Monday, October 16, 2006

Makronutrien sebagai Prediktor Perubahan Lingkar Pinggang

Sering kali kita bertanya-tanya apakah bahan makanan atau minuman tertentu
menyebabkan perut menjadi buncit? Temuan penelitian berikut ini sangat
menarik.

Para ahli dari Denmark mencari hubungan antara asupan energi/kalori, asupan
makronutrien tertentu dan subgrup-nya terhadap perubahan lingkar pinggang 5
tahun kemudian, dengan melakukan studi kohort atas lebih dari 40 ribu pria
dan wanita berusia 50-64 tahun.

Ternyata protein menunjukkan asosiasi terbalik dengan perubahan lingkar
pinggang. Artinya semakin besar konsumsi protein, semakin kecil perubahan
lingkar pinggang. Demikian juga untuk buah dan sayuran.
Pada wanita terdapat asosiasi positif antara asupan karbohidrat refined,
kentang dan gula. Lemak nabati dan alkohol juga ber-asosiasi positif.
Artinya semakin besar konsumsi bahan makanan tersebut semakin besar pula
perubahan lingkar pinggang dalam waktu 5 tahun.

American Journal of Clinical Nutrition, Vol. 84, No. 4, 789-797, October
2006 © 2006

Intake of macronutrients as predictors of 5-y changes in waist circumference

Jytte Halkjær, Anne Tjønneland, Birthe L Thomsen, Kim Overvad and Thorkild
IA Sørensen
From the Danish Epidemiology Science Centre, Institute of Preventive
Medicine, Copenhagen University Hospital, Copenhagen, Denmark (JH and TIAS);
The Danish Cancer Society, Institute of Cancer Epidemiology, Copenhagen,
Denmark (JH, AT, and BLT); and the Department of Clinical Epidemiology,
Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark (KO)

Background:The diet may influence the development of abdominal obesity, but
the few studies that have prospectively examined the relations between diet
and changes in waist circumference (WC) have given inconsistent results.
Objective:Associations between total energy intake, energy intake from
macronutrients, and energy intake from macronutrient subgroups based on
different food sources and 5-y differences in WC (DWC) were investigated.
Design:A Danish cohort of 22.570 women and 20.126 men aged 50-64 y with
baseline data on WC, diet, BMI, and potential confounders reported their WC
5 y later. Associations of baseline diet with DWC were assessed by multiple
linear regression analysis.
Results:Neither total energy intake nor energy intake from each of the
macronutrients was associated with DWC, except for an inverse association
with protein, especially animal protein. In women, positive associations
with DWC were seen for carbohydrate from refined grains and potatoes and
from foods with simple sugars, whereas carbohydrate from fruit and
vegetables was inversely associated and significantly different from any
other carbohydrate subgroup. The results for men resembled those for women,
although none were significant. Vegetable fat was positively associated with
DWC for both men and women in a combined analysis. A U-shaped association
between alcohol from wine and DWC was present for both sexes, and alcohol
from spirits was positively associated with DWC in women.
Conclusions:Although no significant associations with total energy or energy
from fat, carbohydrate, or alcohol were observed, protein intake was
inversely related to DWC, and some macronutrient subgroups were
significantly associated with DWC.

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