Publications by authors named "B L Heitmann"

Purpose: To examine the associations and substitutions of dietary sugars [extrinsic (free) or intrinsic (non-free)] as well as dietary starch and fiber intakes for indices of body fat and cardiometabolic health.

Methods: Dietary intake was assessed at multiple times using multi-day 24-hour recalls over 18-months for indices of body fat (body fat %, waist circumference, BMI, and weight change) (n = 1066) and at baseline and 12 months for cardiometabolic outcomes (LDL, HDL, HbA1c) (n = 736). Bayesian modeling was applied to analyze the probabilistic impact of dietary carbohydrate components using credible intervals for association and substitution analyses with repeated measures random effects modeling.

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Background: Lifestyle interventions for weight loss are generally ineffective in achieving clinically meaningful long-term reductions in body weight and may contribute to negative behavior such as weight cycling or disordered eating. Negative focus on high weight may also contribute to weight stigma. Weight stigma includes negative attitudes and discriminatory behavior toward people with big bodies and can result in psychological stress and unfavorable health outcomes.

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Article Synopsis
  • Chronic inflammatory diseases (CIDs) are increasingly challenging for healthcare, with many patients responding poorly to biological treatments, leading to interest in dietary changes, particularly gluten-free diets.
  • This study explored the effect of gluten intake on the clinical response to biological treatment over 14-16 weeks in 193 CID patients, comparing those with high gluten intake to those with low-to-medium intake.
  • Results showed no significant differences in treatment response or secondary outcomes, indicating that gluten intake does not influence the effectiveness of biological therapy in patients with CIDs.
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Purpose Of Review: Despite decades of development and testing of weight-loss interventions, the adult populations worldwide have witnessed a continuous rise in body weight. There is an ongoing debate about how to move forward. Some argue that this rise calls for more intensive and possibly life-long treatments, including the new effective GLP1 weight loss medications, while others have called for a fundamental shift away from weight and on to a broader understanding of health.

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