High intake of dairy during energy restriction does not affect energy balance or the intestinal microflora compared with low dairy intake in overweight individuals in a randomized controlled trial

During weight loss, dairy calcium is proposed to accelerate weight and fat-mass loss through increased fecal fat excretion. The primary objective was to investigate if a high-dairy energy-restricted diet is superior to low dairy in terms of changes in body weight, body composition, and fecal fat exc...

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Published in:Applied physiology, nutrition, and metabolism nutrition, and metabolism, 2018, Vol.43 (1), p.1-10
Main Authors: Bendtsen, Line Quist, Blædel, Trine, Holm, Jacob Bak, Lorenzen, Janne Kunchel, Mark, Alicja Budek, Kiilerich, Pia, Kristiansen, Karsten, Astrup, Arne, Larsen, Lesli Hingstrup
Format: Article
Language:English
Subjects:
Analysis
Body composition
Body weight
Calcium
Clinical trials
dairy
Dairy products
Diet
energy restriction
Evidence-based medicine
Health aspects
Influence
Low calorie diet
masse corporelle
microbiota
Microbiota (Symbiotic organisms)
microbiote
Obesity
Overweight
Physiological aspects
produits laitiers
restriction énergétique
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Summary:During weight loss, dairy calcium is proposed to accelerate weight and fat-mass loss through increased fecal fat excretion. The primary objective was to investigate if a high-dairy energy-restricted diet is superior to low dairy in terms of changes in body weight, body composition, and fecal fat excretion over 24 weeks. Secondary objectives included fecal energy and calcium excretion, resting energy expenditure, blood pressure, lipid metabolism, and gut microbiota. In a randomized, parallel-arm intervention study, 11 men and 69 women (body mass index, 30.6 ± 0.3 kg/m 2 ; age, 44 ± 1 years) were allocated to a 500-kcal (2100 kJ) –deficit diet that was either high (HD: 1500 mg calcium/day) or low (LD: 600 mg calcium/day) in dairy products for 24 weeks. Habitual calcium intake was ∼1000 mg/day. Body weight loss (HD: –6.6 ± 1.3 kg, LD: –7.9 ± 1.5 kg, P = 0.73), fat-mass loss (HD: –7.8% ± 1.3%, LD: –8.5% ± 1.1%, P = 0.76), changes in fecal fat excretion (HD: –0.57 ± 0.76 g, LD: 0.46 ± 0.70 g, P = 0.12), and microbiota composition were similar for the groups over 24 weeks. However, total fat-mass loss was positively associated with relative abundance of Papillibacter (P = 0.017) independent of diet group. Consumption of a high-dairy diet did not increase fecal fat or accelerate weight and fat-mass loss beyond energy restriction over 24 weeks in overweight and obese adults with a habitual calcium intake of ∼1000 mg/day. However, this study indicates that Papillibacter is involved in body compositional changes.
ISSN:1715-5312
1715-5320
DOI:10.1139/apnm-2017-0234