Changes in water and beverage intake and long-term weight changes: results from three prospective cohort studies.

Changes in water and beverage intake and long-term weight changes: results from three prospective cohort studies.
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DOI:
10.1038/ijo.2012.225
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发表时间:
2013-10
影响因子:
4.9
通讯作者:
Hu, F. B.
Hu, F. B.
中科院分区:
医学2区
文献类型:
--
作者:
Pan, A.;Malik, V. S.;Hao, T.;Willett, W. C.;Mozaffarian, D.;Hu, F. B.

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检查水和饮料摄入量的变化与体重变化之间的长期关系。对护士健康研究(NHS,1986-2006)中 50 013 名 40-64 岁女性、NHS II(1991-2007)中 52 987 名 27-44 岁女性以及健康专业人员随访研究(1986-2006)中 21 988 名 40-64 岁男性进行的前瞻性队列研究,无肥胖和慢性病基线疾病。我们评估了每 4 年间隔内的体重变化与同一时期饮料摄入量和其他生活方式行为的变化之间的关系。使用具有稳健方差并考虑人内重复测量的多元线性回归来评估关联性。通过反方差加权荟萃分析汇总了三个队列的结果。参与者在每 4 年期间平均增加 1.45 公斤(第 5 至 95 个百分位,-1.87 至 5.46)。在控制了年龄、基线体重指数和其他生活方式的变化(饮食、吸烟习惯、锻炼、饮酒、睡眠时间、看电视)后,每天每增加 1 杯水摄入量与每 4 年期间的体重增加呈负相关(-0.13 kg;95% CI:-0.17,-0.08)。其他饮料的关联为:SSB(0.36 kg;0.24,0.48)、果汁(0.22 kg;0.15,0.28)、咖啡(-0.14 kg;-0.19,-0.09)、茶(-0.03 kg;-0.05,-0.01)、减肥饮料(-0.10 kg;-0.14、 -0.06)、低脂牛奶(0.02千克;-0.04,0.09)和全脂牛奶(0.02千克;-0.06,0.10)。我们估计,用 1 杯/天的水替代 1 份/天的 SSB 与每 4 年期间体重增加减少 0.49 千克(95% CI:0.32,0.65)相关,用水替代果汁的估计值为 0.35 千克(95% CI:0.23,0.46)。用其他饮料(咖啡、茶、减肥饮料、低脂和全脂牛奶)替代 SSB 或果汁均与体重增加显着呈负相关。我们的结果表明,增加水摄入量来代替 SSB 或果汁与较低的长期体重增加有关。
To examine the long-term relationship between changes in water and beverage intake and weight change. Prospective cohort studies of 50 013 women aged 40-64 in the Nurses’ Health Study (NHS, 1986-2006), 52 987 women aged 27-44 in the NHS II (1991-2007), and 21 988 men aged 40-64 in the Health Professionals Follow-up Study (1986-2006) without obesity and chronic diseases at baseline. We assessed the association of weight change within each 4-year interval with changes in beverage intakes and other lifestyle behaviors during the same period. Multivariate linear regression with robust variance and accounting for within-person repeated measures were used to evaluate the association. Results across the three cohorts were pooled by an inverse-variance-weighted meta-analysis. Participants gained an average of 1.45 kg (5th to 95th percentile, −1.87 to 5.46) within each 4-year period. After controlling for age, baseline body mass index, and changes in other lifestyle behaviors (diet, smoking habits, exercise, alcohol, sleep duration, TV watching), each 1-cup/d increment of water intake was inversely associated with weight gain within each 4-year period (−0.13 kg; 95% CI: −0.17, −0.08). The associations for other beverages were: SSBs (0.36 kg; 0.24, 0.48), fruit juice (0.22 kg; 0.15, 0.28), coffee (−0.14 kg; −0.19, −0.09), tea (−0.03 kg; −0.05, −0.01), diet beverages (−0.10 kg; −0.14, −0.06), low-fat milk (0.02 kg; −0.04, 0.09), and whole milk (0.02 kg; −0.06, 0.10). We estimated that replacement of 1 serving/d of SSBs by 1 cup/d of water was associated with 0.49 kg (95% CI: 0.32, 0.65) less weight gain over each 4-year period, and the replacement estimate of fruit juices by water was 0.35 kg (95% CI: 0.23, 0.46). Substitution of SSBs or fruit juices by other beverages (coffee, tea, diet beverages, low-fat and whole milk) were all significantly and inversely associated with weight gain. Our results suggest that increasing water intake in place of SSBs or fruit juices is associated with lower long-term weight gain.
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发表时间: 1995-09-14
影响因子: 158.5
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