Effects of basic traditional Chinese diet on body mass index, lean body mass, and eating and hunger behaviours in overweight or obese individuals

Leonetti, Frida; Liguori, Aldo; Petti, Filomena; Rughini, Susanna; Silli, Laura; Liguori, Stefano; Bangrazi, Sergio

doi:10.1016/s0254-6272(16)30062-0

Cited by 7 publications

(14 citation statements)

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“…Although higher in carbohydrates and lower in fat compared with a Western diet, the traditional Chinese diet does not appear to promote weight gain in healthy, normal-weight Chinese, suggesting that carbohydrate restriction may not be a universally applicable intervention to combat obesity and cardiometabolic risk [92]. One 6-week controlled trial demonstrated that 52% of non-Chinese individuals with overweight or obesity who adhered to a traditional Chinese diet had a reduction in BMI while preserving lean body mass compared with 28% of those who followed a Western diet at the 1-year follow-up assessment [93]. In another trial, BMI decreased by 0.37 kg/m 2 and lean mass by 0.21 kg among subjects who adhered to a traditional Chinese diet for 6 weeks, whereas those who followed a Western diet had 0.26 kg/m 2 and 0.49 kg reductions in BMI and lean body mass, respectively [94].…”

Section: Traditional Asian Dietsmentioning

confidence: 99%

Defining a Healthy Diet: Evidence for the Role of Contemporary Dietary Patterns in Health and Disease

2020

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The definition of what constitutes a healthy diet is continually shifting to reflect the evolving understanding of the roles that different foods, essential nutrients, and other food components play in health and disease. A large and growing body of evidence supports that intake of certain types of nutrients, specific food groups, or overarching dietary patterns positively influences health and promotes the prevention of common non-communicable diseases (NCDs). Greater consumption of health-promoting foods and limited intake of unhealthier options are intrinsic to the eating habits of certain regional diets such as the Mediterranean diet or have been constructed as part of dietary patterns designed to reduce disease risk, such as the Dietary Approaches to Stop Hypertension (DASH) or Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diets. In comparison with a more traditional Western diet, these healthier alternatives are higher in plant-based foods, including fresh fruits and vegetables, whole grains, legumes, seeds, and nuts and lower in animal-based foods, particularly fatty and processed meats. To better understand the current concept of a “healthy diet,” this review describes the features and supporting clinical and epidemiologic data for diets that have been shown to prevent disease and/or positively influence health. In total, evidence from epidemiological studies and clinical trials indicates that these types of dietary patterns reduce risks of NCDs including cardiovascular disease and cancer.

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Section: Traditional Asian Dietsmentioning

confidence: 99%

Defining a Healthy Diet: Evidence for the Role of Contemporary Dietary Patterns in Health and Disease

2020

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“…Table 3 describes the characteristics of the included RCTs. One RCT assessed the effect of the traditional Japanese diet [ 27 , 28 ], another implemented a traditional Chinese diet intervention [ 29 ], three RCTs evaluated a new Nordic diet intervention [ 30 , 31 , 32 ], two RCTs assessed the effect of the Traditional Persian Medicine (TPM) diet [ 33 , 34 ], one trial evaluated adherence to the Mexican diet (MexD) [ 35 ], one the Southern European Atlantic Diet (SEAD) [ 24 ] and a total of 12 RCTs assessed the results of MedD interventions [ 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most RCTs were of parallel design, with a small number ( n = 4) implementing cross-over interventions [ 35 , 42 , 43 , 44 ]. There were three trials that had double-blind masking [ 32 , 45 ], four were single-blind [ 34 , 35 , 36 , 37 , 39 ], the majority were open label [ 24 , 30 , 33 , 38 , 40 , 42 , 44 , 46 , 47 , 48 , 49 , 50 ], and one did not report blinding at all [ 29 ]. Intervention duration ranged between 28 days [ 27 , 28 ] and a total of 26 weeks [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…The pooled number of participants reached a total of 3486 participants. Most studies used patients with overweight simple or abdominal obesity [ 27 , 29 , 30 , 34 , 35 , 38 , 45 , 46 , 47 ], patients with hypercho-lesterolaemia [ 31 , 32 , 42 , 43 ] or at least one cardiometabolic risk factor [ 42 , 43 , 44 ], elevated hs-CRP [ 32 ], NAFLD [ 33 ], or older adults [ 40 , 48 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…Leonetti and associates [ 29 ] compared the Chinese diet against the typical Western one, both in a hypo-caloric version, among patients with overweight/obesity. After six weeks of intervention, BMI, lean body mass (LBM), subjective hunger, as well as reported physical and mental health indicators were improved in the arm adhering to the Chinese diet.…”

Section: Resultsmentioning

confidence: 99%

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Assessing the Physiological Effects of Traditional Regional Diets Targeting the Prevention of Cardiovascular Disease: A Systematic Review of Randomized Controlled Trials Implementing Mediterranean, New Nordic, Japanese, Atlantic, Persian and Mexican Dietary Interventions

et al. 2021

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Traditional regional diets are considered as sustainable dietary patterns, while many have been examined with regard to their health benefits. The aim of the present systematic review was to aggerate all evidence on the physiological effects of regional diets among adults at high risk for cardiovascular disease (CVD). Three databases were searched for randomized controlled trials (RCTs) implementing any regional diet (Mediterranean (MedD), Persian, Southern European Atlantic, Japanese, Chinese, new Nordic, or other) while examining cardiovascular risk factors among adults at increased risk. Primary outcomes included anthropometric indices and secondary outcomes involved blood lipid concentrations, glucose metabolism, inflammation and other markers of CVD progression. Twenty RCTs fulfilled the study’s criteria and were included in the qualitative synthesis, with the majority implementing a MedD. Adherence to most of the regional diets induced a reduction in the BW and anthropometric indices of the participants. The majority of RCTs with blood pressure endpoints failed to note a significant reduction in the intervention compared to the comparator arm, with the exception of some new Nordic and MedD ones. Despite the interventions, inflammation markers remained unchanged except for CRP, which was reduced in the intervention groups of one new Nordic, the older Japanese, and the Atlantic diet RCTs. With regard to blood lipids, regional diet interventions either failed to induce significant differences or improved selective blood lipid markers of the participants adhering to the experimental regional diet arms. Finally, in the majority of RCTs glucose metabolism failed to improve. The body of evidence examining the effect of regional dietary patterns on CVD risk among high-risk populations, while employing an RCT design, appears to be limited, with the exception of the MedD. More research is required to advocate for the efficacy of most regional diets with regard to CVD.

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Exploring the traditional Chinese diet and its association with health status—a systematic review

Niu,

Li,

Zhang

et al. 2024

Nutrition Reviews

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Context Increased adherence to a traditional Chinese diet (TCD) could reduce the increasing prevalence of noncommunicable diseases. Currently, there is no consistent definition of the TCD in the literature, and its associations with health outcomes have not yet been identified. Objective This systematic review aimed to assess the definition of the TCD, in the literature, and to evaluate whether the TCD, as described, is associated with health outcomes. Data sources Fourteen databases were searched up to April 25, 2022. Data extraction Three reviewers (in pairs) independently screened and extracted data. A modified risk-of-bias tool was used to assess the quality of the studies assessing the TCD definition; the Newcastle–Ottawa Scale and the Cochrane Risk-of-Bias tool were used to assess the quality of the observational studies and randomized controlled trials assessing associations between the TCD and health outcomes. Data analysis Ninety-nine studies were identified that assessed the TCD definition. In at least 75% of the studies, rice and leafy vegetables were consistently reported as food groups that characterize the TCD; the most frequently cited food items were white rice, spinach, bokchoy, and cabbage. Fish and seafood, pork, and pork products were consistently reported in studies exclusively referring to the TCD consumed in southern China (n = 21 studies), whereas wheat and wheat products were commonly reported in studies focusing on northern China (n = 14 studies). Fifteen studies reported on the quantities of food groups that are characteristic of the TCD, but their findings were inconsistent. Of the 99 studies, 54 assessed associations with health outcomes. The TCD was overall inversely associated with obesity risk and weight gain, while relationships between the TCD and other health outcomes were inconsistent. Conclusion Further studies are needed to determine the quantities of foods consumed in the TCD and to establish a consistent definition for further exploration of the TCD’s potential role in preventing non-communicable diseases.

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Effects of basic traditional Chinese diet on body mass index, lean body mass, and eating and hunger behaviours in overweight or obese individuals

Cited by 7 publications

References 4 publications

Defining a Healthy Diet: Evidence for the Role of Contemporary Dietary Patterns in Health and Disease

Defining a Healthy Diet: Evidence for the Role of Contemporary Dietary Patterns in Health and Disease

Assessing the Physiological Effects of Traditional Regional Diets Targeting the Prevention of Cardiovascular Disease: A Systematic Review of Randomized Controlled Trials Implementing Mediterranean, New Nordic, Japanese, Atlantic, Persian and Mexican Dietary Interventions

Exploring the traditional Chinese diet and its association with health status—a systematic review

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