron H, Lam YS, Parker HE, Habib AM, Diakogiannaki E, Cameron J, Grosse J, Reimann F, Gribble FM: Short-chain fatty acids stimulate glucagon-like peptide-1 secretion via the G-protein-coupled receptor FFAR2. Diabetes. 2012, 61: 364-371.CrossRef Tolhurst G, Heffron H, Lam YS, Parker HE, Habib AM, Diakogiannaki E, Cameron J, Grosse J, Reimann F, Gribble FM: Short-chain fatty acids stimulate glucagon-like peptide-1 secretion via the G-protein-coupled receptor FFAR2. Diabetes. 2012, 61: 364-371.CrossRef
26.
go back to reference Regard JB, Sato IT, Coughlin SR: Anatomical profiling of G protein-coupled receptor expression. Cell. 2008, 135: 561-571.CrossRef Regard JB, Sato IT, Coughlin SR: Anatomical profiling of G protein-coupled receptor expression. Cell. 2008, 135: 561-571.CrossRef
27.
go back to reference Englyst HN, Quigley ME, Hudson GJ: Determination of dietary fiber as non-starch polysaccharides with gas–liquid chromatographic, high-performance liquid chromatographic or spectrophotometric measurement of constituent sugars. Analyst. 1994, 119: 1497-1509.CrossRef Englyst HN, Quigley ME, Hudson GJ: Determination of dietary fiber as non-starch polysaccharides with gas–liquid chromatographic, high-performance liquid chromatographic or spectrophotometric measurement of constituent sugars. Analyst. 1994, 119: 1497-1509.CrossRef
28.
go back to reference Mystkowski P, Shankland E, Schreyer SA, LeBoeuf RC, Schwartz RS, Cummings DE, Kushmerick M, Schwartz MW: Validation of whole-body magnetic resonance spectroscopy as a tool to assess murine body composition. Int J Obes Relat Metab Disord. 2000, 24: 719-724.CrossRef Mystkowski P, Shankland E, Schreyer SA, LeBoeuf RC, Schwartz RS, Cummings DE, Kushmerick M, Schwartz MW: Validation of whole-body magnetic resonance spectroscopy as a tool to assess murine body composition. Int J Obes Relat Metab Disord. 2000, 24: 719-724.CrossRef
29.
go back to reference Lobley GE, Bremner DM, Holtrop G, Johnstone AM, Maloney C: Impact of high-protein diets with either moderate or low carbohydrate on weight loss, body composition, blood pressure and glucose tolerance in rats. Br J Nutr. 2007, 97: 1099-1108.CrossRef Lobley GE, Bremner DM, Holtrop G, Johnstone AM, Maloney C: Impact of high-protein diets with either moderate or low carbohydrate on weight loss, body composition, blood pressure and glucose tolerance in rats. Br J Nutr. 2007, 97: 1099-1108.CrossRef
30.
go back to reference Richardson AJ, Calder AG, Stewart CS, Smith A: Simultaneous determination of volatile and non-volatile acidic fermentation products of anaerobes by capillary gas chromatography. Lett Appl Microbiol. 1989, 9: 5-8.CrossRef Richardson AJ, Calder AG, Stewart CS, Smith A: Simultaneous determination of volatile and non-volatile acidic fermentation products of anaerobes by capillary gas chromatography. Lett Appl Microbiol. 1989, 9: 5-8.CrossRef
31.
go back to reference Bustin SA, Benes V, Garson JA, Hellemans J, Huggett J, Kubista M, Mueller R, Nolan T, Pfaffl MW, Shipley GL, Vandesompele J, Wittwer CT: The MIQE guidelines: Minimum information for publication of quantitive real-time PCR experiments. Clin Chem. 2009, 55: 611-622.CrossRef Bustin SA, Benes V, Garson JA, Hellemans J, Huggett J, Kubista M, Mueller R, Nolan T, Pfaffl MW, Shipley GL, Vandesompele J, Wittwer CT: The MIQE guidelines: Minimum information for publication of quantitive real-time PCR experiments. Clin Chem. 2009, 55: 611-622.CrossRef
32.
go back to reference Pfaffl MW, Horgan GW, Dempfle L: Relative expression software tool (REST) for group-wise comparison and statistical analysis of relative expression results in real-time PCR. Nucleic Acids Res. 2002, 30: e36-CrossRef Pfaffl MW, Horgan GW, Dempfle L: Relative expression software tool (REST) for group-wise comparison and statistical analysis of relative expression results in real-time PCR. Nucleic Acids Res. 2002, 30: e36-CrossRef
33.
go back to reference Institute of Medicine, National Academy of Sciences: Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. 2005, Washington DC: National Academies Press Institute of Medicine, National Academy of Sciences: Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. 2005, Washington DC: National Academies Press
34.
35.
go back to reference Zhou J, Martin RJ, Tulley RT, Raggio AM, McCutcheon KL, Shen L, Danna SC, Tripathy S, Hegsted M, Keenan MJ: Dietary resistant starch upregulates total GLP-1 and PYY in a sustained day-long manner through fermentation in rodents. Am J Physiol Endocrinol Metab. 2008, 295: E1160-E1166.CrossRef Zhou J, Martin RJ, Tulley RT, Raggio AM, McCutcheon KL, Shen L, Danna SC, Tripathy S, Hegsted M, Keenan MJ: Dietary resistant starch upregulates total GLP-1 and PYY in a sustained day-long manner through fermentation in rodents. Am J Physiol Endocrinol Metab. 2008, 295: E1160-E1166.CrossRef
36.
go back to reference Holst JJ: The physiology of glucagon-like peptide 1. Physiol Rev. 2007, 87: 1409-1439.CrossRef Holst JJ: The physiology of glucagon-like peptide 1. Physiol Rev. 2007, 87: 1409-1439.CrossRef
37.
go back to reference Parnell JA, Reimer RA: Prebiotic fibres dose-dependently increase satiety hormones and alter Bacteroidetes and Firmicutes in lean and obese JCR:LA-cp rats. Br J Nutr. 2012, 107: 601-613.CrossRef Parnell JA, Reimer RA: Prebiotic fibres dose-dependently increase satiety hormones and alter Bacteroidetes and Firmicutes in lean and obese JCR:LA-cp rats. Br J Nutr. 2012, 107: 601-613.CrossRef
38.
go back to reference Morita T, Kasaoka S, Hase K, Kiriyama S: Oligo-L-methionine and resistant protein promote cecal butyrate production in rats fed resistant starch and fructooligosaccharide. J Nutr. 1999, 129: 1333-1339. Morita T, Kasaoka S, Hase K, Kiriyama S: Oligo-L-methionine and resistant protein promote cecal butyrate production in rats fed resistant starch and fructooligosaccharide. J Nutr. 1999, 129: 1333-1339.
39.
go back to reference Aprikian O, Duclos V, Guyot S, Besson C, Manach C, Bernalier A, Morand C, Rémésy C, Demigné C: Apple pectin and a polyphenol-rich apple concentrate are more effective together than separately on cecal fermentations and plasma lipids in rats. J Nutr. 2003, 133: 1860-1865. Aprikian O, Duclos V, Guyot S, Besson C, Manach C, Bernalier A, Morand C, Rémésy C, Demigné C: Apple pectin and a polyphenol-rich apple concentrate are more effective together than separately on cecal fermentations and plasma lipids in rats. J Nutr. 2003, 133: 1860-1865.
40.
go back to reference Umesaki Y, Yajima T, Yokokura T, Mutai M: Effect of organic acid absorption on bicarbonate transport in rat colon. Europ J Physiol. 1979, 379: 43-47.CrossRef Umesaki Y, Yajima T, Yokokura T, Mutai M: Effect of organic acid absorption on bicarbonate transport in rat colon. Europ J Physiol. 1979, 379: 43-47.CrossRef
41.
go back to reference Kaemmerer E, Plum P, Klaus C, Weiskirchen R, Liedtke C, Adolf M, Schippers A, Wagner N, Reinartz A, Gassler N: Fatty acid binding receptors in intestinal physiology and pathophysiology. World J Gastrointest Pathophysiol. 2010, 1: 147-153.CrossRef Kaemmerer E, Plum P, Klaus C, Weiskirchen R, Liedtke C, Adolf M, Schippers A, Wagner N, Reinartz A, Gassler N: Fatty acid binding receptors in intestinal physiology and pathophysiology. World J Gastrointest Pathophysiol. 2010, 1: 147-153.CrossRef
42.
go back to reference Juskiewicz J, Zdunczyk Z: Effects of cellulose, carboxymethylcellulose and inulin fed to rats as single supplements or in combinations on their caecal parameters. Comp Biochem Physiol. 2004, 139: 513-519.CrossRef Juskiewicz J, Zdunczyk Z: Effects of cellulose, carboxymethylcellulose and inulin fed to rats as single supplements or in combinations on their caecal parameters. Comp Biochem Physiol. 2004, 139: 513-519.CrossRef
43.
go back to reference Hansen CF, Vrang N, Sangild PT, Jelsing J: Novel insight into the distribution of L-cells in the rat intestinal tract. Am J Transl Res. 2013, 5: 347-358. Hansen CF, Vrang N, Sangild PT, Jelsing J: Novel insight into the distribution of L-cells in the rat intestinal tract. Am J Transl Res. 2013, 5: 347-358.
44.
go back to reference Darzi J, Frost GS, Robertson MD: Do SCFA have a role in appetite regulation?. Proc Nutr Soc. 2011, 70: 119-128.CrossRef Darzi J, Frost GS, Robertson MD: Do SCFA have a role in appetite regulation?. Proc Nutr Soc. 2011, 70: 119-128.CrossRef
45.
go back to reference Lin HV, Frassetto A, Kowalik EJ, Nawrocki AR, Lu MM, Kosinski JR, Hubert JA, Szeto D, Yao X, Forrest G, Marsh DJ: Butyrate and propionate protect against diet-induced obesity and regulate gut hormones via free fatty acid receptor 3-independent mechanisms. PLoS One. 2012, 7: e35240-CrossRef Lin HV, Frassetto A, Kowalik EJ, Nawrocki AR, Lu MM, Kosinski JR, Hubert JA, Szeto D, Yao X, Forrest G, Marsh DJ: Butyrate and propionate protect against diet-induced obesity and regulate gut hormones via free fatty acid receptor 3-independent mechanisms. PLoS One. 2012, 7: e35240-CrossRef
46.
go back to reference Hansen CF, Bueter M, Theis N, Lutz T, Paulsen S, Dalbøge LS, Vrang N, Jelsing J: Hypertrophy dependent doubling of L-cells in Roux-en-Y gastric bypass operated rats. PLoS One. 2013, 8: e65696-CrossRef Hansen CF, Bueter M, Theis N, Lutz T, Paulsen S, Dalbøge LS, Vrang N, Jelsing J: Hypertrophy dependent doubling of L-cells in Roux-en-Y gastric bypass operated rats. PLoS One. 2013, 8: e65696-CrossRef
Metadata
Title
Different types of soluble fermentable dietary fibre decrease food intake, body weight gain and adiposity in young adult male rats
Authors
Clare L Adam
Patricia A Williams
Matthew J Dalby
Karen Garden
Lynn M Thomson
Anthony J Richardson
Silvia W Gratz
Alexander W Ross
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Nutrition & Metabolism / Issue 1/2014
Electronic ISSN: 1743-7075
DOI
https://doi.org/10.1186/1743-7075-11-36

Other articles of this Issue 1/2014

Nutrition & Metabolism 1/2014 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.