Impact of water intake on energy intake and weight status: a systematic review.

Impact of water intake on energy intake and weight status: a systematic review.
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DOI:
10.1111/j.1753-4887.2010.00311.x
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发表时间:
2010-09
期刊:
影响因子:
6.1
通讯作者:
Popkin BM
Popkin BM
中科院分区:
医学2区
文献类型:
--
作者:
Daniels MC;Popkin BM

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吃饭时喝水而不是不喝饮料或各种其他饮料的影响仍然没有得到充分的研究。这篇英语语言研究的系统综述比较了饮用水和各种饮料替代品对能量摄入和/或体重状况的影响。我们收集了相关的临床试验、流行病学和干预研究,并总结了文献中的发现。使用临床试验,计算了不同研究中几种饮料与水相比的总能量摄入量(ΔTEI)的平均差异。这些比较的文献是稀疏的,有点不确定。最一致的一组发现来自于比较成年人在一餐前饮用含糖饮料(SSB)和水。当摄入SSB时,总能量摄入量增加了7.8%(ΔTEI范围为-7.5至18.9)。比较非营养甜味剂与水的研究也相对一致,发现对成人的能量摄入没有影响(ΔTEI =-1.3,范围-9至13.8)。用牛奶和果汁代替水的证据少得多,估计TEI增加14.9%(范围10.9至23.9)。这些发现,沿着流行病学和干预研究表明,水在减少能量摄入方面具有潜在的重要作用,并通过这种方式在预防肥胖方面发挥作用。需要进行随机对照试验。
The effects of consuming water with meals rather than drinking no beverage or various other beverages remains under-studied. This systematic review of English language studies compared the effects of drinking water and various beverage alternatives on energy intake and/or weight status. We collected relevant clinical trials, epidemiologic, and intervention studies and summarized findings across the literature. Using clinical trials, average differences in total energy intake at test meals (ΔTEI) were calculated across studies for each of several beverage categories compared to water. The literature for these comparisons is sparse and somewhat inconclusive. One of the most consistent sets of findings comes from comparing adults drinking sugar-sweetened beverages (SSB’s) vs. water before a single meal. Total energy intakes were increased 7.8% (ΔTEI range −7.5 to 18.9) when SSBs were consumed. Studies comparing nonnutritive sweeteners with water were also relatively consistent and found no impact on energy intake among adults (ΔTEI = −1.3, range −9 to13.8). Much less conclusive evidence replacing water with milk and juice estimated increases in TEI of 14.9% (range 10.9 to 23.9). These findings, along with epidemiologic and intervention studies suggested a potentially important role for water in reducing energy intakes, and by this means a role in obesity prevention. A need for randomized-controlled trials exists.
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