Single-Component Versus Multicomponent Dietary Goals for the Metabolic Syndrome

Ma, Yunsheng; Olendzki, Barbara C.; Wang, Jinsong; Persuitte, Gioia; Li, Wenjun; Fang, Hongjuan; Merriam, Philip A.; Wedick, Nicole M.; Ockene, Ira S.; Culver, Annie L.; Schneider, Kristin L.; Olendzki, Gin-Fei; Carmody, James; Ge, Tingjian; Zhang, Zhiying; Pagoto, Sherry L.

doi:10.7326/m14-0611

Cited by 57 publications

(51 citation statements)

References 35 publications

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“…31 A recent randomized controlled trial reported that increasing fiber intake may lead to other healthy dietary changes and facilitate weight loss. 32 Greater whole grain consumption is also associated with a lower risk of adverse chronic conditions, including type 2 diabetes, cardiovascular diseases, and weight gain. 5 Thus, promoting the consumption of greens and beans and whole grains could improve overall diet quality among women with young children.…”

Section: Discussionmentioning

confidence: 99%

Sleep Duration and Diet Quality Among Women Within 5 Years of Childbirth in the United States: A Cross-Sectional Study

Xiao

Simas

Pagoto

et al. 2016

Matern Child Health J

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Objective Only 9% of women with young children consume a high quality diet. The association between sleep duration and health may be U-shaped. We examined diet quality in relation to sleep duration among U.S. women within 5 years of childbirth. Methods Data were from non-pregnant women aged 20-44 years within 5 years of childbirth who completed two 24-hour dietary recalls (N=896) in the National Health and Nutrition Examination Survey (NHANES) 2005-2012. Self-reported weekday/workday sleep duration was categorized as short (≤6 hours), adequate (7-8 hours), or long (≥9 hours). The Healthy Eating Index (HEI-2010, range: 0-100) estimated overall and components of diet quality. Multivariable-adjusted linear regression models estimated the association between sleep duration and diet quality, adjusting for age, race/ethnicity, and education. Results Thirty-four percent of women reported short, 57.1% adequate, and 8.6% long sleep duration. The average diet quality total score was 47.4 out of 100. Short sleep duration was not associated with diet quality. Long sleep duration was associated with lower quality diet (β = −4.3; 95% CI: −8.1 - −0.4), lower consumption of total fruit (β = −0.7; 95% CI: −1.3 - −0.1), whole fruit (β = −0.9; 95% CI: −1.6 - −0.2), and total protein (β = −0.7; 95% CI: −1.3 - −0.03), and higher consumption of empty calories (β = 2.2; 95% CI: −4.3 - −0.1). Conclusions for Practice Future studies should examine the longitudinal association between sleep duration and diet quality among women following childbirth and whether interventions to improve sleep can enhance diet quality.

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Section: Discussionmentioning

confidence: 99%

Sleep Duration and Diet Quality Among Women Within 5 Years of Childbirth in the United States: A Cross-Sectional Study

Xiao

Simas

Pagoto

et al. 2016

Matern Child Health J

Self Cite

View full text Add to dashboard Cite

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“…The RCT compared two 14 sessions dietary counseling interventions which differed only in the content of the dietary recommendations provided (Ma et al, 2015). Results indicated significant weight loss within each condition, and no significant differences in weight loss between conditions (Ma et al, 2015).…”

Section: Methodsmentioning

confidence: 99%

Obstructive sleep apnea and weight loss treatment outcome among adults with metabolic syndrome.

Whited¹,

Olendzki²,

Ma³

et al. 2016

Health Psychology

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Objective The purpose of this study was to examine if adults with obesity and metabolic syndrome who screen as high risk for OSA lose less weight as part of a weight loss intervention than those who screen as low risk. Methods We conducted a secondary analysis of a randomized trial comparing two weight loss interventions consisting of dietary counseling for adults with obesity and metabolic syndrome. Participants were screened for sleep apnea using a validated screening questionnaire. Percent weight loss was calculated from weight measured at baseline and intervention end (12 months). Weight loss of 5% or greater was considered clinically significant. Multivariate linear and logistic regression models estimated the association between OSA screening status (high versus low risk) and percent weight loss and clinically significant weight loss, adjusting for gender, age, education, marital status, baseline body mass index, self-reported sleep duration, and intervention condition. Results Nearly half of participants (45.8%) screened at high risk for OSA. Participants who screened at high risk for OSA lost less weight (1.2%+4.2% vs 4.2%+5.3%) and were less likely to lose 5% or greater (24.4% vs. 75.6%) than participants without OSA. Conclusions Among adults with obesity and metabolic syndrome, those at high risk for OSA lost less weight in response to a dietary counseling intervention than adults with low risk of OSA. Routine OSA screening should be considered as part of weight loss treatment programs. Additional research is needed to determine how to tailor weight loss treatment for those with high risk for OSA.

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“…Ma et al 1 also were concerned about how much information should be provided to a patient so that he or she does not become overwhelmed with the material; they viewed this issue as a challenge yet to be answered. They concluded the Discussion section by expressing optimism over the associated improvements in blood pressure, dietary quality, and insulin resistance that occurred during the year in the recipients of the high‐fiber diet.…”

mentioning

confidence: 99%

JPEN Journal Club 19. The Data vs the Message

Koretz

2016

J Parenter Enteral Nutr

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Single-Component Versus Multicomponent Dietary Goals for the Metabolic Syndrome

Cited by 57 publications

References 35 publications

Sleep Duration and Diet Quality Among Women Within 5 Years of Childbirth in the United States: A Cross-Sectional Study

Sleep Duration and Diet Quality Among Women Within 5 Years of Childbirth in the United States: A Cross-Sectional Study

Obstructive sleep apnea and weight loss treatment outcome among adults with metabolic syndrome.

JPEN Journal Club 19. The Data vs the Message

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