兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

Comparative effectiveness of single foods and food groups on body weight: a systematic review and network meta-analysis of 152 randomized controlled trials

Bradly C. Johnston; Sakineh Shab-Bidar
2022-11-28
Purpose This study aimed at quantifying and ranking the effects of different foods or food groups on weight loss. Methods We searched PubMed, Scopus, Cochrane Central Register of Controlled Trials, and Embase to April 2021. We included randomized trials evaluating the comparative effects of two or more food groups, or compared a food group against a control group (usual diet, no intervention) for weight loss in adults. We conducted random-effects network meta-analysis with Bayesian framework to estimate mean difference [MD] and 95% credible interval [CrI] of the effect of food groups on weight loss. Results 152 RCTs with 9669 participants were eligible. Increased consumption of fish (MD - 0.85 kg, 95% CrI - 1.66, - 0.02; GRADE = low), whole grains (MD - 0.44 kg, 95% CrI - 0.88, 0.0; GRADE = very low), and nuts (MD - 0.37 kg, 95% CI - 0.72, - 0.01; GRADE = low) demonstrated trivial weight loss, well below minimal clinically important threshold (3.9 kg), when compared with the control group. Interventions with other food groups led to no weight loss when compared with either the control group or other food groups. The certainty of the evidence was rated low to very low with the point estimates for all comparisons less than 1 kg. None of the food groups showed an important reduction in body weight when restricted to studies conducted in participants with overweight or obesity. Conclusions Interventions with a single food or food group resulted in no or trivial weight loss, especially in individuals with overweight or obesity. Further trials on single foods or food groups for weight loss should be highly discouraged.
European Journal of Nutrition
卷号:62|期号:3|页码:1153-1164
ISSN:1436-6207|收录类别:SCIE
DOI
10.1007/s00394-022-03046-z
EISSN
1436-6215
出版日期
2022-11-28
相关链接
https://link.springer.com/article/10.1007/s00394-022-03046-z
语种
英文
国家
伊朗
学科领域
循证医学
WOS学科分类
Nutrition & Dietetics
被引频次(WOS)
9
来源机构
Evidence Based Social Science Research Centre, School of Public Health, Lanzhou University, Lanzhou, China
研究类型
Meta分析
关键词
Foods Food groups Network meta-analysis Randomized trials Weight loss