Advertisement
Research Article| Volume 24, ISSUE 11, P1189-1196, November 2014

Download started.

Ok

Yogurt consumption, weight change and risk of overweight/obesity: The SUN cohort study

      Abstract

      Background and aims

      Epidemiological studies on the association between yogurt consumption and the risk of overweight/obesity are scarce. We prospectively examined the association of yogurt consumption with overweight/obesity and average annual weight gain.

      Methods and results

      Prospective cohort study of 8516 men and women (mean age 37.1, SD: 10.8 y). Participants were followed-up every two years. Participants were classified in 5 categories of yogurt consumption at baseline: 0–2, >2–<5, 5–<7, 7 and ≥7 servings/week. Outcomes were: 1) average yearly weight change during follow-up; and 2) incidence of overweight/obesity. Linear regression models and Cox models were used to adjust for potential confounders. After a median follow-up of 6.6 years, 1860 incident cases of overweight/obesity were identified. A high (>7 servings/week) consumption of total and whole-fat yogurt was associated with lower incidence of overweight/obesity [multivariable adjusted hazard ratios = 0.80 (95% CI: 0.68–0.94); and 0.62 (0.47–0.82) respectively] in comparison with low consumption (0–2 servings/week). This inverse association was stronger among participants with higher fruit consumption.

      Conclusion

      In this Mediterranean cohort, yogurt consumption was inversely associated with the incidence of overweight/obesity, especially among participants with higher fruit consumption.

      Keywords

      Abbreviations:

      RCTs (randomized controlled trials), CAIs (Carbonic Anhydrase inhibitors), SUN (Seguimiento Universidad de Navarra – Follow-up University of Navarra), NHS (Nurses' Health Study), HPFS (Health Professionals Follow-up Study), FFQ (food frequency questionnaire), BMI (body mass index), MET (metabolic equivalent), Q_0 (baseline questionnaire), Q_2 (questionnaire at 2 years of follow-up), Q_4 (questionnaire at 4 years of follow-up), Q_6 (questionnaire at 6 years of follow-up), HR (hazard ratio), CI (confidence interval), SD (standard deviation), ANCOVA (analysis of covariance)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Nutrition, Metabolism and Cardiovascular Diseases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • WHO
        Obesity and overweight. Report No.: 311.
        World Health Organization, Geneva, Switzerland2013
        • Louie J.C.Y.
        • Flood V.M.
        • Hector D.J.
        • Rangan A.M.
        • Gill T.P.
        Dairy consumption and overweight and obesity: a systematic review of prospective cohort studies.
        Obes Rev. 2011; 12: 582-592
        • Wang H.
        • Troy L.M.
        • Rogers G.T.
        • Fox C.S.
        • McKeown N.M.
        • Meigs J.B.
        • et al.
        Longitudinal association between dairy consumption and changes of body weight and waist circumference: the Framingham Heart Study.
        Int J Obes. 2014; 38 (e-pub ahead of print): 299-305https://doi.org/10.1038/ijo.2013.78
        • Chen M.
        • Malik V.S.
        • Hu F.
        Effects of dairy intake on body weight and fat: a meta-analysis of randomized controlled trials.
        Am J Clin Nutr. 2012; 96: 735-747
        • Zulueta B.
        • Xarles Irastorza I.
        • Oliver P.
        • Garcia Z.
        • Vitoria J.
        Perfil nutricional de los menús e ingesta dietetica en comedores escolares de Vizcaya.
        Nutr Hosp. 2011; 26: 1183-1187
        • Segui-Gomez M.
        • De la Fuente C.
        • Vazquez Z.
        • De Irala J.
        • Martinez-Gonzalez M.A.
        Cohort profile: The 'Seguimiento Universidad de Navarra' (SUN) Study.
        Int J Epidemiol. 2006; 35: 1417-1422
        • Willett W.C.
        • Stampfer M.
        Implications of total energy intake for epidemiologic analyses.
        in: Willett W.C. Nutritional epidemiology. 2nd ed. Oxford University Press, New York, USA1998: 273-301
        • Martín-Moreno J.M.
        • Boyle P.
        • Gorgojo L.
        • Masisonneuve P.
        • Fernández-Rodríguez J.C.
        • Salvini S.
        • et al.
        Development and validation of a food frequency questionnaire in Spain.
        Int J Epidemiol. 1993; 22: 512-519
        • Moreiras O.
        • Carbajal A.
        • Cabrera L.
        • Cuadrado C.
        Las tablas.
        in: Moreiras O. Carbajal A. Cabrera L. Cuadrado C. Tabla de composicion de alimentos. 11a. Edición ed. Pirámide, Madrid, España2007: 37-46
        • Mataix J.
        Tabla de composición de alimentos españoles.
        4th ed. Universidad de Granada, Granada, España2003
        • Trichopoulou A.
        • Costacou T.
        • Bamia C.
        • Trichopoulos D.
        Adherence to a Mediterranean diet and survival in a Greek population.
        N Engl J Med. 2003; 348: 2599-2608
        • Bes-Rastrollo M.
        • Perez-Valdivieso J.R.
        • Sanchez-Villegas A.
        • Alonso A.
        • Martinez-Gonzalez M.A.
        Validación del peso e índice de masa corporal auto-declarados de los participantes de una cohorte de graduados universitarios.
        Rev Esp Obes. 2005; 3: 183-189
        • Martinez-Gonzalez M.A.
        • Lopez-Fontana C.
        • Varo J.J.
        • Sanchez-Villegas A.
        • Martinez J.A.
        Validation of the Spanish version of the physical activity questionnaire used in the Nurses' Health Study and the Health Profesionals' Follow-up Study.
        Public Health Nutr. 2005; 8: 920-927
        • Pereira M.A.
        • Jacobs D.
        • Van Horn L.
        • Slattery M.
        • Kartashov A.
        • Ludwig D.
        Dairy consumption, obesity, and the insulin resistance syndrome in young adults: the CARDIA study.
        JAMA. 2002; 287: 2081-2089
        • Vergnaud A.C.
        • Peneau S.
        • Chat-Yung S.
        • Kesse E.
        • Czernichow S.
        • Galan P.
        • et al.
        Dairy consumption and 6-y changes in body weight and waist circumference in middle-aged French adults.
        Am J Clin Nutr. 2008; 88: 1248-1255
        • Drapeau V.
        • Després J.P.
        • Bouchard C.
        • Allard L.
        • Fournier G.
        • Leblanc C.
        • et al.
        Modifications in food-group consumption are related to long-term body-weight changes.
        Am J Clin Nutr. 2004; 80: 29-37
        • Rajpathak S.N.
        • Rimm E.
        • Rosner B.
        • Willett W.C.
        • Hu F.B.
        Calcium and dairy intakes in relation to long-term weight gain in US men.
        Am J Clin Nutr. 2006; 83: 559-566
        • Mozaffarian D.
        • Hao T.
        • Rimm E.B.
        • Willett W.C.
        • Hu F.B.
        Changes in diet and lifestyle and long-term weight gain in women and men.
        N Engl J Med. 2011; 364: 2392-2404
        • Manios Y.
        • Moschonis G.
        • Koutsikas K.
        • Papoutsou S.
        • Petraki I.
        • Bellou E.
        • et al.
        Changes in body composition following a dietary and lifestyle intervention trial: the postmenopausal health study.
        Maturitas. 2009; 62: 58-65
        • Crichton G.E.
        • C Howe P.R.
        • Buckley J.D.
        • Coates A.M.
        • Murphy K.J.
        Dairy consumption and cardiometabolic health: outcomes of a 12-month crossover trial.
        Nutr Metab. 2012; 9: 19
        • Zemel M.B.
        • Richards J.
        • Mathis S.
        • Milstead A.
        • Gebhardt L.
        • Silva E.
        Dairy augmentation of total and central fat loss in obese subjects.
        Int J Obes. 2005; 29: 391-397
        • Alonso A.
        • Zozaya C.
        • Vázquez Z.
        • Martinez A.J.
        • Martinez-Gonzalez M.A.
        The effect of low-fat versus whole-fat dairy product intake on blood pressure and weight in young normotensive adults.
        J Hum Nutr Diet. 2009; 22: 336-342
        • Josse A.R.
        • Atkinson S.A.
        • Tarnopolsky M.A.
        • Phillips S.M.
        Increased consumption of dairy foods and protein during diet- and exercise-induced weight loss promotes fat mass loss and lean mass gain in overweight and obese premenopausal women.
        J Nutr. 2011; 141: 1626-1634
        • Zemel M.
        Proposed role of calcium and dairy food components in weight management and metabolic health.
        Phys Sportsmed. 2009; 37: 29-39
        • Zemel M.
        Role of dietary calcium and dairy products in modulating adiposity.
        Lipids. 2003; 38: 139-146
        • Melanson E.L.
        • Sharp T.A.
        • Schneider J.
        • Donahoo W.T.
        • Grunwald G.K.
        • Hill J.O.
        Relation between calcium intake and fat oxidation in adult humans.
        Int J Obes Relat Metab Disord. 2003; 27: 196-203
        • Ebel B.
        • Lemetais G.
        • Beney L.
        • Cachon R.
        • Sokol H.
        • Langella P.
        • et al.
        Impact of probiotics on risk factors for cardiovascular diseases. A review.
        Crit Rev Food Sci Nutr. 2014; 54: 175-189
        • Butel M.-J.
        Probiotics, gut microbiota and health.
        Med Mal Infect. 2014; 44: 1-8
        • DiBaise J.K.
        • Frank D.N.
        • Mathur R.
        Impact of the gut microbiota on the development of obesity: current concepts.
        Am J Gastroenterol Suppl. 2012; 1: 22-27
        • Verdam F.J.
        • Fuentes S.
        • de Jonge C.
        • Zoetendal E.G.
        • Erbil R.
        • Greve J.W.
        • et al.
        Human intestinal microbiota composition is associated with local and systemic inflammation in obesity.
        Obesity. 2013; 21: 607-615