OBJECTIVE: To examine changes in intake across food groups during a weight loss trial that produced significant and sustainable weight loss in lactating women receiving dietary treatment. METHODS: At 10-14 wk postpartum, 61 overweight and obese lactating Swedish women were randomized to a 12-wk dietary (D), exercise (E), combined (DE), or control (C) treatment. Food intake was assessed by 4-d weighed diet records which were used to examine changes in intake across seven food groups from baseline to 12 wk and 1 y after randomization. Differences in changes in food choice between women receiving dietary treatment (D+DE) and no dietary treatment (E+C) were examined using multivariate linear regression. RESULTS: At baseline, sweets and salty snacks contributed to 21±10 percent of total energy intake (E%). During the intervention period, women receiving dietary treatment reduced their E% from sweets and salty snacks and caloric drinks and increased their E% from vegetables more than did women not receiving dietary treatment (all P < 0.010). At 1 y, the increased E% from vegetables was maintained significantly higher among women receiving dietary treatment (P = 0.002). CONCLUSIONS:Lactating women receiving dietary treatment achieved sustainable weight loss through changes in food choice in line with current dietary guidelines.
RCT Entities:
OBJECTIVE: To examine changes in intake across food groups during a weight loss trial that produced significant and sustainable weight loss in lactating women receiving dietary treatment. METHODS: At 10-14 wk postpartum, 61 overweight and obese lactating Swedish women were randomized to a 12-wk dietary (D), exercise (E), combined (DE), or control (C) treatment. Food intake was assessed by 4-d weighed diet records which were used to examine changes in intake across seven food groups from baseline to 12 wk and 1 y after randomization. Differences in changes in food choice between women receiving dietary treatment (D+DE) and no dietary treatment (E+C) were examined using multivariate linear regression. RESULTS: At baseline, sweets and salty snacks contributed to 21±10 percent of total energy intake (E%). During the intervention period, women receiving dietary treatment reduced their E% from sweets and salty snacks and caloric drinks and increased their E% from vegetables more than did women not receiving dietary treatment (all P < 0.010). At 1 y, the increased E% from vegetables was maintained significantly higher among women receiving dietary treatment (P = 0.002). CONCLUSIONS: Lactating women receiving dietary treatment achieved sustainable weight loss through changes in food choice in line with current dietary guidelines.
Authors: Alessandra C Grasso; Margreet R Olthof; Corné van Dooren; Miquel Roca; Margalida Gili; Marjolein Visser; Mieke Cabout; Mariska Bot; Brenda W J H Penninx; Gerard van Grootheest; Elisabeth Kohls; Ulrich Hegerl; Matthew Owens; Ed Watkins; Ingeborg A Brouwer Journal: Eur J Nutr Date: 2019-10-23 Impact factor: 5.614