Dietary Energy Density in Relation to Subsequent Changes of Weight and Waist Circumference in European Men and Women

Experimental studies show that a reduction in dietary energy density (ED) is associated with reduced energy intake and body weight. However, few observational studies have investigated the role of ED on long-term weight and waist circumference change. This population-based prospective cohort study i...

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Veröffentlicht in:PloS one 2009-04, Vol.4 (4), p.e5339-e5339
Hauptverfasser: Du, H, Ginder, V, Jebb, S.A, Forouchi, N.G, Wareham, N, Halkjaer, J, Tjonneland, A, Overvad, K, Jakobsen, M.U, Buijsse, B, Steffen, A, Palli, D, Masala, G, Saris, W.H, Sorensen, T, Feskens, E.J.M
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creator Du, H
Ginder, V
Jebb, S.A
Forouchi, N.G
Wareham, N
Halkjaer, J
Tjonneland, A
Overvad, K
Jakobsen, M.U
Buijsse, B
Steffen, A
Palli, D
Masala, G
Saris, W.H
Sorensen, T
Feskens, E.J.M
description Experimental studies show that a reduction in dietary energy density (ED) is associated with reduced energy intake and body weight. However, few observational studies have investigated the role of ED on long-term weight and waist circumference change. This population-based prospective cohort study included 89,432 participants from five European countries with mean age 53 years (range: 20-78 years) at baseline and were followed for an average of 6.5 years (range: 1.9-12.5 years). Participants were free of cancer, cardiovascular diseases and diabetes at baseline. ED was calculated as the energy intake (kcal) from foods divided by the weight (g) of foods. Multiple linear regression analyses were performed to investigate the associations of ED with annual weight and waist circumference change. Mean ED was 1.7 kcal/g and differed across study centers. After adjusting for baseline anthropometrics, demographic and lifestyle factors, follow-up duration and energy from beverages, ED was not associated with weight change, but significantly associated with waist circumference change overall. For 1 kcal/g ED, the annual weight change was -42 g/year [95% confidence interval (CI): -112, 28] and annual waist circumference change was 0.09 cm/year [95% CI: 0.01, 0.18]. In participants with baseline BMI
doi_str_mv 10.1371/journal.pone.0005339
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However, few observational studies have investigated the role of ED on long-term weight and waist circumference change. This population-based prospective cohort study included 89,432 participants from five European countries with mean age 53 years (range: 20-78 years) at baseline and were followed for an average of 6.5 years (range: 1.9-12.5 years). Participants were free of cancer, cardiovascular diseases and diabetes at baseline. ED was calculated as the energy intake (kcal) from foods divided by the weight (g) of foods. Multiple linear regression analyses were performed to investigate the associations of ED with annual weight and waist circumference change. Mean ED was 1.7 kcal/g and differed across study centers. After adjusting for baseline anthropometrics, demographic and lifestyle factors, follow-up duration and energy from beverages, ED was not associated with weight change, but significantly associated with waist circumference change overall. For 1 kcal/g ED, the annual weight change was -42 g/year [95% confidence interval (CI): -112, 28] and annual waist circumference change was 0.09 cm/year [95% CI: 0.01, 0.18]. In participants with baseline BMI&lt;25 kg/m(2), 1 kcal/g ED was associated with a waist circumference change of 0.17 cm/year [95% CI: 0.09, 0.25]. Our results suggest that lower ED diets do not prevent weight gain but have a weak yet potentially beneficial effect on the prevention of abdominal obesity as measured by waist circumference.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0005339</identifier><identifier>PMID: 19396357</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abdominal Fat ; Adult ; Aged ; Analysis ; Beverages ; Body mass ; Body measurements ; Body weight ; Body weight gain ; Cancer ; Cardiovascular diseases ; Chair Nutrition and Disease ; Chair Nutrition and Health over the Lifecourse ; Cohort Studies ; Confidence intervals ; Demographics ; Diabetes mellitus ; Diet ; Energy Intake ; Europe ; Female ; Flux density ; Food ; Food intake ; Global Nutrition ; Health risk assessment ; Heart diseases ; HNE Nutrition and Disease ; HNE Nutrition and Health over the Lifecourse ; HNE Voeding en Gezondheid in de Levenscyclus ; HNE Voeding en Ziekte ; Humans ; Male ; Middle Aged ; Nutrition ; Nutrition and Disease ; Nutrition research ; Nutrition/Obesity ; Obesity ; Obesity - prevention &amp; control ; Population studies ; Prospective Studies ; Public Health and Epidemiology ; Public Health and Epidemiology/Epidemiology ; Regression analysis ; Statistical analysis ; Type 2 diabetes ; VLAG ; Voeding en Ziekte ; Waist Circumference ; Weight Gain ; Weight reduction ; Wereldvoeding ; Womens health ; Young Adult</subject><ispartof>PloS one, 2009-04, Vol.4 (4), p.e5339-e5339</ispartof><rights>COPYRIGHT 2009 Public Library of Science</rights><rights>2009 Du et al. 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However, few observational studies have investigated the role of ED on long-term weight and waist circumference change. This population-based prospective cohort study included 89,432 participants from five European countries with mean age 53 years (range: 20-78 years) at baseline and were followed for an average of 6.5 years (range: 1.9-12.5 years). Participants were free of cancer, cardiovascular diseases and diabetes at baseline. ED was calculated as the energy intake (kcal) from foods divided by the weight (g) of foods. Multiple linear regression analyses were performed to investigate the associations of ED with annual weight and waist circumference change. Mean ED was 1.7 kcal/g and differed across study centers. After adjusting for baseline anthropometrics, demographic and lifestyle factors, follow-up duration and energy from beverages, ED was not associated with weight change, but significantly associated with waist circumference change overall. For 1 kcal/g ED, the annual weight change was -42 g/year [95% confidence interval (CI): -112, 28] and annual waist circumference change was 0.09 cm/year [95% CI: 0.01, 0.18]. In participants with baseline BMI&lt;25 kg/m(2), 1 kcal/g ED was associated with a waist circumference change of 0.17 cm/year [95% CI: 0.09, 0.25]. 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Ginder, V ; Jebb, S.A ; Forouchi, N.G ; Wareham, N ; Halkjaer, J ; Tjonneland, A ; Overvad, K ; Jakobsen, M.U ; Buijsse, B ; Steffen, A ; Palli, D ; Masala, G ; Saris, W.H ; Sorensen, T ; Feskens, E.J.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c744t-d51951c9d83ff609c4c19debac2592308def506c97fcdd9b1f1778aac732c3333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Abdominal Fat</topic><topic>Adult</topic><topic>Aged</topic><topic>Analysis</topic><topic>Beverages</topic><topic>Body mass</topic><topic>Body measurements</topic><topic>Body weight</topic><topic>Body weight gain</topic><topic>Cancer</topic><topic>Cardiovascular diseases</topic><topic>Chair Nutrition and Disease</topic><topic>Chair Nutrition and Health over the Lifecourse</topic><topic>Cohort Studies</topic><topic>Confidence intervals</topic><topic>Demographics</topic><topic>Diabetes mellitus</topic><topic>Diet</topic><topic>Energy Intake</topic><topic>Europe</topic><topic>Female</topic><topic>Flux density</topic><topic>Food</topic><topic>Food intake</topic><topic>Global Nutrition</topic><topic>Health risk assessment</topic><topic>Heart diseases</topic><topic>HNE Nutrition and Disease</topic><topic>HNE Nutrition and Health over the Lifecourse</topic><topic>HNE Voeding en Gezondheid in de Levenscyclus</topic><topic>HNE Voeding en Ziekte</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nutrition</topic><topic>Nutrition and Disease</topic><topic>Nutrition research</topic><topic>Nutrition/Obesity</topic><topic>Obesity</topic><topic>Obesity - prevention &amp; 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However, few observational studies have investigated the role of ED on long-term weight and waist circumference change. This population-based prospective cohort study included 89,432 participants from five European countries with mean age 53 years (range: 20-78 years) at baseline and were followed for an average of 6.5 years (range: 1.9-12.5 years). Participants were free of cancer, cardiovascular diseases and diabetes at baseline. ED was calculated as the energy intake (kcal) from foods divided by the weight (g) of foods. Multiple linear regression analyses were performed to investigate the associations of ED with annual weight and waist circumference change. Mean ED was 1.7 kcal/g and differed across study centers. After adjusting for baseline anthropometrics, demographic and lifestyle factors, follow-up duration and energy from beverages, ED was not associated with weight change, but significantly associated with waist circumference change overall. For 1 kcal/g ED, the annual weight change was -42 g/year [95% confidence interval (CI): -112, 28] and annual waist circumference change was 0.09 cm/year [95% CI: 0.01, 0.18]. In participants with baseline BMI&lt;25 kg/m(2), 1 kcal/g ED was associated with a waist circumference change of 0.17 cm/year [95% CI: 0.09, 0.25]. Our results suggest that lower ED diets do not prevent weight gain but have a weak yet potentially beneficial effect on the prevention of abdominal obesity as measured by waist circumference.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>19396357</pmid><doi>10.1371/journal.pone.0005339</doi><oa>free_for_read</oa></addata></record>
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subjects Abdominal Fat
Adult
Aged
Analysis
Beverages
Body mass
Body measurements
Body weight
Body weight gain
Cancer
Cardiovascular diseases
Chair Nutrition and Disease
Chair Nutrition and Health over the Lifecourse
Cohort Studies
Confidence intervals
Demographics
Diabetes mellitus
Diet
Energy Intake
Europe
Female
Flux density
Food
Food intake
Global Nutrition
Health risk assessment
Heart diseases
HNE Nutrition and Disease
HNE Nutrition and Health over the Lifecourse
HNE Voeding en Gezondheid in de Levenscyclus
HNE Voeding en Ziekte
Humans
Male
Middle Aged
Nutrition
Nutrition and Disease
Nutrition research
Nutrition/Obesity
Obesity
Obesity - prevention & control
Population studies
Prospective Studies
Public Health and Epidemiology
Public Health and Epidemiology/Epidemiology
Regression analysis
Statistical analysis
Type 2 diabetes
VLAG
Voeding en Ziekte
Waist Circumference
Weight Gain
Weight reduction
Wereldvoeding
Womens health
Young Adult
title Dietary Energy Density in Relation to Subsequent Changes of Weight and Waist Circumference in European Men and Women
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