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. 2014 Oct 14:4:6620.
doi: 10.1038/srep06620.

Successful maintenance of body weight reduction after individualized dietary counseling in obese subjects

Marta Stelmach-Mardas  1 , Marcin Mardas  2 , Wojciech Warchoł  3 , Małgorzata Jamka  1 , Jarosław Walkowiak  4
Affiliations

Successful maintenance of body weight reduction after individualized dietary counseling in obese subjects

Marta Stelmach-Mardas et al. Sci Rep. .

Abstract

The aim of this study was to describe the effectiveness of individualized dietary counseling in obese subjects based on narrative interview technique on the maintenance of body weight reduction, changes in dietary behaviors, including type of cooking and physical activity. One-hundred subjects out of four-hundred patients met the inclusion criteria. Individually, 45-minute educational program with motivation counseling was performed in 0, 6 and 12 weeks of the study. Patients were advised to follow individually well-balanced diet for 12 weeks. The individuals were asked about the changes in their dietary habits (Food Frequency Questionnaire). The mean percentage of body weight changes from the baseline were as follows: in 6th week- 5.9%, in 12th week - 10.9% and in 52th week - 9.7% (P < 0.0001), however there were no statistically significant changes while comparing body weight in 12th and 52th week. The maintenance of body weight reduction was connected with the dietary habits changes, mainly the type of cooking and increased consumption of vegetable oils. In conclusion, individualized dietary counseling, based on narrative interview technique is an effective intervention for obesity treatment that may help maintain body weight reduction and adapt the pro-healthy changes in type of cooking and sources of dietary fat.

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Figures

Figure 1
Figure 1. The percentage changes in body mass among studied individuals.
*Friedman test showing summarized effect for the all time points; comparisons between each time points showed Dunn's Multiple Comparison test: 0 wk vs 6 wk P < 0.05; 0 wk vs 12 wk P < 0.05; 0 wk vs 52 wk P < 0.05; 6 wk vs 12 wk P < 0.05; 6 wk vs 52 wk P < 0.05; 12 wk vs 52 wk P > 0.05.
Figure 2
Figure 2. Predictors influencing body weight maintenance after 52-week follow up.
*P < 0.05.
Figure 3
Figure 3. The study flow diagram.
See this image and copyright information in PMC

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