Comparative weight loss in obese patients restarting a supplemented very-low-calorie diet

Kaplan, G; Miller, Kye; Anderson, James W.

doi:10.1093/ajcn/56.1.290s

Cited by 5 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A more likely explanation for the attenuation of weight loss commonly observed is reduced compliance with the strict dietary regimen. This is particularly noticeable in studies involving repeated use of VLEDs when the rate of weight loss or period of dietary compliance decreases as the novelty of the formula diet wears off ( Jebb et al ., 1991 ; Kaplan et al ., 1992 ; Wing et al ., 1994 ).…”

Section: Very Low‐energy Dietsmentioning

confidence: 99%

Efficacy of very low‐energy diets and meal replacements in the treatment of obesity

Jebb

Goldberg

1998

J Human Nutrition Diet

View full text Add to dashboard Cite

Background: Low‐energy diets, ideally in combination with increased energy expenditure through physical activity, are the mainstay of obesity treatment. Very low‐energy liquid diets (VLEDs) were developed to provide a safe alternative to starvation, with only a modest attenuation in the rate of weight loss. Aim: This paper considers the evidence concerning the efficacy of both commercial and milk‐based total liquid diets, which provide a maximum of 800 kcal/day. Results: Long‐term users of low‐energy formula diets are a self‐selected group who find these preparations acceptable. In these subjects early compliance is often good and weight losses of 8–10 kg in approximately 4–8 weeks are regularly reported. This compares favourably with acute weight losses using other treatment methods. However, there are concerns regarding the composition of tissue lost and the long‐term maintenance of weight loss. Conclusion: VLEDs are a proven success in achieving significant short‐term reductions in body weight. A subset of patients achieve long‐term weight loss. There is evidence to suggest that meal replacements may make a contribution to the maintenance of weight loss in some individuals. Evaluation of integrated programmes using these methods for weight loss and long‐term weight control is required.

show abstract

Section: Very Low‐energy Dietsmentioning

confidence: 99%

Efficacy of very low‐energy diets and meal replacements in the treatment of obesity

Jebb

Goldberg

1998

J Human Nutrition Diet

View full text Add to dashboard Cite

show abstract

“…To prevent weight regain, the initial VLCD period is generally followed by various maintenance strategies, including hypocaloric diet, physical activity, behaviour modification and/or pharmacological treatment [4–6]. The use of repeated/intermittent VLCD periods as a maintenance strategy has been studied in treatment programmes with a duration of less than 1 year [7–10], whilst long‐term results with this approach are lacking. Another option during the post‐VLCD maintenance phase could be to use VLCD on‐demand, i.e.…”

Section: Introductionmentioning

confidence: 99%

Intermittent versus on‐demand use of a very low calorie diet: a randomized 2‐year clinical trial

Lantz

Peltonen

Agren

et al. 2003

Journal of Internal Medicine

View full text Add to dashboard Cite

Interventions. All the patients started with 16 VLCD weeks. Subjects in the intermittent group were then scheduled to use VLCD for 2 weeks every third month, whilst patients in the on-demand group were instructed to use VLCD whenever their body weight passed an individualized cut-off level.Irrespective of the treatment group, all the subjects were recommended a hypocaloric diet during VLCDfree periods.Main outcome measures. Changes in body weight, body composition, anthropometric variables and cardiovascular risk factors.Results. Completers in both groups maintained highly significant weight losses after 2 years: 7.0 ± 11.0 kg (6.2 ± 9.5%) in the intermittent group and 9.1 ± 9.7 kg (7.7 ± 8.1%) in the on-demand group (P < 0.001, ns between groups). Male completers in the on-demand group lost significantly more weight than men in the intermittent group, 14.5 ± 11.0 kg vs. 4.0 ± 10.5 kg, respectively (P < 0.01). Most cardiovascular risk factors improved during the first year, whilst anthropometric measures, insulin, HDL-and LDL-cholesterol were also significantly improved after 2 years of treatment. Conclusion. Clinically significant weight reductions were achieved after 2 years of VLCD-based treatment. The structure of VLCD treatment during the maintenance phase did not affect weight loss in the total study population, whilst male subjects might benefit from the VLCD on-demand strategy.

show abstract

Medical, Metabolic, and Psychological Effects of Weight Cycling

Brownell

Rodin²

1994

Arch Intern Med

167

View full text Add to dashboard Cite

This article reviews studies on the effects of weight cycling and weight variability on metabolism, psychological status, morbidity, and mortality. Repeated bouts of weight loss and regain, known as weight cycling or yo-yo dieting, are highly prevalent, occur in males and females, and are common in both overweight and nonoverweight individuals. While there has been no consistent demonstration that, as was first thought, weight cycling makes subsequent weight loss more difficult or regain more rapid, it is possible that this does occur under some conditions or in particular individuals. There are stronger and more consistent links between body weight variability and negative health outcomes, particularly all-cause mortality and mortality from coronary heart disease. Weight cycling may also have negative psychological and behavioral consequences; studies have reported increased risk for psychopathology, life dissatisfaction, and binge eating. The bulk of epidemiologic research shows an association of weight variability with morbidity and mortality, although the mechanisms are not clear at present. There is a clear need for further research on the effects of weight cycling on behavior, metabolism, and health. Understanding and promoting weight maintenance is an important priority.

show abstract

Comparative weight loss in obese patients restarting a supplemented very-low-calorie diet

Cited by 5 publications

References 3 publications

Efficacy of very low‐energy diets and meal replacements in the treatment of obesity

Efficacy of very low‐energy diets and meal replacements in the treatment of obesity

Intermittent versus on‐demand use of a very low calorie diet: a randomized 2‐year clinical trial

Medical, Metabolic, and Psychological Effects of Weight Cycling

Contact Info

Product

Resources

About