A randomized trial of high-dairy-protein, variable-carbohydrate diets and exercise on body composition in adults with obesity

Obesity (Silver Spring). 2016 May;24(5):1035-45. doi: 10.1002/oby.21451. Epub 2016 Mar 2.

Abstract

Objective: This study determined the effects of 16-week high-dairy-protein, variable-carbohydrate (CHO) diets and exercise training (EXT) on body composition in men and women with overweight/obesity.

Methods: One hundred and eleven participants (age 47 ± 6 years, body mass 90.9 ± 11.7 kg, BMI 33 ± 4 kg/m(2) , values mean ± SD) were randomly stratified to diets with either: high dairy protein, moderate CHO (40% CHO: 30% protein: 30% fat; ∼4 dairy servings); high dairy protein, high CHO (55%: 30%: 15%; ∼4 dairy servings); or control (55%: 15%: 30%; ∼1 dairy serving). Energy restriction (500 kcal/day) was achieved through diet (∼250 kcal/day) and EXT (∼250 kcal/day). Body composition was measured using dual-energy X-ray absorptiometry before, midway, and upon completion of the intervention.

Results: Eighty-nine (25 M/64 F) of 115 participants completed the 16-week intervention, losing 7.7 ± 3.2 kg fat mass (P < 0.001) and gaining 0.50 ± 1.75 kg lean mass (P < 0.01). There was no difference in the changes in body composition (fat mass or lean mass) between groups.

Conclusions: Compared to a healthy control diet, energy-restricted high-protein diets containing different proportions of fat and CHO confer no advantage to weight loss or change in body composition in the presence of an appropriate exercise stimulus.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Absorptiometry, Photon
  • Adult
  • Body Composition*
  • Caloric Restriction*
  • Dairy Products*
  • Dietary Carbohydrates / administration & dosage*
  • Dietary Proteins / administration & dosage
  • Exercise*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Milk Proteins / administration & dosage
  • Obesity / physiopathology
  • Obesity / therapy*
  • Overweight / diet therapy
  • Weight Loss / drug effects

Substances

  • Dietary Carbohydrates
  • Dietary Proteins
  • Milk Proteins

Associated data

  • ANZCTR/ACTRN12612000021875