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- Title
Eating breakfast is associated with weight loss during an intensive lifestyle intervention for overweight/obesity.
- Authors
Duan, Daisy; Pilla, Scott J.; Michalski, Kathy; Laferrère, Blandine; Clark, Jeanne M.; Maruthur, Nisa M.
- Abstract
Objective: This study examined whether breakfast consumption frequency (BCF) is associated with weight‐loss outcomes in the Look AHEAD (Action for Health in Diabetes) trial. Methods: Data from a subset of participants (n = 3,915) from Look AHEAD, a randomized trial comparing intensive lifestyle intervention (ILI) to diabetes support and education (DSE) in adults with overweight/obesity and type 2 diabetes, were analyzed. BCF was collected by yearly questionnaire. Multivariable linear regression models were used to estimate the association between average BCF and percentage weight change over 4 years, controlling for baseline sociodemographic, anthropometric, and diabetes‐related variables. In separate models, adjustment for diet (n = 915) and physical activity level (n = 837) was performed in a subset of participants. Results: Four‐year average BCF was similar in DSE (n = 1,916) and ILI (n = 1,999) arms (p = 0.14). Each 1‐day higher average BCF was associated with an additional 0.5% weight loss in the ILI arm (p < 0.0001) but not in the DSE arm (p = 0.58). This association in the ILI arm remained significant after adjustment for diet (p = 0.02) but not after adjustment for physical activity (p = 0.36). Conclusions: Breakfast consumption was associated with greater weight loss in the active treatment group of an ILI, which may be mediated by increased physical activity.
- Subjects
WEIGHT loss; PHYSICAL activity; OBESITY; TYPE 2 diabetes; BREAKFASTS
- Publication
Obesity (19307381), 2022, Vol 30, Issue 2, p378
- ISSN
1930-7381
- Publication type
Article
- DOI
10.1002/oby.23340