Influence of dietary macronutrient composition on eating behaviour and self-perception in young women undergoing weight management

Eat Weight Disord. 2014 Jun;19(2):241-7. doi: 10.1007/s40519-014-0110-y. Epub 2014 Mar 8.

Abstract

The control of eating behaviours such as hunger and disinhibition is problematic for women during weight management. Higher-protein (HP) diets have been shown to promote greater weight reduction than higher-carbohydrate (HC) diets, but their impact on eating behaviours is relatively unexplored. This study compared two iso-energetically restricted (5,600 kJ/day) diets differing in protein (HP: 32%, HC: 20%) and carbohydrate (HP: 41%, HC: 58%) on appetite ratings, restraint, disinhibition, perceived hunger and binge eating in 36 (HP: n = 21, HC: n = 15) young (18-25 years), healthy women with BMI ≥27.5 kg/m(2) who completed a 12-month clinical weight management trial. Dietary compliance and self-worth were also assessed. Results showed that both diets induced improvements in restraint and disinhibition from baseline (p < 0.01), with HP participants losing a non-significantly greater amount of weight than HC participants (HP: 9.6 ± 2.6, HC: 4.1 ± 1.4 kg, p = 0.07). Despite reasonable compliance, no significant appetite and eating behaviour differences were observed between the diets. Reduction in disinhibition (regardless of diet) significantly predicted weight loss (β = 0.574, p < 0.001) and self-worth improvement (β = -0.463, p = 0.002), while HP intake predicted greater self-worth change (β = -0.371, p = 0.011). This study demonstrates that young women can improve restraint and disinhibition on a weight management programme, with the reduction in disinhibition shown to be a key predictor of weight loss. HP intake may offer some advantage for increasing self-worth but not eating behaviours. As HP diets are popular, these findings warrant confirmation in a larger sample.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Diet, Reducing / methods*
  • Dietary Carbohydrates*
  • Dietary Proteins*
  • Feeding Behavior / psychology*
  • Female
  • Humans
  • Hunger / physiology*
  • Overweight / diet therapy*
  • Overweight / psychology
  • Self Concept*
  • Single-Blind Method
  • Surveys and Questionnaires
  • Weight Loss / physiology
  • Young Adult

Substances

  • Dietary Carbohydrates
  • Dietary Proteins