Journal article
Evaluation of diet pattern and weight gain in postmenopausal women enrolled in the Women’s Health Initiative Observational Study
British journal of nutrition, Vol.117(8), pp.1189-1197
04/28/2017
DOI: 10.1017/S0007114517000952
PMCID: PMC5728369
PMID: 28509665
Abstract
It is unclear which of four popular contemporary diet patterns is best for weight maintenance among postmenopausal women. Four dietary patterns were characterised among postmenopausal women aged 49–81 years (mean 63·6 (sd 7·4) years) from the Women’s Health Initiative Observational Study: (1) a low-fat diet; (2) a reduced-carbohydrate diet; (3) a Mediterranean-style (Med) diet; and (4) a diet consistent with the US Department of Agriculture’s Dietary Guidelines for Americans (DGA). Discrete-time hazards models were used to compare the risk of weight gain (≥10 %) among high adherers of each diet pattern. In adjusted models, the reduced-carbohydrate diet was inversely related to weight gain (OR 0·71; 95 % CI 0·66, 0·76), whereas the low-fat (OR 1·43; 95 % CI 1·33, 1·54) and DGA (OR 1·24; 95 % CI 1·15, 1·33) diets were associated with increased risk of weight gain. By baseline weight status, the reduced-carbohydrate diet was inversely related to weight gain among women who were normal weight (OR 0·72; 95 % CI 0·63, 0·81), overweight (OR 0·67; 95 % CI 0·59, 0·76) or obese class I (OR 0·63; 95 % CI 0·53, 0·76) at baseline. The low-fat diet was associated with increased risk of weight gain in women who were normal weight (OR 1·28; 95 % CI 1·13, 1·46), overweight (OR 1·60; 95 % CI 1·40, 1·83), obese class I (OR 1·73; 95 % CI 1·43, 2·09) or obese class II (OR 1·44; 95 % CI 1·08, 1·92) at baseline. These findings suggest that a low-fat diet may promote weight gain, whereas a reduced-carbohydrate diet may decrease risk of postmenopausal weight gain.
Details
- Title: Subtitle
- Evaluation of diet pattern and weight gain in postmenopausal women enrolled in the Women’s Health Initiative Observational Study
- Creators
- Christopher Ford - Emory Global Diabetes Research Center, Emory University, Atlanta, GA 30322, USAShine Chang - Department of Epidemiology, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USAMara Z Vitolins - Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC 27101, USAJenifer I Fenton - Department of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USABarbara V Howard - Center for the Study of Sex Differences in Health, Aging and Disease, MedStar Health Research Institute and Georgetown/Howard Universities Center for Clinical and Translational Research, Washington, DC 20057, USAJinnie J Rhee - Division of Nephrology, Stanford School of Medicine, Stanford, CA 94304, USAMarcia Stefanick - Stanford School of Medicine, Stanford Prevention Research Center, Stanford, CA 94305, USABertha Chen - Department of Obstetrics and Gynecology, Stanford School of Medicine, Stanford, CA 94305, USALinda Snetselaar - Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA 52246, USARachel Urrutia - 0 Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC 27516, USAAlexis C Frazier-Wood - 1 Children’s Nutrition Research Center, Baylor College of Medicine, Room CNRC-2036, Mail Stop BCM320, Houston, TX 77030, USA
- Resource Type
- Journal article
- Publication Details
- British journal of nutrition, Vol.117(8), pp.1189-1197
- Publisher
- Cambridge University Press; Cambridge, UK
- DOI
- 10.1017/S0007114517000952
- PMID
- 28509665
- PMCID
- PMC5728369
- ISSN
- 0007-1145
- eISSN
- 1475-2662
- Number of pages
- 9
- Alternative title
- Diet and postmenopausal weight gain
- Language
- English
- Date published
- 04/28/2017
- Academic Unit
- Epidemiology; Fraternal Order of Eagles Diabetes Research Center; Internal Medicine
- Record Identifier
- 9983995101602771
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