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Watch What You Drink
Liquid calories are the bigger culprit than food itself, when it
comes to weight loss, a new study suggests.
That means soft
drinks or soda, as well as fruit drinks, fruit punch and high-calorie
beverages sweetened with sugar.
The researchers examined the relationship between beverage consumption
among adults and weight change and found weight
loss linked to a reduction in liquid calorie consumption. Liquid
calorie intake had a stronger impact on weight than solid calorie
intake among the 810 male and female subjects recruited from Baltimore,
Baton Rouge, Durham, N.C., and Portland, Ore. The results are published
in the April 1 issue of the American Journal of Clinical Nutrition.
"Among beverages, sugar-sweetened beverages was the only beverage
type significantly associated with weight change at both the 6-
and 18-month follow up periods," said Dr. Liwei Chen, lead author
of the study and an epidemiologist at Louisiana State University's
School of Public Health.
"Our study supports policy recommendations and public health
efforts to reduce intakes of liquid calories, particularly from
sugar-sweetened beverages, in the general population," she said.
The specific results:
-A reduction in liquid calorie
intake was associated with a weight loss of 0.55 pounds (0.25
kg) at 6 months and 0.52 pounds (0.24 kg) at 18 months.
-Among sugar-sweetened beverages, a reduction of 1 serving daily
was associated with a weight loss of 1.1 pounds (0.5 kg) at 6
months and 1.54 pounds (0.7 kg) at 18 months.
-Of the seven types of drinks examined, sugar-sweetened beverages
were the only type significantly associated with weight change.
-At 37 percent, sugar-sweetened beverages were the leading source
of liquid calories.
The results come from a prospective study of 810 adults aged 25-79
years old participating in an 18-month randomized, controlled,
behavioral intervention.
Participant's weight and height were measured using a calibrated
scale and a wall-mounted sliding ruler at 6 and 18 months. Along
with Chen, the research team included Dr. Benjamin Caballero,
senior author of the study and a professor with the Johns Hopkins
Bloomberg School of Public Health's Department of International
Health, as well as with colleagues from the Johns Hopkins School
of Medicine; the National Heart, Lung, and Blood institute; Duke
University and elsewhere.
Dietary intake was measured by conducting unannounced 24-hour
dietary recall interviews by telephone. Researchers divided beverages
into several categories based on calorie content and nutritional
composition: sugar-sweetened beverages (regular soft drinks, fruit
drinks, fruit punch, or high-calorie beverages sweetened with
sugar), diet
drinks (diet soda and other "diet" drinks sweetened with artificial
sweeteners), milk (whole milk, 2 percent reduced-fat milk, 1 percent
low-fat milk, and skim milk), 100 percent juice (100 percent fruit
and vegetable juice), coffee and tea with sugar, coffee and tea
without sugar and alcoholic beverages.
Consumption of liquid calories from beverages has increased in
parallel with the obesity epidemic. Earlier studies by Bloomberg
School researchers projected that 75 percent of U.S. adults could
be overweight or obese by 2015 and have linked the consumption
of sugar-sweetened beverages to the obesity epidemic, which affects
two-thirds of adults and increases the risk for adverse health
conditions such as type 2 diabetes.
Chen and Caballero's team and other researchers recommend
limited liquid calorie intake among adults and to reduce sugar-sweetened
beverage consumption as a means to accomplish weight loss or avoid
excess weight gain.
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