Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Lipids and Cardiovascular/Metabolic Health

Acute differential effects of milk-derived dietary proteins on postprandial lipaemia in obese non-diabetic subjects

Abstract

Background/Objectives:

Postprandial lipaemia is an established risk factor for atherosclerosis. To investigate the acute effect of four milk-derived dietary proteins (alpha-lactalbumin, whey isolate, caseinoglycomacropeptide and whey hydrolysate) on postprandial lipaemia, we have conducted a randomized, acute, single-blinded clinical intervention study with crossover design.

Subjects/Methods:

A total of 11 obese non-diabetic subjects (age: 44–74, BMI: 30–41.4 kg m-2) were included. On 4 different days the subjects ingested a high-fat meal with the following energy distribution: 66% energy from fat (100 g of butter), 15% of energy from carbohydrate (90 g of white wheat bread) and 19% of energy from protein (45 g of pure protein). Our primary variable was plasma triglyceride measured in the 8-h postprandial period. Secondarily, retinyl palmitate, non-esterified free fatty acids, glucose, insulin, glucagon, GLP-1 and GIP, active and total grehlin and cholecystokinin were measured.

Results:

We observed no statistically significant (P=0.8) differences between meals on our primary variable that is, triglycerides. Whey hydrolysate was associated with a significantly (P=0.02) smaller postprandial suppression of non-esterified free fatty acids compared with the other dietary proteins.

Conclusion:

We did not observe significant differences in postprandial lipaemia to the four milk-derived dietary proteins. Whey hydrolysate caused less postprandial suppression of free fatty acids.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  • Akhavan T, Luhovyy BL, Brown PH, Cho CE, Anderson GH. (2010). Effect of premeal consumption of whey protein and its hydrolysate on food intake and postmeal glycemia and insulin responses in young adults. Am J Clin Nutr 9, 966–975.

    Article  Google Scholar 

  • Bansal S, Buring JE, Rifai N, Mora S, Sacks FM, Ridker PM. (2007). Fasting compared with nonfasting triglycerides and risk of cardiovascular events in women. JAMA 298, 309–316.

    Article  CAS  Google Scholar 

  • Bergman RN, Ader M. (2000). Free fatty acids and pathogenesis of type 2 diabetes mellitus. Trends Endocrinol Metab 11, 351–356.

    Article  CAS  Google Scholar 

  • Biesalski HK. (1990). Separation of retinyl esters and their geometric isomers by isocratic adsorption high-performance liquid chromatography. Methods Enzymol 189, 181–189.

    Article  CAS  Google Scholar 

  • Blomhoff R, Green MH, Green JB, Berg T, Norum KR. (1991). Vitamin A metabolism: new perspectives on absorption, transport, and storage. Physiol Rev 71, 951–990.

    Article  CAS  Google Scholar 

  • Brader L, Holm L, Mortensen L, Thomsen C, Astrup A, Holst JJ et al. (2010). Acute effects of casein on postprandial lipemia and incretin responses in type 2 diabetic subjects. Nutr Metab Cardiovasc Dis 20, 101–109.

    Article  CAS  Google Scholar 

  • Calbet JA, Holst JJ. (2004). Gastric emptying, gastric secretion and enterogastrone response after administration of milk proteins or their peptide hydrolysates in humans. Eur J Nutr 43, 127–139.

    Article  CAS  Google Scholar 

  • Calbet JA, MacLean DA. (2002). Plasma glucagon and insulin responses depend on the rate of appearance of amino acids after ingestion of different protein solutions in humans. J Nutr 132, 2174–2182.

    Article  CAS  Google Scholar 

  • Chen YD, Reaven GM. (1991). Intestinally-derived lipoproteins: metabolism and clinical significance. Diabetes Metab Rev 7, 191–208.

    Article  CAS  Google Scholar 

  • Claessens M, Saris WH, van Baak MA. (2008). Glucagon and insulin responses after ingestion of different amounts of intact and hydrolysed proteins. Br J Nutr 100, 61–69.

    Article  CAS  Google Scholar 

  • Couillard C, Bergeron N, Prud’homme D, Bergeron J, Tremblay A, Bouchard C et al. (1998). Postprandial triglyceride response in visceral obesity in men. Diabetes 47, 953–960.

    Article  CAS  Google Scholar 

  • Field BC, Chaudhri OB, Bloom SR. (2010). Bowels control brain: gut hormones and obesity. Nat Rev Endocrinol 6, 444–453.

    Article  CAS  Google Scholar 

  • Floyd Jr JC, Fajans SS, Pek S, Thiffault CA, Knopf RF, Conn JW. (1970). Synergistic effect of essential amino acids and glucose upon insulin secretion in man. Diabetes 19, 109–115.

    Article  CAS  Google Scholar 

  • Frid AH, Nilsson M, Holst JJ, Björck IM. (2005). Effect of whey on blood glucose and insulin responses to composite breakfast and lunch meals in type 2 diabetic subjects. Am J Clin Nutr 82, 69–75.

    Article  CAS  Google Scholar 

  • Guerci B, Vergès B, Durlach V, Hadjadj S, Drouin P, Paul JL. (2000). Relationship between altered postprandial lipemia and insulin resistance in normolipidemic and normoglucose tolerant obese patients. Int J Obes Relat Metab Disord; 24, 468–478.

    Article  CAS  Google Scholar 

  • Holst JJ. (1982). Evidence that enteroglucagon II is identical with the C-terminal sequence residues 33-69 of glicentin. Biochem J 207, 381–388.

    Article  CAS  Google Scholar 

  • Karpe F, Bell M, Björkegren J, Hamsten A. (1995). Quantification of postprandial triglyceride-rich lipoproteins in healthy men by retinyl ester labeling and simultaneous measurement of apolipoproteins B-48 and B-100. Arterioscler Thromb Vasc Biol 15, 199–207.

    Article  CAS  Google Scholar 

  • Karpe F, Boquist S, Tang R, Bond GM, de Faire U, Hamsten A. (2001). Remnant lipoproteins are related to intima-media thickness of the carotid artery independently of LDL cholesterol and plasma triglycerides. J Lipid Res 42, 17–21.

    CAS  PubMed  Google Scholar 

  • Kolovou GD, Mikhailidis DP, Kovar J, Lairon D, Nordestgaard BG, Ooi TC et al. (2011). Assessment and clinical relevance of non-fasting and postprandial triglycerides: an expert panel statement. Curr Vasc Pharmacol 9, 258–270.

    Article  CAS  Google Scholar 

  • Krarup T, Madsbad S, Moody AJ, Regeur L, Faber OK, Holst JJ et al. (1983). Diminished immunoreactive gastric inhibitory polypeptide response to a meal in newly diagnosed type I (insulin-dependent) diabetics. J Clin Endocrinol Metab 56, 1306–1312.

    Article  CAS  Google Scholar 

  • Lairon D, Play B, Jourdheuil-Rahmani D. (2007). Digestible and indigestible carbohydrates: interactions with postprandial lipid metabolism. J Nutr Biochem 18, 217–227.

    Article  CAS  Google Scholar 

  • Lairon D. (2008). Macronutrient intake and modulation on chylomicron production and clearance. Atheroscler Suppl 9, 45–48.

    Article  CAS  Google Scholar 

  • Lam TK, van de Werve G, Giacca A. (2003). Free fatty acids increase basal hepatic glucose production and induce hepatic insulin resistance at different sites. Am J Physiol Endocrinol Metab 284, E281–E290.

    Article  CAS  Google Scholar 

  • Madhu SV, Kant S, Srivastava S, Kant R, Sharma SB, Bhadoria DP. (2008). Postprandial lipaemia in patients with impaired fasting glucose, impaired glucose tolerance and diabetes mellitus. Diabetes Res Clin Pract 80, 380–385.

    Article  CAS  Google Scholar 

  • Mortensen LS, Hartvigsen ML, Brader LJ, Astrup A, Schrezenmeir J, Holst JJ et al. (2009). Differential effects of protein quality on postprandial lipemia in response to a fat-rich meal in type 2 diabetes: comparison of whey, casein, gluten, and cod protein. Am J Clin Nutr 90, 41–48.

    Article  CAS  Google Scholar 

  • Neary MT, Batterham RL (2009). Gut hormones: implications for the treatment of obesity. Pharmacol Ther 124, 44–56.

    Article  CAS  Google Scholar 

  • Nilsson M, Stenberg M, Frid AH, Holst JJ, Björck IM. (2004). Glycemia and insulinemia in healthy subjects after lactose-equivalent meals of milk and other food proteins: the role of plasma amino acids and incretins. Am J Clin Nutr 80, 1246–1253.

    Article  CAS  Google Scholar 

  • Nordestgaard BG, Benn M, Schnohr P, Tybjaerg-Hansen A. (2007). Nonfasting triglycerides and risk of myocardial infarction, ischemic heart disease, and death in men and women. JAMA 298, 299–308.

    Article  CAS  Google Scholar 

  • Orskov C, Jeppesen J, Madsbad S, Holst JJ. (1991). Proglucagon products in plasma of noninsulin-dependent diabetics and nondiabetic controls in the fasting state and after oral glucose and intravenous arginine. J Clin Invest 87, 415–423.

    Article  CAS  Google Scholar 

  • Power O, Hallihan A, Jakeman P. (2009). Human insulinotropic response to oral ingestion of native and hydrolysed whey protein. Amino Acids 37, 333–339.

    Article  CAS  Google Scholar 

  • Rabe-Hesketh S . (2008). Multilevel and Longitudinal Modeling Using Stata. Stata Press: TX.

    Google Scholar 

  • Ruge T, Hodson L, Cheeseman J, Dennis AL, Fielding BA, Humphreys SM et al. (2009). Fasted to fed trafficking of Fatty acids in human adipose tissue reveals a novel regulatory step for enhanced fat storage. J Clin Endocrinol Metab 94, 1781–1788.

    Article  CAS  Google Scholar 

  • Sehested TS, Hansen TW, Olsen MH, Abildstrøm SZ, Rasmussen S, Ibsen H et al. (2010). Measures of overweight and obesity and risk of cardiovascular disease: a population-based study. Eur J Cardiovasc Prev Rehabil 17, 486–490.

    Article  Google Scholar 

  • Teucher B, Rohrmann S, Kaaks R. (2010). Obesity: focus on all-cause mortality and cancer. Maturitas 65, 112–116.

    Article  Google Scholar 

  • Thomsen C, Rasmussen O, Lousen T, Holst JJ, Fenselau S, Schrezenmeir J. (1999). Differential effects of saturated and monounsaturated fatty acids on postprandial lipemia and incretin responses in healthy subjects. Am J Clin Nutr; 69, 1135–1143.

    Article  CAS  Google Scholar 

  • van Wijk JP, Halkes CJ, Erkelens DW, Castro Cabezas M. (2003). Fasting and daylong triglycerides in obesity with and without type 2 diabetes. Metabolism 52, 1043–1049.

    Article  CAS  Google Scholar 

  • Westphal S, Kästner S, Taneva E, Leodolter A, Dierkes J, Luley C. (2004). Postprandial lipid and carbohydrate responses after the ingestion of a casein-enriched mixed meal. Am J Clin Nutr 80, 284–290.

    Article  CAS  Google Scholar 

  • Yusuf S, Hawken S, Ounpuu S, Bautista L, Franzosi MG, Commerford P et al. (2005). Obesity and the risk of myocardial infarction in 27 000 participants from 52 countries: a case-control study. Lancet 366, 1640–1649.

    Article  Google Scholar 

Download references

Acknowledgements

We wish to thank Tove Skrumsager and Lene Trudsø for excellent technical assistance. This work is carried out as a part of the research program of the Danish Obesity Research Centre (DanORC, see http://www.danorc.dk) and is supported by Nordic Centre of Excellence (NCoE) programme (Systems biology in controlled dietary interventions and cohort studies—SYSDIET, P number, 070014). Supported by ‘Marie Krogh Center for Metabolic Research’, Life Sciences, Copenhagen University. Supported by a grant from Arla Foods Ingredients amba, Viby, Denmark.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J Holmer-Jensen.

Ethics declarations

Competing interests

J Holmer-Jensen, LS Mortensen and K Hermansen received a shared research grant from Arla. A Astrup is a scientific member of Global Dairy Platform (Chicago) and has received speaker's honoraria and research funding from the Danish Dairy Foundation, Arla and Danish Meat Association. None of the other authors had a conflict of interest to disclose.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Holmer-Jensen, J., Hartvigsen, M., Mortensen, L. et al. Acute differential effects of milk-derived dietary proteins on postprandial lipaemia in obese non-diabetic subjects. Eur J Clin Nutr 66, 32–38 (2012). https://doi.org/10.1038/ejcn.2011.142

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ejcn.2011.142

Keywords

This article is cited by

Search

Quick links