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Effect of dietary protein content on weight gain, energy expenditure, and body composition during overeating: a randomized controlled trial.

JAMA
January 1, 1970
George A Bray et al. (10 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tResearch Support, U.S. Gov't, Non-P.H.S.Human StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the effects of overconsumption of low, normal, and high protein diets on weight gain, energy expenditure, and body composition.

Results Summary

Overeating with a high-protein diet led to greater weight gain (6.51 kg) compared to a low-protein diet (3.16 kg), with increased lean body mass and energy expenditure but no difference in body fat storage.

Population

25 healthy, weight-stable US volunteers aged 18-35 with a BMI of 19-30.

Effective Dosage

Diets containing 5% (low), 15% (normal), or 25% (high) of energy from protein, overfed by ~40% (954 kcal/day).

Duration

8 weeks of overfeeding during a 10-12 week inpatient stay.

Interactions

None mentioned

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
overeating with low protein diet (5% of energy from protein)
increase
weight gain
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
3.16 kg (95% CI, 1.88-4.44 kg)
produced significantly less weight gain
#1
overeating with normal protein diet (15% of energy from protein)
increase
weight gain
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
6.05 kg (95% CI, 4.84-7.26 kg)
produced weight gain
#2
overeating with high protein diet (25% of energy from protein)
increase
weight gain
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
6.51 kg (95% CI, 5.23-7.79 kg)
produced weight gain
#3
overeating with low protein diet
increase
body fat
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
50% to more than 90% of the excess stored calories
body fat increased similarly
#4
overeating with normal protein diet
increase
body fat
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
50% to more than 90% of the excess stored calories
body fat increased similarly
#5
overeating with high protein diet
increase
body fat
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
50% to more than 90% of the excess stored calories
body fat increased similarly
#6
overfeeding with the low protein diet
no change
resting energy expenditure
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
-
did not increase
#7
overfeeding with the low protein diet
no change
total energy expenditure
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
-
did not increase
#8
overfeeding with the low protein diet
no change
body protein
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
-
did not increase
#9
overeating with normal protein diet
increase
resting energy expenditure
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
160 kcal/d (95% CI, 102-218 kcal/d)
increased significantly
#10
overeating with high protein diet
increase
resting energy expenditure
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
227 kcal/d (95% CI, 165-289 kcal/d)
increased significantly
#11
overeating with normal protein diet
increase
body protein (lean body mass)
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
2.87 kg (95% CI, 2.11-3.62 kg)
increased significantly
#12
overeating with high protein diet
increase
body protein (lean body mass)
25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30
3.18 kg (95% CI, 2.37-3.98 kg)
increased significantly
#13
Abstract

CONTEXT: The role of diet composition in response to overeating and energy dissipation in humans is unclear. OBJECTIVE: To evaluate the effects of overconsumption of low, normal, and high protein diets on weight gain, energy expenditure, and body composition. DESIGN, SETTING, AND PARTICIPANTS: A single-blind, randomized controlled trial of 25 US healthy, weight-stable male and female volunteers, aged 18 to 35 years with a body mass index between 19 and 30. The first participant was admitted to the inpatient metabolic unit in June 2005 and the last in October 2007. INTERVENTION: After consuming a weight-stabilizing diet for 13 to 25 days, participants were randomized to diets containing 5% of energy from protein (low protein), 15% (normal protein), or 25% (high protein), which they were overfed during the last 8 weeks of their 10- to 12-week stay in the inpatient metabolic unit. Compared with energy intake during the weight stabilization period, the protein diets provided approximately 40% more energy intake, which corresponds to 954 kcal/d (95% CI, 884-1022 kcal/d). MAIN OUTCOME MEASURES: Body composition was measured by dual-energy x-ray absorptiometry biweekly, resting energy expenditure was measured weekly by ventilated hood, and total energy expenditure by doubly labeled water prior to the overeating and weight stabilization periods and at weeks 7 to 8. RESULTS: Overeating produced significantly less weight gain in the low protein diet group (3.16 kg; 95% CI, 1.88-4.44 kg) compared with the normal protein diet group (6.05 kg; 95% CI, 4.84-7.26 kg) or the high protein diet group (6.51 kg; 95% CI, 5.23-7.79 kg) (P = .002). Body fat increased similarly in all 3 protein diet groups and represented 50% to more than 90% of the excess stored calories. Resting energy expenditure, total energy expenditure, and body protein did not increase during overfeeding with the low protein diet. In contrast, resting energy expenditure (normal protein diet: 160 kcal/d [95% CI, 102-218 kcal/d]; high protein diet: 227 kcal/d [95% CI, 165-289 kcal/d]) and body protein (lean body mass) (normal protein diet: 2.87 kg [95% CI, 2.11-3.62 kg]; high protein diet: 3.18 kg [95% CI, 2.37-3.98 kg]) increased significantly with the normal and high protein diets. CONCLUSIONS: Among persons living in a controlled setting, calories alone account for the increase in fat; protein affected energy expenditure and storage of lean body mass, but not body fat storage. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00565149.

Medical Subject Headings (MeSH)
Adipose TissueAdolescentAdultBody CompositionDietary ProteinsEnergy MetabolismFemaleHumansHyperphagiaMaleSingle-Blind MethodWeight GainYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations203
Citations/Year15.6
Relative Citation Ratio7.16
NIH Percentile96.2%
Research Impact Scores
APT Score0.95
Weight Score2.12
Normalized Score0.67
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