BMC Public Health | |
Foods, nutrients or whole diets: effects of targeting fish and LCn3PUFA consumption in a 12mo weight loss trial | |
Jimmy Chun Yu Louie1  Qingsheng Zhang1  Rebecca L Thorne1  Jane E O’Shea1  Yasmine C Probst1  Elizabeth P Neale1  Karen E Charlton1  Marijka J Batterham1  Linda C Tapsell1  | |
[1] Smart Foods Centre, University of Wollongong, Northfields Avenue, Wollongong NSW 2522, Australia | |
关键词: Weight loss; Fish; LCn-3PUFA; Randomised controlled trial; | |
Others : 1161393 DOI : 10.1186/1471-2458-13-1231 |
|
received in 2013-07-03, accepted in 2013-12-12, 发布年份 2013 | |
【 摘 要 】
Background
There is some evidence in the literature that emphasising fish consumption may assist with weight loss. The aim was to assess the effects of advice to consume 2 fish meals per week in a weight loss diet.
Methods
A parallel randomised placebo-controlled trial was conducted in 118 obese Australian adults (mean BMI ± SD 31.3 ± 3.5 kg/m2; mean age ± SD 45 ± 10 y; 28% male). Participants received low calorie dietary advice + placebo (1 g olive oil; Control), low calorie dietary advice emphasising fish + placebo (Fish), or low calorie dietary advice emphasising fish diet + LCn3PUFA supplements (Fish + S). Individualised advice targeted 2 MJ energy deficit (30%E fat, 45%E carbohydrate and 25%E protein) with or without two servings (180 g) fatty fish/wk.
Results
All groups lost weight at 12 months (Control −4.5 kg vs. Fish −4.3 kg vs. Fish + S −3.3 kg; p < 0.001) and percentage body fat (Control: -1.5% vs. Fish: -1.4% vs. Fish + S: -0.7%; p < 0.001) but there were no significant differences between groups. Cardiovascular disease risk factors changed as expected from weight loss.
Conclusions
Advice to consume 2 fish meals per week did not enhance the effects on weight loss of a healthy low calorie diet.
Trial registration
【 授权许可】
2013 Tapsell et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150413024409265.pdf | 337KB | download | |
Figure 3. | 45KB | Image | download |
Figure 2. | 26KB | Image | download |
Figure 1. | 52KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
Figure 3.
【 参考文献 】
- [1]National Health and Medical Research Council: Australian dietary guidelines. Canberra: National Health and Medical Research Council; 2013.
- [2]U.S. Department of Agriculture and U.S. Department of Health and Human Services: Dietary Guidelines for Americans. 7th edition. Washington D.C: US Government Printing Office; 2010. December 2010
- [3]Mozaffarian D, Ludwig D: Dietary guidelines in the 21st century - a time for food. J Am Med Assoc 2010, 304(6):681.
- [4]Sacks FM, Bray GA, Carey VJ, Smith SR, Ryan DH, Anton SD, McManus K, Champagne CM, Bishop LM, Laranjo N, et al.: Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates. N Engl J Med 2009, 360(9):859-873.
- [5]National Health and Medical Research Council: A review of the evidence to address targeted questions to inform the revision of the Australian Dietary Guidelines - Evidence Statements. Canberra: Commonwealth of Australia; 2011.
- [6]Micallef M, Munro I, Phang M, Garg M: Plasma n-3 polyunsaturated fatty acids are negatively associated with obesity. Br J Nutr 2009, 102:1370-1374.
- [7]Garaulet M, Perez-Llamas F, Perez-Ayala M, Martinez P, de Medina FS, Tebar FJ, Zamora S: Site-specific differences in the fatty acid composition of abdominal adipose tissue in an obese population from a Mediterranean area: relation with dietary fatty acids, plasma lipid profile, serum insulin, and central obesity. Am J Clin Nutr 2001, 74(5):585-591.
- [8]Kabir M, Skurnik G, Naour N, Pechtner V, Meugnier E, Rome S, Quingard-Boulane A, Vidal H, Slama G, Clement K, et al.: Treatment for 2 mo with n-3 polyunsaturated fatty acids reduces adiposity and some atherogenic factors but does not improve insulin sensitivity in women with type 2 diabetes: a randomized controlled study. Am J Clin Nutr 2007, 86:1670-1679.
- [9]Couet C, Delarue J, Ritz P, Antoine J, Lamisse F: Effect of dietary fish oil on body fat mass and basal fat oxidation in healthy adults. Int J Obes 1997, 21:637-643.
- [10]Kunesova M, Braunerova R, Hlavaty P, Tvrzicka E, Stankova B, Skrrha J, Hilgertova J, Hill M, Kopecky J, Wagenknecht M, et al.: The influence of n-3 polyunsaturated fatty acids and very low calorie diet during a short-term weight reducing regimen on weight loss and serum fatty acid composition in severely obese women. Physiol Res 2006, 55:63-72.
- [11]de Fina L, Marcoux L, Devers S, Cleaver J, Willis B: Effects of omega-3 supplementation in combination with diet and exercise on weight loss and body composition. Am J Clin Nutr 2011, 93:455-462.
- [12]Kratz M, Callahan H, Yang P, Matthys C, Weigle D: Dietary n-3 polyunsaturated fatty acids and energy balance in overweight or moderately obese men and women: a randomized controlled trial. Nutr Metab 2009, 6:24. BioMed Central Full Text
- [13]Thorsdottir I, Tomasson H, Gunnarsdottir I, Gisladottir E, Kiely M, Parra M, Bandarra N, Schaafsma G, Martinez J: Randomized trial of weight-loss-diets for young adults varying in fish and fish oil content. Int J Obes 2007, 31:1560-1566.
- [14]Mann JI, Morenga LT: Diet and diabetes revisited, yet again. Am J Clin Nutr 2013, 97(3):453-454.
- [15]Jebb SA, Ahern AL, Olson AD, Aston LM, Holzapfel C, Stoll J, Amann-Gassner U, Simpson AE, Fuller NR, Pearson S, et al.: Primary care referral to a commercial provider for weight loss treatment versus standard care: a randomised controlled trial. Lancet 2011, 378(9801):1485-1495.
- [16]Allison PD: Missing Data. Thousand Oaks, CA: Sage University Papers Series; 2001.
- [17]National Health and Medical Research Council: Nutrient reference values for Australia and New Zealand including recommended dietary intakes. Canberra: NHMRC; 2006.
- [18]Mifflin M, St Jeor S, Hill L, Scott B, Daugherty SA, Koh Y: A new predictive equation for testing energy expenditure in healthy individuals. Am J Clin Nutr 1990, 51:241-247.
- [19]Department of Health and Ageing: Australian guide to healthy eating. Canberra: Commonwealth of Australia; 1998.
- [20]Martin GS, Tapsell LC, Batterham M,J, Russell KG: Relative validity of a diet history interview in an intervention trial manipulating dietary fat in the management of type 2 diabetes mellitus. Prev Med 2003, 36:420-428.
- [21]Food Standards Australia New Zealand: AUSNUT - Australian Food and Nutrient Database 1999. Canberra: Food Standards Australia New Zealand; 1999.
- [22]Food Standards Australia New Zealand: AUSNUT 2007 - Australian Food, Supplement and Nutrient Database for Estimation of Population Nutrient Intakes. Canberra: Food Standards Australia New Zealand; 2008.
- [23]Neale E, Probst Y, Batterham M, Tapsell L: Development and Validation of an Australian Database for estimating the Seafood Content of Canned Products. Food and Nutrition Sciences 2011, 2(7):759-763.
- [24]Baecke J, Burema J, Frijters J: A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr 1982, 36:936-942.
- [25]Patel P, Sharp S, Jansen E, Luben R, Khaw K, Wareham N, NG F: Fatty acids measured in plasma and erythrocyte-membrane phospholipids and derived by food-frequency questionnaire and the risk of new-onset type 2 diabetes: a pilot study in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Norfolk cohort. Am J Clin Nutr 2010, 92:1214-1222.
- [26]Harris WS: The omega-3 index as a risk factor for coronary heart disease. Am J Clin Nutr 2008, 87(6):1997S-2002S.
- [27]Levy J, Matthews D, Hermans M: Correct Homeostasis Model Assessment (HOMA) evaluation uses the computer program. Diabetes Care 1998, 21:2191-2192.
- [28]Alhassan S, Kim S, Bersamin A, King A, Gardner C: Dietary adherence and weight loss success among overweight women: results from the A to Z weight loss study. Int J Obes 2008, 32:985-991.
- [29]Tapsell L, Batterham M, Huang XF, Tan SY, Teuss G, Charlton K, O’ Shea J, Warensjö E: Short term effects of energy restriction and dietary fat sub-type on weight loss and disease risk factors. Nutr Metab Cardiovasc Dis 2010, 20(5):317-325.
- [30]Elobeid MA, Padilla MA, McVie T, Thomas O, Brock DW, Musser B, Lu K, Coffey CS, Desmond RA, St-Onge M-P, et al.: Missing Data in Randomized Clinical Trials for Weight Loss: Scope of the Problem, State of the Field, and Performance of Statistical Methods. PLOS One 2009, 4(8):e6624.
- [31]National Health and Medical Research Council: Reference values for Australia and New Zealand, including recommended dietary intakes. Canberra: NHMRC; 2006.
- [32]Aihaud F, Guesnet P, Cunnane C: An emerging risk factor for obesity: does disequilibrium of polyunsaturated fatty acid metabolism contribute to excessive adipose tissue development? Br J Nutr 2008, 100:461-470.
- [33]Sanders TA, Hall WL, Maniou Z, Lewis F, Seed PT, Chowienczyk PJ: Effect of low doses of long-chain n − 3 PUFAs on endothelial function and arterial stiffness: a randomized controlled trial. Am J Clin Nutr 2011, 94(4):973-980.
- [34]Harris WS, Klurfeld DM: Twentieth-century trends in essential fatty acid intakes and the predicted omega-3 index: evidence versus estimates. Am J Clin Nutr 2011, 93(5):907-908.
- [35]Chan J, Mantzoros C: Role of leptin in energy deprivation states:normal human physiology and clinical implications for hypothalamic amenorrhoea and anorexia nervosa. Lancet 2005, 366:74-85.
- [36]Carpenter JR, Kenward MG: Missing data in randomised controlled trials - a practical guide. Birmingham: National Institute for Health Research, Publication RM03/JH17/MK; 2008.
- [37]Ludwig DS, Ebbeling CB: Weight-loss maintenance - mind over matter? N Eng J Med 2010, 363:2159-2161.
- [38]Melanson E, Astrup A, Donahoo W: The relationship between dietary fat and fatty acid intake and body weight, diabetes, and the metabolic syndrome. Ann Nutr Metab 2009, 55:229-243.