Obesity

Different carbohydrate exposures and weight gain—results from a pooled analysis of three population-based studies

Int J Obes (Lond)Published Pooled analysis of three population-based prospective cohort studies

Authors' conclusion

Our findings do not support an association between carbohydrate intake and weight gain. However, the results suggested that concurrent changes in carbohydrate intake might be an important determinant of weight change and should be further examined in future studies.

Study context

Population
Finnish adults aged 25–70 years in three population-based prospective cohorts
Participants
8,327 adults3 cohorts
Comparison
Intake quintiles of total carbohydrate, dietary fiber, total sugar and sucrose (highest vs lowest)
Outcome
Weight gain of at least 5%
Follow-up
7-year follow-up
Methodological detailstwo-staged pooling, 7-year follow-up
  • Two-staged pooling
  • 7-year follow-up

Pooled result

As reported in the abstract

Weight gain ≥5% by intake of total carbohydrate, dietary fiber, total sugar, sucrose
  • No association between intakes of total carbohydrate, dietary fiber, total sugar or sucrose and risk of weight gain ≥5%

Further pooled results

OutcomeRR (95% CI)
Weight gain risk by total sugar intake, participants with obesity0.63 (0.40–1.00)
  • Weight gain risk by total sugar intake, participants with obesity: borderline protective; adjusted for sex, age, baseline weight, education, smoking, physical activity, energy intake

Weight gain risk by sucrose intake, participants with ≥10% decrease in carbohydrate intake during follow-up

Borderline protective association (adjusted RR)
RR 0.78; 95% CI 0.61-1.00

Further adjustment for fruit consumption

Further adjustment for fruit consumption strengthened the associations

Original publication

Different carbohydrate exposures and weight gain—results from a pooled analysis of three population-based studies. Int J Obes (Lond). Published 6 May 2023. doi:10.1038/s41366-023-01323-3

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