PMID- 15467776
OWN - NLM
STAT- MEDLINE
DCOM- 20050301
LR  - 20191210
VI  - 28
IP  - 12
DP  - 2004 Dec
TI  - Feasibility of a partial meal replacement plan for weight loss in low-income 
      patients.
PG  - 1575-9
AB  - BACKGROUND: Low-income patients are disproportionately affected by obesity. 
      Routine care is available to this population at the Venice Family Clinic (VFC) in 
      Los Angeles. The current study examined the effectiveness of nutrition clinic 
      utilizing meal replacements (Slim-Fast, Slim-Fast Foods Co., FL, USA) in 
      low-income patients over a 6-month period compared with the routine care by their 
      primary care physician (PMD) prior to enrolling in the nutrition clinic at 
      similar time intervals. METHODS: In total, 63 patients (51 F; 49+/-0.8 yo) who 
      had been followed at the VFC by their PMD for at least 6 months were enrolled in 
      this study. Patients had a body mass index (BMI) of 40+/-1.1 kg/m2, were 72% 
      Hispanic, 25% Caucasian, and 3% African American. They had the following 
      co-morbidities: hypertension (HTN) 45%, diabetes mellitus II (DM II) 50%, 
      gastroesophageal reflux disease (GERD) 34%, osteoarthritis 51%, and 
      hypercholesterolemia 48%. All patients were provided with meal replacements to be 
      taken twice a day and were instructed to consume one complete low calorie meal 
      per day. Weights at the first visit to the nutrition clinic, 1, 3, and 6 months 
      after enrollment in nutrition clinic were compared to their weights at the same 
      time intervals during routine visits to their PMD prior to enrollment in the 
      nutrition clinic. RESULTS: There was no significant weight change during the 6 
      months prior to enrollment in the nutrition program despite receiving care by a 
      PMD. At 6 months after participating in the nutrition program, there was a mean 
      decrease of 7% body weight with a reduction in BMI from 40-37 kg/m2 (P< or 
      =0.05). CONCLUSION: Implementation of nutrition clinic utilizing meal 
      replacements in this low-income patient population was effective in achieving a 
      significant reduction in weight over 6 months of treatment..
FAU - Huerta, S
AU  - Huerta S
AD  - UCLA Center for Human Nutrition, David Geffen School of Medicine at UCLA, Los 
      Angeles, CA 92801, USA.
FAU - Li, Z
AU  - Li Z
FAU - Li, H C
AU  - Li HC
FAU - Hu, M S
AU  - Hu MS
FAU - Yu, C A
AU  - Yu CA
FAU - Heber, D
AU  - Heber D
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - England
TA  - Int J Obes Relat Metab Disord
JT  - International journal of obesity and related metabolic disorders : journal of the 
      International Association for the Study of Obesity
JID - 9313169
SB  - IM
MH  - Adult
MH  - Ambulatory Care Facilities
MH  - Anthropometry
MH  - Body Mass Index
MH  - California
MH  - Feasibility Studies
MH  - Female
MH  - *Food, Formulated
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Obesity/complications/*diet therapy
MH  - *Poverty
MH  - Primary Health Care
MH  - Prospective Studies
MH  - Weight Loss
EDAT- 2004/10/07 09:00
MHDA- 2005/03/02 09:00
CRDT- 2004/10/07 09:00
PHST- 2004/10/07 09:00 [pubmed]
PHST- 2005/03/02 09:00 [medline]
PHST- 2004/10/07 09:00 [entrez]
AID - 0802792 [pii]
AID - 10.1038/sj.ijo.0802792 [doi]
PST - ppublish
SO  - Int J Obes Relat Metab Disord. 2004 Dec;28(12):1575-9. doi: 
      10.1038/sj.ijo.0802792.