Strong and consistent evidence supports low-energy-density diets for weight loss
A new report published online today in the Journal of the Academy of Nutrition and Dietetics systematically reviews and updates the evidence underlying the recommendation in the Dietary Guidelines for Americans 2010 to consume a diet low in energy density (ED). The report addresses the growing body of evidence linking ED, or the number of calories in a given amount of food, and body weight in adults as well as children and adolescents. The systematic review concluded that there is strong and consistent evidence in adults showing that consuming a diet higher in ED is associated with increased body weight, while consuming a diet that is relatively low in ED improves weight loss and weight maintenance. In children and adolescents, moderately strong evidence shows a relationship between higher ED diets and increased weight.
"The conclusions reached in our review strengthen the recommendations in the Dietary Guidelines to consume such foods as fruits, vegetables, whole grains, and lean animal protein sources, which are generally lower in ED, while lowering consumption of total fat, saturated fat, and added sugars, which increase ED of foods," says lead investigator Rafael Perez-Escamilla, PhD, of Yale University, and a member of the 2010 Dietary Guidelines Advisory Committee. "It also strengthens the focus on considering overall dietary patterns rather than simply targeting modifications to individual components of the diet."
Investigators evaluated 17 studies of dietary ED and body weight in adults. Seven were randomized controlled trials (RCT), one was a non-controlled trial, and 9 were cohort studies. These studies were conducted in the United States, Brazil, Europe, France, Germany, The Netherlands, Denmark, and South Korea. Fifteen of the 17 studies offered evidence that linked diets lower in ED with improved weight loss or weight maintenance. In a number of the weight loss trials reviewed, lowering ED was most effective for promoting weight loss during the active intervention period, but some studies found that the benefit was not always sustained over time. The relationship between lower ED and improved weight maintenance, based on the cohort studies, was highly consistent.
Six prospective studies from the United States, United Kingdom, and Germany were included in the review of evidence on dietary ED and body weight in children and adolescents. Studies included normal weight and overweight boys and girls. The majority of studies showed a relationship between higher dietary ED and increased weight in children.
"While the mechanisms for the relationship between ED and weight have not been widely studied, it has been hypothesized that lowering ED can enhance satiety and contribute to reductions in calorie intake," explains Dr. Perez-Escamilla.
While the findings from this systematic review suggest that consuming diets lower in ED may be an effective strategy for managing body weight, Dr. Perez-Escamilla notes that there is a need for public health strategies to communicate what ED means and how it is associated with body weight. "Guidelines for how to estimate ED for different products based on food label information, how to decrease dietary ED, and how to sustain weight loss benefits using lower ED diets in the long term are needed," he concludes.
In an accompanying podcast Rafael Pérez-Escamilla, PhD, and Julie E Obbagy, PhD, RD, discuss the relationship between energy density and weight and its impact not only on adults, but also on children and adolescents.
More information: The podcast is available at http://andjrnl.org/content/podcast.
Provided by Elsevier
- Link between erectile dysfunction and obesity explored in obesity and weight management Aug 24, 2009 | not rated yet | 0
- Calorie density key to losing weight Jun 08, 2007 | not rated yet | 0
- Study: Higher-protein diets support weight loss, but may lower bone density in postmenopausal women Jul 07, 2010 | not rated yet | 0
- New study compares diets for weight management in obese children Mar 14, 2012 | not rated yet | 0
- Study shows how to lose weight without losing bone Jun 05, 2008 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Classical and Quantum Mechanics via Lie algebras
Apr 15, 2011 I'd like to open a discussion thread for version 2 of the draft of my book ''Classical and Quantum Mechanics via Lie algebras'', available online at http://lanl.arxiv.org/abs/0810.1019 , and for the...
- More from Physics Forums - Independent Research
More news stories
The gap between life expectancy in patients with a mental illness and the general population has widened since 1985 and efforts to reduce this gap should focus on improving physical health, suggest researchers in a paper ...
Health 6 hours ago | not rated yet | 0
Failure to use linked electronic health records may lead to biased estimates of heart attack incidence and outcome, warn researchers in a paper published in BMJ today.
Health 6 hours ago | not rated yet | 0
Dietary advice on added sugar is damaging our health, warns a cardiologist in BMJ today. Dr. Aseem Malhotra believes that "not only has this advice been manipulated by the food industry for profit but it is actually a risk ...
Health 6 hours ago | 5 / 5 (4) | 0
(HealthDay)—In 2008 to 2010, the prevalence of key health behaviors among U.S. adults varied, with about one in five adults current smokers and 62.1 percent overweight or obese, according to a report presented ...
Health 9 hours ago | 5 / 5 (1) | 0
(HealthDay)—The overall health of Americans isn't improving much, with about six in 10 people either overweight or obese and large numbers engaging in unhealthy behaviors like smoking, heavy drinking or ...
Health 9 hours ago | not rated yet | 0
(Medical Xpress)—Native peoples in regions where cameras are uncommon sometimes react with caution when their picture is taken. The fear that something must have been stolen from them to create the photo ...
13 hours ago | 4.2 / 5 (5) | 0 |
(Medical Xpress)—Despite spending billions of dollars on research and development, drug companies have been unable to come up with effective treatments for dementia and Alzheimer's Disease (AD). Now, A. ...
11 hours ago | 4.9 / 5 (9) | 0 |
An experimental sleeping pill from US drug company Merck is effective at helping people fall and stay asleep, according to reviewers at the US Food and Drug Administration, which could soon approve the new drug.
7 hours ago | 3 / 5 (2) | 0
Activating an enzyme known to play a role in the anti-aging benefits of calorie restriction delays the loss of brain cells and preserves cognitive function in mice, according to a study published in the May ...
8 hours ago | 5 / 5 (3) | 0 |
Australian scientists have charted the path of insulin action in cells in precise detail like never before. This provides a comprehensive blueprint for understanding what goes wrong in diabetes.
13 hours ago | 4.5 / 5 (6) | 0 |
A drug commonly used to treat depression and anxiety may improve a stress-related heart condition in people with stable coronary heart disease, according to researchers at Duke Medicine.
9 hours ago | 5 / 5 (1) | 0 |