Replacing Caloric Beverages with Water or Diet Beverages for Weight Loss in Adults: Main Results of the Choose Healthy Options Consciously Everyday (CHOICE) Randomized Clinical Trial

Tate, Deborah F.; Turner-McGrievy, Gabrielle; Lyons, Elizabeth; Stevens, June; Erickson, Karen; Polzien, Kristen; Diamond, Molly; Wang, Xiaoshan; & Popkin, Barry M. (2012). Replacing Caloric Beverages with Water or Diet Beverages for Weight Loss in Adults: Main Results of the Choose Healthy Options Consciously Everyday (CHOICE) Randomized Clinical Trial. American Journal of Clinical Nutrition, 95(3), 555-63.

Reference Type:
Journal Article

Secondary Title:

Series Title:

Author(s):
Tate, Deborah F.
Turner-McGrievy, Gabrielle
Lyons, Elizabeth
Stevens, June
Erickson, Karen
Polzien, Kristen
Diamond, Molly
Wang, Xiaoshan
Popkin, Barry M.

Editor(s):

Series Author(s):

Year Published:
2012

Date Published:

Journal Name:
American Journal of Clinical Nutrition

Volume Number:
95

Issue Number:
3

Start Page Number:
555-63

End Page Number:

Edition:

Series Volume:

Publisher:

City of Publication:

ISSN/ISBN:

DOI:
10.3945/ajcn.111.026278

PMCID:

NIHMSID:

Reference ID:
5302

Miscellaneous:

Abstract:

BACKGROUND: Replacement of caloric beverages with noncaloric beverages may be a simple strategy for promoting modest weight reduction; however, the effectiveness of this strategy is not known. OBJECTIVE: We compared the replacement of caloric beverages with water or diet beverages (DBs) as a method of weight loss over 6 mo in adults and attention controls (ACs). DESIGN: Overweight and obese adults [n = 318; BMI (in kg/m(2)): 36.3 +/- 5.9; 84% female; age (mean +/- SD): 42 +/- 10.7 y; 54% black] substituted noncaloric beverages (water or DBs) for caloric beverages (>/=200 kcal/d) or made dietary changes of their choosing (AC) for 6 mo. RESULTS: In an intent-to-treat analysis, a significant reduction in weight and waist circumference and an improvement in systolic blood pressure were observed from 0 to 6 mo. Mean (+/-SEM) weight losses at 6 mo were -2.5 +/- 0.45% in the DB group, -2.03 +/- 0.40% in the Water group, and -1.76 +/- 0.35% in the AC group; there were no significant differences between groups. The chance of achieving a 5% weight loss at 6 mo was greater in the DB group than in the AC group (OR: 2.29; 95% CI: 1.05, 5.01; P = 0.04). A significant reduction in fasting glucose at 6 mo (P = 0.019) and improved hydration at 3 (P = 0.0017) and 6 (P = 0.049) mo was observed in the Water group relative to the AC group. In a combined analysis, participants assigned to beverage replacement were 2 times as likely to have achieved a 5% weight loss (OR: 2.07; 95% CI: 1.02, 4.22; P = 0.04) than were the AC participants. CONCLUSIONS: Replacement of caloric beverages with noncaloric beverages as a weight-loss strategy resulted in average weight losses of 2% to 2.5%. This strategy could have public health significance and is a simple, straightforward message. This trial was registered at clinicaltrials.gov as NCT01017783.

Keyword(s):
Biological and Social Interactions

URL:

http://dx.doi.org/10.3945/ajcn.111.026278

Notes:

RIS Export File:
Octet Stream icon

5302.ris — Octet Stream, 2 kB (2,493 bytes)

Citation:

Tate, Deborah F.; Turner-McGrievy, Gabrielle; Lyons, Elizabeth; Stevens, June; Erickson, Karen; Polzien, Kristen; Diamond, Molly; Wang, Xiaoshan; & Popkin, Barry M. (2012). Replacing Caloric Beverages with Water or Diet Beverages for Weight Loss in Adults: Main Results of the Choose Healthy Options Consciously Everyday (CHOICE) Randomized Clinical Trial. American Journal of Clinical Nutrition, 95(3), 555-63.