The impact of a long-term reduction in dietary energy density on body weight within a randomized diet trial

Saquib, Nazmus; Natarajan, Loki; Rock, Cheryl L.; Flatt, Shirley W.; Madlensky, Lisa; Kealey, Sheila; Pierce, John P.

doi:10.1080/01635580701621320

Cited by 54Nutritional Studies and DietNutrition, Health and Food BehaviorCancer Risks and Factors

The impact of a long-term reduction in dietary energy density on body weight within a randomized diet trial

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Saquib, Nazmus, Natarajan, Loki, Rock, Cheryl L., Flatt, Shirley W., Madlensky, Lisa, Kealey, Sheila, Pierce, John P.·2007·Nutrition and Cancer

DOI 10.1080/01635580701621320PMC PMC2575113

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Abstract

We examined the effect of dietary energy density change on body weight in participants of a randomized trial. Intervention participants markedly increased fruit and vegetable intake while reducing energy intake from fat. Participants were 2,718 breast cancer survivors, aged 26-74 yr, with baseline mean body mass index of 27.3 kg/m(2) (SD = 6.3). We assessed dietary intake by sets of four 24-h dietary recalls and validated with plasma carotenoid concentrations. Weight and height were measured at baseline, 1 yr, and 4 yr. Dietary energy density was calculated using food but excluding beverages. Intervention participants significantly reduced dietary energy density compared to controls and maintained it over 4 yr -- both in cross-sectional (P < 0.0001) and longitudinal (Group x Time interaction, P < 0.0001) analyses. Total energy intake or physical activity did not vary between groups. The intervention group had a small but significant weight loss at 1 yr (Group x Time interaction, P < 0.0001), but no between-group weight difference was observed at 4 yr. Our study showed that reducing dietary energy density did not result in a reduction in total energy intake and suggests that this strategy alone is not sufficient to promote long-term weight loss in a free-living population.

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Changes in energy density influence food intake acutely, but this effect does not persist.
“Changes in energy density influence food intake acutely (145), but this effect does not persist (17).”
From The carbohydrate-insulin model: A physiological perspective on the obesity pandemic (2021) · cites this paper as [17]

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Authors: Saquib, N., Natarajan, L., Rock, C. L., Flatt, S. W., Madlensky, L., Kealey, S., & Pierce, J. P.
Affiliations: University of California San Diego (US)
ORCID: Saquib, Nazmus
Natarajan, Loki
Rock, Cheryl L.
Madlensky, Lisa
Kealey, Sheila
Pierce, John P.
Venue: Nutrition and Cancer
Publisher: Informa UK Limited
Published: 2007-12-28
Volume: 60
Issue: 1
Pages: 31-38
ISSN: 0163-5581 (ISSN-L)
1532-7914
DOI: 10.1080/01635580701621320
PMC: PMC2575113
OpenAlex: W2008653461
Cited by: 52
References: 47
Citations by year: 2026: 2 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 4 · 2017: 5 · 2015: 2 · 2014: 1 · 2013: 7 · 2012: 9
FWCI: 2.76
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Nutrition and Cancer (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: Walton Family Foundation
National Institutes of Health (5m01rr000079-42)
National Cancer Institute (CA-69375, R01CA069375)
National Center for Research Resources (M-01RR00827, M-01 RR 00070, M01RR000070, M01 RR-00079, M01RR000827)
NIH Clinical Center
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Health Sciences › Medicine › Oncology › Cancer Risks and Factors
Keywords: dietary energy density, body weight, weight loss, breast cancer survivors, fruit and vegetable intake, dietary fat reduction, energy intake, plasma carotenoids, dietary intervention
MeSH terms: Adult, Aged, Body Weight, Breast Neoplasms, Energy Intake, Carotenoids, Dietary Fats, Dietary Fiber, Female, Fruit, Humans, Longitudinal Studies, Middle Aged, Neoplasm Recurrence, Local, Nutritive Value, Mental Recall, Vegetables, Weight Loss, Body Mass Index, Diet, Fat-Restricted

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The impact of a long-term reduction in dietary energy density on body weight within a randomized diet trial

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