Long-Term Weight Gain...
Simple Changes In Dietary & Lifestyle Factors Have A Big Impact!
In a series of three individual studies looking at how changes in dietary intake and lifestyle factors specifically relate to long-term weight gain, Researchers from the Harvard School of Public Health (HSPH) found that modest changes in specific foods and beverages, physical activity, TV-watching, and sleep duration were directly linked with long-term weight gain. Modifications in diet, specifically, had the strongest associations with differences in weight gain.
The study appears in the June 23, 2011, issue of the New England Journal of Medicine.
Earlier research has focused on methods for weight loss after obesity has developed. Less is known about the key factors linked to long-term term weight gain.
An average adult gains about one pound per year. Because the weight gain is so gradual and occurs over many years, it's been difficult for research scientists and for people themselves to understand the key factors that may be responsible.
The researchers evaluated changes in multiple specific lifestyle factors and weight gain every four years over 12 to 20 years of follow-up in three separate large cohort studies, the Nurses' Health Study (NHS), the Nurses' Health Study II (NHS II), and the Health Professionals Follow-up Study (HPFS). The final analyses included 50,422 women in the NHS, 47,898 women in NHS II, and 22,557 men in HPFS, all of whom were free of obesity or chronic diseases at the beginning of the study.
Study participants gained an average of 3.35 lb during each four-year period, which corresponded to a weight gain of 16.8 lb over the 20-year period.
When relative associations of various lifestyle changes with weight gain were evaluated, the findings were strikingly similar in all 3 studies.
For example... The foods associated with the greatest weight gain over the 20-year study period included potato chips (for each one increased daily serving, +1.69 lb more weight gain every 4 years), other potato-based foods / products (1.28 lb), sugar-sweetened beverages (1.00 lb), unprocessed meats (0.95 lb), and processed meats (0.93 lb).
The foods associated with less weight gain when their consumption was actually increased, including vegetables (−0.22 lb), whole grains (−0.37 lb), fruits (−0.49 lb), nuts ]
(−0.57 lb) and yogurt (−0.82 lb).
Evaluating all changes in diet together, participants in the lower 20% of dietary changes gained nearly 4 lbs more each 4 years than those in the top 20%... an amount equivalent to the average weight gain in the population overall.
Focusing only on total calories may not be the most useful way to consume fewer calories than a person expends, explain the researchers. Other measurements, such as content of total fat, energy density, or sugars, could also be misleading. More importantly, they found that eating more healthful foods and
beverages, concentrating on overall dietary quality was most useful.
The more useful dietary assessment for measurement or preventing long-term weight gain appears to be:
Improving carbohydrate quality by eating less liquid sugars (soda / pop beverages) and other sweets, as well as fewer starches (potatoes) and refined grains (white bread, white rice, breakfast cereals low in fiber, other refined carbohydrates).
Eating more minimally processed foods (fresh fruits, vegetables, whole grains, nuts, yogurt) and fewer highly
processed foods (white breads, processed meats, sugary beverages).
This more healthful dietary pattern could influence long-term weight gain in many ways. including, The long term benefits are achieved through biologic effects, including changing hunger, insulin levels, or satiety, or by improving eating behaviors related to average portion sizes and patterns of foods and beverages consumed.
"These findings underscore the importance of making wise food choices in preventing weight gain and obesity," said nutrition and epidemiology at HSPH researchers. "The idea that there are no 'good' or 'bad' foods is a myth that needs to be debunked."
The results also showed that changes in physical activity and TV-viewing influenced changes in weight. Also, those who slept 6-8 hours a night gained less weight than those who slept less than 6 or more than 8 hours.
Overall, the weight-changes associated with any one lifestyle change were relatively small. However, taken together, they all added up, especially for diet. "Small dietary and other lifestyle changes can together make a big difference, for bad or good," they emphasized. "This makes it easy to gain weight unintentionally, but also demonstrates the tremendous opportunity for prevention. A handful of the right lifestyle changes will go a long way."
Support for the study was provided by the
National Institutes of Health and the
Searle Scholars Program.
Story Source: Harvard School of Public Health.
Journal Reference:
"Changes in Diet and Lifestyle and Long-Term Weight Gain in Women and Men." New England Journal of Medicine, 2011;
"Changes in specific dietary factors may have big impact on long-term weight gain."
Harvard School of Public Health (2011, July 3)
This article is for informational and educational purposes only, and is not intended to provide medical advice, diagnosis or treatment. Consult with your doctor or healthcare professional for medical and nutrition advice.