中等度肥満における食事確立療法と固形食化超低エネルギ-食併用の試み

概要

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The efficacy of behavioral meal scheduling therapy plus a very-low-calorie conventional Japanese diet for weight-loss and maintenance was studied in eight moderately obese female patients. A 370-kcal very-low-calorie conventional Japanese diet was administered under 7-day inpatient conditions, and was preceded by 1, 000-kcal and 700-kcal diets for 3 days each, respectively. Average weight loss was 20.6±7.8kg during the therapy period, specifically, 5.7±0.7kg over 13 inpatient days for the combined treatment and 4.3±2.5kg over 12 months after discharge. Daily food consumption during the 3- and 12-month follow-up periods was 933.3±62.2 and 1, 013.3±41.4kcal, respectively. These energy intake levels were significantly decreased compared with those at the first visit and on admission for combined therapy. The difference of weight loss during combined therapy showed a negative correlation with that during behavioral meal scheduling therapy: combined therapy thus seems promising for patients who have failed with behavioral therapy. Hunger disappeared and serum lipids were norma-1ized. Fat cell volume and total body fat mass were reduced. These results indicated a greater effect than those previously reported. The superiority of the combined therapy was attributed to synergism due to improved perceptual and/or conceptual cognition, which was promoted by the very-low-calorie conventional Japanese diet.
社団法人日本栄養・食糧学会の論文