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Comparing the effects of meal replacements with an isocaloric reduced-fat diet on nutrient intake and lower urinary tract symptoms in obese men.
- Source :
- Journal of Human Nutrition & Dietetics; Jun2014, Vol. 27 Issue 3, p219-226, 8p, 3 Charts
- Publication Year :
- 2014
-
Abstract
- Background Lower urinary tract symptoms ( LUTS) in men are associated with obesity, particularly central obesity as measured by waist circumference ( WC), and may improve with weight loss. We aimed to compare effects of a meal-replacement based diet with isocaloric reduced-fat plan on LUTS and nutrient intake in obese Asian men. Methods Obese Asian [mean (range) body mass index of 32.9 (30.5-42.3) kg m<superscript>-2</superscript>] men [mean (range) age 40.2 (30-61) years] were randomised to a reduced-fat (< 30% of energy) diet [conventional reduced-fat diet (CD) group; n = 23] or meal-replacement-based plan [meal replacement (MR) group; n = 23], to reduce daily intake by 2000 kJ for 12 weeks. Results CD and MR groups had statistically significant and similar reductions in weight (−2.6 ± 1.9 kg versus −4.2 ± 3.8 kg), overall LUTS severity measured with International Prostate Symptom Scale ( IPSS) scores (−1.71 ± 1.93 points versus −2.42 ± 2.12 points) and insulin resistance [homeostasis model assessment ( HOMA) calculated from plasma glucose and insulin]. The MR group had significantly greater decreases in WC (−4.8 ± 3.3 cm versus −2.5 ± 2.3 cm), fat mass (−2.47 ± 3.63 kg versus −1.59 ± 2.32 kg), fat intake, plasma C-reactive protein, and in storage LUTS score (−1.59 ± 1.33 points versus −1.00 ± 0.87 points), which was associated with a decreased fat intake ( r = 0.48, P = 0.03). A decrease in overall IPSS score was associated with reductions in weight, WC and HOMA. Conclusions Weight loss as a result of CD or MR had similar efficacy in relieving LUTS. MR produced greater reductions in fat intake, adiposity and storage LUTS. [ABSTRACT FROM AUTHOR]
- Subjects :
- REDUCING diets
BLOOD sugar analysis
BENIGN prostatic hyperplasia
HYPERPLASIA treatment
BODY composition
ANALYSIS of variance
ASIANS
C-reactive protein
CLINICAL trials
STATISTICAL correlation
ELEMENTAL diet
ENERGY metabolism
FAT content of food
HOMEOSTASIS
INSULIN
INSULIN resistance
LONGITUDINAL method
MEN'S health
NUTRITIONAL assessment
RESEARCH funding
STATISTICAL sampling
WEIGHT loss
STATISTICAL power analysis
BODY mass index
RANDOMIZED controlled trials
PRE-tests & post-tests
FOOD diaries
DATA analysis software
DIARY (Literary form)
WAIST circumference
DESCRIPTIVE statistics
NUTRITIONAL status
Subjects
Details
- Language :
- English
- ISSN :
- 09523871
- Volume :
- 27
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Journal of Human Nutrition & Dietetics
- Publication Type :
- Academic Journal
- Accession number :
- 96016328
- Full Text :
- https://doi.org/10.1111/jhn.12151