title: Changes in food choice during a successful weight loss trial in overweight and obese postpartum women.
abstract: OBJECTIVE
  To examine changes in intake across food groups during a weight loss trial that produced significant and sustainable weight loss in lactating women receiving dietary treatment.
  
  
  METHODS
  At 10-14 wk postpartum, 61 overweight and obese lactating Swedish women were randomized to a 12-wk dietary (D), exercise (E), combined (DE), or control (C) treatment. Food intake was assessed by 4-d weighed diet records which were used to examine changes in intake across seven food groups from baseline to 12 wk and 1 y after randomization. Differences in changes in food choice between women receiving dietary treatment (D+DE) and no dietary treatment (E+C) were examined using multivariate linear regression.
  
  
  RESULTS
  At baseline, sweets and salty snacks contributed to 21±10 percent of total energy intake (E%). During the intervention period, women receiving dietary treatment reduced their E% from sweets and salty snacks and caloric drinks and increased their E% from vegetables more than did women not receiving dietary treatment (all P < 0.010). At 1 y, the increased E% from vegetables was maintained significantly higher among women receiving dietary treatment (P = 0.002).
  
  
  CONCLUSIONS
  Lactating women receiving dietary treatment achieved sustainable weight loss through changes in food choice in line with current dietary guidelines.
authors.affiliation: Department of Internal Medicine and Clinical Nutrition, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
authors.forename: Ena
authors.initials: E
authors.lastname: Huseinovic
authors.forename: Anna
authors.initials: A
authors.lastname: Winkvist
authors.forename: Fredrik
authors.initials: F
authors.lastname: Bertz
authors.forename: Hilde Kristin
authors.initials: HK
authors.lastname: Brekke
mesh_terms: D000328:Adult; D015930:Diet Records; D004035:Diet Therapy; D015444:Exercise / Q000502:physiology / Q000523:psychology; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D005518:Food Preferences / Q000502:physiology* / Q000523:psychology; D006801:Humans; D007774:Lactation / Q000502:physiology* / Q000523:psychology; D016014:Linear Models; D009765:Obesity / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D050177:Overweight / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D049590:Postpartum Period / Q000502:physiology* / Q000523:psychology; D013548:Sweden; D016896:Treatment Outcome; D015431:Weight Loss / Q000502:physiology*; D061217:Weight Reduction Programs