THE DASH-SODIUM TRIAL - FNCE

11/19/2010Achievement of Specific Weight Loss, 2y(Post-hoc Analysis)Carbohydrate/Protein/Fat, Target Intake, % Kcal65/15/20 55/25/20 45/15/40 35/25/40• Number 204 202 204 201• >5% initial 30% 39% 31% 36%• >10% initial 14% 15% 16% 14%• >20 kg 4% 4% 2.5% 2%• 90 th p’tile 11.3 kg 12.3 kg 12.9 kg 10.9 kgContinued Weight Loss: from 6months to 2 years• 23% lost weight after 6 months• Mean additional weight loss = 3.6 kg• Total weight loss = 9.3 kg• No differences among the dietsNo significant differences by dietSatiety, Diet Satisfaction: Participants’reports at 6 months and 2 yearsGroup Session Attendance andWeight Loss at 2 years: Total Group= 0.2 kg per session attended• Satiety by visual analogue scales• Diet Satisfaction (Urban 1992)• Food Craving: fats, sweets, carbohydrates,fast food fats, fruits & veg (FCI-II)• Dietary restraint, disinhibition, hunger (ThreeFactor Eating Questionnaire, White M 2002)• Quality of Life (SF-36)No significant differences by diet groupSacks FM, 2009.Group Session Attendance and WeightLoss: Similar in each diet groupAve Prot, Low-FatSlope = -0.18 kg/sessionAve Prot, High-FatSlope = -0.25 kg/sessionHigh Prot, Low-FatSlope = -0.19 kg/sessionHigh Prot, High-FatSlope = -0.22 kg/sessionWeight Loss:Therapeutic Techniques• “Self-help” vs Weight Watchers, 2 years– Self-help: 2 dietitian consultations• Weight Loss = 0.5 pounds– Weight Watchers: weekly meetings• Weight Loss = 6.4 pounds overall, 11pounds in good attenders• Internet behavioral “e-counseling”– 10 pound weight loss at 1 yearHeshka S et al; Tate D et al. JAMA, April 9, 20035