Weight reduction program with continuous psychological support in obese patients

Background: Obese subjects have been increasing worldwide. Authors have continued clinical research about Low Carbohydrate Diet (LCD) and Calorie Restriction (CR) for long, and developed LCD medically and socially through the activity of Japan LCD Promoting Association (JLCDPA). Study protocol: Enrolled subjects enrolled were 2807 patients with obesity whom we gave advices in weight reduction program. Nutritional treatment on LCD was started by super-LCD with 12% of carbohydrate. After that, the carbohydrate limitation has been relieved according to the each situation of the subjects. Furthermore, subjects have received psychological supports with Empowerment, Motivation, and Medical Adherence (EMMA) and with the relationship among recognition of self-regulation; self-determination; conscientization and struggle were provided for 6-12 months.
Results and discussion: The weight changes of 2807 cases were studied with the following results: weight reduction rate of 10%<was observed in 691(32.3%), 5.0-9.9% was in 908 (24.1%), 2.5–4.9% was in 593 (21.1%). For totally calculated statistics data, reduction rate of 5.0 %< was found in 56.4%, and 2.5%<was 78.5%. Current results seemed to be effective with LCD and psychological supports. These results would be one of the fundamental and referent data in this field of weight reduction for future research.

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