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Very-Low-Calorie Diet: One-forth maintain 10 percent weight loss
Monday, March 22, 2004 12:46 pm Email this article
One-fourth of patients who completed an intensive very-low-calorie diet (VLCD) weight-loss program maintained a weight loss of 10 percent after seven years according to a 1999 study.
5 PERCENT WEIGHT LOSS
Forty percent maintained a weight loss of 5 percent for at least five years.
INITIAL WEIGHT LOSS
Subjects initially had an average body mass index of 37 and lost an average of 65 pounds after following the VLCD for five months.
Subjects regained an average of 2.5 percent of their lost weight per month for the first two to three years, but their weight tended to stabilize during the next four years.
During the first three years subjects regained an average of 73 percent of their weight loss, maintaining 23 percent of their initial weight loss for an average of five years.
The study included 112 subjects who had completed the study and initially lost at least 22 pounds.
The authors concluded intensive efforts are needed for most individuals to maintain a substantial percentage of their weight loss long-term.
Anderson JW; Vichitbandra S; Qian W; Kryscio RJ. Long-term weight maintenance after an intensive weight-loss program. Journal of the American College of Nutrition, 1999 Dec, 18(6):620-7.
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On Mar 22, 2004 at 10:46 pm robert skversky m.d. wrote:
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larry, this article proves the fact that long term weight loss following vlcd is highly unsuccesful. 25% of patients maintaining 10% weight loss although possibly showing some benefit in reference to co-morbid conditions would leave most (if not all) patients feeling frustrated and a failure. a 300 lb patient weighing 270 lbs 7 years later is not impressive! as far as 40% maintaining 5% weight loss for 5 years is even more absurd. ie: 200 lb patient maintains a 5% weight loss (190 lbs) at 5 years. in that most patients desire to look and feel better as a result of a weight loss program neither 5 or 10% long term weight loss seems acceptable. robert
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