Dietary energy density and obesity: how consumption patterns differ by body weight status.

Purpose: Recent public health messages have advised consumers to lower dietary energy density (ED) for weight management, but it is not known whether the proportion of the diet from low-ED foods is related to weight status. In a nationally representative sample of US adults, we evaluated whether the...

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Publicado en:European Journal of Nutrition Vol. 57; no. 1; pp. 351 - 362
Autores principales: Vernarelli, Jacqueline A., Mitchell, Diane C., Rolls, Barbara J., Hartman, Terryl J.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2018
      vid: 57
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00394-016-1324-8
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        atl: Dietary energy density and obesity: how consumption patterns differ by body weight status.
      aug:
        au:
          Vernarelli, Jacqueline A.
          Mitchell, Diane C.
          Rolls, Barbara J.
          Hartman, Terryl J.
        affil: , Department of Nutritional Sciences, The Pennsylvania State University, 16802, University Park, PA, USA
      sug:
        subj:
          Obesity
          Energy Intake
          Body Weight
          Energy Density
          Human
          Body Mass Index
          Waist Circumference
          Cross Sectional Studies
          Questionnaires
          Male
          Female
          Sex Factors
          Descriptive Statistics
          Male
          Female
      ab: Purpose: Recent public health messages have advised consumers to lower dietary energy density (ED) for weight management, but it is not known whether the proportion of the diet from low-ED foods is related to weight status. In a nationally representative sample of US adults, we evaluated whether the proportions of dietary energy intake contributed by low- and high-ED foods are associated with body mass index (BMI) and waist circumference (WC).Methods: Data were from a cross-sectional sample of 9551 adults ≥18 years in the 2005–2008 National Health and Nutrition Examination Survey (NHANES). ED (kcal/g) was calculated for each food item reported during a 24-h dietary recall; individual foods were divided into five ED categories: very low ED (<0.6 kcal/g), low ED (0.6–1.5 kcal/g), medium ED (1.51–2.25 kcal/g), high ED (2.26–4.0 kcal/g), and very high ED (>4.0 kcal/g). The percentages of total energy and the food weight from each category were evaluated by BMI and WC after controlling for total energy intake and other covariates.Results: Men classified as lean (BMI < 25 kg/m2) reported consuming a greater proportion of total energy from very low- and low-ED foods (7.2 %very low and 23.3 %low), compared to men considered obese ((BMI > 30 kg/m2); 5.2 %very low and 20.1low %; p-trends <0.001very low, 0.002low). Similarly, women classified as lean reported intakes of very low-ED foods of 7.8 % (vs. 6.4 % for women with obesity) of total energy and low-ED foods of 24.7 % (vs. 21.5 % for women with obesity) of total energy (p-trends 0.007very low, 0.004low). Men and women with obesity reported greater proportions of energy from high-ED foods (45.9 %men with obesity vs. 42.4 %lean men, 44.2 %women with obesity vs. 39.9 %lean women) with significant statistical trends (men = 0.008, women = 0.0005). Similar patterns were observed for intakes of proportions of very low-, low-, and high-ED foods and WC.Conclusion: Higher proportions of energy intake and food weight contributed by very low- and low-ED foods are associated with lower BMI (and WC).
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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