Examining differences between overweight women and men in 12-month weight loss study comparing healthy low-carbohydrate vs. low-fat diets.

Citation
Aronica, L., et al. “Examining Differences Between Overweight Women And Men In 12-Month Weight Loss Study Comparing Healthy Low-Carbohydrate Vs. Low-Fat Diets.”. International Journal Of Obesity (2005), pp. 225-234.
Center Stanford University
Author Lucia Aronica, Joseph Rigdon, Lisa C Offringa, Marcia L Stefanick, Christopher D Gardner
Abstract

BACKGROUND/OBJECTIVES: Biological sex factors and sociocultural gender norms affect the physiology and behavior of weight loss. However, most diet intervention studies do not report outcomes by sex, thereby impeding reproducibility. The objectives of this study were to compare 12-month changes in body weight and composition in groups defined by diet and sex, and adherence to a healthy low carbohydrate (HLC) vs. healthy low fat (HLF) diet.

PARTICIPANTS/METHODS: This was a secondary analysis of the DIETFITS trial, in which 609 overweight/obese nondiabetic participants (age, 18-50 years) were randomized to a 12-month HLC (n = 304) or HLF (n = 305) diet. Our first aim concerned comparisons in 12-month changes in weight, fat mass, and lean mass by group with appropriate adjustment for potential confounders. The second aim was to assess whether or not adherence differed by diet-sex group (HLC women n = 179, HLC men n = 125, HLF women n = 167, HLF men n = 138).

RESULTS: 12-month changes in weight (p < 0.001) were different by group. HLC produced significantly greater weight loss, as well as greater loss of both fat mass and lean mass, than HLF among men [-2.98 kg (-4.47, -1.50); P < 0.001], but not among women. Men were more adherent to HLC than women (p = 0.02). Weight loss estimates within group remained similar after adjusting for adherence, suggesting adherence was not a mediator.

CONCLUSIONS: By reporting outcomes by sex significant weight loss differences were identified between HLC and HLF, which were not recognized in the original primary analysis. These findings highlight the need to consider sex in the design, analysis, and reporting of diet trials.

Year of Publication
2021
Journal
International journal of obesity (2005)
Volume
45
Issue
1
Number of Pages
225-234
Date Published
01/2021
ISSN Number
1476-5497
DOI
10.1038/s41366-020-00708-y
Alternate Journal
Int J Obes (Lond)
PMID
33188301
PMCID
PMC7752762