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고단백 저탄수화물식 프로틴바를 이용한 저칼로리 다이어트가 순응 정도에 따라 과체중 여성의 체중감량과 혈청 지질지표에 미치는 영향

Effects of Low-Calorie Diet Including High Protein-Low Carbohydrate Protein Bar on Weight Loss and Serum Lipid Indicators in Overweight Women according to Dietary Compliance

  • 박다솜 (분당서울대병원, 임상영양실) ;
  • 이현주 (가톨릭대학교 식품영양학과 대학원) ;
  • 손숙미 (가톨릭대학교 식품영양학과)
  • Park, Dasom (Department of Clinical Nutrition, Seoul National University Bundang Hospital) ;
  • Lee, Hyun Joo (Department of Food Science and Nutrition, The Catholic University of Korea) ;
  • Son, Sook Mee (Department of Food Science and Nutrition, The Catholic University of Korea)
  • 투고 : 2019.11.15
  • 심사 : 2019.12.08
  • 발행 : 2019.12.20

초록

Objectives: This study was conducted to investigate the effect of a 6-week low-calorie diet (LCD) program including high protein-low carbohydrate protein bar on weight loss, blood pressure, and blood lipid profile in 40 overweight women according to dietary compliance. Methods: Subjects were 62 healthy overweight women (BMI ≥ 23.0 or body fat percentage ≥ 28%), aged 20~59 yrs who were provided a high protein-low carbohydrate protein bar (each 35 g, 154 kcal, protein energy %: 28.6%, carbohydrate energy %: 38.7%) as part of dinner for 6 weeks. Forty subjects who completed the whole diet program were categorized into high compliance (HC) group (days of eating protein bar ≥ 5 weeks) or low compliance (LC) group (days < 5 weeks). Results: Energy intake significantly decreased from 1,867.5 kcal at baseline to 1,137.4 kcal at 6 weeks for the HC group and from 1,971.7 kcal to 1,362.2 kcal for the LC group, respectively. On the other hand, a significant increase in protein energy percentage was observed in each group (HC group: 3.5%, LC group: 2.2%). Both groups showed significant decreases in weight (HC group: 1.8 kg, LC group: 1.1 kg), BMI, fat mass, systolic blood pressure, total cholesterol, and LDL-cholesterol. Reduction of body fat percentage and diastolic blood pressure were only observed in the HC group. Conclusions: The inclusion of a high protein-low carbohydrate protein bar as part of a low-calorie diet for a short period can be effective to achieve weight loss and concomitantly improve blood cholesterol level without serious physiological side effects. More evident results can be achieved by eating a diet with low calorie diet including high protein-low carbohydrate protein bar for more than 5 weeks.

키워드

참고문헌

  1. Flegal KM. Epidemiologic aspects of overweight and obesity in the United States. Physiol Behav 2005; 86(5): 599-602. https://doi.org/10.1016/j.physbeh.2005.08.050
  2. The Ministry of Health and Welfare, Centers for Disease Control and Prevention. Korea health statistics 2016: Korea National Health and Nutrition Examination Survey (KNHANES VII-1). Sejong: The Ministry of Health and Welfare; 2017. p. 39.
  3. Wilson PW, D'Agostino RB, Sullivan L, Parise H, Kannel WB. Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med 2002; 162(16): 1867-1872. https://doi.org/10.1001/archinte.162.16.1867
  4. Renehan AG, Suerjumataram I. Obesity as an avoidable cause of cancer (Attributable risk). Recent Results Cancer Res 2016; 208: 243-256. https://doi.org/10.1007/978-3-319-42542-9_13
  5. Bacon SL, Sherwood A, Hinderliter A, Blumenthal JA. Effects of exercise, diet and weight loss on high blood pressure. Sports Med 2004; 34(5): 307-316. https://doi.org/10.2165/00007256-200434050-00003
  6. Feingold KR, Grunfeld C. Obesity and dyslipidemia [Internet]. MDTxet.com Inc.: 2018 [cited 2019 11 25]. Available from: www.endotext.org
  7. Knowler WC, Barrett Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002; 346(6): 393-403. https://doi.org/10.1056/NEJMoa012512
  8. Epstein LH, Valoski A, Wing RR, McCurley J. Ten-year followup of behavioral, family-based treatment for obese children. JAMA 1990; 264(19): 2519-2523. https://doi.org/10.1001/jama.1990.03450190051027
  9. Son SM, Kim HJ. Effect of 12-week low calorie diet and behavior modification on the anthropometric indices and biochemical nutritional status of obese woman. Korean J Community Nutr 2005; 10(4): 525-535.
  10. Dansinger ML, Gleason JA, Griffith JL, Selker HP, Schaefer EJ. Comparison of the Akins, Ornish, Weight Watchers and Zone diets for weight loss and heart disease risk reduction: a randomized trials. JAMA 2005; 293(1): 43-53. https://doi.org/10.1001/jama.293.1.43
  11. Sayer R, Peters JC, Pan Z, Wyatt HR, Hill JD. Hunger, food cravings, and diet satisfaction are related to changes in body weight during a 6-month behavioral weight loss intervention: The beef WISE study. Nutrients 2018; 10(6): 700-712. https://doi.org/10.3390/nu10060700
  12. Holt SHA, Miller JCB, Petocz P. Interrelationships among postprandial satiety, glucose and insulin responses and change in subsequent food intake. Eur J Clin Nutr 1996; 50(12): 788-797.
  13. Eckel RH. The dietary approach to obesity: is it diet or disorder. Am J Clin Nutr 2005; 293(1): 96-97.
  14. Brehm BJ, D'Alessio DA. Benefits of high protein weight loss diet: enough evidence for practice? Curr Opin Endocrinol Diabetes Obes 2008; 15(5): 416-421. https://doi.org/10.1097/MED.0b013e328308dc13
  15. Westerterp-Plantenga MS, Rolland V, Wilson SA, Westerterp KR. Satiety related to 24-hr diet-induced thermogenesis during high protein/carbohydrate vs high fat diets measured in respiration center. Eur J Clin Nutr 1999; 53(6): 495-502. https://doi.org/10.1038/sj/ejcn/1600782
  16. Cho YG, Kang JH. Effectiveness and safety of low-carbohydrate diets. Korean Med Assoc 2017; 60(1): 43-46.
  17. Westerterp-Plantenga MS, Luscombe-Marsh N, Lejeune MPGM, Diepvens K, Nieuwenhuizen A, Engelen MPKJ et al. Dietary protein, metabolism, and body weight regulation: dose-response effects. Int J Obesity 2006: 30: S16-S23.
  18. Soenen S, Bonomi AG, Lemmens SG, Scholte J, Thjssen MA, van Berkum F et al. Relatively high protein or low carb energy restricted diets for body weight loss and body weight maintenance? Physiol Behav 2012; 107(3): 374-380. https://doi.org/10.1016/j.physbeh.2012.08.004
  19. Feinman RD, Pogozelski WK, Astrup A, Bernstein RK, Fine EJ, Westman EC et al. Dietary carbohydrate restriction as the first approach in diabetes management: Critical review and evidence base. Nutrition 2015; 31(1): 1-13. https://doi.org/10.1016/j.nut.2014.06.011
  20. Song S, Lee JE, Song WO, Paik HY, Song Y. Carbohydrate intake and refined-grain consumption are associated with metabolic syndrome in the Korean adult population. J Acad Nutr Diet 2014; 114(1): 54-62. https://doi.org/10.1016/j.jand.2013.08.025
  21. The Ministry of Health and Welfare, The Korean Nutrition Society. Dietary reference intake for Koreans. 2nd version. Seoul: The Korean Nutrition Society; 2010.
  22. Xi MZ, Zhang YL, Choi YB, Jeong GH, Kim GW, Park YW et al. Effects of whey protein-rich meal substitute in 4-week diet trial on body weight, body fat, and body composition of overweight or obese females. J East Asian Soc Dietary Life. 2016; 26(1): 25-33. https://doi.org/10.17495/easdl.2016.2.26.1.25
  23. Heymsfield SB, van Mierlo CAJ, van der Knaap HCM, Heo M, Frier HI. Weight management using a meal replacement strategy: Meta and pooling analysis from six studies. Int J Obes 2003; 27(5): 537-549. https://doi.org/10.1038/sj.ijo.0802258
  24. Miller PE, Alexander DD, Perez V. Effects of whey protein and resistance exercise on body composition: A meta-analysis of randomized controlled trials. J Am Coll Nutr 2014; 33(2): 163-175. https://doi.org/10.1080/07315724.2013.875365
  25. Mattes RD. Ready-to-eat cereal used as a meal replacement promotes weight loss in humans. J Am Coll Nutr 2002; 21(6): 570-577. https://doi.org/10.1080/07315724.2002.10719257
  26. Fuller NR, Fong M, Gerofi J, Leung L, Leung C, Denyer G et al. A randomized controlled trial to determine the efficacy of a high carbohydrate and high protein ready-to-eat food product for weight loss. Clin Obes 2016; 6(2): 108-116. https://doi.org/10.1111/cob.12137
  27. Trumbo P, Schlicker S, Yates AA, Poos M. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J Am Diet Assoc 2002; 102(11): 1621-1630. https://doi.org/10.1016/S0002-8223(02)90346-9
  28. Westerterp-Plantenga MS, Rolland V, Wilson SAJ, Westerterp KR. Satiety related to 24 h diet induced thermogenesis during high protein/carbohydrate vs high fat diets measured in a respiration chamber. Eur J Clin Nutr 1999; 53(6): 495-502. https://doi.org/10.1038/sj/ejcn/1600782
  29. Lejeune MPGM, Kovacs EMR, Westerterp-Plantenga MS. Additional protein intake limits weight regain after weight loss in humans. Br J Nutr 2005; 93(2): 281-289. https://doi.org/10.1079/BJN20041305
  30. Pullar JD, Webster AJF. The energy cost of fat and protein deposition in the rat. Br J Nutr 1977; 37(3): 355-363. https://doi.org/10.1079/BJN19770039
  31. Atkins RC. Dr Atkins new diet revolution. 1st Quil ed. New York: Quill; 2002.
  32. Lee BG, Lee KR, Song MK, Park MH, Whang SJ. Short-term weight management using meal replacements (Meal replacements trial in Korean obese women). Korean J Obes 2002; 11(2): 131-141.
  33. Son SM, Lim HS, Kim JH, Seou JS, Son JM. Clinical nutrition. 3rd ed. Paju: Kyomunsa; 2014. p. 284-285.
  34. Lee MS, Kim JH, Lee BS, Lee YN, Son SM, Lee JW. Nutritional assessment. Paju: Kyomunsa; 2016.
  35. Knutson KL. Does inadequate sleep play a role in vulnerability to obesity? Am J Hum Biol 2012; 24(3): 361-371. https://doi.org/10.1002/ajhb.22219
  36. de Wardener HE, MacGregor GA. Harmful effects of dietary salt in addition to hypertension. J Hum Hypertens 2002; 16(4): 213-223. https://doi.org/10.1038/sj.jhh.1001374
  37. Moon SJ, Kim HS, Kim JH, Park GS, You YH. The effect of weight control on obese women. Korean J Nutr 1995; 28(8): 759-770.
  38. Taku K, Umegaki K, Sato Y, Taki Y, Endoh K, Watanabe S. Soy isoflavones lower serum total and LDL cholesterol in humans: a meta-analysis of 11 randomized controlled trials. Am J Clin Nutr 2007; 85(4): 1148-1156. https://doi.org/10.1093/ajcn/85.4.1148
  39. Potter SM. Overview of proposed mechanisms for the hypocholesterolemic effect of soy. J Nutr 1995; 125(3): 606s-611s.