OBESIDADE E A SUBSTITUIÇÃO DE MACRONUTRIENTES DA DIETA
Palavras-chave:
composição de macronutrientes, dieta, obesidadeResumo
Os fatores envolvidos na gênese da obesidade não são conclusivos, incluindo o papel dos macronutrientes da dieta na suscetibilidade ao ganho de peso. O carboidrato pode ser considerado um componente importante na saciedade. Sua substituição pelo adoçante, reduz o valor energético da dieta, reduzindo a massa corporal. Os efeitos dos adoçantes sobre o apetite dependem da natureza e da densidade dos nutrientes consumidos simultaneamente. Não existem evidencias suficientes que mostrem que os adoçantes causam ganho de peso, mas seu uso pode resultar em compensação energética com alimentos ricos em lipídios. Os lipídios tendem a aumentar a densidade energética da dieta promovendo o superconsumo passivo de energia, além de apresentar baixa prioridade oxidativa, estando associado à baixa saciedade. Sua substituição tem sido relacionada à compensação da ingestão energética, principalmente por carboidratos. Um plano alimentar disciplinado deve incluir alimentos que reduzam a densidade energética da dieta, sem promoção do consumo alimentar.
Referências
ARCH, J.R.S., STOCK, M.J., TRAYHURN, P. Leptin resistence in obese humans: does it exist and what does it mean? International Journal of Obesity, London, v.22, n.12, p.1159-1163, 1998.
ASTRUP, A. Dietary composition, substrate balances and body fat in subjects with a predisposition to obesity. International Journal of Obesity, London, v.17, p.32S-36S, 1993. Supplement 3. (Discussion 41S-42S).
BLUNDELL, J.E., GREEN, S.M. Effects of sucrose and sweeteners on appetite and energy intake. International Journal of Obesity, London, v.20, n.2, p.12S-17S, 1996. Supplement.
BLUNDELL, J.E., STUBBS, R.J. Diet composition and control of food intake in humans. In: BRAY, G.A., BOUCHARD, C., JAMES, W.P.T. Handbook of obesity. New York : Marcel Dekker, 1998. p.243-272.
BOLTON-SMITH, C. Intake of sugars in relation to fatness and micronutrient adequacy. International Journal of Obesity, London, v.20, p.31S-33S, 1996. Supplement 2.
BOUCHARD, C., DESPRÉS, J.P., MAURIÉGE, P. Genetic and nongenetic determinants of regional fat distribution. Endocrinology Review, Baltimore, v.14, n.1, p.72-93, 1993.
BRAY, G.A. Pathophysiology of obesity. American Journal of Clinical Nutrition, Bethesda, v.55, n.2, p.488S-494S, 1992. Supplement.
BUKKENS, S.G.F., McNEILL, G., SMITH, J.S., MORRISON, D.C. Postprandial thermogenesis in post-obese women and weight-matched controls. International Journal of Obesity, London, v.15, n.2, p.147-154, 1990.
CÂNDIDO, L.M.B., CAMPOS, A.M. Alimentos para fins especiais: dietéticos. São Paulo : Varela, 1996. 423p.
CAVALCANTI, M.L.F. Aspartame. Revista Nutrição e Imprensa, São Paulo, n.1, p.6-9, 1998.
COOLING, J., BLUNDELL, J. Differences in energy expenditure and substrate oxidation between habitual high fat and low fat consumers (phenotypes). International Journal of Obesity, London, v.22, n.7, p.612-618, 1998.
DAHER, G.C., COOPER, D.A., ZORICH, N.L., KING, D., RICCARDI, K.A., PETERS, J.C. Olestra ingestion and dietary fat absorption in human. Journal of Nutrition, Bethesda, v.127, n.8, p.1694S-1698S, 1997. Supplement.
FLATT, J.P. Glycogen levels and obesity. International Journal of Obesity, London, v.20, n.2, p.1S-11S, 1996. Supplement 2.
FLATT, J.P., TREMBLAY, A. Energy expenditure and substrate oxidation. In: BRAY, G.A., BOUCHARD, C., JAMES, W.P.T. Handbook of obesity. New York : Marcel Dekker, 1998. p.513-537.
GATENBY, S.J., AARON, J.I., JACK, V.A., MELA, D.J. Extended use of foods modified in fat and sugar contend: nutritional implications in a free-living female population. American Journal of Clinical Nutrition, Bethesda, v.65, n.6, p.1867-1873, 1997.
GIESE, J. Olestra: properties, regulatory concerns and applications. Food Technology, Chicago, v.50, n.3, p.130-131, 1996.
GREEN, S.M., BLUNDELL, J.E. Effect of fat and sucrose containing foods on the size of eating episodes and energy intake in lean dietary restrained and unrestrained females: potential for causing overconsumption. European Journal of Clinical Nutrition, London, v.50, n.9, p.625-635, 1996.
GROSSKLAUS, T.H. Sweeteners and weight management. The Journal of the International Sweeteners Association, Brussels, n.1, p.7-8, 1992.
HASSEL, C.A. Nutritional implications of fat substitute. Cereal Foods World, St. Paul, v.38, n.3, p.142-144, 1993.
HENRY, D.E., TALLMADGE, D.H., SANDERS, R.A., GARDNER, D.R. Characterizacion of used fring oils. Part 2: comparison of olestra and triglyceride. Journal American Oil Chemistry Society, v.69, n.6, p.509-519, 1992.
KARHUNEN, L.J., LAPPALAINEN, R.I., HAFFNER, S.M., VALVE, R.H., TUORILA, H., MIETTINEN, H., XUSITUPA, M.I.J. Serum leptin, food intake and preference for sugar and fat in obese women. International Journal of Obesity, v.22, n.8, p.810-21, 1998.
LARSON, D.E., FERRARO, R.T., ROBERTSON, D.S., RAVUSSIN, E. Energy metabolism in weight-stable post-obese individuals. American Journal of Clinical Nutrition, Bethesda, v.62, n.4, p.735-739, 1995a.
LARSON, D.E., TATARANNI, P.A., FERRARO, R.T., RAVUSSIN, E. Ad libitum food intake on a “cafeteria diet” in Native American women: relations with body composition and 24-h energy expenditure. American Journal of Clinical Nutrition, Bethesda, v.62, n.5, p.911-917, 1995b.
MAHAN, L.K., ARLIN, M.T. Energia. In: MAHAN, L.K., ARLIN, M.T. Krause: alimentos, nutrição e dietoterapia. 8.ed. São Paulo : Roca, 1994. p.17-28.
MONEGO, E.T., PEIXOTO, M.R.G., JARDIM, P.C.V., SOUZA, A.L.S. Alimentos dietéticos: uma visão prática. Revista de Nutrição da Puccamp, Campinas, v.7, n.1, p.9-31, 1994.
MORRIS, K.L., ZEMEL, M.B. Glycemic index, cardiovascular disease and obesity. Nutrition Review, New York, v.57, n.9, pt.1, p.273-276, 1999.
PETERS, J.C. Fat substitutes and energy balance. New York Academy of Sciences, v.20, n.837, p.461-475, 1997.
PETERS, J.C., LAWSON, K.D., MIDDELETON, S.J., TRIEBWASSER, K.C. Assessment of the nutritional effects of olestra, a nonabsorbed fat replacement: introduction and overview. Journal of Nutrition, Bethesda, v.127, n.8, p.1539S-1546S, 1997. Supplement.
PEUTER, R., WITHERS, T., BRINKMAN, M., TOMAS, F.M., CLARK, D.G. No differences in rates of energy expenditure between pos-obese women and their matched, lean controls. International Journal of Obesity, London, v.16, n.10, p.801-808, 1992.
PRENTICE, A.M., POPPITT, S.D. Importance of energy density and macronutrients in the regulation of energy intake. International Journal of Obesity, London, v.20, n.2, p.18S-23S, 1996.
PROSERPI, C., SPARTI, A., SCHUTZ, Y., VETTA, D., MILON, H., JÉQUIER, E. Ad libitum intake of a high-carbohydrate or high-fat diet in yong men: effects on nutrient balances. American Journal of Clinical Nutrition, Bethesda, v.66, n.3, p.539-545, 1997.
RABEN, A., CHRISTENSEN, J., ASTRUP, A. Postprandial responses in substrate oxidation and appetite in post-obese subjects. International Journal of Obesity, London, v.17, n.3, p.3S-40S, 1993. Supplement 3.
RABEN, A., ANDERSEN, H.B., CHRISTENSEN, N.J., MADSEN, J., HOLST, J., ASTRUP, A. Evidence for an abnormal postprandial response to a hight-fat meal in women predisposed to obesity. American Journal of Physiology, Bethesda, v.267, n.4, p.E549-E559, 1994.
RABEN, A., ASTRUP, A. Leptin is influenced both by predisposition to obesity and diet composition. International Journal of Obesity, London, v.24, n.4, p.450-459, 2000.
RAVUSSIN, E., LILLIOJA, S., KNOWLER, W., CHRISTIN, L., FREYMOND, D., ABBOTT, W.G.H., BOYCE, V., HOWARD, B.V., BOGARDUS, C. Reduced rate of energy expenditure as a risk factor for body weight gain. New England Journal of Medicine, Boston, v.318, n.8, p.467-472, 1988.
RAVUSSIN, E., SWINBURN, B.A. Pathophysiology of obesity. Lancet, London, v.15, n.340, p.404-408, 1992.
ROBERTS, S.B. Abnormalities of energy expenditure and the development of obesity. Obesity Research, v.3, n.2, p.155S-163S, 1995.
ROGERS, P., BLUNDELL, J.E. Evaluation of the influence of intense sweeteners on the short-term control of appetite and caloric intake: a psychobiological approach. In: GRENBY, T.H. (Ed.). Progress in Sweeteners. London : Elsevier Applied Science, 1989. p.267-289.
SCHLAGHECK, T.G., KESLER, J.M., JONES, M.B., ZORICH, N.L., DUGAN, L.D., DAVIDSON, M.H., PETERS, J.C. Olestra’s effect on vitamins D and E humans can be offset by increasing dietary levels of these vitamins. Journal of Nutrition, Bethesda, v.127, n.8, p.1666S-1685S, 1997.
SHAH, M., GARG, A. High-fat and high-carbohydrate diets and energy balance. Diabetes Care, New York, v.19, n.10, p.1142-1152, 1996.
SILBERBAUER, C.J., JACOBER, B., LANGHANS, W. Dietary fat level short-term effects of a high meal on food intake and metabolism. Annals of Nutrition and Metabolism, Basel, v.42, n.2, p.75-89, 1998.
STUBBS, R.J., JOHNSTONE, A.M., HARBRON, C.G., ABERDEEN, U.K. Covert manipulation of energy density of high carbohydrate diets in “pseudo free-living” humans. International Journal of Obesity, London, v.22, n.9, p.885-892, 1998.
VANDERVEEN, J.E., GLINSMANN, W.H. Fat substitutes: a regulatory perspective. Annals Review Nutrition, v.12, p.473-487, 1992.
VALTUEÑA, S., SALAS-SALVADÓ, J., LORDA, P.G. The respiratory quotient as a prognostic factor in weight-loss rebound. International Journal of Obesity, London, v.21, n.9, p.811-817, 1997.
VETORAZZI, G., MaCDONALD, I. Sacarose: aspectos nutricionais e de segurança no uso do açúcar. São Paulo : Hucitec, 1989. 226p.
WESTERTERP-PLANTEGA, M.S., IJEDEMA, M.J.W., WIJCKMANS-DUIJSENS, N.E.G. The role of macronutrient selection in determining patterns of food intake in obese and non-obese women. European Journal of Clinical Nutrition, London, v.50, n.9, p.580-591, 1996.
WESTERTERP-PLANTEGA, M.S., WIJCKMANS-DUIJSENS, N.E.G., VERBOEKET-Van de VENNE, W.P.G., GRAAF, K.H., WESTSTRATE, J.A. Energy intake and body weight effects of six months reduced or full fat diets, as a function of dietary restraint. International Journal of Obesity, London, v.22, n.1, p.14-22, 1998.
ZAMBRANO, F., CAMARGO, C.R.O. Substitutos de gordura derivados de amido utilizados em panificação. Boletim da Sociedade Brasileira de Ciência e Tecnologia de Alimentos, Rio de Janeiro, v.33, n.2, p.235-244, 1999.
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