The Effect of Dietary Counseling on Long-Term Weight Loss in Hypertensive Patients With Excess Body Weight

Torres, Marcia S.; Ferreira, Teresa; Carvalho, D; Nogueira, L.; Valença, D.; Rodrigues, Maria Antonieta da Conceição; Araújo, Luciene da Silva; Guedes, Marcella Rodrigues; Lima, Cláudio Guerra de; Sanjuliani, Antônio Felipe

doi:10.1097/00004872-201106001-00414

Cited by 5 publications

(6 citation statements)

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“…The average weight loss in our study was 3.9 kg over 12 weeks (~0.33 kg/week). This magnitude of weight loss is comparable to other studies of dietary counseling focusing on modest caloric restriction [35,36]. Similarly, this magnitude is also consistent with reports of weight loss mediated by SGLT2 inhibition.…”

Section: Discussionsupporting

confidence: 89%

Sodium Glucose Co-Transporter 2 Inhibition Does Not Favorably Modify the Physiological Responses to Dietary Counselling in Diabetes-Free, Sedentary Overweight and Obese Adult Humans

et al. 2020

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Sedentary obesity is associated with increased risk of many cardio-metabolic diseases, including type 2 diabetes. Weight loss is therefore a desirable goal for sedentary adults with obesity. Weight loss is also a well-documented side effect of sodium glucose co-transporter 2 (SGLT2) inhibition, a pharmaceutical strategy for diabetes treatment. We hypothesized that, compared with placebo, SGLT2 inhibition as an adjunct to out-patient dietary counselling for weight loss would lead to more favorable modification of body mass and composition, and greater improvement in glucose regulation and lipid profile. Using a randomized, double-blind, repeated measures parallel design, 50 sedentary men and women (body mass index: 33.4 ± 4.7 kg/m2; mean ± SD) were assigned to 12 weeks of dietary counselling, supplemented with daily ingestion of either a placebo or SGLT2 inhibitor (dapagliflozin: up to 10 mg/day). Dietary counselling favorably modified body mass, body fat, glucose regulation, and fasting concentrations of triglyceride and very low-density lipoprotein cholesterol (main effects of counselling: p < 0.05); SGLT2 inhibition did not influence any of these adaptations (counselling × medication interactions: p > 0.05). However, SGLT2 inhibition when combined with dietary counselling led to greater loss of fat-free mass (counselling × medication interaction: p = 0.047) and attenuated the rise in high-density lipoprotein cholesterol (counselling × medication interaction: p = 0.028). In light of these data and the health implications of decreased fat-free mass, we recommend careful consideration before implementing SGLT2 inhibition as an adjunct to dietary counselling for weight loss in sedentary adults with obesity.

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Section: Discussionsupporting

confidence: 89%

Sodium Glucose Co-Transporter 2 Inhibition Does Not Favorably Modify the Physiological Responses to Dietary Counselling in Diabetes-Free, Sedentary Overweight and Obese Adult Humans

et al. 2020

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“…As nutritional counselling is an important aspect in the treatment of obesity ( 35 , 36 ) , a limitation of the present study is that the results may not be directly applicable to candidates for BS who do not receive weekly nutritional counselling and encouragement from an experienced health professional. Furthermore, the exclusion of diabetic patients and subjects who were unwilling to comply with the LCD could have affected our results, as this group may be less prone to weight loss ( 37 ) .…”

Section: Discussionmentioning

confidence: 92%

Efficacy of a liquid low-energy formula diet in achieving preoperative target weight loss before bariatric surgery

Nielsen

Schmidt

et al. 2016

J Nutr Sci

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A preoperative weight loss of 8 % is a prerequisite to undergo bariatric surgery (BS) in Denmark. The aim of the present study was to evaluate the efficacy of a 7- or an 11-week low-energy diet (LCD) for achieving preoperative target weight before BS. A total of thirty obese patients (BMI 46·0 (sd 4·4) kg/m2) followed an LCD (Cambridge Weight Plan®, 4184 kJ/d (1000 kcal/d)) for 7 or 11 weeks as preparation for BS. Anthropometric measurements including body composition (dual-energy X-ray absorptiometry), blood parameters and blood pressure were assessed at weeks 0, 7 and 11. At week 7, the majority of patients (77 %) had reached their target weight, and this was achieved after 5·4 (sem 0·3) weeks. Mean weight loss was 9·3 (sem 0·5) % (P < 0·01) and consisted of 41·6 % fat-free mass (FFM) and 58·4 % fat mass. The weight loss was accompanied by a decrease in systolic and diastolic blood pressure (7·1 (sem 2·3) and 7·3 (sem 1·8) mmHg, respectively, all P < 0·01) as well as an improved metabolic profile (8·2 (sem 1·8) % decrease in fasting glucose (P < 0·01), 28·6 (sem 6·4) % decrease in fasting insulin (P < 0·01), 23·1 (sem 2·2) % decrease in LDL (P < 0·01), and 9·7 (sem 4·7) % decrease in TAG (P < 0·05)). Weight, FFM and fat mass continued to decrease from week 7 to 11 (all P < 0·01), whereas no additional improvements was observed in the metabolic parameters. Severely obese patients can safely achieve preoperative target weight on an LCD within 7 weeks as part of preparation for BS. However, the considerable reduction in FFM in severely obese subjects needs further investigation.

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“…The dietary counseling with personalized balanced, reduced calorie diet recommendations will encourage participants to reduce their habitual intake, thus leading to losing their weight. 72 But, due to the poor commitment and difficulties to follow the dietary restrictions, CATs supplementation may only act as an alternative to reduce weight. 5 However, the nature of lifestyle modifications might have affected and limited the evidence of CATs efficacy for weight loss.…”

Section: Discussionmentioning

confidence: 99%

Complementary and Alternative Therapies for Weight Loss: A Narrative Review

Lua

Ahmad

Mansor

et al. 2021

J Evid Based Complementary Altern Med

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Despite various strategies, overweight and obesity problems are still increasingly prevalent worldwide with serious health outcomes. Consequently, the continuous demand for more effective, safe and acceptable therapies for reducing body weight is also escalating—including complementary and alternative therapies (CATs). The aim of this review is to provide a summary of the most commonly- and recently-used CATs, with evaluation of their safety and efficacy for weight loss. Electronic scientific databases such as Scopus, PubMed and EBSCO Host were explored for articles that reported CATs for overweight and obesity treatment from 2015 to December 2019. Only systematic reviews, meta-analysis and randomized controlled trials (RCTs) published in English were included. Studies whereby CATs were not utilized for reducing body weight were excluded. Eight systematic reviews and meta-analyses and 11 additional RCTs with 765 participants (50.2% overweight and 49.8% obese) related to hypnotherapy, acupuncture and dietary supplements met the inclusion criteria. Their results suggested that spirulina, chitosan, probiotic, EPA + DHA, vitamin D, fiber, and herbal extract supplementation may all provide small reductions in body weight (ranging from 1-10 kg). Interestingly, hypnotherapy and acupuncture reported significantly greater reduction in body weight compared with placebo (p < 0.001 and p < 0.0001, respectively). Nonetheless, the evidence is still relatively limited and not encouraging to provide a definitive conclusion due to the methodological shortcomings and the presence of adverse events in chitosan and fiber supplementation. Hence, studies of this nature need to be further replicated and improved to corroborate the efficacy and safety of the CATs to combat weight issues.

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The Effect of Dietary Counseling on Long-Term Weight Loss in Hypertensive Patients With Excess Body Weight

Cited by 5 publications

References 0 publications

Sodium Glucose Co-Transporter 2 Inhibition Does Not Favorably Modify the Physiological Responses to Dietary Counselling in Diabetes-Free, Sedentary Overweight and Obese Adult Humans

Sodium Glucose Co-Transporter 2 Inhibition Does Not Favorably Modify the Physiological Responses to Dietary Counselling in Diabetes-Free, Sedentary Overweight and Obese Adult Humans

Efficacy of a liquid low-energy formula diet in achieving preoperative target weight loss before bariatric surgery

Complementary and Alternative Therapies for Weight Loss: A Narrative Review

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