Dietary energy density in relation to subsequent changes of weight and waist circumference in European men and women
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Dietary energy density in relation to subsequent changes of weight and waist circumference in European men and women. / Du, Huaidong; van der A, Daphne L; Ginder, Vanessa; Jebb, Susan A; Forouhi, Nita G; Wareham, Nicholas J; Halkjaer, Jytte; Tjønneland, Anne; Overvad, Kim; Jakobsen, Marianne Uhre; Buijsse, Brian; Steffen, Annika; Palli, Domenico; Masala, Giovanna; Saris, Wim H M; Sørensen, Thorkild I A; Feskens, Edith J M.
In: PLoS ONE, Vol. 4, No. 4, 2009, p. e5339.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Dietary energy density in relation to subsequent changes of weight and waist circumference in European men and women
AU - Du, Huaidong
AU - van der A, Daphne L
AU - Ginder, Vanessa
AU - Jebb, Susan A
AU - Forouhi, Nita G
AU - Wareham, Nicholas J
AU - Halkjaer, Jytte
AU - Tjønneland, Anne
AU - Overvad, Kim
AU - Jakobsen, Marianne Uhre
AU - Buijsse, Brian
AU - Steffen, Annika
AU - Palli, Domenico
AU - Masala, Giovanna
AU - Saris, Wim H M
AU - Sørensen, Thorkild I A
AU - Feskens, Edith J M
N1 - Keywords: Abdominal Fat; Adult; Aged; Cohort Studies; Diet; Energy Intake; Europe; Female; Humans; Male; Middle Aged; Obesity; Prospective Studies; Waist Circumference; Weight Gain; Young Adult
PY - 2009
Y1 - 2009
N2 - BACKGROUND: 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. METHODS AND PRINCIPAL FINDINGS: 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<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]. CONCLUSION: 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.
AB - BACKGROUND: 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. METHODS AND PRINCIPAL FINDINGS: 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<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]. CONCLUSION: 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.
U2 - 10.1371/journal.pone.0005339
DO - 10.1371/journal.pone.0005339
M3 - Journal article
C2 - 19396357
VL - 4
SP - e5339
JO - PLoS ONE
JF - PLoS ONE
SN - 1932-6203
IS - 4
ER -
ID: 20421461