Kong Angela, Beresford Shirley A A, Alfano Catherine M, Foster-Schubert Karen E, Neuhouser Marian L, Johnson Donna B, Duggan Catherine, Wang Ching-Yun, Xiao Liren, Bain Carolyn E, McTiernan Anne
Cancer Education and Career Development Program, Institute for Health Research and Policy, University of Illinois at Chicago, USA.
J Am Diet Assoc. 2011 Dec;111(12):1898-903. doi: 10.1016/j.jada.2011.09.012.
Snacking may play a role in weight control. The associations of timing and frequency of snacking with observed weight change and nutrient intake were assessed in an ancillary study to a 12-month randomized controlled trial in Seattle, WA. Overweight-to-obese postmenopausal women (n=123) enrolled in the two dietary weight-loss arms from 2007 to 2008 with complete data at 12 months were included in these analyses. Generalized linear models were used to test the associations between snacking and weight loss (percent) and nutrient intake at the 12-month time point. Participants were, on average, 58 years old and mainly non-Hispanic white (84%). Ninety-seven percent reported one or more snacks per day. Weight loss (percent) was significantly lower among mid-morning (10:30 am to 11:29 am) snackers (7.0%, 95% confidence interval: 4.3 to 9.7) compared to non-mid-morning snackers (11.4%, 95% confidence interval: 10.2 to 12.6; P=0.005). A higher proportion of mid-morning snackers reported more than one snack per day (95.7%), compared to afternoon (82.8%) and evening (80.6%) snackers, although differences were not statistically significant (P>0.005). Women who reported two or more snacks per day vs one or no snacks per day had higher fiber intake (P=0.027). Afternoon snackers had higher fruit and vegetable intake compared to non-afternoon-snackers (P=0.035). These results suggest that snack meals can be a source for additional fruits, vegetables, and fiber-rich foods; however, snacking patterns might also reflect unhealthy eating habits and impede weight-loss progress. Future dietary weight-loss interventions should evaluate the effects of timing, frequency, and quality of snacks on weight loss.
吃零食可能在体重控制中发挥作用。在华盛顿州西雅图市一项为期12个月的随机对照试验的辅助研究中,评估了吃零食的时间和频率与观察到的体重变化及营养摄入之间的关联。纳入了2007年至2008年参加两个饮食减肥组且在12个月时有完整数据的超重至肥胖的绝经后女性(n = 123)。使用广义线性模型来检验在12个月时间点吃零食与体重减轻(百分比)及营养摄入之间的关联。参与者平均年龄为58岁,主要是非西班牙裔白人(84%)。97%的人报告每天吃一种或多种零食。与非上午10:30至11:29吃零食的人相比,上午吃零食的人(7.0%,95%置信区间:4.3至9.7)体重减轻百分比显著更低(11.4%,95%置信区间:10.2至12.6;P = 0.005)。上午吃零食的人中有更高比例的人报告每天吃不止一种零食(95.7%),相比之下下午吃零食的人比例为82.8%,晚上吃零食的人比例为80.6%,尽管差异无统计学意义(P > 0.005)。报告每天吃两种或更多零食的女性与每天吃一种或不吃零食的女性相比,膳食纤维摄入量更高(P = 0.027)。与非下午吃零食的人相比,下午吃零食的人水果和蔬菜摄入量更高(P = 0.035)。这些结果表明,零食餐可以成为额外水果、蔬菜和富含纤维食物的来源;然而,吃零食模式也可能反映不健康的饮食习惯并阻碍减肥进程。未来的饮食减肥干预措施应评估零食的时间、频率和质量对体重减轻的影响。