Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Paper
  • Published:

Weight loss in overweight subjects following low-sucrose or sucrose-containing diets

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.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Prentice AM, Jebb SA . Obesity in Britain: gluttony or sloth? Br Med J 1995 311: 437–439.

    Article  CAS  Google Scholar 

  2. Gregory J, Foster K, Tyler H, Wiseman M . The dietary and nutritional survey of British adults HMSO: London 1990.

    Google Scholar 

  3. Colhoun H, Prescott-Clark P . Health Survey for England 1994 HMSO: London 1996.

    Google Scholar 

  4. 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.

    Google Scholar 

  5. Gibson SA . Do diets high in sugars compromise micronutrient intakes? J Hum Nutr Diet 1997 10: 125–133.

    Article  Google Scholar 

  6. 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.

    CAS  PubMed  Google Scholar 

  7. McCreery M . The effects of including or excluding sucrose in a weight reducing programme Proc Nutr Soc 1991 50: 223A.

    Google Scholar 

  8. 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.

    Google Scholar 

  9. 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.

    Google Scholar 

  10. Altman DG . How large a sample?. In: Gore SM, Altman DG (eds). Statistics in practice British Medical Association: London 1982 6–8.

    Google Scholar 

  11. Garrow JS . Obesity and overweight Health Education Authority: London 1991.

    Google Scholar 

  12. Department of Health Dietary reference values for food energy and nutrients for the United Kingdom 41: HMSO: London 1991.

  13. 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.

    Article  Google Scholar 

  14. 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.

    Google Scholar 

  15. 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.

    Google Scholar 

  16. 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.

    CAS  PubMed  Google Scholar 

  17. 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.

    Article  Google Scholar 

  18. 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.

    CAS  PubMed  Google Scholar 

  19. 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.

    Google Scholar 

  20. 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.

    Article  CAS  Google Scholar 

  21. 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.

    Google Scholar 

  22. 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.

    Article  CAS  Google Scholar 

  23. 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.

    Article  CAS  Google Scholar 

  24. 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.

    Google Scholar 

  25. 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.

    Article  Google Scholar 

  26. 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.

    Article  Google Scholar 

  27. 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.

    Article  CAS  Google Scholar 

  28. 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.

    CAS  PubMed  Google Scholar 

  29. Hill OJ, Prentice AM . Sugar and body weight regulation Am J Clin Nutr 1995 62 (Suppl): 264s–273.

    Article  CAS  Google Scholar 

  30. Black AE . Sugars, fat and dietary counselling. In: Rugg Gunn AJ (ed). Sugarless—the way forward Elsevier Applied Science: London 1991 pp 52–69.

    Google Scholar 

  31. 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.

    Article  CAS  Google Scholar 

  32. 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.

    CAS  PubMed  Google Scholar 

  33. 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.

    CAS  PubMed  Google Scholar 

  34. Bolton-Smith C, Woodward M . The prevalence of overweight and obesity in different fat and sugar groups Proc Nutr Soc 1993 52: 383A.

    Article  Google Scholar 

  35. 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.

    Article  CAS  Google Scholar 

  36. Committee on Medical Aspects of Food Policy . Dietary sugars and human disease Report on Health and Social Subjects HMSO: London 1989.

    Google Scholar 

  37. 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.

    CAS  Google Scholar 

  38. 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.

    Article  Google Scholar 

  39. Bolton-Smith C, Woodward M . Antioxidant vitamin adequacy in relation to consumption of sugars Eur J Clin Nutr l995 49: 124–133.

    Google Scholar 

  40. FAO/WHO . Carbohydrates in human nutrition Report of a Joint FAO/WHO Expert Consultation 66: FAO: Rome 1997.

    Google Scholar 

  41. 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.

    Google Scholar 

Download references

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.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to AE de Looy.

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijo.0801652

Keywords

Search

Quick links