Objective versus Self-Reported Energy Intake Changes During Low-Carbohydrate and Low-Fat Diets.

ABSTRACT:

Objective

This study aimed to compare self-reported with objective measurements of energy intake changes (?EI) during a 1-year weight-loss intervention with subjects randomized to low-carbohydrate versus low-fat diets.

Methods

Repeated body weight measurements were used as inputs to an objective mathematical model to calculate ?EI_Model and to compare with self-reported energy intake changes assessed by repeated 24-hour recalls (?EI_Recall ).

Results

?EI_Recall indicated a relatively persistent state of calorie restriction of ~500 to 600 kcal/d at 3, 6, and 12 months with no significant differences between the diets. ?EI_Model demonstrated large early decreases in calorie intake > 800 kcal/d followed by an exponential return to ~100 kcal/d below baseline at the end of the year. Accounting for self-reported physical activities did not materially affect the results. Discrepancies between ?EI_Model and ?EI_Recall became progressively greater over time. The low-carbohydrate diet resulted in ?EI_Model that was 162 ± 53 kcal/d lower than the low-fat diet over the first 3 months (P? = ?0.002), but no significant diet differences were found thereafter.

Conclusions

Self-reported ?EI measurements were inaccurate. Model-based calculations of ?EI found that instructions to follow the low-carbohydrate diet resulted in greater calorie restriction than the low-fat diet in the early phases of the intervention, but these diet differences were not sustained.

SUBMITTER: Guo J 

PROVIDER: S-EPMC6392435 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature