Associations between changes in fruit and vegetable consumption and weight change in Japanese adults

Associations between changes in fruit and vegetable consumption and weight change in Japanese adults
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日本成年人水果和蔬菜消费变化与体重变化之间的关联

DOI:
10.1007/s00394-020-02236-x
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发表时间:
2020
期刊:
Eur J Nutr.
影响因子:
--
通讯作者:
Shoichiro Tsugane
Shoichiro Tsugane
中科院分区:
--
文献类型:
--
作者:
Calistus Wilunda;Norie Sawada;Atsushi Goto;Taiki Yamaji;Ribeka Takachi;Junko Ishihara;Nagisa Mori;Ayaka Kotemori;Motoki Iwasaki;Shoichiro Tsugane

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背景水果和蔬菜可以引起更大的饱腹感,减少饥饿感,减少能量摄入,调节能量代谢,从而在减肥中发挥作用。目的确定日本成年人五年内水果和蔬菜摄入量的变化与体重变化之间的关联。方法这项队列研究包括日本公共卫生中心前瞻性研究的 54,015 名受试者(54.6% 女性,平均年龄 56.5 岁) 基线时没有已知主要慢性疾病史的队列研究。使用经过验证的食物频率调查问卷收集水果和蔬菜消费数据。体重是自我报告的。我们使用多变量线性混合效应回归模型来研究水果和蔬菜摄入量变化与体重变化之间的关联。结果平均而言,每天蔬菜摄入总量每增加 100 克,体重就会减少 25 克 [95% 置信区间 (CI), 3, 47]。水果摄入量的变化与体重变化呈非线性相关。在增加水果摄入量的受试者中,水果摄入量与体重变化直接相关(70 g; 95% CI, 39, 101),但在减少或不改变水果摄入量的受试者中,水果摄入量与体重变化无关。这些关联在基线时不随性别、年龄和体重指数 (BMI) 的变化而变化。与蔬菜的关联仅限于黄色/红色蔬菜(− 74 g;95% CI,− 129,− 18)和葱类蔬菜(− 129 g;95% CI,− 231,− 28)。低纤维蔬菜与体重变化呈负相关,而低纤维水果或高能量水果与超过 0 g/d 摄入量变化的体重变化直接相关。结论:在增加摄入量的受试者中,蔬菜摄入量的变化与体重变化呈负相关,而水果摄入量与体重变化呈正相关。水果和蔬菜对体重变化的影响可能取决于水果和蔬菜的特性。
BackgroundFruits and vegetables may induce greater satiety, reduce hunger, decrease energy intake, and modulate energy metabolism, thereby playing a role in weight loss.ObjectiveTo determine the associations between changes in fruit and vegetable consumption and weight change over a 5-year interval in Japanese adults.MethodsThis cohort study included 54,015 subjects (54.6% female, mean age 56.5 years) of the Japan Public Health Center-based Prospective Cohort Study who had no known history of major chronic diseases at baseline. Data on fruit and vegetable consumption were collected using a validated food frequency questionnaire. Body weight was self-reported. We used multivariable linear mixed-effects regression models to examine the associations between changes in fruit and vegetable consumption and change in body weight.ResultsOn average, body weight decreased by 25 g [95% confidence interval (CI), 3, 47] for every 100 g/d increase in total vegetable consumption. Change in fruit consumption was nonlinearly associated with weight change. Fruit consumption was directly associated with weight change among subjects who increased consumption (70 g; 95% CI, 39, 101) but was not associated with weight change among subjects who reduced or did not change fruit consumption. These associations did not vary by sex, age, and body mass index (BMI) at baseline. The association with vegetables was restricted to yellow/red vegetables (− 74 g; 95% CI, − 129, − 18) and allium vegetables (− 129 g; 95% CI, − 231, − 28). Lower-fiber vegetables were inversely associated with weight change, whereas lower-fiber fruits or higher-energy fruits were directly associated with weight change beyond 0 g/d change in consumption.ConclusionsChange in vegetable consumption was inversely associated with weight change while fruit consumption was positively associated with weight change among subjects who increased consumption. The influence of fruits and vegetables on weight change may depend on the characteristics of the fruits and vegetables.
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DOI: --
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