Sara N Bleich1, Julia A Wolfson2. 1. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, USA. Electronic address: sbleich@jhsph.edu. 2. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, USA.
Abstract
OBJECTIVE: To examine whether weight loss strategies are associated with consumption of sugar-sweetened beverages (SSBs), snacks or food values. METHODS: Cross-sectional analysis of 24-h dietary recall data obtained from the National Health and Nutrition Examination Survey 2007-2010 (N=9440). RESULTS: Adults trying to lose weight consumed roughly 2000 total calories, 250 calories from SSBs, 225 calories from salty snacks, and 350 calories from sweet snacks. Adults not trying to lose weight consumed roughly 2300 total calories, 300 calories from SSBs, 250 calories from salty snacks, and 380 calories from sweet snacks. While overweight and obese adults trying to lose weight consumed fewer calories than those who were not, heavier adults trying to lose weight using dietary strategies or a combination of diet and physical activity consumed more calories than healthy weight adults using that same weight loss strategy (p<0.05). Price (>70%) and nutrition (>50%) were most when making food choices (p<0.05) for all groups. CONCLUSION: Consumption of discretionary calories is high regardless of body weight or weight loss intention. PRACTICE IMPLICATIONS: Promoting reduced SSB and snack consumption in the clinical setting may be important for weight loss, particularly among heavier individuals. Clinicians should consider values related to food purchasing to identify concrete behavioral targets.
OBJECTIVE: To examine whether weight loss strategies are associated with consumption of sugar-sweetened beverages (SSBs), snacks or food values. METHODS: Cross-sectional analysis of 24-h dietary recall data obtained from the National Health and Nutrition Examination Survey 2007-2010 (N=9440). RESULTS: Adults trying to lose weight consumed roughly 2000 total calories, 250 calories from SSBs, 225 calories from salty snacks, and 350 calories from sweet snacks. Adults not trying to lose weight consumed roughly 2300 total calories, 300 calories from SSBs, 250 calories from salty snacks, and 380 calories from sweet snacks. While overweight and obese adults trying to lose weight consumed fewer calories than those who were not, heavier adults trying to lose weight using dietary strategies or a combination of diet and physical activity consumed more calories than healthy weight adults using that same weight loss strategy (p<0.05). Price (>70%) and nutrition (>50%) were most when making food choices (p<0.05) for all groups. CONCLUSION: Consumption of discretionary calories is high regardless of body weight or weight loss intention. PRACTICE IMPLICATIONS: Promoting reduced SSB and snack consumption in the clinical setting may be important for weight loss, particularly among heavier individuals. Clinicians should consider values related to food purchasing to identify concrete behavioral targets.
Authors: S A French; R W Jeffery; M Story; K K Breitlow; J S Baxter; P Hannan; M P Snyder Journal: Am J Public Health Date: 2001-01 Impact factor: 9.308
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