Water consumption increases weight loss during a hypocaloric diet intervention in middle-aged and older adults.

Water consumption increases weight loss during a hypocaloric diet intervention in middle-aged and older adults.
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DOI:
10.1038/oby.2009.235
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发表时间:
2010-02
期刊:
影响因子:
6.9
通讯作者:
Davy, Brenda M.
Davy, Brenda M.
中科院分区:
医学2区
文献类型:
--
作者:
Dennis, Elizabeth A.;Dengo, Ana Laura;Comber, Dana L.;Flack, Kyle D.;Savla, Jyoti;Davy, Kevin P.;Davy, Brenda M.

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水的消耗严重降低了中老年人群的膳食能量摄入(EI)。我们的目的是确定餐前饮水是否有助于超重/肥胖中老年人的体重减轻,并确定餐前饮水是否能够在12周的增加饮水后持续减少餐前EI。成年人(n = 48; 55-75岁,BMI 25-40 kg/m2)被分为两组:(i)每天饭前低热量饮食+ 500毫升水(水组),或(ii)单独低热量饮食(非水组)。在基线和第12周,每位参与者进行两次随意试验餐:(i)无预负荷(NP)和(ii) 500毫升水预负荷(WP)。在每个试餐时评估饲粮EI,并在12周内每周评估体重。在12周的时间里,水组的体重下降幅度比非水组大约2 kg (β = - 0.87, P < 0.001),水组的体重下降幅度比非水组大44% (β = - 0.60, P < 0.001)。在基线时,WP组的试验饲料EI低于NP组,但在第12周时没有(基线:WP 498±25 kcal, NP 541±27 kcal, P = 0.009;第12周:WP 480±25 kcal, NP 506±25 kcal, P = 0.069)。因此,当与低热量饮食相结合时,在每次主餐前喝500毫升水比单独低热量饮食对中老年人的减肥效果更大。这可能部分是由于摄入水后膳食EI的急剧减少。
Water consumption acutely reduces meal energy intake (EI) among middle-aged and older adults. Our objectives were to determine if premeal water consumption facilitates weight loss among overweight/obese middle-aged and older adults, and to determine if the ability of premeal water consumption to reduce meal EI is sustained after a 12-week period of increased water consumption. Adults (n = 48; 55–75 years, BMI 25–40 kg/m2) were assigned to one of two groups: (i) hypocaloric diet + 500 ml water prior to each daily meal (water group), or (ii) hypocaloric diet alone (nonwater group). At baseline and week 12, each participant underwent two ad libitum test meals: (i) no preload (NP), and (ii) 500 ml water preload (WP). Meal EI was assessed at each test meal and body weight was assessed weekly for 12 weeks. Weight loss was ~2 kg greater in the water group than in the nonwater group, and the water group (β = −0.87, P < 0.001) showed a 44% greater decline in weight over the 12 weeks than the nonwater group (β = −0.60, P < 0.001). Test meal EI was lower in the WP than NP condition at baseline, but not at week 12 (baseline: WP 498 ± 25 kcal, NP 541 ± 27 kcal, P = 0.009; 12-week: WP 480 ± 25 kcal, NP 506 ± 25 kcal, P = 0.069). Thus, when combined with a hypocaloric diet, consuming 500 ml water prior to each main meal leads to greater weight loss than a hypocaloric diet alone in middle-aged and older adults. This may be due in part to an acute reduction in meal EI following water ingestion.
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