Meal Frequency Does Not Affect Weight Loss in Overweight/Obese Women but Affects the Body Composition: A Randomized Controlled Trial.

IF 6.8 4区 医学 Q1 NUTRITION & DIETETICS Journal of the American Nutrition Association Pub Date : 2024-08-01 Epub Date: 2024-02-13 DOI:10.1080/27697061.2024.2316636
Yazgı Ötüken Köroğlu, Müjgan Öztürk
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Abstract

Objectives: Studies showing the relationship between meal frequency, weight loss and anthropometric measurements are contradictory. This study aims to determine the effect of meal frequency on weight loss, anthropometric measurements, and body composition.

Methods: This is a parallel designed randomized control trial that was conducted with 40 female volunteers between the ages of 19-64 years, with a Body Mass Index (BMI) ≥27 who applied to a private clinic. Participants were randomized in two treatment arms (3 meals + 3 snacks/day (n = 20) vs 3 meals/day (n = 20)) and same dietary energy restriction (-500kcal) was applied for 3 months. Food consumption was questioned with 3 day food records, and anthropometric measurements and body composition were measured before the study and repeated each week till the end of the study by the researcher.

Results: All of the participants completed the study period. Body weight (kg), BMI (kg/m2), total body fat (kg), body fat percentage (%), fat free mass (kg) and waist circumference (cm) decreased, while fat free mass percentage (%) increased significantly in both of the groups at the end of the study (p < 0.05). The rate of difference for body weight, BMI (kg/m2) and waist circumference (cm) were similar among the groups. When difference in body composition analyses was examined, the rate of reduction in total body fat (-18.82 ± 4.97% vs -14.87 ± 7.44%) and body fat percentage (%)(-10.79 ± 4.63% vs -7.68 ± 7.04%) and the rate of increase in fat free mass percentage (%)(7.65 ± 3.16% vs 5.04 ± 3.44%) were significantly higher in 3 meals + 3 snacks group (p < 0.05).

Conclusion: When energy restricted and balanced weight loss programs are applied, alteration in body weight, BMI and waist circumference is not affected from meal frequency, but body composition does.

Clinical trial number: NCT05581862 (Date of Trial Registration: 13/10/2022).

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进餐频率不会影响超重/肥胖女性的体重减轻,但会影响身体组成:随机对照试验
目的:显示进餐频率、体重减轻和人体测量之间关系的研究相互矛盾。本研究旨在确定进餐频率对体重减轻、人体测量和身体成分的影响:这是一项平行设计的随机对照试验,由 40 名年龄在 19-64 岁之间、身体质量指数(BMI)≥27、向一家私人诊所申请的女性志愿者参加。参与者被随机分为两个治疗组(每天 3 餐 + 3 次点心(20 人)与每天 3 餐(20 人)),并在 3 个月内接受相同的饮食能量限制(-500 千卡)。研究人员通过 3 天的饮食记录询问食物摄入量,并在研究前测量人体测量值和身体成分,每周重复测量直至研究结束:所有参与者都完成了研究。体重(千克)、体重指数(千克/平方米)、体脂总量(千克)、体脂百分比(%)、游离脂肪量(千克)和腰围(厘米)均有所下降,而在研究结束时,两组的游离脂肪量百分比(%)均显著增加(p 2),两组的腰围(厘米)相似。在实施能量限制和平衡减肥计划时,体重、体重指数和腰围的变化不会受到进餐次数的影响,但身体成分会受到影响:临床试验编号:NCT05581862(试验注册日期:2022 年 10 月 13 日)。
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