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Ultra-processed foods cause weight gain and increased energy intake associated with reduced chewing frequency: A randomized, open-label, crossover study

Hamano S, Sawada M, Aihara M, Sakurai Y, Sekine R, Usami S, Kubota N, Yamauchi T

Diabetes, obesity & metabolism · 93 citas

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Alimentación controlada

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
Comida provista por los investigadores

Quién lo pagó

Financiación
Financiación independiente
Gobierno
Ministry of Education, Culture, Sports, Science and Technology
Gobierno
Japan Society for the Promotion of Science
Subvenciones
Japan Society for the Promotion of Science (24K02500); Japan Society for the Promotion of Science (24H02729); Ministry of Education, Culture, Sports, Science and Technology (Grant-in Aid for Scientific Research (B) (21H02976); Japan Society for the Promotion of Science (22K08620)

Según 2 financiadores declarados.

Publicación

Publicado
2024-09-12 · Diabetes Obes Metab · vol. 26 · número 11 · págs. 5431–5443
Editorial
Wiley
Citado
106 citas · más que el 100% de estudios similares · 40.5× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
54 trabajos
Acceso
Acceso abierto (revista híbrida) · CC-BY-NC
Áreas de investigación
Consumer Attitudes and Food Labeling · Nutrition, Genetics, and Disease · Dietary Effects on Health
Palabras clave
Medicine, Crossover study, Open label, Weight gain, Crossover, Randomized controlled trial, Food science, Internal medicine, Body weight
MeSH
humans, obesity, weight gain, cross-over studies, energy intake, mastication, food handling, adult, middle aged, male, overweight, fast foods, food, processed

8 autores

  • Shoko Hamano🇯🇵The University of Tokyo
  • Mika Sawada🇯🇵University of Tokyo Hospital
  • Masakazu Aihara🇯🇵The University of Tokyo
  • Yoshitaka Sakurai🇯🇵The University of Tokyo
  • Rie Sekine🇯🇵University of Tokyo Hospital
  • Satoshi Usami🇯🇵Japan Graduate School of Education University; The University of Tokyo
  • Naoto Kubota🇯🇵 · autor de correspondenciaKumamoto University
  • Toshimasa Yamauchi🇯🇵The University of Tokyo

Resumen

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

Aim

To elucidate the effects of ultra-processed foods (UPFs) on body weight and ad libitum energy intake compared with non-UPFs.

Materials and methods

In this randomized, open-label crossover study conducted at the University of Tokyo Hospital, overweight/obese Japanese male participants were randomly assigned (1:1) to start the study with consumption of either UPFs or non-UPFs for 1 week, followed by a 2-week washout period, before crossing over to the alternate food diet for 1 week. Individuals with diabetes, hypertension or any other medical conditions who visited a hospital regularly were excluded. The meals were designed to be matched for the total energy and macronutrient levels. The primary outcome was the difference in the body weight change between the UPF and non-UPF periods. The differences in the average daily energy intake and chewing frequency were assessed as one of the prespecified secondary outcomes.

Results

Nine eligible participants were randomly assigned to start the study with either UPFs or non-UPFs. All participants completed the study. During the UPF period, participants gained 1.1 kg more weight (95% confidence interval 0.2 to 2.0; P = .021) and consumed 813.5 kcal more per day (342.4 to 1284.7; P = .0041) compared with during the non-UPF period. Regarding the chewing frequency, the number of chews per calorie was significantly lower during the UPF period (P = .016).

Conclusions

Consumption of UPFs causes significant weight gain. Medical nutritional therapy focused on reducing the consumption of UPFs could be an effective strategy for preventing obesity.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC).

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