Abstract
BACKGROUND/OBJECTIVES:
To examine associations among eating frequency, energy intake and body weight at baseline, as well as associations among change in eating frequency and change in energy intake and weight during a 12-week successful weight loss intervention in overweight and obese postpartum women.
SUBJECTS/METHODS:
Sixty-one Swedish women with pre-pregnancy body mass index of 25–35 kg/m2 completed a 4-day diet record at 10–14 weeks postpartum (baseline) and 12 weeks later (post-intervention), which were used to calculate energy intake and eating frequency, that is, the mean number of intake occasions per day.
RESULTS:
The women had a mean eating frequency of 5.9±1.2 intake occasions at baseline. A positive association was found between eating frequency and energy intake at baseline (β: 307±46 kcal, P<0.001), whereas no significant association between eating frequency and weight was observed (β: 2.3±1.2 kg, P=0.063). During the intervention period, reduced eating frequency was positively associated with energy intake reduction (β: 169±69 kcal, P=0.017) whereas no significant association was found with weight loss (β: 0.9±0.7 kg, P=0.179). Women receiving dietary intervention reduced their eating frequency more during the intervention period than did women not receiving dietary intervention (−1.0±0.7 vs −0.5±1.1, P=0.001).
CONCLUSIONS:
A positive association was found between eating frequency and energy intake at baseline and between reduced eating frequency and reduced energy intake during a 12-week weight loss intervention in overweight and obese postpartum women. Intervention studies on eating frequency are warranted to elucidate its effect on energy intake and weight among postpartum women.
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References
WHO. Preventing and managing the global epidemic. Report of a WHO consultation on obesity. WHO Tech Rep Ser 2000; 894: 1–253.
Sjöström LV . Mortality of severely obese subjects. Am J Clin Nutr 1992; 55: 516S–523SS.
The Swedish Council on Technology Assessment in Health Care. Report on Obesity: Problems and Interventions; A Systematic Review. Swedish Council on Technology Assessment in Health Care: Stockholm, 2002.
Gunderson EP, Abrams B . Epidemiology of gestational weight gain and body weight changes after pregnancy. Epidemiol Rev 2000; 22: 261–274.
Winkvist A, Rasmussen KM, Lissner L . Associations between reproduction and maternal body weight: examining the component parts of a full reproductive cycle. Eur J Clin Nutr 2003; 57: 114–127.
Gore SA, Brown DM, West DS . The role of postpartum weight retention in obesity among women: a review of the evidence. Ann Behav Med 2003; 26: 149–159.
Rössner S, Ohlin A . Pregnancy as a risk factor for obesity: lessons from the Stockholm Pregnancy and Weight Development Study. Obes Res 1995; 3 (Suppl 2), 267s–275s.
Cnattingius S, Bergström R, Lipworth L, Kramer MS . Prepregnancy weight and the risk of adverse pregnancy outcomes. N Engl J Med 1998; 338: 147–152.
Siega-Riz AM, Siega-Riz AM, Laraia B . The implications of maternal overweight and obesity on the course of pregnancy and birth outcomes. Matern Child Health J 2006; 10: S153–S156.
Baeten JM, Bukusi EA, Lambe M . Pregnancy complications and outcomes among overweight and obese nulliparous women. Am J Public Health 2001; 91: 436–440.
Gatenby SJ . Eating frequency: methodological and dietary aspects. Br J Nutr 1997; 77 (Suppl 1), S7–S20.
Bellisle F, McDevitt R, Prentice AM . Meal frequency and energy balance. Br J Nutr 1997; 77 (Suppl 1), S57–S70.
Bellisle F . Impact of the daily meal pattern on energy balance. Scand J Nutr 2004; 48 (3), 114–118.
Palmer MA, Capra S, Baines SK . Association between eating frequency, weight, and health. Nutr Rev 2009; 67: 379–390.
Gibney MJ, Wolever TM . Periodicity of eating and human health: present perspective and future directions. Br J Nutr 1997; 77 (Suppl 1), S3–S5.
McCrory MA, Howarth NC, Roberts SB, Huang TT . Eating frequency and energy regulation in free-living adults consuming self-selected diets. J Nutr 2011; 141: 148–153.
Fabry P, Hejl Z, Fodor J, Braun T, Zvolankova K . The frequency of meals. Its relation to overweight, hypercholesterolaemia, and decreased glucose-tolerance. Lancet 1964; 2: 614–615.
Metzner HL, Lamphiear DE, Wheeler NC, Larkin FA . The relationship between frequency of eating and adiposity in adult men and women in the Tecumseh Community Health Study. Am J Clin Nutr 1977; 30: 712–715.
Bertéus Forslund H, Torgerson JS, Sjöström L, Lindroos AK . Snacking frequency in relation to energy intake and food choices in obese men and women compared to a reference population. Int J Obes (Lond) 2005; 29: 711–719.
Bertéus Forslund H, Lindroos AK, Sjöström L, Lissner L . Meal patterns and obesity in Swedish women-a simple instrument describing usual meal types, frequency and temporal distribution. Eur J Clin Nutr 2002; 56: 740–747.
Howarth NC, Huang TT, Roberts SB, Lin BH, McCrory MA . Eating patterns and dietary composition in relation to BMI in younger and older adults. Int J Obes (Lond) 2007; 31: 675–684.
Drummond SE, Crombie NE, Cursiter MC, Kirk TR . Evidence that eating frequency is inversely related to body weight status in male, but not female, non-obese adults reporting valid dietary intakes. Int J Obes Relat Metab Disord 1998; 22: 105–112.
Basdevant A, Craplet C, Guy-Grand B . Snacking patterns in obese French women. Appetite 1993; 21: 17–23.
Ohlin A, Rössner S . Factors related to body weight changes during and after pregnancy: the Stockholm Pregnancy and Weight Development Study. Obes Res 1996; 4: 271–276.
Bertz F, Brekke HK, Ellegård L, Rasmussen KM, Wennergren M, Winkvist A . Diet and exercise weight-loss trial in lactating overweight and obese women. Am J Clin Nutr 2012; 96: 698–705.
de Castro JM, McCormick J, Pedersen M, Kreitzman SN . Spontaneous human meal patterns are related to preprandial factors regardless of natural environmental constraints. Physiol Behav 1986; 38: 25–29.
Bachman JL, Raynor HA . Effects of manipulating eating frequency during a behavioral weight loss intervention: a pilot randomized controlled trial. Obesity (Silver Spring) 2012; 20: 985–992.
Tong IS, Lu Y . Identification of confounders in the assessment of the relationship between lead exposure and child development. Ann Epidemiol 2001; 11: 38–45.
Butte NF, King JC . Energy requirements during pregnancy and lactation. Public Health Nutr 2005; 8: 1010–1027.
Farshchi HR, Taylor MA, Macdonald IA . Beneficial metabolic effects of regular meal frequency on dietary thermogenesis, insulin sensitivity, and fasting lipid profiles in healthy obese women. Am J Clin Nutr 2005; 81: 16–24.
Berteus Forslund H, Klingström S, Hagberg H, Löndahl M, Torgerson JS, Lindroos AK . Should snacks be recommended in obesity treatment? A 1-year randomized clinical trial. Eur J Clin Nutr 2008; 62: 1308–1317.
Poppitt SD, Swann D, Black AE, Prentice AM . Assessment of selective under-reporting of food intake by both obese and non-obese women in a metabolic facility. Int J Obes Relat Metab Disord 1998; 22: 303–311.
Kirk TR . Role of dietary carbohydrate and frequent eating in body-weight control. Proc Nutr Soc 2000; 59: 349–358.
Forsum E, Kabir N, Sadurskis A, Westerterp K . Total energy expenditure of healthy Swedish women during pregnancy and lactation. Am J Clin Nutr 1992; 56: 334–342.
Lawton CL, Delargy HJ, Smith FC, Hamilton V, Blundell JE . A medium-term intervention study on the impact of high- and low-fat snacks varying in sweetness and fat content: large shifts in daily fat intake but good compensation for daily energy intake. Br J Nutr 1998; 80: 149–161.
Bellisle F, Dalix AM, Mennen L, Galan P, Hercberg S, de Castro JM et al. Contribution of snacks and meals in the diet of French adults: a diet-diary study. Physiol Behav 2003; 79: 183–189.
Viskaal-van Dongen M, Kok FJ, de Graaf C . Effects of snack consumption for 8 weeks on energy intake and body weight. Int J Obes (Lond) 2010; 34: 319–326.
Schusdziarra V, Hausmann M, Wittke C, Mittermeier J, Kellner M, Wagenpfeil S et al. Contribution of energy density and food quantity to short-term fluctuations of energy intake in normal weight and obese subjects. Eur J Nutr 2010; 49: 37–43.
Booth DA . Mechanisms from models—actual effects from real life: the zero-calorie drink-break option. Appetite 1988; 11 (Suppl 1), 94–102.
Marmonier C, Chapelot D, Fantino M, Louis-Sylvestre J . Snacks consumed in a nonhungry state have poor satiating efficiency: influence of snack composition on substrate utilization and hunger. Am J Clin Nutr 2002; 76: 518–528.
Popkin BM, Duffey KJ . Does hunger and satiety drive eating anymore? Increasing eating occasions and decreasing time between eating occasions in the United States. Am J Clin Nutr 2010; 91: 1342–1347.
Piernas C, Popkin BM . Snacking increased among U.S. adults between 1977 and 2006. J Nutr 2010; 140: 325–332.
Acknowledgements
AW, HKB and FB conceived and conducted the research in the LEVA-trial; EH analyzed the data; EH, HKB, AW, FB and HBF interpreted the results and wrote the manuscript. We thank Anna Carin Hagstig, Elisabeth Gramatkovski and the women who participated in the LEVA-trial for their contribution to the development and execution of this research. The study was supported by grants from the Swedish Research Council (K2009–70X-21091–01–03) and the Swedish Council for Working Life and Social Research (2006–0339).
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Huseinovic, E., Winkvist, A., Bertz, F. et al. Eating frequency, energy intake and body weight during a successful weight loss trial in overweight and obese postpartum women. Eur J Clin Nutr 68, 71–76 (2014). https://doi.org/10.1038/ejcn.2013.200
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DOI: https://doi.org/10.1038/ejcn.2013.200
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