DIETARY TREATMENT OF OBESITY: AN OBSERVATION IN 460 OBESE PATIENTS

概要

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For the treatment of obesity we have three diet programs, 1, 000, 900, and 700 calorie diets, containing 60 g protein, 13-18 per cent calorie fat and 53-58 per cent carbohydrate. Regardless of age, height, grade of obesity or daily activity, we prescribed the 1, 000-calorie diet for obese men and the 900-calorie diet for women. Observing the cessation of weight reduction, we reduced to 900-calorie diet for men and 700-calorie diet for women. Four hundred and sixty obese patients were treated with these dietary regimens. Of these, 400 were treated in out-patients clinic and 60 in hospitalization. Different from the general incidence of obesity, there were over four times more women who visit the obesity clinic than men, and there were slightly more young ones. Of 400 out-patients, 12.8 per cent did not return after the diet was prescribed and 5.3 per cent did not obtain a weight loss even though they came back. A weight loss was observed in 82 per cent, among whom 51.7 per cent obtained a weight loss of more than 4kg. The average number of weeks required for a weight loss of 4 kg were 5.0±0.3 weeks in 183 out-patients and 2.2±0.2 weeks in 44 inpatients. The fact that the speed of weight loss is slower in out-patients in spite of the possibility of having more activity is thought to be because it is difficult for them to adhere to the prescribed diet at home.
The Keio Journal of Medicineの論文