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Investigation of the effect of high dairy diet on body mass index and body fat in overweight and obese children

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Abstract

Objective

To investigate whether an increase in dairy food consumption improves the changes in BMI and adiposity in children on an energy restricted diet.

Methods

Overweight and obese children (n = 120, age: 12–18 y, BMI: 27–40 kg/m2) were randomized to receive a calorie restricted diet providing a 500 kcal/d deficit from total energy expenditure and two (n = 40), three (n = 40) or four (n = 40) servings of dairy products/day. Anthropometric measurements in addition to serum hs-CRP and lipid profile were measured at baseline and after 12 weeks.

Results

Among the 96 children who completed the study, significant reductions in overall BMI, BMI z-score, weight, total body fat percentage and total body fat mass were observed (p < 0.001) but these reductions were not significantly affected by increasing dairy intake (p > 0.05). Overall waist/hip ratio, Serum vitamin D and lipid profile did not change significantly (p > 0.05) apart from a significant increase in HDL-cholesterol (p < 0.001) which was independent of dairy intake (p > 0.05).

Conclusion

Increased intake of dairy products does not lead to an augmented change in BMI, weight and body fat in overweight and obese children beyond what is achieved by calorie restriction.

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References

  1. Lovejoy JC, Champagne CM, Smith SR, de Jonge L, Xie H. Ethnic differences in dietary intakes, physical activity, and energy expenditure in middle-aged, premenopausal women: the Healthy Transitions Study. Am J Clin Nutr 2001;74:90–95.

    PubMed  CAS  Google Scholar 

  2. Zemel MB. Role of calcium and dairy products in energy partitioning and weight management. Am J Clin Nutr 2004;79:907S–912S.

    PubMed  CAS  Google Scholar 

  3. Pereira MA, Jacobs DR, Van Horn L, Slattery ML, Kartashov AI, Ludwig DS. Dairy consumption, obesity and the insulin resistance syndrome in young adults: the CARDIA study. JAMA 2002;287:2081–2089.

    Article  PubMed  Google Scholar 

  4. Zemel MB, Thompson W, Milstead A, Morris K, Campbell P. Calcium and dairy acceleration of weight and fat loss during energy restriction in obese adults. Obesity Res 2004;12:582–590.

    Article  CAS  Google Scholar 

  5. Lin YC, Lyle RM, McCabe LD, McCabe GP, Weaver CM, Teegarden D. Dairy calcium is related to changes in body composition during a two-year exercise intervention in young women. J Am Coll Nutr 2000;19:754–760.

    PubMed  CAS  Google Scholar 

  6. Ascherio A, Hennekens C, Willett WC et al. Prospective study of nutritional factors, blood pressure, and hypertension among US women. Hypertension 1996;27:1065–1072.

    PubMed  CAS  Google Scholar 

  7. Mennen LI, Balkau B, Vol S et al. Tissue-type plasminogen activator antigen and consumption of dairy products. The DESIR Study. Thromb Res 1999;94:381–388.

    Article  PubMed  CAS  Google Scholar 

  8. Ness AR, Smith GD, Hart C. Milk, coronary heart disease and mortality. J Epidemiol Community Health 2001;55:379–382.

    Article  PubMed  CAS  Google Scholar 

  9. Iso H, Stampfer MJ, Manson JE et al. Prospective study of calcium, potassium, and magnesium intake and risk of stroke in women. Stroke 1999;30:1772–1779.

    PubMed  CAS  Google Scholar 

  10. Zemel MB, Shi H, Greer B, DiRienzo D, Zemel PC. Regulation of adiposity by dietary calcium. FASEB J 2000;14:1132–1138.

    PubMed  CAS  Google Scholar 

  11. Xue B, Greenberg AG, Kraemer FB, Zemel MB. Mechanism of intracellular calcium inhibition of lipolysis in human adipocytes. FASEB J 2001;15:2527–2529.

    PubMed  CAS  Google Scholar 

  12. Boon N, Hul GB, Viguerie N, Sicard A, Langin D, Saris WH. Effects of 3 diets with various calcium contents on 24-h energy expenditure, fat oxidation, and adipose tissue message RNA expression of lipid metabolism-related proteins. Am J Clin Nutr 2005;82:1244–1252.

    PubMed  CAS  Google Scholar 

  13. Hamoui N, Anthone G, Crookes PF. Calcium metabolism in the morbidly obese. Obes Surg 2004;14:9–12.

    Article  PubMed  Google Scholar 

  14. Parikh SJ, Edelman M, Uwaifo GI et al. The relationship between obesity and serum 1,25-dihydroxy vitamin D concentrations in healthy adults. J Clin Endocrinol Metab 2004;89:1196–1199.

    Article  PubMed  CAS  Google Scholar 

  15. Melanson EL. The effects of low- and high-dairy diets on resting energy expenditure and substrate oxidation. Exp Biol 2004;A846 (asbstr).

  16. Zemel MB. Role of dairy products in modulating weight and fat loss: a multi-center trial. Exp Biol 2004;A845 (abstr).

  17. Zemel MB, Richards J, Mathis S, Milstead A, Gebhardt L, Silva E. Dairy augmentation of total and central fat loss in obese subjects. Int J Obes Relat Metab Disord 2005;29:391–397.

    Article  CAS  Google Scholar 

  18. Welberg J, Monkelbaan JF, deVries EG et al. Effects of supplemental dietary calcium on quantitative and qualitative fecal fat excretion in man. Ann Nutr Metab 1994;38:185–191.

    Article  PubMed  CAS  Google Scholar 

  19. Jacobsen R, Lorenzen JK, Toubro S, Krog-Mikkelsen I, Astrup A. Effect of short-term high dietary calcium intake on 24-h energy expenditure, fat oxidation, and fecal fat excretion. Int J Obes 2005;29:292–301.

    Article  CAS  Google Scholar 

  20. Papakonstantinou E, Flatt WP, Huth PJ, Harris RBS. High dietary calcium reduces body fat content, digestibility of fat, and serum vitamen D in rats. Obes Res 2003;11:387–394.

    Article  PubMed  CAS  Google Scholar 

  21. Shahkhalili Y, Murset C, Meirim I et al. Calcium supplementation of chocolate: effect on cocoa butter digestibility and blood lipids in humans. Am J Clin Nutr 2001;73:246–252.

    PubMed  CAS  Google Scholar 

  22. Shah H. Effects of milk-derived bioactives: an overview. Br J Nutr 2000;84:3–10.

    Article  Google Scholar 

  23. Pihlanto-Leppala A, Koskinen P, Piilola K, Tupasela T, Korhonen H. Angiotensin I-converting enzyme inhibitory properties of whey protein digests: concentration and characterization of active peptides. J Dairy Res 2000;96:53–64.

    Article  Google Scholar 

  24. Shapses SA, Heshka S, Heymsfield SB. Effect of calcium supplementation on weight and fat loss in women. J Clin Endocrinol Metab 2004;89:632–637.

    Article  PubMed  CAS  Google Scholar 

  25. Zemel MB, Richards J, Milstead A, Campbell P. Effects of calcium and dairy on body composition and weight loss in African-American adults. Obes Res 2005;13:1218–1225.

    Article  PubMed  CAS  Google Scholar 

  26. Harvey-Berino J, Gold BC, Lauber R, Starinski A. The impact of dairy product consumption on weight loss. Obes Res. 2005;13:1720–1726.

    Article  PubMed  CAS  Google Scholar 

  27. Gunther CW, Legowski PA, Lyle RM et al. Dairy products do not lead to alterations in body weight or fat mass in young women in a 1-yr intervention. Am J Clin Nutr 2005;81:751–756.

    PubMed  CAS  Google Scholar 

  28. Ricci TA, Chowdhury HA, Heymsfield SB, Stahl T, Pierson RN, Jr, Shapses SA. Calcium supplementation suppresses bone turnover during weight reduction in post menopausal women. J Bone Miner Res 1998;13:1045–1050.

    Article  PubMed  CAS  Google Scholar 

  29. Jensen LB, Kollerup G, Quaade F, Sorensen OH. Bone mineral changes in obese women during a moderate weight loss with and without calcium supplementation. J Bone Miner Res 2001;16:141–147.

    Article  PubMed  CAS  Google Scholar 

  30. Bortolotti M, Rudelle S, Schneiter P et al. Dairy calcium supplementation in overweight or obese persons: its effect on markers of fat metabolism. Am J Clin Nutr 2008;88:877–885.

    PubMed  CAS  Google Scholar 

  31. Lorenzen JK, Molgaard C, Michaelsen KF, Astrup A. Calcium supplementation for 1 y does not reduce body weight or fat mass in young girls. Am J Clin Nutr 2006;83:18–23.

    PubMed  CAS  Google Scholar 

  32. Thompson WG, Rostad HN, Janzow DJ, Slezak JM, Morris KL, Zemel MB. Effect of energy-reduced diets high in dairy products and fiber on weight loss in obese adults. Obes Res 2005;13:1344–1353.

    Article  PubMed  CAS  Google Scholar 

  33. Haub MD, Simons TR, Cook CM, Remig VM, Al-Tamimi EK, Holcomb CA. Calcium-fortified beverage supplementation on body composition in postmenopausal women. Nutr J 2005;4:21–26.

    Article  PubMed  CAS  Google Scholar 

  34. Teegarden D. Calcium intake and reduction of fat mass. J Nutr 2003;133:249S–251S.

    PubMed  Google Scholar 

  35. Mirmiran P, Esmaillzadeh A, Azizi F. Dairy consumption and body mass index: an inverse relationship. Int J Obes (Lond). 2005;29:115–121.

    Article  CAS  Google Scholar 

  36. Barr SI. Increased dairy product or calcium intake: is body weight or composition affected in humans? J Nutr 2003;133:245S–248S.

    PubMed  Google Scholar 

  37. Phillips SM, Bandini LG, Cyr H, Colclough-Douglas S, Naumova E, Must A. Dairy food consumption and body weight and fatness studied longitudinally over the adolescent period. Int J Obes Relat Metab Disord 2003;27:1106–1113.

    Article  PubMed  CAS  Google Scholar 

  38. Carruth BR, Skinner JD. The role of dietary calcium and other nutrients in moderating body fat in preschool children. Int J Obes Relat Metab Disord 2001;25:559–566.

    Article  PubMed  CAS  Google Scholar 

  39. Skinner JD, Bounds W, Carruth BR, Zeigler P. Longitudinal calcium intake is negatively related to children’s body fat indexes. J Am Diet Assoc 2003;103:1626–1631.

    Article  PubMed  Google Scholar 

  40. Novotny R, Daida YG, Acharya S, Grove JS, Vogt TM. Dairy intake is associated with lower body fat and soda intake with greater weight in adolescent girls. J Nutr 2004;134:1905–1909.

    PubMed  CAS  Google Scholar 

  41. Lanou AJ, Barnard ND. Dairy and weight loss hypothesis: an evaluation of the clinical trials. Nutr Rev 2008;66:272–279.

    Article  PubMed  Google Scholar 

  42. Lappe JM, Rafferty KA, Davies KM, Lypaczewski G. Girls on a high-calcium diet gain weight at the same rate as girls on a normal diet: a pilot study. J Am Diet Assoc 2004;104:1361–1367.

    Article  PubMed  CAS  Google Scholar 

  43. Cadogan J, Eastell R, Jones N, Barker ME. Milk intake and bone mineral acquisition in adolescent girls: randomised, controlled intervention trial. BMJ 1997;315:1255–1260.

    PubMed  CAS  Google Scholar 

  44. Chan GM, Hoffman K, McMurry M. Effects of dairy products on bone and body composition in pubertal girls. J Pediatr 1995;126:551–556.

    Article  PubMed  CAS  Google Scholar 

  45. Du X, Zhu K, Trube A et al. School-milk intervention trial enhances growth and bone mineral accretion in Chinese girls aged 10–12 years in Beijing. Brit J Nutr 2004;92:159–168.

    Article  PubMed  CAS  Google Scholar 

  46. Lau EMC, Lynn H, Chan YH, Lau W, Woo J. Benefits of milk powder supplementation on bone accretion in Chinese children. Osteoporos Int 2004;15:654–658.

    Article  PubMed  CAS  Google Scholar 

  47. Bonjour JP, Carrie AL, Ferrari S et al. Calcium-enriched foods and bone mass in prepubertal girls: a randomized, double-blind, placebo-controlled trial. J Clin Invest 1997;99:1287–1294.

    Article  PubMed  CAS  Google Scholar 

  48. Cameron MA, Paton LM, Nowson CA, Margerison C, Frame M, Wark JD. The effect of calcium supplementation on bone density in premenarcheal females: a co-twin approach. J Clin Endocrinol Metab 2004;89:4916–4922.

    Article  PubMed  CAS  Google Scholar 

  49. Dibba B, Prentice A, Ceesay M, Stirling DM, Cole TJ, Poskitt EME. Effect of calcium supplementation on bone mineral accretion in Gambian children accustomed to a lowcalcium diet. Am J Clin Nutr 2000;71:544–549.

    PubMed  CAS  Google Scholar 

  50. Johnston CC, Miller JZ, Slemenda CS et al. Calcium supplementation and increases in bone mineral density in children. N Engl J Med 1992;327:82–87.

    Article  PubMed  Google Scholar 

  51. Lee WTK, Leung SSF, Leung DMY, Tsand HSY, Lau J, Cheng JCY. A randomized, double-blind controlled calcium supplementation trial and bone and height acquisition in children. Br J Nutr 1995;74:125–139.

    Article  PubMed  CAS  Google Scholar 

  52. Lee WTK, Leung SSF, Wang SH et al. Double-blind, controlled calcium supplementation and bone mineral accretion in children accustomed to a low-calcium diet. Am J Clin Nutr 1994;60:744–750.

    PubMed  CAS  Google Scholar 

  53. Lloyd T, Andon MB, Rollings N et al. Calcium supplementation and bone mineral density in adolescent girls. J Am Med Assoc 1993;270:841–844.

    Article  CAS  Google Scholar 

  54. Kant AK. Reported consumption of low-nutrient-density foods by American children and adolescents: nutritional and health correlates, NHANES III, 1988 to 1994. Arch Pediatr Adolesc Med 2003;157:789–796.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Cardiovascular Research Center, Avicenna Research Institute, Mashhad University of Medical Science (MUMS), Mashhad, Iran

    Majid Ghayour-Mobarhan, Amirhossein Sahebkar, Elham Lotfian, Mona Khorashadizadeh, Shima Tavallaie & Monireh Dahri

  2. Department of Nutrition and Biochemistry, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran

    Majid Ghayour-Mobarhan, Mohammad Safarian & Mohsen Nematy

  3. Department of Cardiology, Faculty of Medicine, MUMS, Mashhad, Iran

    Rahim Vakili

  4. Centre for Clinical Science & Measurement, University of Surrey, Stag Hill, Guildford, Surrey, GU2 7XH, UK

    Gordon Ferns

Authors
  1. Majid Ghayour-Mobarhan
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  2. Amirhossein Sahebkar
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  3. Rahim Vakili
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  4. Mohammad Safarian
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  10. Gordon Ferns
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Corresponding author

Correspondence to Mohammad Safarian.

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Ghayour-Mobarhan, M., Sahebkar, A., Vakili, R. et al. Investigation of the effect of high dairy diet on body mass index and body fat in overweight and obese children. Indian J Pediatr 76, 1145–1150 (2009). https://doi.org/10.1007/s12098-009-0231-x

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  • DOI: https://doi.org/10.1007/s12098-009-0231-x

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