Lisa goldstein weight loss
Abstract Background Trials comparing the effectiveness and safety of weight-loss diets are frequently limited by short follow-up times and high dropout rates. 4% at 1 year and 84. Methods Eligibility and Study Design We conducted the trial between July 2005 and June 2007 in Dimona, Israel, in a workplace at a research center with an on-site medical clinic. Media in This Article Figure 1 Mean Weight Change According to Randomized Group. Results The rate of adherence to a study diet was 95. The Mediterranean-diet group consumed the largest amounts of dietary fiber and had the highest ratio of monounsaturated to saturated fat (P Full Text of Results. Consequently, even though it is recommended that clinicians offer intensive counseling and behavioral support to their obese patients, 9 practicing physicians lack effective, empirically supported models of treatment to guide their efforts in helping obese patients lose weight. ) Full Text of Discussion. D. There was also a control group in which weight loss was self-directed. Few weight-loss trials have examined the effect of behavioral interventions in clinical practice, 8 and the results of these trials have been inconsistent. Figure 2 Weight Changes during 2 Years According to Diet Group. The criteria for eligibility were an age of 40 to 65 years and a body-mass index (BMI, the weight in kilograms divided by the square of the height in meters) of at least 27, or the presence of type 2 diabetes (according to the American Diabetes Association criteria 18 ) or coronary heart disease, regardless of age and BMI. S. Abstract Background Obesity and its cardiovascular complications are extremely common medical problems, but evidence on how to accomplish weight loss in clinical practice is sparse. (ClinicalTrials. 6% at 2 years.
Methods We conducted a randomized, controlled trial to examine the effects of two behavioral weight-loss interventions in 415 obese patients with at least one cardiovascular risk factor. D. Media in This Article Figure 1 Enrollment of the Participants and Completion of the Study. , Nowella Durkin, Richard R. Louis, Ph. Typically, primary care providers (PCPs) were not directly involved in the intervention. The participants were randomly assigned within strata of sex, age (below or above the median), BMI (below or above the median), history of coronary heart disease (yes or no), history of type 2 diabetes (yes or no), and current use of statins (none, The members of each of the three diet groups were assigned to subgroups of 17 to 19 participants, with six subgroups for each group. Rubin, Ph. The other intervention provided in-person support during group and individual sessions, along with the three remote means of support. The more favorable effects on lipids (with the low-carbohydrate diet) and on glycemic control (with the Mediterranean diet) suggest that personal preferences and metabolic considerations might inform individualized tailoring of dietary interventions. In the United States, approximately one third of adults are obese. Conclusions Mediterranean and low-carbohydrate diets may be effective alternatives to low-fat diets. , and Frederick L. gov number, NCT00160108. Article Activity 225 articles have cited this article Article Obesity is an important and growing public health problem around the world. For both interventions, primary care providers reinforced participation at routinely scheduled visits. Reynolds, M. , Thomas A. 1 Obesity adversely affects each of the major cardiovascular risk factors — blood pressure, lipid profile, and diabetes. Outcomes were compared between each intervention group and the control group and between the two intervention groups.
