title: Body composition, dietary composition, and components of metabolic syndrome in overweight and obese adults after a 12-week trial on dietary treatments focused on portion control, energy density, or glycemic index.
abstract: BACKGROUND
  Given the rise in obesity and associated chronic diseases, it is critical to determine optimal weight management approaches that will also improve dietary composition and chronic disease risk factors. Few studies have examined all these weight, diet, and disease risk variables in subjects participating in recommended multi-disciplinary weight loss programs using different dietary strategies.
  
  
  METHODS
  This study compared effects of three dietary approaches to weight loss on body composition, dietary composition and risk factors for metabolic syndrome (MetS). In a 12-week trial, sedentary but otherwise healthy overweight and obese adults (19 M & 138 F; 38.7±6.7 y; BMI 31.8±2.2) who were attending weekly group sessions for weight loss followed either portion control, low energy density, or low glycemic index diet plans. At baseline and 12 weeks, measures included anthropometrics, body composition, 3-day food diaries, blood pressure, total lipid profile, HOMA, C-reactive protein, and fasting blood glucose and insulin. Data were analyzed by repeated measures analysis of variance.
  
  
  RESULTS
  All groups significantly reduced body weight and showed significant improvements in body composition (p<0.001), and components of metabolic syndrome (p<0.027 to 0.002), although HDL decreased (p<0.001). Dietary energy, %fat and %saturated fat decreased while protein intake increased significantly (p<0.001). There were no significant differences among the three groups in any variable related to body composition, dietary composition, or MetS components.
  
  
  CONCLUSIONS
  Different dietary approaches based on portion control, low energy density, or low glycemic index produced similar, significant short-term improvements in body composition, diet compositin, and MetS components in overweight and obese adults undergoing weekly weight loss meetings. This may allow for flexibility in options for dietary counseling based on patient preference.
authors.affiliation: Department of Nutrition & Food Sciences, University of Rhode Island, Kingston, RI 02881, USA.
authors.forename: Kathleen J
authors.initials: KJ
authors.lastname: Melanson
authors.forename: Amber
authors.initials: A
authors.lastname: Summers
authors.forename: Von
authors.initials: V
authors.lastname: Nguyen
authors.forename: Jen
authors.initials: J
authors.lastname: Brosnahan
authors.forename: Joshua
authors.initials: J
authors.lastname: Lowndes
authors.forename: Theodore J
authors.initials: TJ
authors.lastname: Angelopoulos
authors.forename: James M
authors.initials: JM
authors.lastname: Rippe
mesh_terms: D000328:Adult; D001786:Blood Glucose; D001794:Blood Pressure; D001823:Body Composition; D002097:C-Reactive Protein; D004032:Diet; D002149:Energy Intake; D005260:Female; D038321:Glycemic Index; D006801:Humans; D007328:Insulin / Q000097:blood; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications / Q000178:diet therapy* / Q000503:physiopathology; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000178:diet therapy* / Q000503:physiopathology; D050177:Overweight / Q000150:complications / Q000178:diet therapy* / Q000503:physiopathology; D011446:Prospective Studies; D012307:Risk Factors; D015431:Weight Loss; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D007328:Insulin; D002097:C-Reactive Protein