Interest of pronostic score for optimal clinical management of obese patients.

Abstract:

OBJECTIVE:The aim of this retrospective study was to identify key factors favoring weight regain. METHODS:Therefore, prognostic factors for weight loss and regain have been retrieved and identified among 186 obese patients (40 +/- 2 y and 34 +/- 0.3 kg/m(2)) through the use of a simple questionnaire which considered psychological issues such as depression, anxiety and the patient's individual capacity to follow a diet. All patients have been prescribed a low-calorie diet (1200 kcal/day) being either balanced, food-combining or low-CHO. Follow-up averaged 6.4 +/- 0.3 months of which weight loss accounted for 4.4 +/- 0.1 months. RESULTS:Weight loss was similar in all 3 groups and averaged 6.0 +/- 0.2 kg. The final weight loss and weight regain results have been identical for the 3 groups. A high/bad prognostic score rating is associated with weight regain (P<0.02). Weight regain is significantly influenced by the initial weight loss speed (P<0.0001). CONCLUSIONS:The proposed prognostic score is likely to be helpful for clinicians better to profile the therapeutic approach to individualized obesity management and follow-up. Diet composition does not influence either weight loss or weight regain.

journal_name

Diabetes Metab

journal_title

Diabetes & metabolism

authors

Ybarra J,de Stefano M,Kammer A,de Tonnac N,Lehmann T,Golay A

doi

10.1016/s1262-3636(07)70053-8

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

418-23

issue

4 Pt 1

eissn

1262-3636

issn

1878-1780

pii

MDOI-DM-09-2003-29-4C1-1262-3636-101019-ART10

journal_volume

29

pub_type

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