PMID- 17392132
OWN - NLM
STAT- MEDLINE
DCOM- 20070614
LR  - 20070329
IS  - 0964-7058 (Print)
IS  - 0964-7058 (Linking)
VI  - 16 Suppl 1
DP  - 2007
TI  - Effectiveness of weight reduction program in adolescents under sanatorium 
      conditions in Poland including the role of diet and energy balance.
PG  - 353-8
AB  - The aim of this study was to assess the effectiveness of weight reduction program 
      and to develop recommendations for the therapeutic program conducted under 
      sanatorium conditions, taking into consideration the composition of the diet and 
      the share of macrocomponents in the negative energy balance. Investigations were 
      conducted during 12 stays at a sanatorium, lasting for 24 days, with the program 
      of body weight reduction. The study included 174 obese adolescents aged 12 - 16 
      years. The nutritive value of 288 daily rations was established on the basis of 
      daily menus. Total daily energy expenditure (TDEE) during therapy was assessed by 
      24-hour heart rate monitoring. The body composition (fat mass FM, fat free mass 
      FFM, body cell mass BCM, total body water TBW) were measured using bioelectrical 
      impedance before and during therapy as well as six month later. Weight reduction 
      program consisted of low energy diet (5.47MJ/24h) and physical exercises. TDEE of 
      individuals staying at the sanatorium considerably (p<0.001) exceeded energy 
      intake from the diet, which was manifested in changes of body weight and body 
      composition of adolescents during the therapy. Six months after therapy at the 
      sanatorium no statistically significant changes were recorded in the mean FFM, 
      BCM and TBW contents. These results made it possible to establish optimum 
      recommendations concerning low-energy diet and the degree of negative energy 
      balance and their interrelations, determining the maximization of fat mass losses 
      at the simultaneous minimization of lean body mass losses.
FAU - Regula, Julita
AU  - Regula J
AD  - Department of Human Nutrition and Hygiene, Agriculture University of Poznan, 
      Wojska Polskiego 31, 60-624 Poznan, Poland. jumar@au.poznan.pl
FAU - Jeszka, Jan
AU  - Jeszka J
FAU - Gramza, Anna
AU  - Gramza A
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - China
TA  - Asia Pac J Clin Nutr
JT  - Asia Pacific journal of clinical nutrition
JID - 9440304
SB  - IM
MH  - Adolescent
MH  - Body Composition/*physiology
MH  - Child
MH  - *Diet, Reducing
MH  - Electric Impedance
MH  - Energy Metabolism/*physiology
MH  - Exercise/*physiology
MH  - Female
MH  - Heart Rate
MH  - Humans
MH  - Inpatients
MH  - Male
MH  - Nutritive Value
MH  - Obesity/*diet therapy/therapy
MH  - Poland
MH  - Treatment Outcome
EDAT- 2007/03/30 09:00
MHDA- 2007/06/15 09:00
CRDT- 2007/03/30 09:00
PHST- 2007/03/30 09:00 [pubmed]
PHST- 2007/06/15 09:00 [medline]
PHST- 2007/03/30 09:00 [entrez]
PST - ppublish
SO  - Asia Pac J Clin Nutr. 2007;16 Suppl 1:353-8.