Relation between changes in intakes of dietary fiber and grain products and changes in weight and development of obesity among middle-aged women

被引:518
作者
Liu, SM
Willett, WC
Manson, JE
Hu, FB
Rosner, B
Colditz, G
机构
[1] Brigham & Womens Hosp, Div Prevent Med, Boston, MA 02215 USA
[2] Brigham & Womens Hosp, Dept Med, Channing Lab, Boston, MA 02215 USA
[3] Harvard Univ, Sch Med, Boston, MA 02215 USA
[4] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
[5] Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA
关键词
whole grains; refined grains; dietary fiber; body weight; prospective study; obesity; weight gain; women;
D O I
10.1093/ajcn/78.5.920
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: Although increased consumption of dietary fiber and grain products is widely recommended to maintain healthy body weight, little is known about the relation of whole grains to body weight and long-term weight changes. Objective: We examined the associations between the intakes of dietary fiber and whole- or refined-grain products and weight gain over time. Design: In a prospective cohort study, 74 091 US female nurses, aged 38-63 y in 1984 and free of known cardiovascular disease, cancer, and diabetes at baseline, were followed from 1984 to 1996; their dietary habits were assessed in 1984, 1986, 1990, and 1994 with validated food-frequency questionnaires. Using multiple models to adjust for covariates, we calculated average weight, body mass index (BMI; in kg /m(2)), long-term weight changes, and the odds ratio of developing obesity (BMI greater than or equal to 30) according to change in dietary intake. Results: Women who consumed more whole grains consistently weighed less than did women who consumed less whole grains (P for trend < 0.0001). Over 12 y, those with the greatest increase in intake of dietary fiber gained an average of 1.52 kg less than did those with the smallest increase in intake of dietary fiber (P for trend < 0.0001) independent of body weight at baseline, age, and changes in covariate status. Women in the highest quintile of dietary fiber intake had a 49% lower risk of major weight gain than did women in the highest quintile (OR = 0.51; 95% CI: 0.39, 0.67; P < 0.0001 for trend). Conclusion: Weight gain was inversely associated with the intake of high-fiber, whole-grain foods but positively related to the intake of refined-grain foods, which indicated the importance of distinguishing whole-grain products from refined-grain products to aid in weight control.
引用
收藏
页码:920 / 927
页数:8
相关论文
共 47 条
[1]  
[Anonymous], NUTR YOUR HLTH DIET
[2]   Dietary fat intake does affect obesity! [J].
Bray, GA ;
Popkin, BM .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1998, 68 (06) :1157-1173
[3]  
Denyer G. S., 1998, Proceedings of the Nutrition Society of Australia, V22, P158
[4]   HIGH-CARBOHYDRATE, HIGH-FIBER DIETS INCREASE PERIPHERAL INSULIN SENSITIVITY IN HEALTHY-YOUNG AND OLD ADULTS [J].
FUKAGAWA, NK ;
ANDERSON, JW ;
HAGEMAN, G ;
YOUNG, VR ;
MINAKER, KL .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1990, 52 (03) :524-528
[5]  
GROSS L, IN PRESS AM J CLIN N
[6]   DIETARY-FAT INTAKE AND WEIGHT-GAIN IN WOMEN GENETICALLY PREDISPOSED FOR OBESITY [J].
HEITMANN, BL ;
LISSNER, L ;
SORENSEN, TIA ;
BENGTSSON, C .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1995, 61 (06) :1213-1217
[7]   Whole-grain intake may reduce the risk of ischemic heart disease death in postmenopausal women: the Iowa women's health study [J].
Jacobs, DR ;
Meyer, KA ;
Kushi, LH ;
Folsom, AR .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1998, 68 (02) :248-257
[8]  
JEFFERY RW, 1995, INT J OBESITY, V19, P132
[9]   STARCHY FOODS AND FIBER - REDUCED RATE OF DIGESTION AND IMPROVED CARBOHYDRATE-METABOLISM [J].
JENKINS, DJA ;
JENKINS, AL ;
WOLEVER, TMS ;
COLLIER, GR ;
RAO, AV ;
THOMPSON, LU .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1987, 22 :132-141
[10]   WHOLEMEAL VERSUS WHOLEGRAIN BREADS - PROPORTION OF WHOLE OR CRACKED GRAIN AND THE GLYCEMIC RESPONSE [J].
JENKINS, DJA ;
WESSON, V ;
WOLEVER, TMS ;
JENKINS, AL ;
KALMUSKY, J ;
GUIDICI, S ;
CSIMA, A ;
JOSSE, RG ;
WONG, GS .
BMJ-BRITISH MEDICAL JOURNAL, 1988, 297 (6654) :958-960