Dietary energy density in the treatment of obesity: a year-long trial comparing 2 weight-loss diets1,2,3

• Published in: The American journal of clinical nutrition Vol. 85; no. 6; p. 1465
• Main Authors: Ello-Martin, Julia A, Roe, Liane S, Ledikwe, Jenny H, Beach, Amanda M, Rolls, Barbara J
• Format: Journal Article
• Language: English
• Published: Bethesda American Society for Clinical Nutrition, Inc 01.06.2007
• Subjects: Comparative analysis; Diet; Food; Nutrition; Obesity; Weight control
• ISSN: 0002-9165; 1938-3207

Consuming foods low in energy density (kcal/g) decreases energy intake over several days, but the effectiveness of this strategy for weight loss has not been tested. The effects on weight loss of 2 strategies for reducing the energy density of the diet were compared over 1 y. Obese women (n = 97) were randomly assigned to groups counseled either to reduce their fat intake (RF group) or to reduce their fat intake and increase their intake of water-rich foods, particularly fruit and vegetables (RF+FV group). No goals for energy or fat intake were assigned; the subjects were instructed to eat ad libitum amounts of food while following the principles of their diet. After 1 y, study completers (n = 71) in both groups had significant decreases in body weight (P < 0.0001). Subjects in the RF+FV group, however, had a significantly different pattern of weight loss (P = 0.002) than did subjects in the RF group. After 1 y, the RF+FV group lost 7.9 ± 0.9 kg and the RF group lost 6.4 ± 0.9 kg. Analysis of all randomly assigned subjects also showed a different pattern of weight loss between groups (P = 0.02 1). Diet records indicated that both groups had similar reductions in fat intake. The RF+FV group, however, had a lower dietary energy density than did the RF group (P = 0.019) as the result of consuming a greater weight of food (P = 0.025), especially fruit and vegetables (P = 0.037). The RF+FV group also reported less hunger (P = 0.003). Reducing dietary energy density, particularly by combining increased fruit and vegetable intakes with decreased fat intake, is an effective strategy for managing body weight while controlling hunger.