Effects of weight cycling caused by intermittent dieting on metabolic rate and body composition in obese women. 1991

S A Jebb, and G R Goldberg, and W A Coward, and P R Murgatroyd, and A M Prentice
MRC Dunn Clinical Nutrition Centre, Cambridge, UK.

The effects of repeated periods of weight loss and regain on metabolic rate and body composition were investigated in 11 obese women (mean weight 81.98 kg, height 1.61 m, body mass index 31.44 kg/m2) studied for 18 weeks through three consecutive cycles of 2 weeks dieting followed by 4 weeks ad libitum eating. Weight loss was achieved by a very low energy diet (1861 kJ/day). Basal metabolic rate (BMR) was measured by whole-body indirect calorimetry and body composition by a variety of standard in vivo methods. During the three diet periods mean weight losses were 4.44, 3.29 and 2.98 kg although the mean overall weight loss from week 0 to 18 was only 5.93 kg. The proportion of weight lost as fat was estimated as between 67 and 105 per cent of the weight lost depending on the body composition methodology employed. Absolute BMR decreased in response to dieting by 545, 285 and 286 kJ/day. When corrected for body weight and FFM only the decreases in the first diet period were significant (P less than 0.05 and P less than 0.001 respectively). BMR had returned to normal following each 4-week ad libitum period and by the end of the study absolute BMR and BMR/kg FFM had not changed significantly, despite a significant loss of weight. Consequently BMR/kg was increased (P less than 0.01), indicative of the loss of adipose tissue. We have found no evidence in this group of obese women that weight cycling leads to a progressive decrease in BMR or increase in the proportion of body fat.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009765 Obesity A status with BODY WEIGHT that is grossly above the recommended standards, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).
D010349 Patient Compliance Voluntary cooperation of the patient in following a prescribed regimen. Client Adherence,Client Compliance,Non-Adherent Patient,Patient Adherence,Patient Cooperation,Patient Noncompliance,Patient Non-Adherence,Patient Non-Compliance,Patient Nonadherence,Therapeutic Compliance,Treatment Compliance,Adherence, Client,Adherence, Patient,Client Compliances,Compliance, Client,Compliance, Patient,Compliance, Therapeutic,Compliance, Treatment,Cooperation, Patient,Non Adherent Patient,Non-Adherence, Patient,Non-Adherent Patients,Non-Compliance, Patient,Nonadherence, Patient,Noncompliance, Patient,Patient Non Adherence,Patient Non Compliance,Patient, Non-Adherent,Therapeutic Compliances,Treatment Compliances
D010507 Periodicity The tendency of a phenomenon to recur at regular intervals; in biological systems, the recurrence of certain activities (including hormonal, cellular, neural) may be annual, seasonal, monthly, daily, or more frequently (ultradian). Cyclicity,Rhythmicity,Biological Rhythms,Bioperiodicity,Biorhythms,Biological Rhythm,Bioperiodicities,Biorhythm,Cyclicities,Periodicities,Rhythm, Biological,Rhythmicities,Rhythms, Biological
D001823 Body Composition The relative amounts of various components in the body, such as percentage of body fat. Body Compositions,Composition, Body,Compositions, Body
D002149 Energy Intake Total number of calories taken in daily whether ingested or by parenteral routes. Caloric Intake,Calorie Intake,Intake, Calorie,Intake, Energy
D002151 Calorimetry The measurement of the quantity of heat involved in various processes, such as chemical reactions, changes of state, and formations of solutions, or in the determination of the heat capacities of substances. The fundamental unit of measurement is the joule or the calorie (4.184 joules). (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)
D004038 Diet, Reducing A diet designed to cause an individual to lose weight. Weight Loss Diet,Weight Reduction Diet,Diet, Weight Loss,Diet, Weight Reduction,Diets, Reducing,Diets, Weight Loss,Diets, Weight Reduction,Reducing Diet,Reducing Diets,Weight Loss Diets,Weight Reduction Diets
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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