Glycemic load, glycemic index, bread and incidence of overweight/obesity in a Mediterranean cohort: the SUN project

BMC Public Health

Maira Bes-Rastrollo²  Silvia Benito-Corchon¹  Zenaida Vazquez-Ruiz²  Itziar Zazpe³  Miguel Angel Martinez-Gonzalez²  Carmen de la Fuente-Arrillaga² 

[1] Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, Irunlarrea 1, 31080 Pamplona, Navarra, Spain;CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain;Department of Nutrition and Food Sciences, and Physiology, University of Navarra, Irunlarrea 1, 31080 Pamplona, Navarra, Spain

关键词: SUN (Seguimiento Universidad de Navarra) project;    Food-frequency questionnaire;    Bread;    Glycemic load;    Glycemic index;   

Others  :  1126060
DOI  :  10.1186/1471-2458-14-1091

 received in 2014-01-31, accepted in 2014-10-13,  发布年份 2014

【 摘 要 】

Background

To evaluate prospectively the relationship between white, or whole grain bread, and glycemic index, or glycemic load from diet and weight change in a Mediterranean cohort.

Methods

We followed-up 9 267 Spanish university graduates for a mean period of 5 years. Dietary habits at baseline were assessed using a semi-quantitative 136-item food-frequency questionnaire. Average yearly weight change was evaluated according to quintiles of baseline glycemic index, glycemic load, and categories of bread consumption. We also assessed the association between bread consumption, glycemic index, or glycemic load, and the incidence of overweight/obesity.

Results

White bread and whole-grain bread were not associated with higher weight gain. No association between glycemic index, glycemic load and weight change was found.

White bread consumption was directly associated with a higher risk of becoming overweight/obese (adjusted OR (≥2 portions/day) versus (≤1 portion/week): 1.40; 95% CI: 1.08-1.81; p for trend: 0.008). However, no statistically significant association was observed between whole-grain bread, glycemic index or glycemic load and overweight/obesity.

Conclusions

Consumption of white bread (≥2 portions/day) showed a significant direct association with the risk of becoming overweight/obese.

【 授权许可】

   
2014 de la Fuente-Arrillaga et al.; licensee BioMed Central Ltd.

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