Energy Density is Not a Consistent Correlate of Adiposity in Women During the Menopausal Transition
Publication: Canadian Journal of Dietetic Practice and Research
25 October 2016
Abstract
Purpose: The association between the energy density (ED) of foods and adiposity has been reported previously. However, whether the contribution of ED to adiposity remains significant when controlled for energy intake (EI) and physical activity energy expenditure (PAEE) remains to be clearly established. We aimed to investigate the independent contribution of ED to variations in body composition in women during the menopausal transition.
Methods: Sixty-seven women from the MONET cohort study were analyzed. Seven-day food records were used to assess EI and ED. Body composition (body fat mass (FM) and trunk-fat mass (TFM)) was measured with dual-energy X-ray absorptiometry; PAEE was assessed with accelerometers. This secondary analysis of data included measurements obtained at years 1 and 5 of the study.
Results: Mean ED was correlated with FM (r = 0.22; P = 0.04) and TFM (r = 0.22; P = 0.04) at year 1, but not at year 5. The multiple regression analysis showed that EI and ED contributed to 14% of the variance in FM and TFM at year 1.
Conclusion: These results suggest that ED is a modest but inconsistent determinant of adiposity in healthy women at the time of the menopause transition.
Résumé
Objectif : L’association entre la densité énergétique (DE) des aliments et l’adiposité a déjà été établie. Cependant, l’importance de la contribution de la DE à l’adiposité lorsqu’on tient compte de l’apport énergétique (AE) et de la dépense énergétique liée à l’activité physique (DEAP) reste à clarifier. L’objectif était d’évaluer la contribution indépendante de la DE aux variations de la composition corporelle des femmes durant la transition vers la ménopause.
Méthodes : Les données sur 67 femmes de l’étude de cohortes MONET ont été analysées. Des journaux alimentaires tenus sur sept jours ont été utilisés pour évaluer l’AE et la DE. La composition corporelle (masse adipeuse corporelle [MAC] et masse adipeuse du tronc [MAT]) a été mesurée à l’aide de l’absorptiométrie à rayons X en double énergie; et la DEAP a été évaluée à l’aide d’accéléromètres. Cette analyse secondaire des données incluait les mesures obtenues aux ans 1 et 5 de l’étude.
Résultats : La DE moyenne a été corrélée avec la MAC (r = 0,22; P = 0,04) et la MAT (r = 0,22; P = 0,04) à l’an 1, mais pas à l’an 5. L’analyse de régression multiple a montré que l’AE et la DE contribuaient à raison de 14 % à la variance de la MAC et de la MAT à l’an 1.
Conclusion : Ces résultats suggèrent que la DE est un déterminant modeste, mais non constant de l’adiposité chez les femmes en santé au moment de la transition vers la ménopause.
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Funding: This work was supported by a grant from the Canadian Institutes of Health Research (CIHR) New Emerging Teams in Obesity.
Conflict of interest: The authors declare no conflict of interest.
References
1
Rolls BJ.The relationship between dietary energy density and energy intake. Physiol Behav. 2009 Jul 14;97(5):609–15.
2
Livingstone MBE and Pourshahidi LK. Portion size and obesity. Adv Nutr. 2014 Nov;5(6):829–34.
3
Bell EA and Rolls BJ.Energy density of foods affects energy intake across multiple levels of fat content in lean and obese women. Am J Clin Nutr. 2001 Jun;73(6):1010–8.
4
Stubbs RJ, Harbron CG, Murgatroyd PR, and Prentice AM.Covert manipulation of dietary fat and energy density: effect on substrate flux and food intake in men eating ad libitum. Am J Clin Nutr. 1995 Aug;62(2):316–29.
5
Bell EA, Castellanos VH, Pelkman CL, Thorwart ML, and Rolls BJ.Energy density of foods affects energy intake in normal-weight women. Am J Clin Nutr. 1998 Mar;67(3):412–20.
6
Rolls BJ, Roe LS, and Meengs JS.Reductions in portion size and energy density of foods are additive and lead to sustained decreases in energy intake. Am J Clin Nutr. 2006 Jan;83(1):11–7.
7
Rolls BJ, Bell EA, and Thorwart ML.Water incorporated into a food but not served with a food decreases energy intake in lean women. Am J Clin Nutr. 1999 Oct;70(4):448–55.
8
Savage JS, Marini M, and Birch LL.Dietary energy density predicts women’s weight change over 6 y. Am J Clin Nutr. 2008 Sep;88(3):677–84.
9
Ledikwe JH, Blanck HM, Khan LK, Serdula MK, Seymour JD, and Tohill BC, et al.Dietary energy density is associated with energy intake and weight status in US adults. Am J Clin Nutr. 2006 Jun 1;83(6):1362–8.
10
Ello-Martin JA, Roe LS, Ledikwe JH, Beach AM, and Rolls BJ.Dietary energy density in the treatment of obesity: a year-long trial comparing 2 weight-loss diets. Am J Clin Nutr. 2007 Jun;85(6):1465–77.
11
Greene LF, Malpede CZ, Henson CS, Hubbert KA, Heimburger DC, and Ard JD.Weight maintenance 2 years after participation in a weight loss program promoting low-energy density foods. Obesity (Silver Spring). 2006 Oct;14(10):1795–801.
12
Caudwell P, Hopkins M, King NA, Stubbs RJ, and Blundell JE.Exercise alone is not enough: weight loss also needs a healthy (Mediterranean) diet?Public Health Nutr. 2009 Sept;12(9A):1663–6.
13
Ledikwe JH, Blanck HM, Khan LK, Serdula MK, Seymour JD, and Tohill BC, et al.Low-energy-density diets are associated with high diet quality in adults in the United States. J Am Diet Assoc. 2006 Aug;106(8):1172–80.
14
Duval K, Prud’homme D, Rabasa-Lhoret R, Strychar I, Brochu M, and Lavoie J-M, et al.Effects of the menopausal transition on dietary intake and appetite: a MONET Group Study. Eur J Clin Nutr. 2014;68(2):271–6.
15
Abdulnour J, Doucet E, Brochu M, Lavoie J-M, Strychar I, and Rabasa-Lhoret R, et al.The effect of the menopausal transition on body composition and cardiometabolic risk factors: a Montreal-Ottawa New Emerging Team group study. Menopause. 2012 Jul;19(7):760–7.
16
Third Report of the National Cholesterol Education Program (NCEP). Expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation. 2002 Dec 17;106(25):3143–3.
17
Markussen MS, Veierød MB, Kristiansen AL, Ursin G, and Andersen LF.Dietary patterns of women aged 50–69 years and associations with nutrient intake, sociodemographic factors and key risk factors for non-communicable diseases. Public Health Nutr. 2016 Aug;19(11):2024–32. [epub ahead of print].
18
Doucet E, Laviolette M, Imbeault P, Strychar I, Rabasa-Lhoret R, and Prud’homme D.Total peptide YY is a correlate of postprandial energy expenditure but not of appetite or energy intake in healthy women. Metabolism. 2008 Oct;57(10):1458–64.
19
Balogh M, Kahn HA, and Medalie JH.Random repeat 24-hour dietary recalls. Am J Clin Nutr. 1971 Mar 1;24(3):304–10.
20
Champagne CM, Han H, Bajpeyi S, Rood J, Johnson WD, and Lammi-Keefe CJ, et al.Day-to-day variation in food intake and energy expenditure in healthy women: the dietitian II study. J Acad Nutr Diet. 2013 Nov;113(11):1532–8.
21
Bingham SA and Cummings JH.Urine nitrogen as an independent validatory measure of dietary intake: a study of nitrogen balance in individuals consuming their normal diet. Am J Clin Nutr. 1985 Dec 1;42(6):1276–89.
22
Schoeller DA, Thomas D, Archer E, Heymsfield SB, Blair SN, and Goran MI, et al.Self-report-based estimates of energy intake offer an inadequate basis for scientific conclusions. Am J Clin Nutr. 2013 Jun;97(6):1413–5.
23
Crouter SE, DellaValle DM, Horton M, Haas JD, and Frongillo EA Jr. Validity of the Actical for estimating free-living physical activity. Eur J Appl Physiol. 2010 Dec;111(7):1381–9.
24
Johnson M.Validity of the Actical activity monitor for assessing steps and energy expenditure during walking. J Sports Sci. 2015 May 9;33(8):769–6.
25
de Castro JM.Eating behavior: lessons from the real world of humans. Nutrition. 2000 Oct;16(10):800–13.
26
Livingstone MBE, Robson PJ, Black AE, Coward WA, Wallace JMW, and McKinley MC, et al. An evaluation of the sensitivity and specificity of energy expenditure measured by heart rate and the Goldberg cut-off for energy intake: basal metabolic rate for identifying mis-reporting of energy intake by adults and children: a retrospective analysis. Eur J Clin Nutr. 2003 Mar;57(3):455–63.
27
Johnson L, Wilks DC, Lindroos AK, and Jebb SA.Reflections from a systematic review of dietary energy density and weight gain: is the inclusion of drinks valid?Obes Rev. 2009 Nov 1;10(6):681–92.
28
Ledikwe JH, Blanck HM, Khan LK, Serdula MK, Seymour JD, and Tohill BC, et al.Dietary energy density determined by eight calculation methods in a nationally representative United States population. J Nutr. 2005 Feb;135(2):273–8.
29
Duval K, Strychar I, Cyr M-J, Prud’homme D, Rabasa-Lhoret R, and Doucet É. Physical activity is a confounding factor of the relation between eating frequency and body composition. Am J Clin Nutr. 2008 Nov 1;88(5):1200–5.
30
Ambrosini GL, Emmett PM, Northstone K, Howe LD, Tilling K, and Jebb SA.Identification of a dietary pattern prospectively associated with increased adiposity during childhood and adolescence. Int J Obes. 2012 Oct;36(10):1299–305.
31
Vergnaud A-C, Estaquio C, Czernichow S, Péneau S, Hercberg S, and Galan P, et al.Energy density and 6-year anthropometric changes in a middle-aged adult cohort. Br J Nutr. 2009;102(2):302–9.
32
Shields M, Tremblay MS, Laviolette M, Craig CL, Janssen I, and Connor Gorber S.Fitness of Canadian adults: results from the 2007–2009 Canadian Health Measures Survey. Health Rep. 2010 Mar;21(1):21–35.
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Published In
Canadian Journal of Dietetic Practice and Research
Volume 78 • Number 1 • March 2017
Pages: 20 - 25
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Version of record online: 25 October 2016
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© 2017.
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JacyntheLafrenière, DenisPrud’homme, MartinBrochu, RémiRabasa-Lhoret, Jean-MarcLavoie, and ÉricDoucet. 2017. Energy Density is Not a Consistent Correlate of Adiposity in Women During the Menopausal Transition. Canadian Journal of Dietetic Practice and Research.
78(1): 20-25. https://doi.org/10.3148/cjdpr-2016-025
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