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A reduced-calorie dietary pattern including a daily sweet snack promotes body weight reduction and body composition improvements in premenopausal women who are overweight and obese: a pilot study.

Journal of the American Dietetic Association
August 1, 2011
Kathryn E Piehowski et al. (4 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether including a daily dark chocolate snack in a reduced-calorie diet would affect anthropometric and body composition measurements in overweight and obese premenopausal women.

Results Summary

Both the dark chocolate and non-chocolate snack groups showed significant reductions in body weight, waist and hip circumferences, fat mass, and body fat percentage, with no significant differences between the two groups. The study concluded that a reduced-calorie diet with either snack type led to similar improvements in body composition.

Population

Overweight and obese premenopausal women (BMI ≥25 to ≤43).

Effective Dosage

Daily dark chocolate snack (exact amount not specified).

Duration

18 weeks.

Interactions

None mentioned.

Extracted Claims (14)
InterventionDirectionEndpointPopulationDosageImpactClaim #
reduced-calorie diet including a daily dark chocolate snack
decrease
estimated daily energy intake
overweight and obese premenopausal women
-
reduced
#1
reduced-calorie diet including a daily non-chocolate snack
decrease
estimated daily energy intake
overweight and obese premenopausal women
-
reduced
#2
reduced-calorie diet including a daily dark chocolate snack
decrease
body weight
overweight and obese premenopausal women
-5.1 kg
decreases
#3
reduced-calorie diet including a daily non-chocolate snack
decrease
body weight
overweight and obese premenopausal women
-5.1 kg
decreases
#4
reduced-calorie diet including a daily dark chocolate snack
decrease
hip circumference
overweight and obese premenopausal women
-5.8 cm
decreases
#5
reduced-calorie diet including a daily non-chocolate snack
decrease
hip circumference
overweight and obese premenopausal women
-5.4 cm
decreases
#6
reduced-calorie diet including a daily dark chocolate snack
decrease
waist circumference
overweight and obese premenopausal women
-5.7 cm
decreases
#7
reduced-calorie diet including a daily non-chocolate snack
decrease
waist circumference
overweight and obese premenopausal women
-3.5 cm
decreases
#8
reduced-calorie diet including a daily dark chocolate snack
decrease
fat mass
overweight and obese premenopausal women
-3.9 kg
decreases
#9
reduced-calorie diet including a daily non-chocolate snack
decrease
fat mass
overweight and obese premenopausal women
-3.6 kg
decreases
#10
reduced-calorie diet including a daily dark chocolate snack
decrease
body fat percentage
overweight and obese premenopausal women
-3.4%
decreases
#11
reduced-calorie diet including a daily non-chocolate snack
decrease
body fat percentage
overweight and obese premenopausal women
-3.1%
decreases
#12
reduced-calorie diet including a daily dark chocolate snack
no change
lean mass
overweight and obese premenopausal women
-
no change
#13
reduced-calorie diet including a daily non-chocolate snack
no change
lean mass
overweight and obese premenopausal women
-
no change
#14
Abstract

Reduced-calorie diets are difficult to follow because they often require elimination of certain foods, leading to poor compliance and limited success. However, a low-calorie, nutrient-dense diet has the potential to accommodate a daily snack without exceeding energy requirements, even during weight loss. This pilot study evaluated the effects of a reduced-calorie diet including either a daily dark chocolate snack or a non-chocolate snack on anthropometric and body composition measurements. In a randomized clinical trial, 26 overweight and obese (body mass index ≥25 to ≤43) premenopausal women were assigned to a reduced-calorie diet that included either a daily dark chocolate snack or non-chocolate snack (n=13 per group) for 18 weeks. At baseline and end of study, body weight and waist and hip circumferences were measured along with fat mass, lean mass, and body fat percentage by dual-energy x-ray absorptiometry. Energy and macronutrient intakes were estimated from 4-day food records. Within- and between-group changes from baseline were analyzed using paired t tests and independent t tests, respectively. Women in both snack groups reduced estimated daily energy intake (P<0.001). Women in both the dark chocolate snack and non-chocolate snack groups, respectively, experienced decreases (P<0.001) in body weight (-5.1 vs -5.1 kg), hip circumference (-5.8 vs -5.4 cm), waist circumference (-5.7 vs -3.5 cm), fat mass (-3.9 vs -3.6 kg), and body fat percentage (-3.4% vs -3.1%), with no change in lean mass. Improvements in anthropometric and body composition measurements among overweight and obese premenopausal women can be achieved with a reduced-calorie diet including either a daily dark chocolate snack or non-chocolate snack.

Medical Subject Headings (MeSH)
AdultBody CompositionBody Mass IndexCacaoCandyDiet RecordsDiet, ReducingEnergy IntakeFemaleHumansMiddle AgedObesityPatient CompliancePilot ProjectsPremenopauseWaist CircumferenceWaist-Hip RatioWeight Loss
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations15
Citations/Year1.1
Relative Citation Ratio0.56
NIH Percentile30.4%
Research Impact Scores
APT Score0.50
Weight Score1.26
Normalized Score0.69
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