TABLE 3.
Changes in dietary intake during the intervention a
Outcome | Group | 0 weeks (n = 1822) | 26 weeks (n = 1292) | 52 weeks (n = 1080) | 104 weeks (n = 889) | 156 weeks (n = 833) | P‐value for diet x time interaction | P‐value for diet main effect | P‐value for time main effect |
---|---|---|---|---|---|---|---|---|---|
Glycaemic index | HP | 56.3 ± 0.2 a | 51.2 ± 0.3 b | 51.0 ± 0.4 b | 51.7 ± 0.4 b | 51.6 ± 0.5 b | <.00001 | <.00001 | <.00001 |
MP | 56.5 ± 0.2 a | 55.9 ± 0.3 ac | 54.8 ± 0.4 d | 55.2 ± 0.4 cd | 54.9 ± 0.4 d | ||||
Glycaemic load | HP | 119.3 ± 1.5 a | 82.5 ± 1.3 b | 82.8 ± 1.4 b | 81.4 ± 1.5 b | 79.7 ± 1.5 b | <.00001 | <.00001 | <.00001 |
MP | 119.0 ± 1.5 a | 98.7 ± 1.5 c | 95.5 ± 1.6 cd | 94.3 ± 1.8 cd | 93.3 ± 1.9 d | ||||
Protein, E% | HP | 17.9 ± 0.1 a | 22.4 ± 0.2 b | 22.0 ± 0.2 bd | 21.6 ± 0.2 de | 21.2 ± 0.2 e | <.00001 | <.00001 | <.00001 |
MP | 17.7 ± 0.1 a | 18.9 ± 0.1 c | 18.6 ± 0.2 c | 18.8 ± 0.2 c | 18.9 ± 0.2 c | ||||
Carbohydrate, E% | HP | 40.1 ± 0.2 a | 37.7 ± 0.3 b | 37.8 ± 0.3 b | 37.7 ± 0.4 b | 37.8 ± 0.4 b | <.00001 | <.00001 | .00158 |
MP | 40.1 ± 0.2 a | 42.9 ± 0.3 c | 42.9 ± 0.4 c | 42.2 ± 0.4 cd | 41.4 ± 0.4 d | ||||
Fat, E% | HP | 36.6 ± 0.2 ab | 34.0 ± 0.3 cd | 34.8 ± 0.3 cf | 35.0 ± 0.3 f | 35.0 ± 0.3 bf | <.00001 | <.00001 | <.00001 |
MP | 37.3 ± 0.2 a | 32.7 ± 0.3 e | 33.1 ± 0.3 eg | 33.7 ± 0.3 dg | 34.3 ± 0.3 cd | ||||
Protein, g | HP | 93 ± 1 a | 93 ± 1 a | 92 ± 1 a | 88 ± 1 c | 85 ± 1 c | <.00001 | <.00001 | <.00001 |
MP | 91 ± 1 a | 76 ± 1 b | 74 ± 1 b | 74 ± 1 b | 76 ± 1 b | ||||
Carbohydrate, g | HP | 211 ± 2 a | 159 ± 2 bc | 161 ± 2 be | 155 ± 2 bc | 153 ± 2 c | <.00001 | <.00001 | <.00001 |
MP | 210 ± 2 a | 175 ± 2 d | 174 ± 3 df | 169 ± 3 def | 168 ± 3 bef | ||||
Fat, g | HP | 87 ± 1 a | 64 ± 1 bcd | 66 ± 1 b | 65 ± 1 bc | 64 ± 1 bcd | <.00001 | <.00001 | <.00001 |
MP | 87 ± 1 a | 60 ± 1 e | 60 ± 1 e | 61 ± 1 de | 63 ± 1 cde | ||||
Energy, kJ | HP | 8811 ± 90 a | 7052 ± 76 bc | 7126 ± 95 c | 6919 ± 99 bcd | 6788 ± 89 bd | .00506 | .00433 | <.00001 |
MP | 8751 ± 91 a | 6829 ± 80 bd | 6771 ± 88 d | 6711 ± 91 bd | 6810 ± 105 bd | ||||
Fibre, g | HP | 22.4 ± 0.3 ab | 22.5 ± 0.3 ab | 23.3 ± 0.4 ab | 21.8 ± 0.4 cd | 21.7 ± 0.4 d | .0056 | .05723 | <.00001 |
MP | 21.8 ± 0.3 ab | 22.8 ± 0.3 a | 22.7 ± 0.3 ab | 22.1 ± 0.4 abc | 22.2 ± 0.4 bcd |
Abbreviations: HP, high protein diet; MP, moderate protein diet.
From four‐day dietary records. Unadjusted means ± SE. Changes in continuous secondary outcomes from 8 to 156 weeks analysed using analysis of covariance (ANCOVA) linear mixed model, including two‐way interaction between diet and time adjusted for baseline values (0 weeks), age and gender (fixed effects), and participant ID and intervention centre (random effects). For significant main effects and interactions, pairwise comparison are presented with superscript letters a‐g, where means with differing superscript letters are significantly different (P < .05, single step‐adjusted).