Translating Evidence into Practice: A Case Study of Extended Use of a Very Low Energy Diet for Treatment of Co-Morbid Obesity and Chronic Disease

Claudia Harper, R. Seimon, B. Yee, A. Sainsbury, E. Cayanan
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Abstract

We report the case of a 30-year-old male with significant obesity (body mass index 47 kg/m2) with co-existing moderate obstructive sleep apnoea, hypertension, hypercholesteremia and hypogonadotropic hypogonadism, who was treated with a very-low-energy diet (VLED) and lifestyle modification programme for 12 months. The patient lost weight throughout the entire treatment period (average weight loss was 2.1 kg/week, for a total of 42.7 kg), and showed marked improvement in co-morbidities and no adverse effects. This case demonstrates that prolonged (5-month) use of a VLED, under close medical supervision, is safe and effective in certain patients with obesity.
将证据转化为实践:长期使用极低能量饮食治疗合并肥胖和慢性病的案例研究
我们报告了一例30岁男性,患有严重肥胖(体重指数47 kg/m2),同时患有中度阻塞性睡眠呼吸暂停、高血压、高胆固醇血症和促性腺功能减退症,接受了12个月的极低能量饮食(VLED)和生活方式改变计划治疗。患者在整个治疗期间体重减轻(平均体重减轻2.1公斤/周,总计42.7公斤),合并症明显改善,无不良反应。该病例表明,在密切的医疗监督下,长期(5个月)使用VLED对某些肥胖患者是安全有效的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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