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Meal frequency and plasma lipids and lipoproteins

Published online by Cambridge University Press:  09 March 2007

Jim Mann
Affiliation:
University of Otago, PO Box 56, Dunedin, New Zealand
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Abstract

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Epidemiological data suggesting benefits of increased meal frequency on CHD risk and lipid and lipoprotein levels may be flawed because of biases associated with the method of data collection. In normolipidaemic individuals increasing meal frequency from three to six or more meals daily over a period of several weeks appears to be associated with reduced levels of total and LDL-cholesterol, possibly due to reduced cholesterol synthesis or enhancement of reverse cholesterol transport. However, in non-obese individuals with polygenic hyperlipidaemia and non-insulin-dependent diabetes, altered meal frequency does not appear to confer similar benefits. The reasons for the different responses in these groups of subjects is not clear. The reported effects of altered meal frequency on diurnal levels of triacylglycerols and fatty acids are more variable, with benefits being reported principally in association with meal frequencies exceeding those which might be translated into practical recommendations. Present data preclude recommendations concerning meal frequency on the basis of effects on lipids and lipoproteins. Even in healthy individuals amongst whom benefits have been observed, the periods of observation have been relatively short and it is not known whether adaptation occurs. Further research should focus on longer-term studies in healthy individuals as well as hyperinsulinaemic and diabetic subjects. For those individuals choosing to have a large number of small meals each day, it is relevant to emphasize that no untoward effects of increased meal frequency on lipids or lipoproteins have been demonstrated.

Type
Research Article
Copyright
Copyright © The Nutrition Society 1997

References

REFERENCES

Adams, C. E. & Morgan, K. J. (1981). Periodicity of eating: implications for human food consumption. Nutrition Research 1, 525550.CrossRefGoogle Scholar
Arnold, L. M., Ball, M. J., Duncan, A. W. & Mann, J. (1993). Effect of isoenergetic intake of three or nine meals on plasma lipoproteins and glucose metabolism. American Journal of Clinical Nutrition 57, 446451.CrossRefGoogle ScholarPubMed
Arnold, L., Ball, M. & Mann, J. (1994). Metabolic effects of alterations in meal frequency in hypercholesterolaemic individuals. Atherosclerosis 108, 167174.CrossRefGoogle ScholarPubMed
Bertelsen, J., Christiansen, C., Thomsen, C., Poulsen, P. L., Vestergaard, S., Steinov, A., Rasmussen, L. H., Rasmussen, O. & Hermansen, K. (1993). Effect of meal frequency on blood glucose, insulin, and free fatty acids in NIDDM subjects. Diabetes Care 16, 47.CrossRefGoogle ScholarPubMed
Bortz, W. M., Howat, P. & Holmes, W. L. (1969). The effect of feeding frequency on diurnal plasma free fatty acids and glucose levels. Metabolism 18, 120123.CrossRefGoogle ScholarPubMed
Bortz, W. M., Wroldsen, A., Issekutz, B. & Rodahl, K. (1966). Weight loss and frequency of feeding. New England Journal of Medicine 274, 376379.CrossRefGoogle ScholarPubMed
Cohn, C. (1964). Feeding patterns and some aspects of cholesterol metabolism. Federation Proceedings 23, 7681.Google ScholarPubMed
Dietschy, J. M. & Brown, M. S. (1974). Effect of alterations of the specific activity of the intracellular acetyl CoA pool on apparent rates of hepatic cholesterogenesis. Journal of Lipid Research 15, 508516.CrossRefGoogle ScholarPubMed
Edelstein, S. L., Barrett-Connor, E. L., Wingard, D. L. & Cohn, B. A. (1992). Increased meal frequency associated with decreased cholesterol concentrations; Rancho Bernado, CA, 1984–1987. American Journal of Clinical Nutrition 55, 664669.CrossRefGoogle Scholar
Fabry, P. & Braun, T. (1976). Adaptation to the pattern of food intake: some mechanisms and consequences. Proceedings of the Nutrition Society 26, 144152.Google Scholar
Fabry, P., Fodor, J., Hejl, Z., Braun, T. & Zvolankova, K. (1964). The frequency of meals: its relation to overweight, hypercholesterolaemia, and decreased glucose-tolerance. Lancet ii, 614615.CrossRefGoogle ScholarPubMed
Fabry, P., Fodor, J., Hejl, Z., Geizerova, H. & Balcarova, O. (1968). Meal frequency and ischaemic heart disease. Lancet ii, 190191.CrossRefGoogle Scholar
Flaherty, L. & Gibney, M. J. (1994). The effect of very low, moderate and high fat snacks on postprandial reverse cholesterol transport in healthy volunteers. Proceedings of the Nutrition Society 53, 124A.Google Scholar
Gwinup, G., Bryon, R. C., Roush, W. H., Kruger, F. A. & Hamwi, G. J. (1963). Effect of nibbling versus gorging on serum lipids in man. American Journal of Clinical Nutrition 13, 209213.CrossRefGoogle ScholarPubMed
Irwin, M. I. & Feeley, R. M. (1967). Frequency and size of meals and serum lipids, nitrogen and mineral retention, fat digestibility, and urine thiamine and riboflavin in young women. American Journal of Clinical Nutrition 20, 816824.CrossRefGoogle ScholarPubMed
Jenkins, D. J. A., Ocana, A., Jenkins, A. L., Wolever, T. M. S., Vuksan, V., Katzman, L., Hollands, M., Greenberg, G., Corey, P., Patten, R., Wong, G. & Josse, R. G. (1992). Metabolic advantages of spreading the nutrient load: effects of increased meal frequency in non-insulin-dependent diabetes. American Journal of Clinical Nutrition 55, 461467.CrossRefGoogle ScholarPubMed
Jenkins, D. J. A., Wolever, T. M. S., Vuksan, V., Brighenti, F., Cunnane, S. C., Rao, A. V., Jenkins, A. L.Buckley, G., Patten, R., Singer, W., Corey, P. & Josse, R. G. (1989). Nibbling versus gorging: metabolic advantages of increased meal frequency. New England Journal of Medicine 321, 929934.CrossRefGoogle ScholarPubMed
Jones, P. J. H., Leitch, C. A. & Pederson, R. A. (1993). Meal-frequency effects on plasma hormone concentrations and cholesterol synthesis in humans. American Journal of Clinical Nutrition 57, 868874.CrossRefGoogle ScholarPubMed
Jordan, J. A. & Novascone, M. A. (1989). Effect of altered feeding patterns on serum lipids and lipoproteins in adult males. Journal of Human Nutrition and Dietetics 2, 1924.CrossRefGoogle Scholar
McGrath, S. A. & Gibney, M. J. (1994). The effects of altered frequency of eating on plasma lipids in free living healthy males on normal self selected diets. European Journal of Clinical Nutrition 48, 402407.Google ScholarPubMed
Murphy, M. C., Chapman, C., Lovegrove, J. AIsherwood, S. G., Morgan, L. M., Wright, J. W. & Williams, C. M. (1996). Meal frequency: does it determine postprandial lipaemia? European Journal of Clinical Nutrition 50, 491497.Google ScholarPubMed
Nunes, W. T. & Canham, J. E. (1963). The effect of varied periodicity of eating on serum lipids and carbohydrate tolerance in man. American Jouml of Clinical Nutrition, 12, 334.Google Scholar
Peters, J. R., Rhodes, J. & Owens, D. R. (1979). Metabolic effects of altered meal frequency in man. Hormone Metabolism Research 11, 524525.CrossRefGoogle ScholarPubMed
Schlierf, G. & Dorrow, E. (1973). Diurnal patterns of triglycerides, free fatty acids, blood sugar, and insulin during carbohydrate-induction in man and their modification by nocturnal suppression of lipolysis. Journal of Clinical Investigation 52, 732740.CrossRefGoogle ScholarPubMed
Segura, A. G., Josse, R. G. & Wolever, T. M. S. (1995). Acute metabolic effects of increased meal frequency in Type II diabetes: three vs six, nine, and twelve meals. Diabetes Nutrition and Metabolism 8, 331338.Google Scholar
van Gent, C. M., Pagano Mirani-Oostdijk, C., van Reine, P. H., Frolich, M., Hessel, L. W. & Terpstra, J. (1979). Influence of meal frequency on diurnal lipid, glucose and insulin levels in normal subjects on a high fat diet; comparison with data obtained on a high carbohydrate diet. European Journal of Clinical Investigation 9, 443446.CrossRefGoogle ScholarPubMed
Wadhwa, P. S., Young, E. A., Schmidt, K., Elson, C. E. & Pringle, D. J. (1973). Metabolic consequences of feeding frequency in man. American Journal of Clinical Nutrition 26, 823830.CrossRefGoogle ScholarPubMed
Wolever, T. M. S., Innocente, T. & Palmason, C. (1990). Effect of calorie distribution and diet glycaemic index on blood HbAlc and lipids in NIDDM. Diabetes 39, 239A.Google Scholar
Wolever, T. M. S., Josse, R. G., Palmason, C. & Canadian Universities Multicenter Trial Group (1995). Spreading nutrient intake throughout the day associated with reduced serum cholesterol in 342 patients with type 2 diabetes. Nutrition, Metabolism and Cardiovascular Diseases 5, 3138.Google Scholar
Young, C. M., Frankel, D. L., Simko, V. & Lutwak, L. (1971). Frequency of feeding, weight reduction, and nutrient utilisation. Journal of the American Dietetic Association 59, 473480.CrossRefGoogle Scholar
Young, C. M., Hutter, L. F., Scanlan, S. S., Rand, C. E., Lutwak, L. & Simko, V. (1972). Metabolic effects of meal frequency on normal young men. Journal of the American Dietetic Association 61, 391398.CrossRefGoogle ScholarPubMed