Effect of plain versus sugar-sweetened breakfast on energy balance and metabolic health: A randomised crossover trial

TY - JOUR

T1 - Effect of plain versus sugar-sweetened breakfast on energy balance and metabolic health: A randomised crossover trial

AU - Carroll, Harriet

AU - Chen, Yung-Chih

AU - Templeman, Iain

AU - Wharton, Phoebe

AU - Reeves, Sue

AU - Trim, William

AU - Enhad, Chowdhury

AU - Brunstrom, Jeffrey

AU - Rogers, Peter

AU - Thompson, Dylan

AU - James, Lewis

AU - Johnson, Laura

AU - Betts, James

PY - 2020/2/28

Y1 - 2020/2/28

N2 - Abstract Objective: Investigate effect of 3-weeks high (SWEET) versus low (PLAIN) sugar breakfast on energy balance, metabolic health, and appetite. Methods: 29 healthy adults (22 women) completed this randomised crossover study. Participants had pre- and post-intervention appetite, health and body mass outcomes measured, and recorded diet, appetite (visual analogue scales) and physical activity for 8 days during each intervention. Interventions were 3-weeks iso-energetic SWEET (30% by weight added sugar; average 32g sugar) versus PLAIN (no added sugar; average 8g sugar) porridgebased breakfast. Results: Pre- to post-intervention changes in body mass were similar between PLAIN (Δ0.1, 95% confidence interval [CI] -0.3, 0.5kg) and SWEET (Δ0.2, 95% CI -0.2, 0.5kg), as were pre- to post-intervention changes for biomarkers of health (all p≥0.101) and psychological appetite (all p≥0.152). Energy, fat and protein intake were not statistically different between conditions. Total carbohydrate intake was higher during SWEET (287±82g∙d-1 versus 256±73g∙d-1; p=0.009), driven more by higher breakfast sugar intake (116±46g∙d-1 versus 88±38g∙d-1; p<0.001) than post-breakfast sugar intake (SWEET 84±42g∙d-1 versus PLAIN 80±37g∙d-1; p=0.552). Participants reported reduced sweet desire immediately after SWEET but not PLAIN breakfasts (trial*time p<0.001). Conclusions: Energy balance, health markers, and appetite did not respond differently to 3- weeks of high or low sugar breakfasts.

AB - Abstract Objective: Investigate effect of 3-weeks high (SWEET) versus low (PLAIN) sugar breakfast on energy balance, metabolic health, and appetite. Methods: 29 healthy adults (22 women) completed this randomised crossover study. Participants had pre- and post-intervention appetite, health and body mass outcomes measured, and recorded diet, appetite (visual analogue scales) and physical activity for 8 days during each intervention. Interventions were 3-weeks iso-energetic SWEET (30% by weight added sugar; average 32g sugar) versus PLAIN (no added sugar; average 8g sugar) porridgebased breakfast. Results: Pre- to post-intervention changes in body mass were similar between PLAIN (Δ0.1, 95% confidence interval [CI] -0.3, 0.5kg) and SWEET (Δ0.2, 95% CI -0.2, 0.5kg), as were pre- to post-intervention changes for biomarkers of health (all p≥0.101) and psychological appetite (all p≥0.152). Energy, fat and protein intake were not statistically different between conditions. Total carbohydrate intake was higher during SWEET (287±82g∙d-1 versus 256±73g∙d-1; p=0.009), driven more by higher breakfast sugar intake (116±46g∙d-1 versus 88±38g∙d-1; p<0.001) than post-breakfast sugar intake (SWEET 84±42g∙d-1 versus PLAIN 80±37g∙d-1; p=0.552). Participants reported reduced sweet desire immediately after SWEET but not PLAIN breakfasts (trial*time p<0.001). Conclusions: Energy balance, health markers, and appetite did not respond differently to 3- weeks of high or low sugar breakfasts.

KW - Breakfast

KW - nutrition

U2 - 10.1002/oby.22757

DO - 10.1002/oby.22757

M3 - Article

SN - 1930-7381

JO - Obesity

JF - Obesity

ER -