Real World Adherence to a Severely Energy Restricted Meal Replacement Diet in Participants with Class II and III Obesity
Severely energy-restricted diets (SERDs) are an effective treatment for obesity, however, adherence to such diets is often perceived as poor by healthcare professionals. This investigation evaluated adherence to a 12-week SERD in participants with class II and III obesity. Reported food consumption...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Obesities |
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| Online Access: | https://www.mdpi.com/2673-4168/2/1/2 |
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| author | Gabrielle Maston Hamid Reza Kahlaee Janet Franklin Elisia Manson Alice A. Gibson Samantha Hocking Amanda Sainsbury Tania P. Markovic |
| author_facet | Gabrielle Maston Hamid Reza Kahlaee Janet Franklin Elisia Manson Alice A. Gibson Samantha Hocking Amanda Sainsbury Tania P. Markovic |
| author_sort | Gabrielle Maston |
| collection | DOAJ |
| description | Severely energy-restricted diets (SERDs) are an effective treatment for obesity, however, adherence to such diets is often perceived as poor by healthcare professionals. This investigation evaluated adherence to a 12-week SERD in participants with class II and III obesity. Reported food consumption was compared against individualised SERD prescriptions. Body weight measures were obtained at baseline, 12 and 52 weeks. The data were analysed in three groups (i) the entire cohort (<i>n</i> = 26), (ii) completers (<i>n</i> = 13) and (iii) non-completers (<i>n</i> = 13). SERD prescription elements included (i) the number of meal replacement products; (ii) total protein; (iii) total energy intake; (iv) level of dietary energy restriction; (v) vegetable serves; (vi) water serves, and (vii) how much physical activity was performed. A generalised repeated-measures mixed-effects model was used to investigate if adherence to the program elements individually, or collectively, influenced weight loss. Completers had an average (± SD) of 4549 ± 748 kJ energy intake per day, resulting in a mean energy restriction of 62% compared to the 69% prescribed, indicating a degree of non-adherence. The percent weight changes for completers and non-completers were −7.8 ± 4.7% and −1.6 ± 2.6% at 12 weeks, and −12.2 ± 12.1% and −1.8 ± 3.2% at 52 weeks, respectively. Complete dietary adherence to a SERD may not be necessary to achieve a clinically relevant weight loss of 12% at 52 weeks, if energy is restricted by at least 62% (~4600 kJ per day) relative to requirements. |
| first_indexed | 2024-03-09T13:03:52Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2673-4168 |
| language | English |
| last_indexed | 2024-03-09T13:03:52Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Obesities |
| spelling | doaj.art-7f9ad3ff0d0841c2901ce46acbc83edf2023-11-30T21:51:07ZengMDPI AGObesities2673-41682022-01-012182010.3390/obesities2010002Real World Adherence to a Severely Energy Restricted Meal Replacement Diet in Participants with Class II and III ObesityGabrielle Maston0Hamid Reza Kahlaee1Janet Franklin2Elisia Manson3Alice A. Gibson4Samantha Hocking5Amanda Sainsbury6Tania P. Markovic7The Boden Group, Charles Perkins Centre, The University of Sydney, Camperdown, NSW 2050, AustraliaFaculty of Medicine and Health, School of Pharmacy, The University of Sydney, Camperdown, NSW 2050, AustraliaMetabolism & Obesity Service, Royal Prince Alfred Hospital, Camperdown, NSW 2050, AustraliaMetabolism & Obesity Service, Royal Prince Alfred Hospital, Camperdown, NSW 2050, AustraliaMenzies Centre for Health Policy, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2050, AustraliaThe Boden Group, Charles Perkins Centre, The University of Sydney, Camperdown, NSW 2050, AustraliaSchool of Human Sciences, The University of Western Australia, Crawley, WA 6009, AustraliaThe Boden Group, Charles Perkins Centre, The University of Sydney, Camperdown, NSW 2050, AustraliaSeverely energy-restricted diets (SERDs) are an effective treatment for obesity, however, adherence to such diets is often perceived as poor by healthcare professionals. This investigation evaluated adherence to a 12-week SERD in participants with class II and III obesity. Reported food consumption was compared against individualised SERD prescriptions. Body weight measures were obtained at baseline, 12 and 52 weeks. The data were analysed in three groups (i) the entire cohort (<i>n</i> = 26), (ii) completers (<i>n</i> = 13) and (iii) non-completers (<i>n</i> = 13). SERD prescription elements included (i) the number of meal replacement products; (ii) total protein; (iii) total energy intake; (iv) level of dietary energy restriction; (v) vegetable serves; (vi) water serves, and (vii) how much physical activity was performed. A generalised repeated-measures mixed-effects model was used to investigate if adherence to the program elements individually, or collectively, influenced weight loss. Completers had an average (± SD) of 4549 ± 748 kJ energy intake per day, resulting in a mean energy restriction of 62% compared to the 69% prescribed, indicating a degree of non-adherence. The percent weight changes for completers and non-completers were −7.8 ± 4.7% and −1.6 ± 2.6% at 12 weeks, and −12.2 ± 12.1% and −1.8 ± 3.2% at 52 weeks, respectively. Complete dietary adherence to a SERD may not be necessary to achieve a clinically relevant weight loss of 12% at 52 weeks, if energy is restricted by at least 62% (~4600 kJ per day) relative to requirements.https://www.mdpi.com/2673-4168/2/1/2obesitydietreducingmanagementlow-energy liquid dietvery-low-energy diet |
| spellingShingle | Gabrielle Maston Hamid Reza Kahlaee Janet Franklin Elisia Manson Alice A. Gibson Samantha Hocking Amanda Sainsbury Tania P. Markovic Real World Adherence to a Severely Energy Restricted Meal Replacement Diet in Participants with Class II and III Obesity Obesities obesity diet reducing management low-energy liquid diet very-low-energy diet |
| title | Real World Adherence to a Severely Energy Restricted Meal Replacement Diet in Participants with Class II and III Obesity |
| title_full | Real World Adherence to a Severely Energy Restricted Meal Replacement Diet in Participants with Class II and III Obesity |
| title_fullStr | Real World Adherence to a Severely Energy Restricted Meal Replacement Diet in Participants with Class II and III Obesity |
| title_full_unstemmed | Real World Adherence to a Severely Energy Restricted Meal Replacement Diet in Participants with Class II and III Obesity |
| title_short | Real World Adherence to a Severely Energy Restricted Meal Replacement Diet in Participants with Class II and III Obesity |
| title_sort | real world adherence to a severely energy restricted meal replacement diet in participants with class ii and iii obesity |
| topic | obesity diet reducing management low-energy liquid diet very-low-energy diet |
| url | https://www.mdpi.com/2673-4168/2/1/2 |
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