scholarly journals Breakfast consumption and weight-loss maintenance: results from the MedWeight study

2016 ◽  
Vol 115 (12) ◽  
pp. 2246-2251 ◽  
Author(s):  
Dora Brikou ◽  
Dimitra Zannidi ◽  
Eleni Karfopoulou ◽  
Costas A. Anastasiou ◽  
Mary Yannakoulia

AbstractDaily breakfast consumption is a common eating behaviour among people who have maintained their weight loss after weight-loss management. However, there is not a precise definition for breakfast in the literature. The purpose of this study was to investigate potential associations between breakfast consumption (based on several definitions) and weight-loss maintenance, as well as to explore differences in breakfast quality between individuals who managed to maintain part of the weight loss and in those who regained weight loss. The study sample consisted of 354 participants of the MedWeight study (age: 32 (sd 10) years, 61 % women) who had lost ≥10 % of their initial body weight and either maintained the loss for ≥1 year (maintainers, n 257) or regained weight loss (regainers, n 97). Participants completed online questionnaires and reported their dietary intake through two telephone 24-h recalls. Breakfast consumption was evaluated using twelve different definitions. The analysis indicated that breakfast consumption was associated with weight-loss maintenance only in men, when using self-reported breakfast consumption or the following breakfast definitions: (1) the first eating episode consumed at home and (2) the first eating episode consumed at home excluding caffeinated drinks. This association remained statistically significant even after adjustment for potential confounding factors. Thus, breakfast, the first eating episode of the day, when consumed at home, may be protective against weight regaining.

1968 ◽  
Vol 8 (35) ◽  
pp. 668 ◽  
Author(s):  
JG Morris

Groups of Hereford heifers of a mean (� SE.) body weight 187 � 3 kg were fed in yards a sole ration of sorghum grain + one per cent limestone for 26 weeks. Four groups were fed the equivalent of 1.36 kg of sorghum grain per head per day as either whole or cracked grain at either daily or twice weekly intervals. A fifth group was fed 1.64 kg of whole sorghum grain per head per day which provided a digestible dry matter intake comparable to that of 1.36 kg of cracked grain. When heifers were fed the same quantity of dry matter as whole and cracked grain, the rate of body weight loss of those fed whole grain was significantly greater than that of those fed cracked grain; and the rate of body weight loss of those fed daily was significantly greater than that of those fed twice weekly. With similar intakes of digestible dry matter from whole and cracked grain, there was no significant difference in the rate of body weight loss. Heifers from sub-groups of high initial body weight lost significantly more body weight than heifers from sub-groups of low initial body weight. The whole bodies of three heifers that died from undernutrition contained less than 0.3 per cent ether extract on a fresh weight basis, indicating complete exhaustion of body energy reserves.


1977 ◽  
Vol 55 (2) ◽  
pp. 426-429 ◽  
Author(s):  
Brian F. Bietz ◽  
Paul H. Whitney ◽  
Paul K. Anderson

Subadult and adult Microtus pennsylvanicus were confined in the field in Longworth live traps which were covered with a cedar shingle for insulation and supplied with rolled oats for food and cotton for nesting. Both groups consistently lost about 10% of their initial body weight during confinement. Adults lost significantly more weight in early May than in mid-June, and adults captured in early May did not regain lost weight as rapidly as adults captured in June or July.


2017 ◽  
Vol 22 (12) ◽  
pp. 1614-1627 ◽  
Author(s):  
Samantha M McEvedy ◽  
Gillian Sullivan-Mort ◽  
Siân A McLean ◽  
Michaela C Pascoe ◽  
Susan J Paxton

This study collates existing evidence regarding weight loss among overweight but otherwise healthy adults who use commercial weight-loss programs. Systematic search of 3 databases identified 11 randomized controlled trials and 14 observational studies of commercial meal-replacement, calorie-counting, or pre-packaged meal programs which met inclusion criteria. In meta-analysis using intention-to-treat data, 57 percent of individuals who commenced a commercial weight program lost less than 5 percent of their initial body weight. One in two (49%) studies reported attrition ≥30 percent. A second meta-analysis found that 37 percent of program completers lost less than 5 percent of initial body weight. We conclude that commercial weight-loss programs frequently fail to produce modest but clinically meaningful weight loss with high rates of attrition suggesting that many consumers find dietary changes required by these programs unsustainable.


Author(s):  
Karen Tocque ◽  
Lynne Kennedy

Abstract Objectives The scale of overweight and obesity amongst women of childbearing age or mothers to be, living in Wales, places a considerable burden on the NHS and public health. High BMI (over 30) during pregnancy increases the health risks for mother and baby. Policy advice recommends weight management services are available to help women lose weight before and whilst planning pregnancy. In parts of Wales, NHS partnerships with commercial companies provide weight management services for women considering or planning pregnancy. This study evaluates whether an established referral Weight Watchers (WW) programme, known to be effective in adults in England, can help mothers-to-be living in North Wales lose weight. Methods Analysis used routine data from 82 referrals to WW between June 2013 and January 2015. Participants received a referral letter inviting them to attend face-to-face group workshops combined with a digital experience. The programme encompassed healthy eating, physical activity and positive mind-set. Trained WW staff measured bodyweight before, during and at 12 weeks. On entry to the course, participants had a median age of 31.4 years (interquartile range (IQR) 28–34) with a median BMI of 36.8 kg/m2 (IQR 33.3–43.7). Results Women completing the course (n = 34) had a median weight loss of 5.65 kg (IQR 0.45–10.85), equating to 5.7% (SD 3.46) of initial body weight. Intention-to-treat analysis (last observation carried forward), which included lapsed courses n = 66, showed a median weight loss of 3.6 kg (IQR − 2.53 to 9.73), equating to 3.7% (SD 3.62) of initial body weight. Overall, there was significant weight loss during the WW programme (Wilcoxon signed rank test Z = − 6.16; p < 0.001). Weight loss was significantly correlated with the number of workshops attended (Spearman correlation coefficient 0.61 p < 0.001). The proportion of all 82 participants (intention to treat, baseline observation carried forward) that achieved a weight loss of ≥ 5% initial weight was 30.5%. Conclusions for Practice Referral of obese mothers-to-be into WW can successfully achieve short-term weight loss, at or above 5%, in approximately one third of participants. The dose–response effect supports a causal inference. Successful weight loss at this critical life stage may provide women with the necessary motivation to initiate weight loss for healthy pregnancy, however further research is required.


PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0232152 ◽  
Author(s):  
Jake Turicchi ◽  
Ruairi O’Driscoll ◽  
Graham Horgan ◽  
Cristiana Duarte ◽  
Antonio L. Palmeira ◽  
...  

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 625-625
Author(s):  
Cara Ebbeling ◽  
Amy Knapp ◽  
Ann Johnson ◽  
Julia Wong ◽  
Kimberly Greco ◽  
...  

Abstract Objectives To compare effects of diets varying in carbohydrate (carb) and fat on plasma lipids and lipoprotein subfractions. Methods Participants (N = 164, 70% female, 18–65 y, BMI ≥ 25 kg/m2) achieved 10–14% weight loss on a run-in diet and then were randomized to 3 test diets for 20 weeks of weight-loss maintenance. Percentages of total energy from carb-fat-protein for high-, moderate-, and low-carb diets were 60-20-20 (HI), 40-40-20 (MOD), and 20–60-20 (LO). Relative amounts of added sugar (15% total carb) and saturated fat (35% total fat) were fixed across diets. Plasma was collected at START (post-weight loss) and END of trial. The primary outcome for this ancillary study was lipoprotein insulin resistance (LPIR) – a 6-component weighted score of triglyceride-rich, high-density, and low-density lipoprotein particle (TRL-P, HDL-P, LDL-P) sizes and subfraction concentrations (large/very large TRL-P, large HDL-P, small LDL-P) (NMR spectroscopy, LabCorp). Other outcomes included large LDL-P concentration, triglycerides (TG), and cholesterol (HDL-C, LDL-C). Means (±SE) and END–START changes (mean [95% CI]) were constructed and compared from repeated measures ANOVA. Results Retention was 90% and 147 participants provided evaluable data, with no difference in body weight by diet after randomization. LPIR was 32.6 ± 1.5 at START. Change in LPIR differed by diet (P = 0.009): LO (−5.3 [−9.2, −1.5]), MOD (−0.02 [−4.1, 4.1]), HI (3.6 [−0.6, 7.7]). Diet effects favoring LO compared to HI were observed for large/very large TRL-P (P = 0.005), large HDL-P (P = 0.045), TG (P = 0.006), and HDL-C (P = 0.04). There were no mean differences between diets for particle sizes, LDL-P subfraction concentrations, and LDL-C (START: 79.3 ± 1.8 mg/dL; END–START: HI, 8.2 [4.2, 12.2]; MOD, 11.7 [7.8, 15.7]; LO, 10.0 [6.3, 13.7]). Conclusions With 3-fold higher saturated fat content (21% vs 7% total energy), a low- vs high-carb diet improved LPIR, a biomarker of diabetes risk, and several other components of the metabolic syndrome, with no adverse effects on LDL-P or LDL-C. These results from a large feeding study suggest that carb restriction may help prevent cardiometabolic disease independent of body weight. Funding Sources Nutrition Science Initiative (gifts from Arnold Ventures and Robert Lloyd Corkin Charitable Foundation), New Balance Foundation, Many Voices Foundation, Blue Cross Blue Shield.


Appetite ◽  
2011 ◽  
Vol 56 (1) ◽  
pp. 156-162 ◽  
Author(s):  
Anna-Maria Keränen ◽  
Katrin Strengell ◽  
Markku J. Savolainen ◽  
Jaana H. Laitinen

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