French-fried potato consumption and energy balance: a randomized controlled trial

Abstract

Epidemiologic observations suggest increased potato consumption correlates with weight gain, adiposity, and diabetes risk, whereas nut consumption is associated with weight control and metabolic health. Randomized controlled trial (RCT) data indicate humans respond to changes in energy intake in single dietary components and compensate for extra energy consumed. We completed an RCT testing whether increased daily potato consumption influences energy balance [specifically, fat mass (FM)] compared with calorie-matched almond consumption. A 30-d RCT of 180 adults prescribed calorie-matched (300kcal/d, n=60 participants/group) than consumed 1 of the following: 1) almonds (almond group), 2) French fries (potato group), or 3) French fries with herb/spices mix (potato+herb/spices group). Baseline and 30-d FM were measured by DXA (primary outcome), with secondary outcomes including body weight and carbohydrate metabolism markers [glycated hemoglobin (HbA1c), fasting blood glucose and insulin, HOMA-IR)]. A subset of 5 participants/group participated in a postprandial meal-based tolerance test. A total of 180 participants were randomly assigned [gender: 67.8% female; mean±SD age: 30.4±8.7 y; BMI (in kg/m2): 26.1±4.2; and weight: 75.6±15.4kg], with 12 dropouts and 3terminations. No significantly different FM changes were observed between almond and potato consumption [combined±herb/spices; mean±SE almond: 230.87±114.01g; potato: 123.73±86.09g; P=0.443], fasting glucose (P=0.985), insulin (P=0.082), HOMA-IR (P=0.080), or HbA1c (P=0.269). Body weight change was not significantly different in the potato groups combined compared with the almond group (P=0.116), but was significantly different among the 3 groups (P=0.014; almond: 0.49±0.20kg; potato: -0.24±0.20kg; potato+herb/spices: 0.47±0.21kg). In meal tests, significantly lower post-prandial glucose and insulin responses to almonds compared with potatoes were observed (P=0.046, P=0.006, respectively), with potato+herb/spices having intermediate effects. There were no significant differences in FM or in glucoregulatory biomarkers after 30 d of potato consumption compared with almonds. Results do not support a causal relation between increased French fried potato consumption and the negative health outcomes studied. This trial was registered at clinicaltrials.gov as NCT03518515.