Still Counting Calories? Your Weight-Loss Plan May Be Outdated;
Also not too surprising were most of the foods that resulted in weight loss or no gain when consumed in greater amounts during the study: fruits, vegetables and whole grains. Compared with those who gained the most weight, participants in the Nurses’ Health Study who lost weight consumed 3.1 more servings of vegetables each day.
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And despite conventional advice to eat less fat, weight loss was greatest among people who ate more yogurt and nuts, including peanut butter, over each four-year period.
Nuts are high in vegetable fat, and previous small studies have shown that eating peanut butter can help people lose weight and keep it off, probably because it slows the return of hunger.
That yogurt, among all foods, was most strongly linked to weight loss was the study’s most surprising dietary finding, the researchers said. Participants who ate more yogurt lost an average of 0.82 pound every four years.
Yogurt contains healthful bacteria that in animal studies increase production of intestinal hormones that enhance satiety and decrease hunger, Dr. Hu said. The bacteria may also raise the body’s metabolic rate, making weight control easier.
But, consistent with the new study’s findings, metabolism takes a hit from refined carbohydrates — sugars and starches stripped of their fiber, like white flour. When Dr. David Ludwig of Children’s Hospital Boston compared the effects of refined carbohydrates with the effects of whole grains in both animals and people, he found that metabolism, which determines how many calories are used at rest, slowed with the consumption of refined grains but stayed the same after consumption of whole grains.
Other Influences
As has been suggested by previous smaller studies, how long people slept each night influenced their weight changes. In general, people who slept less than six hours or more than eight hours a night tended to gain the most. Among possible explanations are effects of short nights on satiety hormones, as well as an opportunity to eat more while awake, Dr. Hu said.
He was not surprised by the finding that the more television people watched, the more weight they gained, most likely because they are influenced by a barrage of food ads and snack in front of the TV.
Alcohol intake had an interesting relationship to weight changes. No significant effect was found among those who increased their intake to one glass of wine a day, but increases in other forms of alcohol were likely to bring added pounds.
As expected, changes in smoking habits also influenced weight changes. Compared with people who never smoked, those who had quit smoking within the previous four years gained an average of 5.17 pounds. Subsequent weight gain was minimal — 0.14 pound for each four-year period.
Those who continued smoking lost 0.7 pound in each four-year period, which the researchers surmised may have resulted from undiagnosed underlying disease, especially since those who took up smoking experienced no change in weight.
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