Abstract 10: Increased Consumption of Fruits and Vegetables and Weight Change Over Time
Introduction: Current dietary guidelines recommend eating a variety of fruits and vegetables. However, based on nutrient composition, specific fruits and vegetables may be more or less beneficial for weight maintenance. Hypothesis: Fruits and vegetables with a higher fiber content or lower glycemic load are more strongly associated with weight maintenance and even weight loss, in part through mechanisms related to increased satiety. Methods: We examined the association between increased consumption of fruits and vegetables and change in body weight among participants <65 years of age from three large prospective cohort studies: 41,608 women in the Nurses’ Health Study (NHS) I, 20,143 men in the Health Professionals Follow-up Study, and 67,533 women in the NHS II. Beginning in 1986, these associations were examined during 24 years of follow-up within 4-year time intervals, adjusting for simultaneous changes in other lifestyle factors such as diet, smoking, and physical activity. Results: Increased consumption of one serving per day of several types of fruits was inversely associated with weight gain over 4 years, for example -1.11 lbs (95% CI, -1.43 to -0.80 lbs) for berries and -0.96 lbs (95% CI, -1.20 to -0.72 lbs) for apples/pears. Increased consumption of several vegetables was also inversely associated with weight gain, for example -2.15 lbs (95% CI, -2.58 to -1.73 lbs) for tofu/soy and -1.18 lbs (95% CI, -1.73 to -0.64 lbs) for cauliflower. On the other hand, increased consumption of some vegetables was positively associated with weight change, for example corn (1.69 lbs; 95% CI, 0.90 to 2.48 lbs) and peas (0.81 lbs; 95% CI 0.16 to 1.46 lbs). The magnitude of weight change associated with increased consumption of high fiber vegetables (-0.37 lbs; 95% CI -0.48 to -0.27 lbs) was larger than that for low fiber vegetables (-0.13 lbs; 95% CI -0.23 to -0.02 lbs). Increased consumption of low glycemic load vegetables was associated with a greater magnitude of weight change, -0.37 lbs (95% CI, -0.63 to -0.11 lbs), compared to high glycemic load vegetables, -0.01 lbs (95% CI, -0.14 to 0.11 lbs). In contrast, weight change associated with fruit consumption did not vary by fiber content or glycemic load. Conclusions: Increased consumption of total fruits and vegetables was inversely associated with weight change over 4 years, however we found wide-ranging associations for specific foods, partly due to the fiber content and glycemic load of vegetables but not fruits.
Monica L. Bertoia, Kenneth J. Mukamal, Leah E. Cahill et al. 2014Article