The Effects of an Energy Density Prescription on Diet Quality and Weight Loss: A Pilot Randomized Controlled Trial

Raynor, Hollie A.; Looney, Shannon M.; Steeves, Elizabeth Anderson; Spence, M. P.; Gorin, Amy A.

doi:10.1016/j.jand.2012.02.020

Cited by 26 publications

(13 citation statements)

References 23 publications

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“…Recently published studies suggest there may be a variety of alternative approaches to weight management. For example, diets of varying composition (not just low fat) such as low carbohydrate diets (33, 34) and low energy density diets (35, 36) have been associated with some success in weight loss maintenance.…”

Section: Discussionmentioning

confidence: 99%

Dietary Habits and Weight Maintenance Success in High Versus Low Exercisers in the National Weight Control Registry

Catenacci

Odgen²,

Phelan³

et al. 2014

Journal of Physical Activity and Health

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Background The National Weight Control Registry (NWCR) was established to examine characteristics of successful weight loss maintainers. This study compares the diet and behavioral characteristics and weight regain trajectories of NWCR members with differing physical activity (PA) levels at baseline. Methods Participants (n=3591) were divided into 4 levels of self-reported PA at registry entry (<1000, 1000 to <2250, 2250 to <3500, and ≥3500 kcals/week). We compared self-reported energy intake (EI), macronutrient composition, eating behaviors (dietary restraint, hunger, and disinhibition), weight loss maintenance strategies, and 3 year weight regain between these 4 activity groups. Results Those with the highest PA at registry entry had lost the most weight, and reported lower fat intake, more dietary restraint, and greater reliance on several specific dietary strategies to maintain weight loss. Those in the lowest PA category maintained weight loss despite low levels of PA and without greater reliance on dietary strategies. There were no differences in odds of weight regain at year 3 between PA groups. Conclusions These findings suggest that there is not a “one size fits all strategy” for successful weight loss maintenance and that weight loss maintenance may require the use of more strategies by some individuals than others.

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Section: Discussionmentioning

confidence: 99%

Dietary Habits and Weight Maintenance Success in High Versus Low Exercisers in the National Weight Control Registry

Catenacci

Odgen²,

Phelan³

et al. 2014

Journal of Physical Activity and Health

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“…Emerging evidence suggests lowering ED as an effective means to improved diet quality. 29 Several methods exist for calculating ED 30,31 ; however, the calculation using food only, excluding beverages and water, was used. Intake in grams and energy were directly derived from NDS-R software and averaged across days for the child and parent individually.…”

Section: Methodsmentioning

confidence: 99%

Parent Diet Quality and Energy Intake Are Related to Child Diet Quality and Energy Intake

Robson¹,

Couch²,

Peugh³

et al. 2016

Journal of the Academy of Nutrition and Dietetics

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Background Parents' diets are believed to influence their children's diets. Previous studies have not adequately and simultaneously assessed the relation of parent and child total diet quality and energy intake. Objective To investigate if parent and child diet quality and energy intakes are related. Design A cross-sectional analysis using baseline dietary intake data from the Neighborhood Impact on Kids (NIK) study collected in 2007-2009. Participants/setting Parents and 6-12 year old children from households in King County (Seattle area), WA and San Diego County, CA, targeted by NIK were recruited. Eligible parent-child dyads (n=698) with two or three 24-hour dietary recalls were included in this secondary analysis. Main Outcome Measures Child diet quality (Healthy Eating Index-2010 [HEI-2010], Dietary Approaches to Stop Hypertension [DASH] score, and energy density (for food-only) and energy intake were derived from the dietary recalls using Nutrition Data Systems for Research. Statistical Analyses Performed Multiple linear regression models examined the relationship between parent diet quality and child diet quality, and the relationship between parent energy intake and child energy intake. In both analyses, we controlled for parent characteristics, child characteristics, household education and neighborhood type. Results Parent diet quality measures were significantly related to corresponding child diet quality measures: HEI-2010 (standardized beta [β] = 0.39, p<0.001); DASH score (β = 0.33, p<0.001); energy density (β = 0.32, p<0.001). Parent daily average energy intake (1763 ± 524 kilocalories) also was significantly related (β = 0.30, p<0.001) to child daily average energy intake (1751 ± 431 kilocalories). Conclusion Parent and child intakes were closely related across various metrics of diet quality and for energy intake. Mechanisms of influence are likely to be shared food environments, shared meals, and parent modeling.

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“…LED foods were defined as any food contributing ≤ 4.186 kJ (1 kcal) g −1 and HED foods were defined as any food contributing ≥ 12.56 kJ (3 kcal) g −1 17 . Beverages were not included in the classifications.…”

Section: Methodsmentioning

confidence: 99%

“…First, we examined participants who either reported decreased intake of number of HED or LED foods by >1 food, maintained a relatively stable intake (a change of −1 to 1 food), or increased intake by >1 food. Based on preliminary evidence that ED prescriptions may be effective weight loss tools, 17 we explored the extent to which participants who consumed ≤ 2 HED foods and consumed ≥ to the 75th percentile in LED foods (≥6.6 foods per day) compared with participants who did not meet at least one of those dimensions. Exact sample sizes for each group are reported in the tables.…”

Section: Methodsmentioning

confidence: 99%

Increasing low-energy-dense foods and decreasing high-energy-dense foods differently influence weight loss trial outcomes

2017

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BACKGROUND/OBJECTIVE Although reducing energy density (ED) enhances weight loss, it is unclear whether all dietary strategies that reduce ED are comparable, hindering effective ED guidelines for obesity treatment. This study examined how changes in number of low-energy-dense (LED) (<4.186 kJ/1.0 kcal g−1) and high-energy-dense (HED) (>12.56 kJ/3.0 kcal g−1) foods consumed affected dietary ED and weight loss within an 18-month weight loss trial. METHODS This secondary analysis examined data from participants randomized to an energy-restricted lifestyle intervention or lifestyle intervention plus limited non-nutrient dense, energy-dense food variety (n = 183). Number of daily LED and HED foods consumed was calculated from three, 24-h dietary recalls and anthropometrics were measured at 0, 6 and 18 months. Multivariable-adjusted generalized linear models and repeated-measures mixed linear models examined associations between 6-month changes in number of LED and HED foods and changes in ED, body mass index (BMI), and percent weight loss at 6 and 18 months. RESULTS Among mostly female (58%), White (92%) participants aged 51.9 years following an energy-restricted diet, increasing number of LED foods or decreasing number of HED foods consumed was associated with 6- and 18-month reductions in ED (β = − 0.25 to − 0.38 kJ g−1 (−0.06 to − 0.09 kcal g−1), P<0.001). Only increasing number of LED foods consumed was associated with 6- and 18-month reductions in BMI (β = − 0.16 to − 0.2 kg m−2, P<0.05) and 6-month reductions in percent weight loss (β = − 0.5%, P<0.05). Participants consuming ≤2 HED foods per day and ≥6.6 LED foods per day experienced better weight loss outcomes at 6- and 18-month than participants only consuming ≤2 HED foods per day. CONCLUSION Despite similar reductions in ED from reducing number of HED foods or increasing number of LED foods consumed, only increasing number of LED foods related to weight loss. This provides preliminary evidence that methods used to reduce dietary ED may differentially influence weight loss trajectories. Randomized controlled trials are needed to inform ED recommendations for weight loss.

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The Effects of an Energy Density Prescription on Diet Quality and Weight Loss: A Pilot Randomized Controlled Trial

Cited by 26 publications

References 23 publications

Dietary Habits and Weight Maintenance Success in High Versus Low Exercisers in the National Weight Control Registry

Dietary Habits and Weight Maintenance Success in High Versus Low Exercisers in the National Weight Control Registry

Parent Diet Quality and Energy Intake Are Related to Child Diet Quality and Energy Intake

Increasing low-energy-dense foods and decreasing high-energy-dense foods differently influence weight loss trial outcomes

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