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Higher Intake of Fruit, but Not Vegetables or Fiber, at Baseline Is Associated with Lower Risk of Becoming Overweight or Obese in Middle-Aged and Older Women of Normal BMI at Baseline.
J Nutr. 2015 May; 145(5):960-8.JN

Abstract

BACKGROUND

Fruit, vegetable, and dietary fiber intake have been associated with lower risk of cardiovascular disease (CVD); however, little is known about their role in obesity prevention.

OBJECTIVE

Our goal was to investigate whether intake of fruits, vegetables, and dietary fiber is associated with weight change and the risk of becoming overweight and obese.

METHODS

We studied 18,146 women aged ≥45 y from the Women's Health Study free of CVD and cancer with an initial body mass index (BMI) of 18.5 to <25 kg/m². Fruit, vegetable, and dietary fiber intakes were assessed at baseline through a 131-item food-frequency questionnaire, along with obesity-related risk factors. Women self-reported body weight on annual questionnaires.

RESULTS

During a mean follow-up of 15.9 y, 8125 women became overweight or obese (BMI ≥25 kg/m²). Intakes of total fruits and vegetables, fruits, and dietary fiber were not associated with the longitudinal changes in body weight, whereas higher vegetable intake was associated with greater weight gain (P-trend: 0.02). In multivariable analyses, controlling for total energy intake and physical activity along with other lifestyle, clinical, and dietary factors, women in the highest vs. lowest quintile of fruit intake had an HR of 0.87 (95% CI: 0.80, 0.94; P-trend: 0.01) of becoming overweight or obese. No association was observed for vegetable or dietary fiber intake. The association between fruit intake and risk of becoming overweight or obese was modified by baseline BMI (P-interaction: <0.0001) where the strongest inverse association was observed among women with a BMI <23 kg/m² (HR: 0.82; 95% CI: 0.71, 0.94).

CONCLUSION

Our results suggest that greater baseline intake of fruit, but not vegetables or fiber, by middle-aged and older women with a normal BMI at baseline is associated with lower risk of becoming overweight or obese.

Authors+Show Affiliations

Divisions of Preventive Medicine and Harvard Medical School, Boston, MA; Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden; and susanne.rautiainen@ki.se.Divisions of Preventive Medicine and Harvard Medical School, Boston, MA;Divisions of Preventive Medicine and Harvard Medical School, Boston, MA; Department of Epidemiology, Harvard School of Public Health, Boston, MA.Divisions of Preventive Medicine and Harvard Medical School, Boston, MA; Department of Epidemiology, Harvard School of Public Health, Boston, MA.Divisions of Preventive Medicine and Harvard Medical School, Boston, MA; Department of Epidemiology, Harvard School of Public Health, Boston, MA.Divisions of Preventive Medicine and Department of Epidemiology, Harvard School of Public Health, Boston, MA.

Pub Type(s)

Comparative Study
Journal Article
Observational Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25934663

Citation

Rautiainen, Susanne, et al. "Higher Intake of Fruit, but Not Vegetables or Fiber, at Baseline Is Associated With Lower Risk of Becoming Overweight or Obese in Middle-Aged and Older Women of Normal BMI at Baseline." The Journal of Nutrition, vol. 145, no. 5, 2015, pp. 960-8.
Rautiainen S, Wang L, Lee IM, et al. Higher Intake of Fruit, but Not Vegetables or Fiber, at Baseline Is Associated with Lower Risk of Becoming Overweight or Obese in Middle-Aged and Older Women of Normal BMI at Baseline. J Nutr. 2015;145(5):960-8.
Rautiainen, S., Wang, L., Lee, I. M., Manson, J. E., Buring, J. E., & Sesso, H. D. (2015). Higher Intake of Fruit, but Not Vegetables or Fiber, at Baseline Is Associated with Lower Risk of Becoming Overweight or Obese in Middle-Aged and Older Women of Normal BMI at Baseline. The Journal of Nutrition, 145(5), 960-8. https://doi.org/10.3945/jn.114.199158
Rautiainen S, et al. Higher Intake of Fruit, but Not Vegetables or Fiber, at Baseline Is Associated With Lower Risk of Becoming Overweight or Obese in Middle-Aged and Older Women of Normal BMI at Baseline. J Nutr. 2015;145(5):960-8. PubMed PMID: 25934663.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Higher Intake of Fruit, but Not Vegetables or Fiber, at Baseline Is Associated with Lower Risk of Becoming Overweight or Obese in Middle-Aged and Older Women of Normal BMI at Baseline. AU - Rautiainen,Susanne, AU - Wang,Lu, AU - Lee,I-Min, AU - Manson,JoAnn E, AU - Buring,Julie E, AU - Sesso,Howard D, Y1 - 2015/02/18/ PY - 2014/06/24/received PY - 2015/01/13/accepted PY - 2015/5/3/entrez PY - 2015/5/3/pubmed PY - 2015/7/4/medline KW - dietary fiber KW - epidemiology KW - fruits KW - obesity KW - overweight KW - vegetables SP - 960 EP - 8 JF - The Journal of nutrition JO - J. Nutr. VL - 145 IS - 5 N2 - BACKGROUND: Fruit, vegetable, and dietary fiber intake have been associated with lower risk of cardiovascular disease (CVD); however, little is known about their role in obesity prevention. OBJECTIVE: Our goal was to investigate whether intake of fruits, vegetables, and dietary fiber is associated with weight change and the risk of becoming overweight and obese. METHODS: We studied 18,146 women aged ≥45 y from the Women's Health Study free of CVD and cancer with an initial body mass index (BMI) of 18.5 to <25 kg/m². Fruit, vegetable, and dietary fiber intakes were assessed at baseline through a 131-item food-frequency questionnaire, along with obesity-related risk factors. Women self-reported body weight on annual questionnaires. RESULTS: During a mean follow-up of 15.9 y, 8125 women became overweight or obese (BMI ≥25 kg/m²). Intakes of total fruits and vegetables, fruits, and dietary fiber were not associated with the longitudinal changes in body weight, whereas higher vegetable intake was associated with greater weight gain (P-trend: 0.02). In multivariable analyses, controlling for total energy intake and physical activity along with other lifestyle, clinical, and dietary factors, women in the highest vs. lowest quintile of fruit intake had an HR of 0.87 (95% CI: 0.80, 0.94; P-trend: 0.01) of becoming overweight or obese. No association was observed for vegetable or dietary fiber intake. The association between fruit intake and risk of becoming overweight or obese was modified by baseline BMI (P-interaction: <0.0001) where the strongest inverse association was observed among women with a BMI <23 kg/m² (HR: 0.82; 95% CI: 0.71, 0.94). CONCLUSION: Our results suggest that greater baseline intake of fruit, but not vegetables or fiber, by middle-aged and older women with a normal BMI at baseline is associated with lower risk of becoming overweight or obese. SN - 1541-6100 UR - https://www.unboundmedicine.com/medline/citation/25934663/Higher_Intake_of_Fruit_but_Not_Vegetables_or_Fiber_at_Baseline_Is_Associated_with_Lower_Risk_of_Becoming_Overweight_or_Obese_in_Middle_Aged_and_Older_Women_of_Normal_BMI_at_Baseline_ DB - PRIME DP - Unbound Medicine ER -