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Ensayo controlado aleatorizado2024

Isocaloric replacement of ultraprocessed foods was associated with greater weight loss in the POUNDS Lost trial

Yao Q, de Araujo CD, Juul F, Champagne CM, Bray GA, Sacks FM, Vadiveloo MK

Obesity (Silver Spring, Md.) · 7 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
Diarios o recordatorios de alimentación

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Heart, Lung, and Blood Institute
Gobierno
National Center for Research Resources
Gobierno
NHLBI NIH HHS
Gobierno
NCRR NIH HHS
Subvenciones
National Heart, Lung, and Blood Institute (K01HL165104); National Heart, Lung, and Blood Institute (U01 HL-073286); National Center for Research Resources (M01 RR002635)

Según 4 financiadores declarados.

Publicación

Publicado
2024-06-27 · Obesity (Silver Spring) · vol. 32 · número 7 · págs. 1281–1289
Editorial
Wiley
Citado
8 citas · más que el 92% de estudios similares · 3.1× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
39 trabajos
Acceso
Acceso abierto (copia en repositorio)
Áreas de investigación
Consumer Attitudes and Food Labeling · Nutrition, Genetics, and Disease · Nutritional Studies and Diet
Palabras clave
Medicine, Waist, Overweight, Weight loss, Animal science, Obesity, Trunk, Circumference, Demography, Internal medicine, Biology, Mathematics
MeSH
humans, obesity, weight loss, body mass index, diet, reducing, prospective studies, energy intake, food handling, adult, middle aged, female, male, overweight, waist circumference, fast foods

7 autores

  • Qisi Yao🇺🇸University of Rhode Island
  • Carolina Araujo🇺🇸University of Rhode Island
  • Filippa Juul🇺🇸New York University
  • Catherine M. Champagne🇺🇸Pennington Biomedical Research Center
  • George A. Bray🇺🇸Pennington Biomedical Research Center
  • Frank M. Sacks🇺🇸Brigham and Women's Hospital; Harvard University
  • Maya K. Vadiveloo🇺🇸 · autor de correspondenciaUniversity of Rhode Island

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objective

Higher intake of ultraprocessed foods (UPFs) is associated with obesity. We examined whether replacing UPFs (NOVA 4) with minimally processed foods and culinary ingredients (NOVA 1 + 2) was associated with differential weight change in this secondary prospective analysis of the Preventing Overweight Using Novel Dietary Strategies (POUNDS) Lost trial.

Methods

We estimated percent energy intake (%kcal) from the four NOVA groups using 24-h dietary recalls in a subset of 356 participants. Multivariable-adjusted substitution models examined whether replacing %kcal from UPFs with NOVA 1 + 2 was associated with greater weight, body fat percentage, trunk fat, and waist circumference reduction at 6 months; changes in parameters were compared among NOVA 1 + 2 tertiles (T).

Results

Participants were on average 52.3 years of age, 85% White, 55% female, and 58.2% nonsmoking, with a mean BMI of 32.7 kg/m2. Replacing 10%kcal of UPFs with NOVA 1 + 2 was associated with greater 6-month weight (ß = 0.51, 95% CI: -0.93 to -0.09, p = 0.02), body fat percentage (ß = 2.7, 95% CI: -5.10 to -0.43, p = 0.02), and trunk fat reduction (ß = 3.9, 95% CI: -7.01 to -0.70, p = 0.02), but not waist circumference reduction. Participants in T3 (-8.33 kg) versus T1 (-5.32 kg) of NOVA 1 + 2 had greater weight loss (p < 0.001).

Conclusions

Isocaloric substitution of UPFs with NOVA 1 + 2 was associated with marginally greater weight loss under energy restriction. These modest findings support more research exploring the mechanisms linking UPFs with body weight regulation beyond energy intake.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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