Premium
The effects of water and non‐nutritive sweetened beverages on weight loss and weight maintenance: A randomized clinical trial
Author(s) -
Peters John C.,
Beck Jimikaye,
Cardel Michelle,
Wyatt Holly R.,
Foster Gary D.,
Pan Zhaoxing,
Wojtanowski Alexis C.,
Vander Veur Stephanie S.,
Herring Sharon J.,
Brill Carrie,
Hill James O.
Publication year - 2016
Publication title -
obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.438
H-Index - 199
eISSN - 1930-739X
pISSN - 1930-7381
DOI - 10.1002/oby.21327
Subject(s) - weight loss , medicine , overweight , obesity , weight management , randomized controlled trial , body weight , population , context (archaeology) , environmental health , surgery , biology , paleontology
Objective To evaluate the effects of water versus beverages sweetened with non‐nutritive sweeteners (NNS) on body weight in subjects enrolled in a year‐long behavioral weight loss treatment program. Methods The study used a randomized equivalence design with NNS or water beverages as the main factor in a trial among 303 weight‐stable people with overweight and obesity. All participants participated in a weight loss program plus assignment to consume 24 ounces (710 ml) of water or NNS beverages daily for 1 year. Results NNS and water treatments were non‐equivalent, with NNS treatment showing greater weight loss at the end of 1 year. At 1 year subjects receiving water had maintained a 2.45 ± 5.59 kg weight loss while those receiving NNS beverages maintained a loss of 6.21 ± 7.65 kg ( P < 0.001 for difference). Conclusions Water and NNS beverages were not equivalent for weight loss and maintenance during a 1‐year behavioral treatment program. NNS beverages were superior for weight loss and weight maintenance in a population consisting of regular users of NNS beverages who either maintained or discontinued consumption of these beverages and consumed water during a structured weight loss program. These results suggest that NNS beverages can be an effective tool for weight loss and maintenance within the context of a weight management program.