TABLE 2.
Associations of changes in nutrients and food groups with body weight (kilogram per specified unit of each nutrient) from baseline to year 1 among DPP participants randomly assigned to placebo, intensive lifestyle intervention, or metformin1
Placebo (n = 978) |
Lifestyle (n = 967) |
Metformin (n = 979) |
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Estimate ± SE | P | Estimate ± SE | P | Estimate ± SE | P | |
Nutrient | ||||||
Carbohydrates, per 40 kcal | −0.1 ± 0.0 | 0.072 | −0.2 ± 0.1 | <0.0001 | −0.1 ± 0.0 | 0.17 |
Carbohydrates, % calories | −0.1 ± 0.0 | 0.010 | −0.2 ± 0.0 | <0.0001 | −0.0 ± 0.0 | 0.063 |
Dietary fiber, per 5 g | −0.6 ± 0.2 | 0.0001 | −1.5 ± 0.2 | <0.0001 | −0.5 ± 0.2 | 0.0007 |
Fat, per 45 kcal | 0.2 ± 0.1 | 0.0024 | 0.3 ± 0.1 | <0.0001 | 0.1 ± 0.1 | 0.30 |
Fat, % calories | 0.1 ± 0.0 | <0.0001 | 0.2 ± 0.0 | <0.0001 | 0.0 ± 0.0 | 0.16 |
Saturated fat, per 45 kcal | 0.3 ± 0.1 | 0.0054 | 0.8 ± 0.2 | <0.0001 | 0.3 ± 0.1 | 0.0099 |
Saturated fat, % calories | 0.2 ± 0.1 | <0.0001 | 0.6 ± 0.1 | <0.0001 | 0.2 ± 0.1 | 0.0002 |
Protein, per 40 kcal | −0.3 ± 0.1 | 0.0052 | −0.3 ± 0.1 | 0.071 | −0.1 ± 0.1 | 0.47 |
Protein, % calories | −0.2 ± 0.1 | <0.0001 | −0.1 ± 0.1 | 0.15 | −0.1 ± 0.1 | 0.18 |
Food group,2,3 servings/d | ||||||
Fruit | −0.2 ± 0.1 | 0.019 | −0.4 ± 0.1 | 0.0017 | −0.3 ± 0.1 | 0.0024 |
Citrus fruit and juice | −0.4 ± 0.3 | 0.103 | −0.6 ± 0.3 | 0.061 | −0.4 ± 0.2 | 0.11 |
Noncitrus fruit and juice | −0.2 ± 0.1 | 0.042 | −0.4 ± 0.1 | 0.0032 | −0.3 ± 0.0 | 0.0043 |
Vegetables | −0.4 ± 0.1 | 0.0022 | −0.5 ± 0.2 | 0.0005 | −0.2 ± 0.1 | 0.13 |
Tomatoes4 | −0.4 ± 0.3 | 0.18 | −1.4 ± 0.4 | 0.0016 | 0.2 ± 0.3 | 0.51 |
Dark green or bright yellow vegetables | −0.5 ± 0.4 | 0.16 | −1.7 ± 0.4 | 0.0002 | −0.3 ± 0.3 | 0.30 |
Cruciferous vegetables | −1.6 ± 0.5 | 0.0062 | −0.6 ± 0.7 | 0.40 | −1.1 ± 0.5 | 0.015 |
Other vegetables5 | −0.4 ± 0.2 | 0.021 | −0.4 ± 0.3 | 0.12 | −0.3 ± 0.2 | 0.17 |
Grains | −0.1 ± 0.1 | 0.63 | −0.2 ± 0.2 | 0.22 | −0.1 ± 0.1 | 0.41 |
High-fiber, low-fat grains | −0.6 ± 0.2 | 0.0057 | −0.6 ± 0.3 | 0.05 | −0.6 ± 0.2 | 0.0050 |
Low-fiber, high-fat grains | 0.0 ± 0.3 | 0.89 | 1.0 ± 0.4 | 0.03 | −0.0 ± 0.3 | 0.94 |
Low-fiber, low-fat grains | 0.2 ± 0.2 | 0.24 | −0.2 ± 0.2 | 0.25 | 0.1 ± 0.2 | 0.38 |
Other vegetables5 | −0.4 ± 0.2 | 0.021 | −0.4 ± 0.3 | 0.12 | −0.3 ± 0.2 | 0.17 |
Dairy | −0.2 ± 0.1 | 0.071 | 0.3 ± 0.2 | 0.15 | −0.0 ± 0.1 | 0.77 |
Low-fat dairy | −0.2 ± 0.1 | 0.14 | −0.3 ± 0.2 | 0.16 | −0.2 ± 0.1 | 0.09 |
High-fat dairy | 0.1 ± 0.2 | 0.69 | 1.2 ± 0.3 | <0.0001 | 0.4 ± 0.2 | 0.08 |
Meat, eggs, and legumes | −0.2 ± 0.2 | 0.32 | −0.4 ± 0.2 | 0.14 | −0.1 ± 0.2 | 0.78 |
Fried fish | 1.0 ± 1.6 | 0.55 | 3.4 ± 2.5 | 0.17 | 0.5 ± 1.7 | 0.80 |
High omega-3 fatty acid fish | 0.4 ± 1.0 | 0.72 | 0.6 ± 1.2 | 0.65 | 0.6 ± 0.8 | 0.45 |
Low-fat fish (other fish, shellfish) | −1.2 ± 0.9 | 0.23 | −1.9 ± 1.2 | 0.095 | −1.8 ± 1.0 | 0.08 |
Eggs | −0.1 ± 0.5 | 0.80 | 1.3 ± 0.9 | 0.15 | 0.0 ± 0.7 | 0.97 |
Dried beans | −0.3 ± 0.5 | 0.53 | −2.4 ± 0.7 | 0.0002 | −0.0 ± 0.5 | 0.95 |
Nuts and seeds | 0.0 ± 0.5 | 0.99 | 1.0 ± 0.8 | 0.18 | −0.8 ± 0.5 | 0.07 |
High-fat meat | −0.0 ± 0.3 | 0.92 | 0.4 ± 0.4 | 0.37 | 0.1 ± 0.3 | 0.84 |
Lower-fat meat (game or fat removed) | 0.2 ± 0.5 | 0.67 | 0.1 ± 0.7 | 0.84 | 1.1 ± 0.5 | 0.03 |
Fried chicken | 0.5 ± 1.2 | 0.66 | 2.0 ± 2.3 | 0.40 | −1.2 ± 1.0 | 0.23 |
Other (nonfried) poultry | −0.4 ± 0.3 | 0.31 | −1.7 ± 0.5 | 0.0013 | −0.1 ± 0.3 | 0.80 |
Fats, oils, and sweets | 0.3 ± 0.1 | 0.0011 | 0.6 ± 0.1 | <0.0001 | 0.2 ± 0.1 | 0.026 |
Sweets and desserts | 0.4 ± 0.1 | 0.0041 | 0.3 ± 0.2 | 0.059 | 0.4 ± 0.1 | 0.0025 |
Regular soft drinks | 0.2 ± 0.2 | 0.24 | 0.4 ± 0.3 | 0.10 | 0.4 ± 0.2 | 0.04 |
Diet soft drinks | −0.1 ± 0.1 | 0.28 | −0.8 ± 0.2 | 0.0001 | 0.2 ± 0.2 | 0.15 |
Adjusted for age, sex, race/ethnicity, baseline weight, baseline calories, change in calories, baseline physical activity, and change in physical activity. DPP, Diabetes Prevention Program.
Servings were defined by the DPP Nutrition Coding Center as medium-sized portions for a given age range.
Effect estimates are β-coefficients and reflect the mean change in kilograms of body weight per serving of each food group.
Food items combined to generate the vegetable subcategory “tomatoes” included spaghetti with sauce, pizza, and tacos.
Food items combined to generate the vegetable subcategory “other vegetables” included French fries.