Prospective study of dietary energy density and weight gain in women

被引:101
作者
Bes-Rastrollo, Maira [1 ,2 ]
van Dam, Rob M. [1 ,3 ]
Martinez-Gonzalez, Miguel Angel [2 ]
Li, Tricia Y. [1 ]
Sampson, Laura L. [1 ]
Hu, Frank B. [1 ,3 ]
机构
[1] Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA
[2] Univ Navarra, Dept Prevent Med & Publ Hlth, Navarra, Spain
[3] Harvard Univ, Sch Med, Boston, MA 02115 USA
关键词
D O I
10.1093/ajcn/88.3.769
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Little is known about the long-term effects of dietary energy density (ED) on weight gain. Objective: The objective was to assess the long-term relation between changes in dietary ED and age-related weight gain. Design: We conducted a prospective study of 50 026 women ((x) over bar +/- SD age: 36.5 +/- 4.6 y) in the Nurses' Health Study II followed from 1991 to 1999. Dietary ED and body weight were ascertained in 1991, 1995, and 1999. Total dietary ED was calculated by dividing each subject's daily energy intake (kcal) by the reported weight (g) of all foods consumed. Results: Dietary ED was positively correlated with saturated fat (r = 0.16), trans fat (r = 0.15), and the glycemic index (r = 0.16), but was inversely correlated with vegetable protein (r = -0.30), vegetables (r = -0.27), and fruit (r = -0.17). ED was not significantly correlated with total fat intake as a percentage of energy (r =0.08). Women who increased their dietary ED during follow-up the most (5th quintile) had a significantly greater multivariate-adjusted weight gain than did those who decreased their dietary ED (1st quintile) (8-y time period: 6.42 kg compared with 4.57 kg; P for trend < 0.001). However, the amount of weight change over time varied considerably according to the ED values of individual foods and beverages. Conclusion: A high dietary ED reflects a dietary pattern higher in saturated and trans fats and refined carbohydrates. Increases in dietary ED were associated with greater weight gain among middle-aged women during 8 y of follow-up. However, public health recommendations cannot be made simply on the basis of ED values of individual foods and beverages.
引用
收藏
页码:769 / 777
页数:9
相关论文
共 40 条
[1]   Low-cost diets: more energy, fewer nutrients [J].
Andrieu, E ;
Darmon, N ;
Drewnowski, A .
EUROPEAN JOURNAL OF CLINICAL NUTRITION, 2006, 60 (03) :434-436
[2]  
Bell EA, 1998, AM J CLIN NUTR, V67, P412
[3]  
Bes-Rastrollo M, 2006, AM J CLIN NUTR, V83, P362
[4]   Olive oil consumption and weight change:: The SUN prospective cohort study [J].
Bes-Rastrollo, M ;
Sánchez-Villegas, A ;
de la Fuente, C ;
de Irala, J ;
Martínez, JA ;
Martínez-González, MA .
LIPIDS, 2006, 41 (03) :249-256
[5]   Nut consumption and weight gain in a Mediterranean cohort:: The SUN study [J].
Bes-Rastrollo, Maira ;
Sabate, Joan ;
Gomez-Gracia, Enrique ;
Alonso, Alvaro ;
Martinez, J. Alfredo ;
Angel Martinez-Gonzalez, Miguel .
OBESITY, 2007, 15 (01) :107-116
[6]   Food and nutritional profile of high energy density consumers in an adult Mediterranean population [J].
Cucó, G ;
Arija, V ;
Martí-Henneberg, C ;
Fernández-Ballart, J .
EUROPEAN JOURNAL OF CLINICAL NUTRITION, 2001, 55 (03) :192-199
[7]   Dietary energy density is associated with increased intake in free-living humans [J].
de Castro, JM .
JOURNAL OF NUTRITION, 2004, 134 (02) :335-341
[8]   The economics of obesity: dietary energy density and energy cost [J].
Drewnowski, A ;
Darmon, N .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 2005, 82 (01) :265S-273S
[9]  
Drewnowski A, 2004, NUTR REV, V62, P403, DOI [10.1111/j.1753-4887.2004.tb00012.x, 10.1301/nr.2004.nov.403-413]
[10]   The influence of food portion size and energy density on energy intake: implications for weight management [J].
Ello-Martin, JA ;
Ledikwe, JH ;
Rolls, BJ .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 2005, 82 (01) :236S-241S