PMID- 23364015 OWN - NLM STAT- MEDLINE DCOM- 20130415 LR - 20230318 IS - 1938-3207 (Electronic) IS - 0002-9165 (Print) IS - 0002-9165 (Linking) VI - 97 IP - 3 DP - 2013 Mar TI - Does diet-beverage intake affect dietary consumption patterns? Results from the Choose Healthy Options Consciously Everyday (CHOICE) randomized clinical trial. PG - 604-11 LID - 10.3945/ajcn.112.048405 [doi] AB - BACKGROUND: Little is understood about the effect of increased consumption of low-calorie sweeteners in diet beverages on dietary patterns and energy intake. OBJECTIVE: We investigated whether energy intakes and dietary patterns were different in subjects who were randomly assigned to substitute caloric beverages with either water or diet beverages (DBs). DESIGN: Participants from the Choose Healthy Options Consciously Everyday randomized clinical trial (a 6-mo, 3-arm study) were included in the analysis [water groups: n = 106 (94% women); DB group: n = 104 (82% women)]. For energy, macronutrient, and food and beverage intakes, we investigated the main effects of time, treatment, and the treatment-by-time interaction by using mixed models. RESULTS: Overall, the macronutrient composition changed in both groups without significant differences between groups over time. Both groups reduced absolute intakes of total daily energy, carbohydrates, fat, protein, saturated fat, total sugar, added sugar, and other carbohydrates. The DB group decreased energy from all beverages more than the water group did only at month 3 (P-group-by-time < 0.05). Although the water group had a greater reduction in grain intake at month 3 and a greater increase in fruit and vegetable intake at month 6 (P-group-by-time < 0.05), the DB group had a greater reduction in dessert intake than the water group did at month 6 (P-group-by-time < 0.05). CONCLUSIONS: Participants in both intervention groups showed positive changes in energy intakes and dietary patterns. The DB group showed decreases in most caloric beverages and specifically reduced more desserts than the water group did. Our study does not provide evidence to suggest that a short-term consumption of DBs, compared with water, increases preferences for sweet foods and beverages. This trial was registered at clinicaltrials.gov as NCT01017783. FAU - Piernas, Carmen AU - Piernas C AD - Department of Nutrition, The University of North Carolina, Chapel Hill, NC, USA. FAU - Tate, Deborah F AU - Tate DF FAU - Wang, Xiaoshan AU - Wang X FAU - Popkin, Barry M AU - Popkin BM LA - eng SI - ClinicalTrials.gov/NCT01017783 GR - P30 DK56350/DK/NIDDK NIH HHS/United States GR - P30 CA016086/CA/NCI NIH HHS/United States GR - P30 CA16086/CA/NCI NIH HHS/United States GR - R01 HL104580/HL/NHLBI NIH HHS/United States GR - R24 HD050924/HD/NICHD NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130130 PL - United States TA - Am J Clin Nutr JT - The American journal of clinical nutrition JID - 0376027 RN - 0 (Dietary Carbohydrates) RN - 0 (Sweetening Agents) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Beverages/*analysis MH - Body Mass Index MH - Body Weight MH - *Caloric Restriction MH - *Choice Behavior MH - Dietary Carbohydrates/administration & dosage MH - Edible Grain MH - *Energy Intake MH - *Feeding Behavior MH - Female MH - Food Preferences MH - Fruit MH - Humans MH - Male MH - Middle Aged MH - Single-Blind Method MH - Surveys and Questionnaires MH - Sweetening Agents/*analysis MH - Vegetables MH - Young Adult PMC - PMC3578403 EDAT- 2013/02/01 06:00 MHDA- 2013/04/16 06:00 PMCR- 2014/03/01 CRDT- 2013/02/01 06:00 PHST- 2013/02/01 06:00 [entrez] PHST- 2013/02/01 06:00 [pubmed] PHST- 2013/04/16 06:00 [medline] PHST- 2014/03/01 00:00 [pmc-release] AID - S0002-9165(23)05450-3 [pii] AID - 048405 [pii] AID - 10.3945/ajcn.112.048405 [doi] PST - ppublish SO - Am J Clin Nutr. 2013 Mar;97(3):604-11. doi: 10.3945/ajcn.112.048405. Epub 2013 Jan 30.