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The Efficacy of Energy-Restricted Diets in Achieving Preoperative Weight Loss for bariatric Pateints: A Systematic Review

Naseer, Fathimath
Shabbir, Asim
Livingstone, Barbara
Price, Ruth
Syn, Nicholas, L
Flannery, Orla
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2018-08-18
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Abstract
In bariatric practice, a preoperative weight loss of at least 5% is recommended. However, the hypocaloric diets prescribed vary and no consensus exists. This study examined the efficacy of preoperative diets in achieving 5% weight loss. From a systematic literature search, eight randomised controlled trials (n = 862) were identified. Half of the trials used a Bvery-low-calorie diet^ whilst the rest employed a Blow-calorie diet^. Only five diets achieved ≥ 5% weight loss over varying durations and energy intakes. By inference, compliance with a 700–1050 kcal (2929–4393 kJ) diet, consisting of moderate carbohydrate, high protein and low/moderate fat, for 3 weeks is likely to achieve 5% weight loss. A low-carbohydrate diet (< 20 g/day) may achieve this target within a shorter duration. Additional research is required to validate these conclusions.
Citation
Naseer, F., Shabbir, A., Livingstone, B., Price, R., Syn, N.L. & Flannery, O. (2018). The Efficacy of Energy-Restricted Diets in Achieving Preoperative Weight Loss for bariatric Pateints: A Systematic Review. Obesity Surgery 28(11), 3678–3690. https://doi.org/10.1007/s11695-018-3451-1
Publisher
Springer
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Obesity Surgery
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Article
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en
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The final publication is available at Springer via https://doi.org/10.1007/s11695-018-3451-1
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0960-8923
EISSN
1708-0428
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