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Underreporting of energy intake in weight loss maintainers

Dahle, Jared H, Ostendorf, Danielle M, Zaman, Adnin, Pan, Zhaoxing, Melanson, Edward L, Catenacci, Victoria A·2021·The American Journal of Clinical Nutrition
DOI 10.1093/ajcn/nqab012
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Abstract

Background Individuals with overweight or obesity commonly underreport energy intake (EI), but it is unknown if the tendency to underreport persists in formerly obese individuals who lose significant weight and maintain their weight loss over long periods of time. Objective Assess the accuracy of self-reported EI in successful weight loss maintainers (WLM) compared with controls of normal body weight (NC) and controls with overweight/obesity (OC). Methods Participants for this case-controlled study were recruited in 3 groups: WLM [n = 26, BMI (in kg/m2) 24.1 ± 2.3; maintaining ≥13.6 kg weight loss for ≥1 y], NC (n = 33, BMI 22.7 ± 1.9; similar to current BMI of WLM), and OC (n = 32, BMI 34.0 ± 4.6; similar to pre-weight loss BMI of WLM). Total daily energy expenditure (TDEE) was measured over 7 d using the doubly labeled water (DLW) method, and self-reported EI was concurrently measured from 3-d diet diaries. DLW TDEE and self-reported EI were compared to determine accuracy of self-reported EI. Results WLM underreported EI (median, interquartile range) (-605, -915 to -314 kcal/d) to a greater degree than NC (-308, -471 to -68 kcal/d; P Conclusions WLM underreported EI in both absolute and relative terms to a greater extent than NC but not OC. These findings call into question the accuracy of self-reported EI in WLM published in previous studies and align with recent data suggesting that WLM rely less on chronic EI restriction and more on high levels of physical activity to ma…

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Metadata

Authors
Dahle, J. H., Ostendorf, D. M., Zaman, A., Pan, Z., Melanson, E. L., & Catenacci, V. A.
ORCID
Dahle, Jared H
Venue
The American Journal of Clinical Nutrition
Publisher
Elsevier BV
Published
2021-07
Volume
114
Issue
1
Pages
257-266
ISSN
0002-9165
DOI
10.1093/ajcn/nqab012
Cited by
21
References
8
Language
en
Licence
Funders
  • NIH (K23 DK078913, P30 DK048520, UL1 TR002535)
  • National Institute of Diabetes and Digestive and Kidney Diseases (F32 DK122652)
  • US Department of Veterans Affairs
  • US Government

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