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Dietary management of obesity: evaluation of the time-energy displacement diet in terms of its efficacy and nutritional adequacy for long-term weight control

Published online by Cambridge University Press:  09 March 2007

Roland L. Weinsier ,
Marjorie H. Johnston ,
Daniel M. Doleys  and
Jane A. Bacon
Roland L. Weinsier
Affiliation:
Department of Nutrition Sciences, The University of Alabama in Birmingham, Birmingham, Alabama 35294, USA
Marjorie H. Johnston
Affiliation:
Department of Nutrition Sciences, The University of Alabama in Birmingham, Birmingham, Alabama 35294, USA
Daniel M. Doleys
Affiliation:
Department of Nutrition Sciences, The University of Alabama in Birmingham, Birmingham, Alabama 35294, USA
Jane A. Bacon
Affiliation:
Department of Nutrition Sciences, The University of Alabama in Birmingham, Birmingham, Alabama 35294, USA
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Abstract

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1. An unsupplemented 4200 kJ (1000 kcal) diet emphasizing large quantities of relatively unrefined complex carbohydrates was evaluated among sixty obese adults for its effectiveness and nutritional adequacy in a long-term weight-control programme. Patients were followed individually as outpatients by a physician and dietician–an average of thirteen visits over 26 weeks. Assessment of health indices included anthropometric measurements, blood pressure, lipid levels and assays for seven vitamins, β–carotene and iron.

2. Weight loss averaged 8.2 kg or 24% of excess weight during the 6 months of active treatment. Over an average of 17 months of post-treatment follow-up, 44% of patients continued to lose weight and 92% remained below pretreatment levels.

3. Average skinfold thickness fell 7mm (p < 0·001) whereas muscle mass was maintained (arm muscle circumference+10mm, not significant; creatinine-height index + 3% of standard (Bistrian et al. 1975; not significant). Systolic and diastolic bleed pressure fell 7 and 5 mmHg respectively (P < 0·01). Total serum cholesterol and triglyceridesfell 200 and 660 mg/1 respectively (P < 0·01), while high-density-lipoprotein-cholesterol remained statistically unchanged. Mean serum levels of retinol, β-carotene, folate, vitamin B12, ascorbic acid, Fe and transferrin saturation, and activity coefficients for thiamin, riboflavin and pyridoxine were within normal limits after periods of treatment ranging from 5 to 84 weeks.

4. An earlier age of onset of obesity tended to be associated with greater weight lossduring treatment and lesser weight rebound during follow-up.

5. The results indicate that the experimental diet, without supplementation, was nutritionally adequate as well as effective for long-term weight control.

Type
Papers of direct reference to Clinical and Human Nutrition
Information
British Journal of Nutrition , Volume 47 , Issue 3 , May 1982 , pp. 367 - 379
Copyright
Copyright © The Nutrition Society 1982

References

Adlersberg, D. & Mayer, M. E. (1949). J. clin. Endocr. 9, 275.CrossRefGoogle Scholar
American Medical Association Council on Foods and Nutrition (1974). Nutr. Rev. 32, Suppl. 15.Google Scholar
Alpert, S. S. (1979). Am. J. clin. Nutr. 32, 1710.CrossRefGoogle Scholar
American Medical Association Council on Foods and Nutrition (1974). Nutr. Rev. 32, Suppl. 15.Google Scholar
Ashwell, M. (1975). Br. J. Nutr. 34, 201.CrossRefGoogle Scholar
Automatic Clinical Analyzer (1981). Chemistry Instruction Manual. Wilmington, Del.: Dupont Company.Google Scholar
Baker, H. & Frank, O. (1968). Clin. Vitaminology, ch. 11. New York, N. Y.: Interscience.Google Scholar
Bayoumi, R. A. & Rosalki, S. B. (1976). Clin. Chem. 22, 327.CrossRefGoogle Scholar
Bierman, E. L. (1979). Am. J. clin. Nutr. 32, 2712.CrossRefGoogle Scholar
Bistrian, B. R., Blackburn, G. L., Sherman, M. & Scrimshaw, N. S. (1975). Surg. Gynec. Obstet. 141, 512.Google Scholar
Bjorntorp, P. (1980). Am. J. clin. Nutr. 33, 370.CrossRefGoogle Scholar
Bray, G. A. & Benfield, J. R. (1977). Am. J. clin. Nutr. 30, 146.CrossRefGoogle Scholar
Build and Blood Pressure Study. Society of Actuaries, Chicago, 1959, Committee Report (1970). Am. J. clin. Nutr. 23, 807.CrossRefGoogle Scholar
Buskirk, E. R., Thompson, R. H., Lutwak, L. & Whedon, G. D. (1963). Ann. N. Y. Acad. Sci. 110, 918.CrossRefGoogle Scholar
Chiang, B. N., Perlman, L. V. & Epstein, F. H. (1969). Circulation 39, 403.CrossRefGoogle Scholar
Cormier, A. (1972). Can. J. Pub. Hlth 63, 327.Google Scholar
Currey, H., Malcolm, R., Riddle, E. & Schachte, M. (1977). J. Am. med. Ass. 237, 2829.CrossRefGoogle Scholar
Dahl, L. K. (1972). Am. J. clin. Nutr. 25, 231.CrossRefGoogle Scholar
Feinstein, A. R. (1960). J. Chron. Dis. 11, 349.CrossRefGoogle Scholar
Fellows, H. H. (1931). Am. J. med. Sci. 181, 301.CrossRefGoogle Scholar
Garry, P. S., Pollock, J. D. & Owen, G. M. (1970). Clin. Chem. 16, 766.CrossRefGoogle Scholar
Gray, H. & Kallenbach, D. E. (1939). J. Am. Diet. Ass. 15, 239.CrossRefGoogle Scholar
Haber, G. B., Heaton, K. W., Murphy, D. & Burroughs, L. F. (1977). Lancet ii, 679.CrossRefGoogle Scholar
Halmi, K. A., Stunkard, A. J. & Mason, E. E. (1980). Am. J. clin. Nutr. 33, 446.CrossRefGoogle Scholar
Heaton, K. W. (1973). Lancet ii, 1418.CrossRefGoogle Scholar
Herbert, V. (1966). J. clin. Path. 19, 12.CrossRefGoogle Scholar
Hulley, S. B., Cohen, R. & Widdowson, G. (1977). J. Am. med. Ass. 21, 2269.CrossRefGoogle Scholar
Innes, J. A., Campbell, I. W., Campbell, C. J., Needle, A. L. & Munro, J. F. (1974). Br. med. J. 11, 356.CrossRefGoogle Scholar
Jeffery, R. W., Thompson, P. D. & Wing, R. R. (1978). Behav. Res. Ther. 16, 363.CrossRefGoogle Scholar
Jenkins, D. J. A., Reynolds, D., Leeds, A. R., Waller, A. L. & Cummings, J. H. (1979). Am. J. clin. Nutr. 32, 2430.CrossRefGoogle Scholar
Johnson, D. & Drenick, E. J. (1977). Archs intern. Med. 137, 1381.CrossRefGoogle Scholar
Jourdan, M., Margen, S. & Bradfield, R. B. (1974). Am. J. clin. Nutr. 27, 3.CrossRefGoogle Scholar
Kempner, W., Newborg, B. C., Peschel, R. L. & Skyler, J. S. (1975). Archs intern. Med. 135, 1575.CrossRefGoogle Scholar
Krehl, W. A., Lopez-S, A., Good, E. I. & Hodges, R. E. (1967). Am. J. clin. Nutr. 20, 139.CrossRefGoogle Scholar
Lau, K. S., Gottlieb, C., Wasserman, L. R. & Herbert, V. (1965). Blood 26, 202.CrossRefGoogle Scholar
Leon, A. S., Conrad, J., Hunnighake, D. B. & Serfas, R. (1979). Am. J. clin. Nutr. 32, 1776.CrossRefGoogle Scholar
Macrae, T. F., Hutchinson, J. C. D., Irwin, J. O., Bacon, J. S. D. & McDougall, E. I. (1942). J. Hyg., Camb. 42, 423.Google Scholar
Mullins, A. G. (1958). Archs Dis. Childh. 33, 307.CrossRefGoogle Scholar
Murray, D. C. (1975). Psychol. Rep. 37, 243.CrossRefGoogle Scholar
Penick, S. B., Filion, R., Fox, S. & Stunkard, A. J. (1971). Psychosomatic Med. 33, 49.CrossRefGoogle Scholar
Ressler, C. (1959). N. Y. State J. Med. 59, 615.Google Scholar
Rickman, F., Mitchell, N., Dingman, J. & Dalen, J. E. (1974). J. Am. med. Ass. 228, 54.CrossRefGoogle Scholar
Ritt, R. S., Jordan, H. A. & Levitz, L. S. (1979). J. Am. diet. Ass. 74, 325.CrossRefGoogle Scholar
Select Committee on Nutrition and Human Needs, United States Senate (1977). Dietary Goals for the United States, 2nd ed. Washington, D.C.: US Government Printing Office.Google Scholar
Shearer, R. S. (1976). Curr. Ther. Res. 19, 433.Google Scholar
Southgate, D. A. T. (1973). Proc. Nutr. Soc. 32, 131.CrossRefGoogle Scholar
Spiller, G. A. & Kay, R. M. (1979). Am. J. clin. Nutr. 32, 2102.CrossRefGoogle Scholar
Stunkard, A. J. (1978). Int. J. Obesity 2, 237.Google Scholar
Stunkard, A. J. & Albaum, J. M. (1981). Am. J. clin. Nutr. (In the Press.)Google Scholar
Stunkard, A. J., Craighead, L. W. & O'Brien, R. (1980). Lancet ii, 1045.CrossRefGoogle Scholar
Stunkard, A., Levine, H. & Fox, S. (1970). Archs intern. Med. 125, 1067.CrossRefGoogle Scholar
Stunkard, A. & McLaren-Hume, M. (1959). Archs intern. Med. 103, 79.CrossRefGoogle Scholar
Stunkard, A. J. & Penick, S. B. (1979). Archs gen. Psych. 36, 801.CrossRefGoogle Scholar
Trowell, H. (1976). Am. J. clin. Nutr. 29, 417.CrossRefGoogle Scholar
(US) Food and Nutrition Board (1980). Recommended Dietary Allowances, 9th ed. Washington, D.C.: National Academy of Sciences–National Research Council.Google Scholar
Weinsier, R. L., Fuchs, R. J., Kay, T. D., Triebwasser, J. H. & Lancaster, M. C. (1976). Am. J. Med. 61, 815.CrossRefGoogle Scholar
Young, C. M. (1973). In Obesity in Persceptive, p. 361 [Gray, G. A., editor]. Washington, D.C.: US Government Printing Office.Google Scholar
Young, C. M., Moore, N. S., Berresford, K., Einset, B. M. & Waldner, B. G. (1955). J. Am. Diet. Ass. 31, 1111.CrossRefGoogle Scholar
Young, C. M., Ringler, I. & Greer, B. J. (1953). J. Am. diet. Ass. 29, 890.CrossRefGoogle Scholar
Zannoni, V., Lynch, M., Goldstein, S. & Sato, P. (1974). Biochem. Med. 11, 41.CrossRefGoogle Scholar