Dietary lapses are associated with meaningful elevations in daily caloric intake and added sugar consumption during a lifestyle modification intervention.

Dietary lapses are associated with meaningful elevations in daily caloric intake and added sugar consumption during a lifestyle modification intervention.
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DOI:
10.1002/osp4.587
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发表时间:
2022-08
影响因子:
2.2
通讯作者:
Thomas, J. Graham
Thomas, J. Graham
中科院分区:
其他
文献类型:
--
作者:
Goldstein, Stephanie P.;Evans, E. Whitney;Espel-Huynh, Hallie M.;Goldstein, Carly M.;Karchere-Sun, Renee;Thomas, J. Graham

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在超重/肥胖的生活方式改变干预中,饮食处方的失误很常见,并影响减肥结果。虽然预计饮食失误会通过增加消费来影响体重,但没有研究评估饮食失误如何影响治疗期间的饮食摄入。本研究探讨了在生活方式改变干预期间,每日失误与每日能量和常量营养素摄入之间的关系。这项研究采用了一种密集的纵向设计,在6个月的生活方式改变干预中观察参与者。参与者(n = 32)是超重/肥胖(体重指数25-50 kg/m2)和诊断为心血管疾病风险因素(例如,高血压),渴望减肥。参与者接受了金标准的个人亲自生活方式改变方案,包括3个月的每周会议和3个月的每月会议。每个参与者的饮食处方包括一个基于他们初始体重的卡路里目标范围。参与者每隔一周完成一次生态瞬时评估(EMA;重复的每日智能手机调查),以自我报告饮食失误和每6周一次的基于电话的24小时饮食召回。在EMA和召回摄入日(n = 210天),线性混合模型显示每日延迟和每日总热量摄入量较高之间存在显著相关性(B = 139.20,p < 0.05)、每日添加糖克数更多(B = 16.24,p < 0.001)和超过每日卡路里目标的可能性(B = 0.89,p < 0.05)。每日流失和所有其他每日常量营养素摄入量之间的相关性不显著。这项研究有助于文献表明,饮食失误对减肥成功构成威胁。结果表明,减少休息频率可以减少总的热量摄入和添加糖的消耗。
Lapses from the dietary prescription in lifestyle modification interventions for overweight/obesity are common and impact weight loss outcomes. While it is expected that lapses influence weight via increased consumption, there are no studies that have evaluated how dietary lapses affect dietary intake during treatment. This study examined the association between daily lapses and daily energy and macronutrient intake during a lifestyle modification intervention. This study used an intensive longitudinal design to observe participants throughout a 6‐month lifestyle modification intervention. Participants (n = 32) were adults with overweight/obesity (body mass index 25–50 kg/m2) and a diagnosed cardiovascular disease risk factor (e.g., hypertension) with a desire to lose weight. Participants underwent a gold‐standard individual in‐person lifestyle modification protocol consisting of 3 months of weekly sessions with 3 months of monthly sessions. Each participant's dietary prescription included a calorie target range that was based on their starting weight. Participants completed ecological momentary assessment (EMA; repeated daily smartphone surveys) every other week to self‐report on dietary lapses and telephone‐based 24‐h dietary recalls every 6 weeks. On days with EMA and recalled intake (n = 210 days), linear mixed models demonstrated significant associations between daily lapse and higher total daily caloric intake (B = 139.20, p < 0.05), more daily grams of added sugar (B = 16.24, p < 0.001), and likelihood of exceeding the daily calorie goal (B = 0.89, p < 0.05). The associations between daily lapse and intake of all other daily macronutrients were non‐significant. This study contributes to literature suggesting that dietary lapses pose a threat to weight loss success. Results indicate that reducing lapse frequency could reduce overall caloric intake and added sugar consumption.
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