Short-Term Carbohydrate-Restricted Diet for Weight Loss in Severely Obese Women
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- de Toledo Triffoni-Melo, A., Dick-de-Paula, I., Portari, G.V. et al. OBES SURG (2011) 21: 1194. doi:10.1007/s11695-010-0110-6
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Weight loss in bariatric pre-surgery period reduces surgical complications, surgery time, blood loss, and length of hospital stay. Carbohydrate-restricted diets have been used as an alternative for weight loss. We tested the efficacy of a low-calorie carbohydrate-restricted diet (RD) for short-term weight loss in women with severe obesity and evaluate its metabolic effects in relation to a conventional low-calorie diet (CD).
The subjects received a 1,200-kcal diet with or without carbohydrate restriction for a period of 1 week in the hospital. Nineteen obesity class III women were distributed into two groups: experimental (n = 10) and control (n = 9). The following variables were assessed at the beginning and end of the study: anthropometric measurements, body composition, resting energy expenditure, substrate oxidation, and biochemical tests.
Compared with CD, RD led to larger weight loss (2.6 and 4.4 kg, respectively; p = 0.01) and waist circumference reduction (p < 0.01). Among the assessed biochemical indicators, only plasma and urine acetone levels were different (p < 0.01); higher values were found in the experimental group with no symptoms and other diet-related complaints. There was also a significant decrease in triglycerides and carbohydrate oxidation, as well as a significant enhancement in lipid oxidation in the RD group.
Short-term RD was more efficient than CD regarding quick weight loss and waist circumference reduction, which may favor gastroplasty. Also, RD did not lead adverse metabolic effects.
KeywordsLow-carbohydrate dietWeight lossKetosisMorbid obesity
low-calorie carbohydrate-restricted diet
conventional low-calorie diet
Clinical Hospital, School of Medicine of Ribeirão Preto, University of São Paulo
body mass index
waist circumference in the navel
waist circumference 10 cm above the WC
waist circumference 20 cm above the WC
homeostasis model assessment-insulin resistance
resting energy expenditure
total energy value