‘Dessert’ With Breakfast Boosts Weight Loss: Study

MONDAY, June 25 (HealthDay News) — Starting your morning with a
high-protein food and a “dessert” — such as a doughnut or a slice of
cake — may help you lose weight and keep it off, a new study suggests.

However, several nutritionists said they weren’t ready yet to embrace
the study’s conclusions.

When researchers from Tel Aviv University‘s Wolfson Medical Center in
Israel compared two diet regimens — one featuring a low-carbohydrate
breakfast, the other a high-protein, high-carb breakfast — the
sweets-with-breakfast group lost more weight after eight months.

“Although dietary restriction often results in initial weight loss, the
majority of obese dieters fail to maintain their reduced weight,” wrote
the study’s authors.

Diet-related weight loss often triggers hunger and cravings while
decreasing suppression of ghrelin, a hormone that stimulates hunger, the
researchers said. This may encourage weight gain. But, “a high protein and
carbohydrate breakfast may overcome these compensatory changes and prevent
obesity relapse,” they concluded.

The findings are scheduled for presentation Monday at the Endocrine
Society’s annual meeting in Houston.

But at least two U.S. nutrition experts question the wisdom of
encouraging regular consumption of sweet, calorie-dense, low-nutrition
foods.

“A combination of protein and carbohydrates may have kept these study
volunteers satisfied, but you have to pay attention to the quality of
foods you’re eating, too,” said clinical nutritionist Lauren Graf at
Montefiore Medical Center, in New York City. “You don’t want to encourage
people to eat a lot of foods with trans fats, like doughnuts, cookies and
cakes.” Trans fats, which are partially hydrogenated oils found in baked
goods and other products, can raise blood cholesterol levels.

Samantha Heller, a registered dietitian and clinical nutrition
coordinator at the Center for Cancer Care at Griffin Hospital in Derby,
Conn., also expressed concerns.

“When you look at what people are eating for breakfast, it’s things
like chocolate-covered honey-dipped cereals. Isn’t this the same as
dessert?” Heller said. “So many people are eating dessert for breakfast
already, which is helping to contribute to weight gain, not loss.”

Refined carbohydrates and sugary treats cause a roller-coaster effect
on blood sugar, insulin, energy, appetite and fatigue, Heller added. “Over
time, this increases the risk of certain chronic diseases like type 2
diabetes,” she said.

The study included 193 obese men and women who lived sedentary
lifestyles, but didn’t have type 2 diabetes. The average body mass index
was 32.2. A measurement of 30 is considered obese, while below 25 is
considered normal weight. The average age was 47.

The study volunteers were randomly assigned to one of two groups, each
allowing men 1,600 calories daily and women 1,400 calories a day. One
group got a high-protein, high-carb breakfast, while the other group was
put on a low-carb diet that included a 304-calorie breakfast, with only 10
grams of carbohydrates and 30 grams of protein. (A small apple contains 14
grams of carbohydrates).

The dessert-with-breakfast group was allowed 600 calories at
breakfast — almost twice as many calories — including 60 grams of
carbohydrates and 45 grams of protein. Types of protein included tuna, egg
whites, cheese and low-fat milk. This group ate fewer calories at lunch
and dinner than the low-carb group.

After four months, volunteers in both groups lost about 33 pounds each.
Over the next four months, however, dieters eating low-carbohydrate
breakfasts regained 22 pounds on average. But, those who’d had dessert
with breakfast continued to lose weight, averaging another 15-pound weight
loss, according to the study.

The researchers speculated that dieters who had sweets with breakfast
had lower levels of ghrelin, the hunger hormone, so they weren’t as hungry
and were less likely to crave the foods they’d eaten earlier in the day.

Heller suspects that eating a healthy form of protein at each meal and
snack likely helped these dieters feel full and keep their blood sugar
levels on an even keel.

Graf said the study shows that a strict low-carbohydrate diet isn’t
necessarily the best long-term approach to weight loss. “If you love
sweets, maybe having them once or twice a week is OK, though I don’t
recommend processed foods,” she added.

Data and conclusions presented at meetings should be considered
preliminary until published in a peer-reviewed medical journal.

More information

The U.S. Centers for Disease Control and Prevention has advice on healthy eating for a healthy weight.

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