Thomas A. Wadden, PhD
Recent studies of the treatment of obesity by moderate and severe caloric restriction show that patients treated in randomized trials using a conventional 1200 kcal/d reducing diet, combined with behavior modification, lose approximately 8.5 kg in 20 weeks. They maintain approximately two thirds of this weight loss 1 year later. Patients treated under medical supervision using a very-low-calorie diet (400 to 800 kcal/d) lose approximately 20 kg in 12 to 16 weeks and maintain one half to two thirds of this loss in the following year. Both dietary interventions are associated with increasing weight regain over time, although regain can be minimized with the recognition that obesity, in many cases, is a chronic condition that requires continuing care. Patients who participate in a formal weight-loss maintenance program, exercise regularly, or both are likely to achieve the best long-term results.
Learn more about subscription options.
Register Now for a free account.
Wadden TA. Treatment of Obesity by Moderate and Severe Caloric Restriction: Results of Clinical Research Trials. Ann Intern Med. 1993;119:688–693. doi: 10.7326/0003-4819-119-7_Part_2-199310011-00012
Download citation file:
Published: Ann Intern Med. 1993;119(7_Part_2):688-693.
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only