TABLE 2.
A comparison of whole-body composition at baseline and after 12 and 24 mo between the AL control and CR groups1
| Men (n = 66) |
Women (n = 152) |
Overall (n = 218) |
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| AL (n = 22) | CR (n = 44) | AL (n = 53) | CR (n = 99) | AL (n = 75) | P-AL3 | CR (n = 143) | P-CR3 | Overall P: AL-CR2 | |
| Weight, kg | |||||||||
| Baseline | 79.8 ± 1.41 | 81.6 ± 1.25 | 68.0 ± 0.95 | 67.7 ± 0.64 | 71.5 ± 1.00 | — | 72.0 ± 0.79 | — | 0.978 |
| Δ Month 12 | −0.9 ± 0.72 | −9.5 ± 0.47 | −0.2 ± 0.40 | −7.8 ± 0.32 | −0.4 ± 0.35 | 0.157 | −8.3 ± 0.27 | <0.001 | <0.001 |
| Δ Month 24 | −0.2 ± 0.76 | −8.9 ± 0.57 | 0.6 ± 0.63 | −7.0 ± 0.37 | 0.4 ± 0.50 | 1.000 | −7.6 ± 0.32 | <0.001 | <0.001 |
| Δ Month 12–24 | 0.7 ± 0.45 | 0.8 ± 0.31 | 0.8 ± 0.58 | 1.0 ± 0.18 | 0.8 ± 0.42 | 0.021 | 0.9 ± 0.16 | <0.001 | 0.893 |
| Body fat, % | |||||||||
| Baseline | 25.7 ± 0.85 | 26.1 ± 0.46 | 36.8 ± 0.58 | 36.0 ± 0.44 | 33.6 ± 0.76 | — | 32.9 ± 0.51 | — | 0.336 |
| Δ Month 12 | −0.6 ± 0.52 | −5.4 ± 0.44 | −0.2 ± 0.29 | −5.4 ± 0.25 | −0.3 ± 0.26 | 0.381 | −5.4 ± 0.22 | <0.001 | <0.001 |
| Δ Month 24 | 0.4 ± 0.39 | −4.8 ± 0.45 | 0.3 ± 0.46 | −4.5 ± 0.29 | 0.3 ± 0.34 | 1.000 | −4.6 ± 0.25 | <0.001 | <0.001 |
| Δ Month 12–24 | 1.0 ± 0.48 | 0.8 ± 0.23 | 0.4 ± 0.41 | 1.0 ± 0.17 | 0.6 ± 0.32 | 0.038 | 1.0 ± 0.13 | <0.001 | 0.293 |
| Fat mass, kg | |||||||||
| Baseline | 20.5 ± 0.83 | 21.3 ± 0.56 | 25.2 ± 0.66 | 24.4 ± 0.43 | 23.8 ± 0.58 | — | 23.5 ± 0.36 | — | 0.611 |
| Δ Month 12 | −0.5 ± 0.55 | −6.3 ± 0.43 | −0.1 ± 0.33 | −6.0 ± 0.25 | −0.2 ± 0.28 | 0.777 | −6.1 ± 0.22 | <0.001 | <0.001 |
| Δ Month 24 | 0.4 ± 0.50 | −5.8 ± 0.45 | 0.6 ± 0.53 | −5.2 ± 0.29 | 0.5 ± 0.40 | 0.846 | −5.4 ± 0.25 | <0.001 | <0.001 |
| Δ Month 12–24 | 0.9 ± 0.45 | 0.7 ± 0.23 | 0.6 ± 0.48 | 0.9 ± 0.14 | 0.7 ± 0.36 | 0.014 | 0.9 ± 0.12 | <0.001 | 0.761 |
| FFM, kg | |||||||||
| Baseline | 59.3 ± 1.12 | 60.3 ± 0.90 | 42.8 ± 0.50 | 43.2 ± 0.41 | 47.6 ± 0.99 | — | 48.5 ± 0.77 | — | 0.475 |
| Δ Month 12 | −0.3 ± 0.25 | −3.0 ± 0.20 | 0.0 ± 0.16 | −1.6 ± 0.13 | −0.1 ± 0.13 | 0.196 | −2.0 ± 0.12 | <0.001 | <0.001 |
| Δ Month 24 | −0.6 ± 0.38 | −3.0 ± 0.32 | 0.3 ± 0.22 | −1.6 ± 0.17 | 0.0 ± 0.20 | 1.000 | −2.0 ± 0.16 | <0.001 | <0.001 |
| Δ Month 12–24 | −0.3 ± 0.25 | 0.1 ± 0.20 | 0.3 ± 0.19 | 0.0 ± 0.13 | 0.1 ± 0.16 | 1.000 | 0.0 ± 0.11 | 1.000 | 0.596 |
| Total lean body mass, kg | |||||||||
| Baseline | 56.5 ± 1.07 | 57.5 ± 0.87 | 40.5 ± 0.47 | 40.9 ± 0.39 | 45.2 ± 0.96 | — | 46.0 ± 0.75 | — | 0.479 |
| Δ Month 12 | −0.3 ± 0.26 | −3.0 ± 0.20 | −0.0 ± 0.15 | −1.6 ± 0.13 | −0.1 ± 0.13 | 0.147 | −2.0 ± 0.13 | <0.001 | <0.001 |
| Δ Month 24 | −0.6 ± 0.38 | −3.0 ± 0.32 | 0.2 ± 0.22 | −1.6 ± 0.17 | −0.0 ± 0.20 | 0.823 | −2.0 ± 0.16 | <0.001 | <0.001 |
| Δ Month 12–24 | −0.3 ± 0.25 | 0.1 ± 0.20 | 0.2 ± 0.19 | 0.0 ± 0.13 | 0.1 ± 0.15 | 1.000 | 0.0 ± 0.11 | 1.000 | 0.793 |
| Trunk FFM, kg | |||||||||
| Baseline | 27.6 ± 0.55 | 27.8 ± 0.40 | 20.8 ± 0.28 | 20.7 ± 0.21 | 22.8 ± 0.44 | — | 22.9 ± 0.34 | — | 0.935 |
| Δ Month 12 | 0.0 ± 0.16 | −1.3 ± 0.12 | 0.1 ± 0.09 | −0.5 ± 0.08 | 0.1 ± 0.08 | 1.000 | −0.8 ± 0.07 | <0.001 | <0.001 |
| Δ Month 24 | 0.0 ± 0.21 | −1.2 ± 0.17 | 0.1 ± 0.13 | −0.6 ± 0.10 | 0.1 ± 0.11 | 1.000 | −0.8 ± 0.09 | <0.001 | <0.001 |
| Δ Month 12–24 | −0.0 ± 0.20 | 0.2 ± 0.13 | 0.0 ± 0.12 | −0.0 ± 0.09 | 0.0 ± 0.10 | 1.000 | 0.0 ± 0.07 | 1.000 | 0.807 |
| Hydration of FFM (TBW:FFM ratio) | |||||||||
| Baseline | 70.7 ± 0.39 | 70.7 ± 0.26 | 72.6 ± 0.32 | 72.9 ± 0.22 | 72.0 ± 0.27 | — | 72.2 ± 0.19 | — | 0.924 |
| Δ Month 12 | 0.5 ± 0.58 | 2.6 ± 0.26 | 0.7 ± 0.28 | 1.7 ± 0.22 | 0.6 ± 0.26 | 0.180 | 1.9 ± 0.18 | <0.001 | <0.001 |
| Δ Month 24 | 0.4 ± 0.44 | 1.5 ± 0.23 | 0.7 ± 0.28 | 0.9 ± 0.27 | 0.6 ± 0.23 | 0.314 | 1.1 ± 0.21 | <0.001 | 0.030 |
| Δ Month 12–24 | −0.1 ± 0.45 | −1.3 ± 0.25 | −0.0 ± 0.32 | −0.8 ± 0.27 | −0.0 ± 0.26 | 1.000 | −0.9 ± 0.20 | <0.001 | 0.011 |
| TBW, kg | |||||||||
| Baseline | 41.9 ± 0.79 | 42.7 ± 0.62 | 31.0 ± 0.38 | 31.5 ± 0.29 | 34.2 ± 0.68 | — | 34.9 ± 0.52 | — | 0.419 |
| Δ Month 12 | 0.0 ± 0.39 | −0.6 ± 0.22 | 0.3 ± 0.15 | −0.4 ± 0.12 | 0.2 ± 0.16 | 0.675 | −0.5 ± 0.11 | 0.001 | <0.001 |
| Δ Month 24 | −0.2 ± 0.35 | −1.2 ± 0.28 | 0.5 ± 0.21 | −0.9 ± 0.16 | 0.3 ± 0.18 | 0.456 | −0.9 ± 0.14 | <0.001 | <0.001 |
| Δ Month 12–24 | −0.2 ± 0.31 | −0.7 ± 0.21 | 0.2 ± 0.21 | −0.3 ± 0.13 | 0.1 ± 0.17 | 1.000 | −0.4 ± 0.11 | <0.001 | 0.010 |
| TBW 18O, % | |||||||||
| Baseline | 52.5 ± 0.72 | 52.3 ± 0.38 | 45.8 ± 0.49 | 46.6 ± 0.34 | 47.7 ± 0.54 | — | 48.3 ± 0.35 | — | 0.306 |
| Δ Month 12 | 0.9 ± 0.62 | 5.9 ± 0.44 | 0.8 ± 0.37 | 5.2 ± 0.25 | 0.8 ± 0.31 | 0.002 | 5.4 ± 0.22 | <0.001 | <0.001 |
| Δ Month 24 | 0.1 ± 0.48 | 4.7 ± 0.41 | 0.5 ± 0.39 | 4.1 ±0.31 | 0.4 ± 0.30 | 0.133 | 4.3 ± 0.25 | <0.001 | <0.001 |
| Δ Month 12–24 | −0.8 ± 0.41 | −1.5 ± 0.25 | −0.2 ± 0.43 | −1.3 ± 0.19 | −0.4 ± 0.32 | 0.237 | −1.4 ± 0.15 | <0.001 | 0.010 |
| Total-body protein, kg | |||||||||
| Baseline | 14.6 ± 0.39 | 14.9 ± 0.32 | 9.5 ± 0.18 | 9.5 ± 0.14 | 11.0 ± 0.32 | — | 11.2 ± 0.25 | — | 0.713 |
| Δ Month 12 | −0.5 ± 0.37 | −2.5 ± 0.16 | −0.4 ± 0.14 | −1.4 ± 0.11 | −0.4 ± 0.15 | 0.015 | −1.7 ± 0.10 | <0.001 | <0.001 |
| Δ Month 24 | −0.4 ± 0.30 | −1.9 ± 0.20 | −0.5 ± 0.13 | −0.9 ± 0.14 | −0.5 ± 0.13 | 0.017 | −1.2 ± 0.12 | <0.001 | <0.001 |
| Δ Month 12–24 | 0.0 ± 0.26 | 0.7 ± 0.16 | −0.0 ± 0.18 | 0.4 ± 0.13 | −0.0 ± 0.15 | 1.000 | 0.5 ± 0.11 | <0.001 | 0.005 |
| Bone mineral content, kg | |||||||||
| Baseline | 2.78 ± 0.070 | 2.78 ± 0.055 | 2.25 ± 0.039 | 2.28 ± 0.030 | 2.40 ± 0.044 | — | 2.44 ± 0.033 | — | 0.528 |
| Δ Month 12 | 0.04 ± 0.016 | 0.02 ± 0.009 | 0.02 ± 0.009 | 0.01 ± 0.007 | 0.03 ± 0.008 | <0.001 | 0.01 ± 0.005 | 0.012 | 0.181 |
| Δ Month 24 | 0.04 ± 0.017 | −0.00 ± 0.011 | 0.03 ± 0.011 | 0.01 ± 0.007 | 0.03 ± 0.009 | 0.001 | 0.00 ± 0.006 | 1.000 | 0.011 |
| Δ Month 12–24 | −0.01 ± 0.013 | −0.02 ± 0.006 | 0.00 ± 0.007 | −0.01 ± 0.004 | 0.00 ± 0.006 | 1.000 | −0.01 ± 0.004 | 0.010 | 0.048 |
Values are means ± SEs for observed values at baseline and observed changes from baseline to months 12 and 24 and from month 12 to 24 shown for AL and CR groups for men, women, and all participants. P values for changes from baseline to months 12 and 24 and from month 12 to 24 are based on intention-to-treat statistical analysis of the adjusted mean change from the repeated-measures analysis adjusted for baseline covariates. AL, ad libitum control group; CR, calorie restriction group; FFM, fat-free mass; TBW, total body water.
Between-group P values test for a significant between-group difference in the change score at the time point. All P values reflect Bonferroni corrections, truncated at 1.0, as appropriate (see Methods).
Within-group P values test for a significant change from baseline to the follow-up time point and months 12–24 in that group.