| Should snacks be recommended in obesity treatment? A 1-year randomized clinical trial. | |
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MedLine Citation:
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PMID: 17700649 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To study the effect to recommend no snacks vs three snacks per day on 1-year weight loss. The hypothesis was that it is easier to control energy intake and lose weight if snacks in between meals are omitted. SUBJECTS/METHOD: In total 140 patients (36 men, 104 women), aged 18-60 years and body mass index>30 kg/m(2) were randomized and 93 patients (27 men, 66 women) completed the study. A 1-year randomized intervention trial was conducted with two treatment arms with different eating frequencies; 3 meals/day (3M) or 3 meals and 3 snacks/day (3+3M). The patients received regular and individualized counseling by dieticians. Information on eating patterns, dietary intake, weight and metabolic variables was collected at baseline and after 1 year. RESULTS: Over 1 year the 3M group reported a decrease in the number of snacks whereas the 3+3M group reported an increase (-1.1 vs +0.4 snacks/day, respectively, P<0.0001). Both groups decreased energy intake and E% (energy percent) fat and increased E% protein and fiber intake but there was no differences between the groups. Both groups lost weight, but there was no significant difference in weight loss after 1 year of treatment (3M vs 3+3M=-4.1+/-6.1 vs -5.9+/-9.4 kg; P=0.31). Changes in metabolic variables did not differ between the groups, except for high-density lipoprotein that increased in the 3M group but not in 3+3M group (P<0.033 for group difference). CONCLUSION: Recommending snacks or not between meals does not influence 1-year weight loss. |
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Authors:
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H Bertéus Forslund; S Klingström; H Hagberg; M Löndahl; J S Torgerson; A K Lindroos |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2007-08-15 |
Journal Detail:
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Title: European journal of clinical nutrition Volume: 62 ISSN: 0954-3007 ISO Abbreviation: Eur J Clin Nutr Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-11-05 Completed Date: 2009-02-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8804070 Medline TA: Eur J Clin Nutr Country: England |
Other Details:
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Languages: eng Pagination: 1308-17 Citation Subset: IM |
Affiliation:
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Department of Metabolism and Cardiovascular Research, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden. helene.berteus.forslund@medfak.gu.se |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Body Mass Index Diet, Reducing* Eating / physiology* Energy Intake / physiology* Feeding Behavior* / physiology, psychology Female Humans Male Middle Aged Obesity / diet therapy* Patient Compliance Time Factors Treatment Outcome Weight Loss* Young Adult |
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