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American Journal of Epidemiology 2005 161(4):359-367; doi:10.1093/aje/kwi051
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Copyright © 2005 by the Johns Hopkins Bloomberg School of Public Health

ORIGINAL CONTRIBUTIONS

Association between Dietary Carbohydrates and Body Weight

Yunsheng Ma1 , Barbara Olendzki1, David Chiriboga2, James R. Hebert3, Youfu Li4, Wenjun Li1, MaryJane Campbell1, Katherine Gendreau1 and Ira S. Ockene4

1 Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA.
2 Preventive Medicine Program, Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA.
3 Department of Biostatistics and Epidemiology, University of South Carolina, Columbia, SC.
4 Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA.

The role of dietary carbohydrates in weight loss has received considerable attention in light of the current obesity epidemic. The authors investigated the association of body mass index (weight (kg)/height (m)2) with dietary intake of carbohydrates and with measures of the induced glycemic response, using data from an observational study of 572 healthy adults in central Massachusetts. Anthropometric measurements, 7-day dietary recalls, and physical activity recalls were collected quarterly from each subject throughout a 1-year study period. Data were collected between 1994 and 1998. Longitudinal analyses were conducted, and results were adjusted for other factors related to body habitus. Average body mass index was 27.4 kg/m2 (standard deviation, 5.5), while the average percentage of calories from carbohydrates was 44.9 (standard deviation, 9.6). Mean daily dietary glycemic index was 81.7 (standard deviation, 5.5), and glycemic load was 197.8 (standard deviation, 105.2). Body mass index was found to be positively associated with glycemic index, a measure of the glycemic response associated with ingesting different types of carbohydrates, but not with daily carbohydrate intake, percentage of calories from carbohydrates, or glycemic load. Results suggest that the type of carbohydrate may be related to body weight. However, further research is required to elucidate this association and its implications for weight management.

body mass index; carbohydrates; glycemic index


Abbreviations: BMI, body mass index; FFQ, food frequency questionnaire; SD, standard deviation; 7DDR, 7-day dietary recall.


Correspondence to Dr. Yunsheng Ma, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655 (e-mail: yunsheng.ma{at}umassmed.edu).


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