Author, as appears in the article.: Paz-Graniel I; Becerra-Tomás N; Babio N; Serra-Majem L; Vioque J; Zomeño MD; Corella D; Pintó X; Bueno-Cavanillas A; Tur JA; Daimiel L; Zulet MA; Palau-Galindo A; Torres-Collado L; Schröder H; Gimenez-Alba IM; Nissenshon M; Galera A; Riquelme-Gallego B; Bouzas C; Micó V; Martínez JA; Canudas S; Castañer O; Vázquez-Ruiz Z; Salas-Salvadó J

Department: Bioquímica i Biotecnologia

URV's Author/s: Babio Sánchez, Nancy Elvira / Becerra Tomás, Nerea / Paz Graniel, Indira del Socorro / Salas Salvadó, Jorge

Keywords: Weight loss Sweetened beverages Sugary drinks Plain water Central obesity Body weight Alcoholic beverages women weight loss sugary drinks overweight older obesity meal energy-intake diet central obesity body weight alcoholic beverages alcohol-consumption

Abstract: Background & aims: The association between drinking water consumption and adiposity has been poorly explored. Therefore, we aimed to analyse the associations between the frequency of drinking water consumption and body weight and waist circumference changes in an elderly Mediterranean cohort. Methods: A total of 1832 elderly participants (aged 55–75 years) with metabolic syndrome from the PREDIMED-Plus study with baseline data on drinking water and other beverages assessed by a validated 32-item Spanish fluid-intake questionnaire and with data on body weight (BW) and waist circumference (WC) at 1-year and 2-year were included in these prospective analyses. Multivariable linear regression models were fitted to assess the β-coefficients and 95% confidence interval (CI) for BW and WC changes in terms of categories of baseline drinking water consumption (tap water and bottled water). The theoretical effect on BW and WC of replacing several beverages with drinking water was assessed using mathematical models. Results: The baseline frequency of drinking water consumption was inversely associated with 1-year and 2-year changes in BW. β-coefficients (95%CI) across categories of water consumption (<2.5, 2.5 to <5, 5 to < 7.5, ≥7.5 servings/d) expressed in % of weight changes at 2 years of follow-up were 0.0, −0.80 (−1.48, −0.12), −1.36 (−2.18, −0.54), and −1.97 (−3.09, −0.86), respectively. Individuals in the two highest categories of drinking water consumption (5 to < 7, and ≥7.5 servings/d) also showed a higher decrease in WC (expressed as % of change) after 2 years of follow-up: −1.11 (−1.96, −0.25) and −1.45 (−2.66, −0.24) compared to the reference intake (<2.5 servings/day), after adjustment for potential confounding factors. The theoretical replacement of soups, beers, spirits, hot beverages, dairy beverages, and other beverages group with drinking water was associated with greater reductions in BW at one- and two-years of follow-up. Conclusions: Drinking water consumption was inversely associated with 2-year adiposity changes in an elderly Mediterranean cohort at high cardiovascular risk. Our results also suggest that the consumption of drinking water instead of energy-containing beverages is associated with lower weight gain. The trial registration: ISRCTN89898870.

Thematic Areas: Saúde coletiva Química Odontología Nutrition and dietetics Nutrition & dietetics Nutrição Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Farmacia Engenharias iv Enfermagem Educação física Critical care and intensive care medicine Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciência de alimentos Biotecnología

licence for use: https://creativecommons.org/licenses/by/3.0/es/

Author's mail: nerea.becerra@urv.cat nancy.babio@urv.cat jordi.salas@urv.cat indiradelsocorro.paz@urv.cat

Author identifier: 0000-0002-4429-6507 0000-0003-3527-5277 0000-0003-2700-7459

Last page: 3991

Record's date: 2023-09-02

Journal volume: 40

Papper version: info:eu-repo/semantics/publishedVersion

Link to the original source: https://www.clinicalnutritionjournal.com/article/S0261-5614(21)00264-8/fulltext

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Clinical Nutrition. 40 (6): 3982-3991

APA: Paz-Graniel I; Becerra-Tomás N; Babio N; Serra-Majem L; Vioque J; Zomeño MD; Corella D; Pintó X; Bueno-Cavanillas A; Tur JA; Daimiel L; Zulet MA; Pala (2021). Baseline drinking water consumption and changes in body weight and waist circumference at 2-years of follow-up in a senior Mediterranean population. Clinical Nutrition, 40(6), 3982-3991. DOI: 10.1016/j.clnu.2021.05.014

Article's DOI: 10.1016/j.clnu.2021.05.014

Entity: Universitat Rovira i Virgili

Journal publication year: 2021

First page: 3982

Publication Type: Journal Publications