Decreases in High-Fat and/or High-Added-Sugar Food Group Intake Occur when a Hypocaloric, Low-Fat Diet Is Prescribed Within a Lifestyle Intervention: A Secondary Cohort Analysis

Abstract

Background

When a hypocaloric, low-fat diet is prescribed, intake of currently consumed foods can decrease, foods naturally low in fat and/or added sugar may increase, or fat- or sugar-modified foods may increase.

Objective

To examine food group intake change and its relation to reductions in energy and fat intake and weight during a lifestyle intervention.

Design

Secondary cohort analysis.

Participants

One hundred sixty-nine participants (aged 52.0±8.6 years, body mass index 34.9±4.5, 92% white, 97.6% non-Hispanic, and 56.8% women) with complete data at 0 and 6 months collected in a research setting.

Main outcome measures

From three 24-hour telephone dietary recalls, 165 food groups from Nutrition Data System for Research software were coded into 25 larger food groups assessing intake of higher-fat and/or added-sugar food groups vs naturally lower-fat and/or added-sugar food groups and into 17 larger food groups assessing intake of nonmodified vs fat- and/or sugar-modified food groups.

Statistical analyses performed

Repeated measures analyses of covariance (intervention group: covariate) assessed changes from 0 to 6 months. Hierarchical regressions examined changes in food group intake and changes in energy intake, percent energy from fat intake, and weight from 0 to 6 months.

Results

Significant reductions (P<0.05) in intake of high-fat and/or high-added-sugar food groups (Higher-Fat Dairy; Higher-Fat Eggs; Higher-Fat Fats; Higher-Fat Fruit; Higher-Fat Meat; Nonmodified Higher-Fat Fats, Oils, and Sweets; Nonmodified Higher-Fat Sugar-Sweetened Fats, Oils, and Sweets; Nonmodified Regular-Fat Dairy; and Nonmodified Regular-Fat Sugar-Sweetened Dairy) occurred. Decreases in the Higher-Fat Meat group were significantly (P<0.05) related to decreases in energy intake, percent energy from fat intake, and weight.

Conclusions

When a hypocaloric, low-fat diet is prescribed, reductions in high-fat and/or high-added-sugar food groups occur. Targeting reductions in high-fat meats may improve outcomes.

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Published by: davidgerting

I'm 32, I live in Westminster Md. For the longest time I struggle to figure out what I want to do for a living. Until I realize for the last 4 or so years, everything I love doing was about health and fitness so about 2 years ago. I decided to go to school for exercise science I got my A.A degree then I processed to study for the National Academy sports medicine (NASM) exam after I pass I started my journey to try different workouts and different meal plans I even start my education trying to became a dietitian hopefully I'll be a RD in the next 2 years through out the day I strive to learn as much as I can. Now I can honestly say, I can help anyone the wants to lose weight gain muscle or just over all want to be more healthier.

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