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Eating Whole-fat Yogurt Is Associated with Lower Obesity in an Elderly Population

    spoonful over container

    Written by: Sandeep Ravindran, Ph.D. | Issue # 54 | 2016

    • Researchers have previously studied the association between yogurt consumption and obesity, but so far the results have been inconclusive, and few studies have compared the effects of low-fat and whole-fat yogurt.
    • A new study finds that consumption of whole-fat yogurt but not low-fat yogurt is significantly associated with a decreased waist circumference and a higher probability of reducing abdominal obesity in an elderly population.
    • The researchers suggest that the results may be due to some inherent benefit of the fat in whole fat yogurt, or because low-fat yogurt often contains more sugar.
    • The researchers conclude that whole-fat yogurt may offer some benefits for managing obesity in an elderly population but point out that consuming any type of yogurt is expected to have positive effects on health.

    For those on a diet, it might be natural to reach for low-fat rather than whole-fat yogurt. But the results of a new study might make that decision a little more complicated, at least in some populations. In the study, Carmen Sayón-Orea and her colleagues at the University of Navarra found that eating whole-fat yogurt was associated with a decrease in waist circumference and a greater probability of reducing abdominal obesity in an elderly population at high cardiovascular risk [1]. The researchers didn’t find a similar association with low-fat or total yogurt consumption.

    Researchers have previously studied the associations between yogurt consumption and obesity, but the results have been inconclusive [2–5]. In addition, few studies have looked at the effect of low-fat versus whole-fat yogurt. “We wanted to clarify the role of these kind of yogurts,” writes Sayón-Orea in an email.

    Sayón-Orea and her colleagues previously found that for young, healthy individuals consuming a lot of whole-fat yogurt was associated with a lower risk of becoming overweight or obese [6]. “We decided to replicate our research in an elderly population,” she writes.

    In the new study, the researchers used questionnaires to assess the consumption of total, whole-fat, and low-fat yogurt in 4,545 elderly individuals at high cardiovascular risk. They found that higher consumption of whole-fat yogurt but not low-fat yogurt was associated with a decrease in waist circumference and a higher probability of reducing abdominal obesity. The results are consistent with those of previous studies showing the benefits of whole-fat yogurt consumption [6–8].

    “The different association regarding whole-fat and low-fat yogurt consumption might be explained by some benefit inherent to the fat contained in whole-fat dairy products, or because of a higher sugar content of low-fat yogurts,” writes Sayón-Orea. In Spain, where the study was conducted, low-fat yogurts contain added sugars, she adds. “If people decide to consume low-fat yogurt, it’s very important to check if it’s high-sugar or low-sugar, and always prefer low-sugar yogurts,” writes Sayón-Orea.

    Another possible explanation for the study’s results that the researchers couldn’t rule out is that participants who consume low-fat yogurts have special lifestyle characteristics. “For example, people who perceive that they are gaining weight might change their consumption to low-fat products,” writes Sayón-Orea.

    The researchers conclude that whole-fat yogurt may offer some benefits for managing obesity, particularly in an elderly population. But according to Sayón-Orea, consuming any kind of yogurt is likely to have health benefits. “I do believe that any kind of yogurt is healthy because the mechanism by which yogurt is beneficial to health is the content of calcium, the lactic acid and the probiotics,” she writes.

    Yogurt tends to be rich in calcium and also contains lactic acid that can promote calcium absorption. There’s some evidence that the high calcium and protein in yogurt can influence appetite, and that calcium may also reduce fat production and absorption, and increase fat excretion and oxidation [9–12]. These mechanisms could explain some of yogurt’s beneficial effects against obesity and metabolic disorders.

    “Another possible mechanism that could be implicated in these beneficial effects might be the role that microbiota may play in the development of obesity and cardiometabolic diseases,” writes Sayón-Orea [13,14]. “Some bacteria that are used as probiotics in yogurt, such as Lactobacillus acidophilus and Bifidobacterium bifidus, may help to prevent or treat some diseases, including obesity,” she writes.

    The researchers plan to expand on their current work by exploring the effects of yogurt consumption and different types of yogurt on other disorders. “The next outcomes that we might explore could be hypertension and cardiovascular disease,” writes Sayón-Orea.

    References

    1. Santiago S., Sayón-Orea C., Babio N., Ruiz-Canela M., Martí A., Corella D., Estruch R., Fitó M., Aros F., Ros E., Gómez-García E., Fiol M., Lapetra J., Serra-Majem L., Becerra-Tomás N., Salas-Salvadó J., Pinto X., Schröder H., Martínez J.A. 2016. Yogurt consumption and abdominal obesity reversion in the PREDIMED study. Nutr Metab Cardiovasc Dis 26: 468–75.
    2. Louie J.C., Flood V.M., Hector D.J., Rangan A.M., Gill T.P. 2011. Dairy consumption and overweight and obesity: a systematic review of prospective cohort studies. Obes Rev 12(7): e582–592.
    3. Wang H., Troy L.M., Rogers G.T., Fox C.S., McKeown N.M., Meigs J.B., et al. 2014. Longitudinal association between dairy consumption and changes of body weight and waist circumference: the Framingham Heart Study. Int J Obes (Lond) 38: 299–305.
    4. Astrup A. 2014. Yogurt and dairy product consumption to prevent cardiometabolic diseases: epidemiologic and experimental studies. Am J Clin Nutr 99: 1235S–42S.
    5. Lanou A.J., Barnard N.D. 2014. Dairy and weight loss hypothesis: an evaluation of the clinical trials. Nutr Rev 2008;66: 272–9.
    6. Martinez-Gonzalez MA, Sayón-Orea C, Ruiz-Canela M, de la Fuente C, Gea A, Bes-Rastrollo M. Yogurt consumption, weight change and risk of overweight/obesity: the SUN cohort study. Nutr Metab Cardiovasc Dis 24: 1189–96.
    7. Crichton G.E., Alkerwi A. 2014. Whole-fat dairy food intake is inversely associated with obesity prevalence: findings from the observation of cardiovascular risk factors in Luxembourg study. Nutr Res 34: 936–43.
    8. Sayón-Orea C., Bes-Rastrollo M., Marti A., Pimenta A.M., Martin- Calvo N., Martinez-Gonzalez M.A. 2015. Association between yogurt consumption and the risk of metabolic syndrome over 6 years in the SUN study. BMC Public Health 15: 170.
    9. Pei R., Martin D.A., DiMarco D.M., Bolling B.W.2014. Evidence for the effects of yogurt on gut health and obesity. Crit Rev Food Sci Nutr Apr 15:0.
    10. Tremblay A., Doyon C., Sanchez M. Impact of yogurt on appetite control, energy balance, and body composition. Nutr Rev 2015; 1(73 Suppl.): 23-7.
    11. Zemel M.B., Richards J., Mathis S., Milstead A., Gebhardt L., Silva E. 2005. Dairy augmentation of total and central fat loss in obese subjects. Int J Obes (Lond) 29: 391–7.
    12. Tordoff M.G. 2001. Calcium: taste, intake, and appetite. Physiol Rev 81: 1567–97.
    13. Jacques P.F., Wang H. 2014. Yogurt and weight management. Am J Clin Nutr 99: 1229S–34S.
    14. Sun J., Buys N. 2015. Effects of probiotics consumption on lowering lipids and CVD risk factors: a systematic review and meta- analysis of randomized controlled trials. Ann Med 47: 430–40.