title: An energy-reduced dietary pattern, including moderate protein and increased nonfat dairy intake combined with walking promotes beneficial body composition and metabolic changes in women with excess adiposity: a randomized comparative trial.
abstract: Moderate protein and nonfat dairy intake within an energy-reduced diet (ERD) may contribute to health benefits achieved with body weight (BW) loss. The current study examined the effectiveness of a weight-loss/weight-loss maintenance intervention using an ERD with moderate dietary protein (30% of kcals) and increased nonfat dairy intake (4-5 svg/d), including yogurt (INT group) and daily walking compared to an ERD with standard protein (16-17% of kcals) and standard nonfat dairy intake (3 svg/d) (COM group) with daily walking. A randomized comparative trial with 104 healthy premenopausal women with overweight/obesity was conducted in a university setting. Women were randomized to INT group or COM group. Anthropometric measurements, as well as dietary intake, selected vital signs, resting energy expenditure, blood lipids, glucose, insulin, and selected adipose-derived hormones were measured at baseline, and weeks 2, 12, and 24. Targets for dietary protein and nonfat dairy intake, while initially achieved, were not sustained in the INT group. There were no significant effects of diet group on anthropometric measurements. Women in the INT group and COM group, respectively, reduced BW (-4.9 ± 3.2 and -4.3 ± 3.3 kg, P < 0.001) and fat mass (-3.0 ± 2.2 and -2.3 ± 2.3 kg, P < 0.001) during the 12-week weight-loss phase and maintained these losses at 24 weeks. Both groups experienced significant decreases in body mass index, fat-free soft tissue mass, body fat percentage, waist and hip circumferences and serum triglycerides, total cholesterol, and leptin (all P < 0.001). Healthy premenopausal women with excess adiposity effectively lost BW and fat mass and improved some metabolic risk factors following an ERD with approximately 20% protein and 3 svg/d of nonfat dairy intake.
authors.affiliation: New York, New York, 10007.
authors.forename: Julie D
authors.initials: JD
authors.lastname: Shlisky
authors.affiliation: Department of Nutrition, Dietetics and Food Sciences, Utah State University Logan, Utah, 84322.
authors.forename: Carrie M
authors.initials: CM
authors.lastname: Durward
authors.affiliation: Clearinghouse for Military Family Readiness, The Pennsylvania State University University Park, Pennsylvania, 16802.
authors.forename: Melissa K
authors.initials: MK
authors.lastname: Zack
authors.affiliation: The Bell Institute of Health and Nutrition, General Mills, Inc., JFB Technical Center 9000 Plymouth Ave N, Minneapolis, Minnesota, 55427.
authors.forename: Carolyn K
authors.initials: CK
authors.lastname: Gugger
authors.affiliation: The Bell Institute of Health and Nutrition, General Mills, Inc., JFB Technical Center 9000 Plymouth Ave N, Minneapolis, Minnesota, 55427.
authors.forename: Jessica K
authors.initials: JK
authors.lastname: Campbell
authors.affiliation: Department of Food Science and Human Nutrition, The University of Illinois 260A Bevier Hall, 905 S. Goodwin, Urbana, Illinois, 61801.
authors.forename: Sharon M
authors.initials: SM
authors.lastname: Nickols-Richardson
keywords: Body weight; dietary intervention; obesity; overweight; weight loss; weight loss maintenance