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Nutrición Hospitalaria

versão On-line ISSN 1699-5198versão impressa ISSN 0212-1611

Resumo

REIG GARCIA-GALBIS, Manuel. The management of qualitative and quantitative dietary treatment for overweight and obesity: methodology and a new perspective on individualised assessment. Nutr. Hosp. [online]. 2015, vol.32, n.5, pp.2019-2029. ISSN 1699-5198.  http://dx.doi.org/10.3305/nh.2015.32.5.9652.

%WL: percentage of weight loss; % FL: percentage of fat loss. Objective: to describe the management methodology of a qualitative and quantitative dietary treatment for overweight and obesity. Method: 4,625 consultations were conducted with 616 overweight and obese patients over the age of 25 in the south-east of Spain between 2006-12. A balanced, low-calorie, qualitative and quantitative diet based on locally grown food was employed. The weight loss and maintenance dietary treatment methodology is described, as are the units of measurement considered suitable for the expression of successful weight loss; a new vision of individualised counselling and multidisciplinary treatment. Results: 80% of patients obtained a % FL ≥ 5% (22.6±11.8-11.2±7.4), and attended appointments for more than a month and a half. Conclusion: the dietary treatment methodology is described; units of measurement are recommended for use in consultations and in clinical trial publications, creating a precedent with a degree of evidence on how to determine successful weight loss; it is recommended to measure hip and waist perimeters and incorporate a study of body image; a new vision of individualised assessment and advanced multidisciplinary care is presented, independent of age, pregnancy and physical disabilities. The health care professionalfs position should be seen as that of the person responsible for determining which techniques might be most effective in such loss.

Palavras-chave : Obesity; Treatment Algorithmd; Treatment dietetic and individualized counseling.

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