Multidisciplinary treatment of obesity with a protein-sparing modified fast

Six hundred sixty-eight obese outpatients, 71 per cent (+/- 34) in excess of ideal weight, were enrolled in a multidisciplinary weight control program. The major components of the program included nutrition, education, behavior modification, and exercise. Rapid weight loss was accomplished using a very low calorie (less than 800 kcal) ketogenic diet. Patients adhered to the protein sparing modified fast (PSMF) for 17 +/- 12 weeks and averaged 9 +/- 17 weeks in a refeeding/maintenance program. Mean weight loss was 47 +/- 29 lb (21 +/- 13 kg) at the point of minimum weight and 41 +/- 29 lb (19 +/- 13 kg) at the end of the maintenance period. Systolic and diastolic blood pressure and serum triglycerides fell significantly in men and women. Success in weight loss was greatest in the heaviest patients, those who adhered the longest to the PSMF, and those who stayed the longest in the maintenance program

Blood pressure · Body weight · Calorie · Obesity · Physical therapy · Weight control · Weight loss · Diet and metabolism studies · Internal Medicine · Medicine · Muscle metabolism and nutrition · Nutritional Studies and Diet · Pediatrics

• Using a Revised Protein-Sparing Modified Fast (rPSMF) for Children and Adolescents with Severe Obesity

  Open Access•Ihuoma Eneli, Jinyu Xu et al.•International Journal of…•2019

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• Long-term weight loss maintenance

  Mel Hovell, M F Hovell et al.•American Journal of Public Health•1988

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