Obesity and cardiovascular risk intervention through the ad libitum feeding of traditional Hawaiian diet

Shintani, Terry T.; Hughes, Claire; Beckham, Sheila; O’Connor, Helen M.

doi:10.1093/ajcn/53.6.1647s

Cited by 110 publications

(74 citation statements)

References 28 publications

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“…Similar reductions in obesity and cardiovascular risk have been observed when natives in Hawaii have returned to a traditional diet after abandoning the usual modern diet (132).…”

Section: Ethnicitymentioning

confidence: 57%

Global burden of obesity in 2005 and projections to 2030

et al. 2008

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“…Similar reductions in obesity and cardiovascular risk have been observed when natives in Hawaii have returned to a traditional diet after abandoning the usual modern diet (132).…”

Section: Ethnicitymentioning

confidence: 57%

Global burden of obesity in 2005 and projections to 2030

et al. 2008

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“…They include: a reduction in compliance to the diet, perhaps due to an environment that is unsupportive of healthy food choices; overeating of foods known to be low in fat and; physiological adaptations that attenuate the impact of negative energy balance on weight loss 78 . Extremely low fat, high carbohydrate diets are also very effective for weight loss 79,80 but it must be stressed that large reductions in total fat intake would be unattainable at a population level. Average changes in the order of 2-3 kg may seem small for individuals but they are important on a population level in the context of obesity prevention.…”

Section: Early Nutritionmentioning

confidence: 99%

Diet, nutrition and the prevention of excess weight gain and obesity

Swinburn

Caterson

Seidell

et al. 2004

Public Health Nutr.

820

210

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Objective: To review the evidence on the diet and nutrition causes of obesity and to recommend strategies to reduce obesity prevalence. Design: The evidence for potential aetiological factors and strategies to reduce obesity prevalence was reviewed, and recommendations for public health action, population nutrition goals and further research were made. Results: Protective factors against obesity were considered to be: regular physical activity (convincing); a high intake of dietary non-starch polysaccharides (NSP)/fibre (convincing); supportive home and school environments for children (probable); and breastfeeding (probable). Risk factors for obesity were considered to be sedentary lifestyles (convincing); a high intake of energy-dense, micronutrient-poor foods (convincing); heavy marketing of energy-dense foods and fast food outlets (probable); sugar-sweetened soft drinks and fruit juices (probable); adverse social and economic conditions-developed countries, especially in women (probable). A broad range of strategies were recommended to reduce obesity prevalence including: influencing the food supply to make healthy choices easier; reducing the marketing of energy dense foods and beverages to children; influencing urban environments and transport systems to promote physical activity; developing community-wide programmes in multiple settings; increased communications about healthy eating and physical activity; and improved health services to promote breastfeeding and manage currently overweight or obese people. Conclusions: The increasing prevalence of obesity is a major health threat in both low-and high income countries. Comprehensive programmes will be needed to turn the epidemic around.

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“…A number of feeding studies that have manipulated dietary energy density have suggested that a decrease in energy density is associated with weight loss (14,15). Although these feeding studies have addressed important questions about the association between energy density and weight loss, longer term studies of individuals eating in real-life situations are necessary to test the hypothesis.…”

Section: Introductionmentioning

confidence: 99%

The Impact of a Long-Term Reduction in Dietary Energy Density on Body Weight Within a Randomized Diet Trial

Saquib

Natarajan

Rock

et al. 2007

Nutrition and Cancer

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We examined the effect of dietary energy density change on body weight in participants of a randomized trial. Intervention participants markedly increased fruit and vegetable intake while reducing energy intake from fat. Participants were 2,718 breast cancer survivors, aged 26−74 yr, with baseline mean body mass index of 27.3 kg/m 2 (SD = 6.3). We assessed dietary intake by sets of four 24-h dietary recalls and validated with plasma carotenoid concentrations. Weight and height were measured at baseline, 1 yr, and 4 yr. Dietary energy density was calculated using food but excluding beverages. Intervention participants significantly reduced dietary energy density compared to controls and maintained it over 4 yr-both in cross-sectional (P < 0.0001) and longitudinal (Group × Time interaction, P < 0.0001) analyses. Total energy intake or physical activity did not vary between groups. The intervention group had a small but significant weight loss at 1 yr (Group × Time interaction, P < 0.0001), but no between-group weight difference was observed at 4 yr. Our study showed that reducing dietary energy density did not result in a reduction in total energy intake and suggests that this strategy alone is not sufficient to promote long-term weight loss in a free-living population.

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Obesity and cardiovascular risk intervention through the ad libitum feeding of traditional Hawaiian diet

Cited by 110 publications

References 28 publications

Global burden of obesity in 2005 and projections to 2030

Global burden of obesity in 2005 and projections to 2030

Diet, nutrition and the prevention of excess weight gain and obesity

The Impact of a Long-Term Reduction in Dietary Energy Density on Body Weight Within a Randomized Diet Trial

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