Comparative effects of different beverages on weight loss in adults: a systematic review and network meta-analysis of randomized trials.

IF 4.2 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

International Journal of Obesity Pub Date : 2024-11-14 DOI:10.1038/s41366-024-01673-6

Hossein Shahinfar, Nastaran Payandeh, Sheida Zeraattalab-Motlagh, Kimia Torabynasab, Ahmad Jayedi, Haniehsadat Ejtahed, Shirin Hasani-Ranjbar, Sakineh Shab-Bidar

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引用次数: 0

Abstract

Background: There is a lack of clarity on the comparative effects of different beverages on weight loss in adults.

Objective: This study aimed at quantifying and ranking the effects of different beverages on weight loss.

Methods: We searched PubMed, Scopus, and Web of Science up to January 2023. We included randomized trials evaluating the comparative effects of two or more beverages, or compared a beverage against a control group (water, no intervention), for weight loss in adults. We conducted a random-effects network meta-analysis (NMA) with a Bayesian framework to estimate mean difference [MD] and 95% credible interval [CrI].

Results: In total, 78 randomized trials with 4168 participants were eligible. Low/no-calorie sweetened beverages (LNCSB) was effective for weight loss compared with water (MD: -0.79 kg, 95% CrI: -1.35, -0.18), milk (MD: -0.80 kg, 95% CrI: -1.59, -0.01), fruit juice (MD: -0.83 kg, 95% CrI: -1.47, -0.13), sugar-sweetened beverages (SSB) (MD: -1.08 kg, 95% CrI: -1.65, -0.50), and no intervention (MD: -1.19 kg, 95% CrI: -1.93, -0.41). However, in sensitivity analyses, no significant effect was seen in trials with a low risk of bias and those that implemented calorie restriction. LNCSB drinking was effective for waist circumference reduction compared with water (MD: -1.85 cm, 95% CrI: -3.47, -0.22). The certainty of evidence from most comparisons was rated low.

Conclusions: This study suggested evidence of low certainty that intake of LNCSBs can result in a small weight loss when used as a substitute for other beverages. Considering the low certainty of evidence, more research is needed to compare the effects of different beverages on body weight.

Trial registration: Not applicable, but the protocol of this systematic review was registered at PROSPERO (registration number: CRD42023407937).

查看原文本刊更多论文

不同饮料对成人减肥效果的比较：随机试验的系统回顾和网络荟萃分析。

背景：不同饮料对成年人减肥效果的比较尚不明确：本研究旨在对不同饮料的减肥效果进行量化和排序：方法：我们检索了截至 2023 年 1 月的 PubMed、Scopus 和 Web of Science。我们纳入了评估两种或两种以上饮料减肥效果比较的随机试验，或将一种饮料与对照组（水，无干预措施）进行比较的试验。我们采用贝叶斯框架进行了随机效应网络荟萃分析（NMA），以估计平均差[MD]和95%可信区间[CrI]：总共有 78 项随机试验、4168 名参与者符合条件。与水（MD：-0.79 kg，95% CrI：-1.35，-0.18）、牛奶（MD：-0.80 kg，95% CrI：-1.59，-0.01）、果汁（MD：-0.79 kg，95% CrI：-1.35，-0.18）相比，低热量/无热量甜味饮料（LNCSB）对减肥有效。01）、果汁（MD：-0.83 kg，95% CrI：-1.47，-0.13）、含糖饮料（SSB）（MD：-1.08 kg，95% CrI：-1.65，-0.50）和无干预（MD：-1.19 kg，95% CrI：-1.93，-0.41）。然而，在敏感性分析中，偏倚风险较低的试验和实施卡路里限制的试验未发现明显效果。与喝水相比，饮用低钠碳酸饮料能有效减少腰围（MD：-1.85 厘米，95% CrI：-3.47，-0.22）。大多数比较的证据确定性较低：本研究提出的低确定性证据表明，摄入低脂低糖饮料作为其他饮料的替代品，可导致体重略有下降。考虑到证据的确定性较低，需要进行更多的研究来比较不同饮料对体重的影响：不适用，但本系统综述的方案已在 PROSPERO 注册（注册号：CRD42023407937）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Obesity 医学-内分泌学与代谢

CiteScore

10.00

自引率

2.00%

发文量

221

审稿时长

3 months

期刊介绍： The International Journal of Obesity is a multi-disciplinary forum for research describing basic, clinical and applied studies in biochemistry, physiology, genetics and nutrition, molecular, metabolic, psychological and epidemiological aspects of obesity and related disorders. We publish a range of content types including original research articles, technical reports, reviews, correspondence and brief communications that elaborate on significant advances in the field and cover topical issues.