Abstract
OBJECTIVES: To compare the response by overweight individuals, counselled in a work environment, to energy-reduced diets in which the amount of sucrose-containing foods is varied.
DESIGN: Two energy-reduced diets were designed as a weight-reducing programme. A low-sugar diet (LSD) providing 5% of its energy from sucrose and a sugar-containing diet (SCD) providing 10% of its energy from sucrose incorporated as sweet foods were devised. Both diets were constructed to contain about 33% of the energy from fat. The diets, designed to provide a deficit of 2.51 MJ/day (600 kcal/day) per individual, were randomly allocated to subjects in an 8 week parallel design study.
SUBJECTS: Ninety-five subjects were recruited from a large service industry if they were more than 7 kg (1 stone) in weight above body mass index (BMI) 25 kg/m2. Sixty-eight subjects completed the programme.
MEASUREMENTS: Fortnightly body weight measurements were taken using calibrated scales; BMI at baseline and week 8; and nutrient intake using 2 day food record diaries at baseline and weeks 2, 4 and 8.
RESULTS: Weight loss over the 8 weeks was 2.2 kg (LSD) and 3.0 kg (SCD). BMI changed from 29.2 on the LSD and 30.1 kg/m2 SCD at baseline to 28.2 and 28.8 kg/m2 at week 8 respectively. The actual prescribed commercially added sucrose intakes were 5% energy (LSD) or 10% energy (SCD). Reported percentage energy from fat was significantly lower on the SCD (and would seem to support the theory of an inverse relationship between fat and sugar) than on the LSD, where there was seen to be no significant reduction. There was no evidence of micronutrient dilution that could be directly attributed to the sucrose content of the diets.
CONCLUSION: These results provide no justification for the exclusion of added sucrose in weight-reducing diets.
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References
Prentice AM, Jebb SA . Obesity in Britain: gluttony or sloth? Br Med J 1995 311: 437–439.
Gregory J, Foster K, Tyler H, Wiseman M . The dietary and nutritional survey of British adults HMSO: London 1990.
Colhoun H, Prescott-Clark P . Health Survey for England 1994 HMSO: London 1996.
Pacey PJ, Webster JD, Pearson M, Garrow JS . A cross-sectional cost benefit audit in a hospital obesity clinic Hum Nutr Appl Nutr 1987 41A: 38–46.
Gibson SA . Do diets high in sugars compromise micronutrient intakes? J Hum Nutr Diet 1997 10: 125–133.
Flynn MAT, Sugue DD, Codd MB, Gibney MJ . Women's dietary fat and sugar intakes: implications for dietary based guidelines Eur J Clin Nutr 1996 50: 713–719.
McCreery M . The effects of including or excluding sucrose in a weight reducing programme Proc Nutr Soc 1991 50: 223A.
Drummond S, Kirk T, Aaron JI, Mela DJ . A comparison of the effect of two types of healthy eating dietary advice on perceived quality of life in Scottish men Proc Nutr Soc 1999 58: 11A.
Westenhoefer J, Pudel V, Bartels B . Sucrose and high intensity sweeteners in a weight reduction diet Int J Obes Relat Metab Disord 1993 17 (Suppl 2): 53.
Altman DG . How large a sample?. In: Gore SM, Altman DG (eds). Statistics in practice British Medical Association: London 1982 6–8.
Garrow JS . Obesity and overweight Health Education Authority: London 1991.
Department of Health Dietary reference values for food energy and nutrients for the United Kingdom 41: HMSO: London 1991.
Frost G, Masters K, King C, Kelly M, Hasan U, Heavens P, White R, Stanford J . A new method of energy prescription to improve weight loss J Hum Nutr Diet 1991 4: 369–373.
Hackett AF, Rugg-Gunn AJ, Appleton DR . Use of dietary diary and interview to estimate the food intake of children Hum Nutr Appl Nutr 1983 37A: 273–300.
Holland B, Welch A, Unwin ID, Southgate DAT (eds) . The Royal Society of Chemistry and Ministry of Agriculture, Fisheries and Food McCance and Widdowson's the composition of foods 5th edn. HMSO: London 1992.
Bolton-Smith C . Intake of sugars in relation to fatness and micronutrient adequacy Int J Obes Relat Metab Disord 1996 20 (Suppl 2): S31–S33.
Drummond S, Kirk TR . The effect of different types of dietary advice on body composition in a group of Scottish men J Hum Nutr Diet 1998 11: 473–485.
Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroryd PR, Coward WA, Prentice AM . Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut off limits to identify under-recording Eur J Clin Nutr 1991 45: 569–581.
Bingham S, Nelson M, Paul AA, Haraldsdottir J, Loken EB, van Staveron WA . Methods for data collection at an individual level. In: Cameron M, van Staveren WA (eds). Manual on methodology for food consumption studies Oxford University Press: Oxford 1988.
Bandini LG, Scholler DA, Cyr HN, Dietz WH . Validity of reported intake in obese and nonobese adolescents Am J Clin Nutr 1990 52: 421–425.
Bingham S . Recent developments in dietary methodology Workshop on methods evaluating nutritional status with emphasis on food consumption Annex 11.6. Wagenigen 1982 pp 106–124.
Shah M, McGovern P, French S, Baxter J . Comparison of a low fat, ad libitum complex carbohydrate diet with a low-energy diet in moderately obese women Am J Clin Nutr 1994 59: 980–984.
Prewitt TE, Schmeisser D, Bowen PE, Aye P, Dolecek TE, Langenberg P, Cole T, Brace L . Changes in body weight, body composition and energy intake in women fed high- and low- fat diets Am J Clin Nutr 1991 54: 304–310.
Burkill SL, Landman JP, Gray P, Kirk TR . The potential role of starch-rich foods in achieving national targets for dietary fat reduction Proc Nutr Soc 1995 54: 201A.
Toubro S, Astrup A . Randomised comparison of diets for maintaining obese subject's weight after major weight loss: ad-lib low fat high carbohydrate diet vs fixed energy intake Br Med J 1997 311: 29–34.
Gibson S . Hypothesis: parents may selectively restrict sugar-containing foods for pre-school children with a high BMI Int J Food Sci Nutr 1998 49: 65–70.
Macdiarmid JI, Vail A, Cade JE, Blundell JE . The sugar-fat relationship revisited: differences in consumption between men and women of varying BMI Int J Obes Relat Metab Disord 1998 22: 1053–1061.
Bolton-Smith C, Woodward M . Dietary composition and fat to sugar ratios in relation to obesity Int J Obes Relat Metab Disord 1994 18: 820–828.
Hill OJ, Prentice AM . Sugar and body weight regulation Am J Clin Nutr 1995 62 (Suppl): 264s–273.
Black AE . Sugars, fat and dietary counselling. In: Rugg Gunn AJ (ed). Sugarless—the way forward Elsevier Applied Science: London 1991 pp 52–69.
Lavin JH, French SJ, Read NW . The effect of sucrose- and aspartame-sweetened drinks on energy intake, hunger and food choice of female moderately restrained eaters Int J Obes Relat Metab Disord 1997 21: 37–42.
Lyon X-H, Divetta V, Milon H, Jequier E, Schultz Y . Compliance to dietary advice directed towards increasing the carbohydrate to fat ratio of the everyday diet Int J Obes Relat Metab Disord 1995 19: 260–269.
Lean MEJ, James WPT . Metabolic effects of isoenergetic nutrient exchange over 24 hours in relation to obesity in women Int J Obes 1988 12: 15–27.
Bolton-Smith C, Woodward M . The prevalence of overweight and obesity in different fat and sugar groups Proc Nutr Soc 1993 52: 383A.
Raben A, McDonald I, Astrup A . Replacement of dietary fat by sucrose or starch: effects on 14d ad-libitum energy intake, energy expenditure and body weight in formerly obese and never obese subjects Int J Obes Relat Metab Disord 1997 21: 846–859.
Committee on Medical Aspects of Food Policy . Dietary sugars and human disease Report on Health and Social Subjects HMSO: London 1989.
Heaton KW, Emmett PM, Henry CL, Thornton JR, Manhire A, Hartog T . Not just fibre, the nutritional consequences of refined carbohydrate foods Hum Nutr Clin Nutr 1983 37C: 31–35.
Rugg-Gunn AJ, Hackett AF, Jenkins GN, Appleton DR . Empty calories? Nutrient intake in relation to sugar intake in English adolescents J Hum Nutr Diet 1991 4: 101–111.
Bolton-Smith C, Woodward M . Antioxidant vitamin adequacy in relation to consumption of sugars Eur J Clin Nutr l995 49: 124–133.
FAO/WHO . Carbohydrates in human nutrition Report of a Joint FAO/WHO Expert Consultation 66: FAO: Rome 1997.
Gibson S . Consumption and sources of sugars in the diets of schoolchildren: are high sugar diets nutritionally inferior? Hum Nutr Appl Nutr 1993 6: 355–371.
Acknowledgements
JA West and AE de Looy would like to thank the Sugar Bureau for their support and Michael Lean at Glasgow University for his invaluable comments.
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West, J., de Looy, A. Weight loss in overweight subjects following low-sucrose or sucrose-containing diets. Int J Obes 25, 1122–1128 (2001). https://doi.org/10.1038/sj.ijo.0801652
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DOI: https://doi.org/10.1038/sj.ijo.0801652