Reduction in consumption of sugar-sweetened beverages is associated with weight loss: The PREMIER trial

Liwei Chen, Lawrence J. Appel, Catherine Loria, Pao Hwa Lin, Catherine M. Champagne, Patricia J. Elmer, Jamy D. Ard, Diane Mitchell, Bryan C. Batch, Laura P. Svetkey, Benjamin Caballero

Research output: Contribution to journalArticle

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Abstract

Background: Consumption of liquid calories from beverages has increased in parallel with the obesity epidemic in the US population, but their causal relation remains unclear. Objective: The objective of this study was to examine how changes in beverage consumption affect weight change among adults. Design: This was a prospective study of 810 adults participating in the PREMIER trial, an 18-mo randomized, controlled, behavioral intervention trial. Measurements (weight, height, and 24-h dietary recall) were made at baseline, 6 mo, and 18 mo. Results: Baseline mean intake of liquid calories was 356 kcal/d (19% of total energy intake). After potential confounders and intervention assignment were controlled for, a reduction in liquid calorie intake of 100 kcal/d was associated with a weight loss of 0.25 kg (95% CI: 0.11, 0.39; P < 0.001) at 6 mo and of 0.24 kg (95% CI: 0.06, 0.41; P = 0.008) at 18 mo. A reduction in liquid calorie intake had a stronger effect than did a reduction in solid calorie intake on weight loss. Of the individual beverages, only intake of sugar-sweetened beverages (SSBs) was significantly associated with weight change. A reduction in SSB intake of 1 serving/d was associated with a weight loss of 0.49 kg (95% CI: 0.11, 0.82; P = 0.006) at 6 mo and of 0.65 kg (95% CI: 0.22, 1.09; P = 0.003) at 18 mo. Conclusions: These data support recommendations to limit liquid calorie intake among adults and to reduce SSB consumption as a means to accomplish weight loss or avoid excess weight gain. This trial was registered at clinicaltrials.gov as NCT00000616.

Original languageEnglish (US)
Pages (from-to)1299-1306
Number of pages8
JournalAmerican Journal of Clinical Nutrition
Volume89
Issue number5
DOIs
StatePublished - Jan 5 2009

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Beverages
Weight Loss
Weights and Measures
Energy Intake
Weight Gain
Obesity
Prospective Studies
Population

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Chen, L., Appel, L. J., Loria, C., Lin, P. H., Champagne, C. M., Elmer, P. J., ... Caballero, B. (2009). Reduction in consumption of sugar-sweetened beverages is associated with weight loss: The PREMIER trial. American Journal of Clinical Nutrition, 89(5), 1299-1306. https://doi.org/10.3945/ajcn.2008.27240
Chen, Liwei ; Appel, Lawrence J. ; Loria, Catherine ; Lin, Pao Hwa ; Champagne, Catherine M. ; Elmer, Patricia J. ; Ard, Jamy D. ; Mitchell, Diane ; Batch, Bryan C. ; Svetkey, Laura P. ; Caballero, Benjamin. / Reduction in consumption of sugar-sweetened beverages is associated with weight loss : The PREMIER trial. In: American Journal of Clinical Nutrition. 2009 ; Vol. 89, No. 5. pp. 1299-1306.
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abstract = "Background: Consumption of liquid calories from beverages has increased in parallel with the obesity epidemic in the US population, but their causal relation remains unclear. Objective: The objective of this study was to examine how changes in beverage consumption affect weight change among adults. Design: This was a prospective study of 810 adults participating in the PREMIER trial, an 18-mo randomized, controlled, behavioral intervention trial. Measurements (weight, height, and 24-h dietary recall) were made at baseline, 6 mo, and 18 mo. Results: Baseline mean intake of liquid calories was 356 kcal/d (19{\%} of total energy intake). After potential confounders and intervention assignment were controlled for, a reduction in liquid calorie intake of 100 kcal/d was associated with a weight loss of 0.25 kg (95{\%} CI: 0.11, 0.39; P < 0.001) at 6 mo and of 0.24 kg (95{\%} CI: 0.06, 0.41; P = 0.008) at 18 mo. A reduction in liquid calorie intake had a stronger effect than did a reduction in solid calorie intake on weight loss. Of the individual beverages, only intake of sugar-sweetened beverages (SSBs) was significantly associated with weight change. A reduction in SSB intake of 1 serving/d was associated with a weight loss of 0.49 kg (95{\%} CI: 0.11, 0.82; P = 0.006) at 6 mo and of 0.65 kg (95{\%} CI: 0.22, 1.09; P = 0.003) at 18 mo. Conclusions: These data support recommendations to limit liquid calorie intake among adults and to reduce SSB consumption as a means to accomplish weight loss or avoid excess weight gain. This trial was registered at clinicaltrials.gov as NCT00000616.",
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Chen, L, Appel, LJ, Loria, C, Lin, PH, Champagne, CM, Elmer, PJ, Ard, JD, Mitchell, D, Batch, BC, Svetkey, LP & Caballero, B 2009, 'Reduction in consumption of sugar-sweetened beverages is associated with weight loss: The PREMIER trial', American Journal of Clinical Nutrition, vol. 89, no. 5, pp. 1299-1306. https://doi.org/10.3945/ajcn.2008.27240

Reduction in consumption of sugar-sweetened beverages is associated with weight loss : The PREMIER trial. / Chen, Liwei; Appel, Lawrence J.; Loria, Catherine; Lin, Pao Hwa; Champagne, Catherine M.; Elmer, Patricia J.; Ard, Jamy D.; Mitchell, Diane; Batch, Bryan C.; Svetkey, Laura P.; Caballero, Benjamin.

In: American Journal of Clinical Nutrition, Vol. 89, No. 5, 05.01.2009, p. 1299-1306.

Research output: Contribution to journalArticle

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T1 - Reduction in consumption of sugar-sweetened beverages is associated with weight loss

T2 - The PREMIER trial

AU - Chen, Liwei

AU - Appel, Lawrence J.

AU - Loria, Catherine

AU - Lin, Pao Hwa

AU - Champagne, Catherine M.

AU - Elmer, Patricia J.

AU - Ard, Jamy D.

AU - Mitchell, Diane

AU - Batch, Bryan C.

AU - Svetkey, Laura P.

AU - Caballero, Benjamin

PY - 2009/1/5

Y1 - 2009/1/5

N2 - Background: Consumption of liquid calories from beverages has increased in parallel with the obesity epidemic in the US population, but their causal relation remains unclear. Objective: The objective of this study was to examine how changes in beverage consumption affect weight change among adults. Design: This was a prospective study of 810 adults participating in the PREMIER trial, an 18-mo randomized, controlled, behavioral intervention trial. Measurements (weight, height, and 24-h dietary recall) were made at baseline, 6 mo, and 18 mo. Results: Baseline mean intake of liquid calories was 356 kcal/d (19% of total energy intake). After potential confounders and intervention assignment were controlled for, a reduction in liquid calorie intake of 100 kcal/d was associated with a weight loss of 0.25 kg (95% CI: 0.11, 0.39; P < 0.001) at 6 mo and of 0.24 kg (95% CI: 0.06, 0.41; P = 0.008) at 18 mo. A reduction in liquid calorie intake had a stronger effect than did a reduction in solid calorie intake on weight loss. Of the individual beverages, only intake of sugar-sweetened beverages (SSBs) was significantly associated with weight change. A reduction in SSB intake of 1 serving/d was associated with a weight loss of 0.49 kg (95% CI: 0.11, 0.82; P = 0.006) at 6 mo and of 0.65 kg (95% CI: 0.22, 1.09; P = 0.003) at 18 mo. Conclusions: These data support recommendations to limit liquid calorie intake among adults and to reduce SSB consumption as a means to accomplish weight loss or avoid excess weight gain. This trial was registered at clinicaltrials.gov as NCT00000616.

AB - Background: Consumption of liquid calories from beverages has increased in parallel with the obesity epidemic in the US population, but their causal relation remains unclear. Objective: The objective of this study was to examine how changes in beverage consumption affect weight change among adults. Design: This was a prospective study of 810 adults participating in the PREMIER trial, an 18-mo randomized, controlled, behavioral intervention trial. Measurements (weight, height, and 24-h dietary recall) were made at baseline, 6 mo, and 18 mo. Results: Baseline mean intake of liquid calories was 356 kcal/d (19% of total energy intake). After potential confounders and intervention assignment were controlled for, a reduction in liquid calorie intake of 100 kcal/d was associated with a weight loss of 0.25 kg (95% CI: 0.11, 0.39; P < 0.001) at 6 mo and of 0.24 kg (95% CI: 0.06, 0.41; P = 0.008) at 18 mo. A reduction in liquid calorie intake had a stronger effect than did a reduction in solid calorie intake on weight loss. Of the individual beverages, only intake of sugar-sweetened beverages (SSBs) was significantly associated with weight change. A reduction in SSB intake of 1 serving/d was associated with a weight loss of 0.49 kg (95% CI: 0.11, 0.82; P = 0.006) at 6 mo and of 0.65 kg (95% CI: 0.22, 1.09; P = 0.003) at 18 mo. Conclusions: These data support recommendations to limit liquid calorie intake among adults and to reduce SSB consumption as a means to accomplish weight loss or avoid excess weight gain. This trial was registered at clinicaltrials.gov as NCT00000616.

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