Enhanced weight loss with protein‐enriched meal replacements in subjects with the metabolic syndrome
Abstract
Background The objective of this study was to investigate the effects of a protein-rich diet in comparison with a conventional protein diet on weight loss, weight maintenance, and body composition in subjects with the metabolic syndrome. Methods Obese subjects received instructions for an energy-restricted diet with a calorie deficit of 500 kcal/day and were randomly assigned to either high-protein (1.34 g/kg body weight) or conventional protein (0.8 g/kg body weight) diets for 12 months. Protein-enriched meal replacements were used to enrich one arm of the diet with protein throughout the study. In all, 67% of the participants completed the 1-year study. Results Subjects following the high-protein diet lost more body weight and more fat mass compared with those on the conventional protein diet, whereas the loss of fat-free mass was similar in both diet groups. Biochemical parameters associated with the metabolic syndrome improved in both diet groups. Improvements were modestly greater in subjects with the high-protein diet. After 12 months of treatment, 64.5% of the subjects in the high-protein diet group and 34.8% of the subjects in the conventional diet group no longer met three or more of the criteria for having the metabolic syndrome. Conclusions Individuals with the metabolic syndrome achieved significant weight loss while preserving fat-free mass when treated with an energy-restricted, high-protein diet that included nutrient-dense meal replacements, as compared with t…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In a study of individuals with metabolic syndrome (n = 110; baseline triglycerides = 179 mg/dL), after 12 months on a high-protein (1.34 g/kg body weight) weight-loss diet versus a conventional weight-loss diet (0.8 g/kg body weight of protein), those on the high-protein diet had greater weight loss (9 kg vs 6.4 kg).
“In a study of individuals with metabolic syndrome (n = 110; baseline triglycerides = 179 mg/dL), after 12 months on a high-protein (1.34 g/kg body weight) weight-loss diet (500-calorie deficit per day) versus a conventional weight-loss diet (0.8 g/kg body weight of protein), those on the high-protein diet had greater weight loss (9 kg) than the conventional diet (6.4 kg).”
From 2021 ACC Expert Consensus Decision Pathway on the Management of ASCVD Risk Reduction in Patients With Persistent Hypertriglyceridemia (2021) · cites this paper as [68]
Those on the high-protein diet had a 35% reduction in triglycerides versus a nonsignificant 5% reduction in the conventional diet group.
“In addition, those on the high-protein diet had a 35% reduction in triglycerides versus a nonsignificant 5% reduction in the conventional diet group (68).”
From 2021 ACC Expert Consensus Decision Pathway on the Management of ASCVD Risk Reduction in Patients With Persistent Hypertriglyceridemia (2021) · cites this paper as [68]
Cites
Comparison of Weight-Loss Diets with Different Compositions of Fat, Protein, and Carbohydrates
Sacks, F. M., Bray, G. A., Carey, V. J., Smith, S. R., Ryan, D. H., Anton, S. D., McManus, K., Champagne, C. M., Bishop, L. M., Laranjo, N., et al. (2009) · New England Journal of Medicine · doi:10.1056/nejmoa0804748 · Cited by 1,966 · cited 1× · see citing works
“of protein intake and outcomes of various weight-loss studies revealed that small differences in protein intake did not affect weight loss [26] and that the influence of”
ResultA Randomized Trial of a Low-Carbohydrate Diet for Obesity
Foster, G. D., Wyatt, H. R., Hill, J. O., McGuckin, B. G., Brill, C., Mohammed, B. S., Szapary, P. O., Rader, D. J., Edman, J. S., & Klein, S. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa022207 · Cited by 1,794 · see citing works
A Low-Carbohydrate as Compared with a Low-Fat Diet in Severe Obesity
Samaha, F. F., Iqbal, N., Seshadri, P., Chicano, K. L., Daily, D. A., McGrory, J., Williams, T., Williams, M., Gracely, E. J., & Stern, L. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa022637 · Cited by 1,267 · see citing works
Gardner, C. D., Kiazand, A., Alhassan, S., Kim, S., Stafford, R. S., Balise, R. R., Kraemer, H. C., & King, A. C. (2007) · JAMA · doi:10.1001/jama.297.9.969 · Cited by 1,051 · see citing works
Stern, L., Iqbal, N., Seshadri, P., Chicano, K. L., Daily, D. A., McGrory, J., Williams, M., Gracely, E. J., & Samaha, F. F. (2004) · Annals of Internal Medicine · doi:10.7326/0003-4819-140-10-200405180-00007 · Cited by 831 · see citing works
Weight management using a meal replacement strategy: meta and pooling analysis from six studies.
Heymsfield, S. B., van Mierlo, C. A. J., van der Knaap, H. C. M., Heo, M., & Frier, H. I. (2003) · International Journal of Obesity · doi:10.1038/sj.ijo.0802258 · Cited by 557 · see citing works
Weight Loss Reduces C-Reactive Protein Levels in Obese Postmenopausal Women
Tchernof, A., Nolan, A., Sites, C. K., Ades, P. A., & Poehlman, E. T. (2002) · Circulation · doi:10.1161/hc0502.103331 · Cited by 541 · see citing works
Farnsworth, E., Luscombe, N. D., Noakes, M., Wittert, G., Argyiou, E., & Clifton, P. M. (2003) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/78.1.31 · Cited by 438 · see citing works
Gannon, M. C., & Nuttall, F. Q. (2004) · Diabetes · doi:10.2337/diabetes.53.9.2375 · Cited by 428 · see citing works
Heilbronn, L. K., Noakes, M., & Clifton, P. M. (2001) · Arteriosclerosis, Thrombosis, and Vascular Biology · doi:10.1161/01.atv.21.6.968 · Cited by 331 · see citing works
Separate effects of reduced carbohydrate intake and weight loss on atherogenic dyslipidemia
Krauss, R. M., Blanche, P. J., Rawlings, R. S., Fernstrom, H. S., & Williams, P. T. (2006) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/83.5.1025 · Cited by 321 · see citing works
Due, A., Toubro, S., Skov, A. R., & Astrup, A. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802767 · Cited by 305 · see citing works
Additional Protein Intake Limits Weight Regain after Weight Loss in Humans
Lejeune, M. P. G. M., Kovacs, E. M. R., & Westerterp-Plantenga, M. S. (2005) · British Journal of Nutrition · doi:10.1079/bjn20041305 · Cited by 211 · see citing works
Meckling, K. A., & Sherfey, R. (2007) · Applied Physiology Nutrition and Metabolism · doi:10.1139/h07-059 · Cited by 136 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Wycherley, T. P., Moran, L. J., Clifton, P. M., Noakes, M., & Brinkworth, G. D. (2012) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.112.044321 · Cited by 606 · see citing works
The Effects of High-Protein Diets on Kidney Health and Longevity
Ko, G.-J., Rhee, C. M., Kalantar-Zadeh, K., & Joshi, S. (2020) · Journal of the American Society of Nephrology · doi:10.1681/asn.2020010028 · Cited by 345 · see citing works
Virani, S. S., Morris, P. B., Agarwala, A., Ballantyne, C. M., Birtcher, K. K., Kris-Etherton, P. M., Ladden-Stirling, A. B., Miller, M., Orringer, C. E., & Stone, N. J. (2021) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2021.06.011 · Cited by 341 · see citing works
Naude, C. E., Schoonees, A., Senekal, M., Young, T., Garner, P., & Volmink, J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0100652 · Cited by 252 · see citing works
Sackner-Bernstein, J., Kanter, D., & Kaul, S. (2015) · PLOS ONE · doi:10.1371/journal.pone.0139817 · Cited by 220 · see citing works
A systematic review and meta‐analysis of the effectiveness of meal replacements for weight loss
Astbury, N. M., Piernas, C., Hartmann‐Boyce, J., Lapworth, S., Aveyard, P., & Jebb, S. A. (2019) · Obesity Reviews · doi:10.1111/obr.12816 · Cited by 190 · see citing works
Campos-Nonato, I., Hernandez, L., & Barquera, S. (2017) · Obesity Facts · doi:10.1159/000471485 · Cited by 97 · see citing works
Hansen, T. T., Astrup, A., & Sjödin, A. (2021) · Nutrients · doi:10.3390/nu13093193 · Cited by 77 · see citing works
Dietary protein in weight management: a review proposing protein spread and change theories
Bosse, J. D., & Dixon, B. M. (2012) · Nutrition & Metabolism · doi:10.1186/1743-7075-9-81 · Cited by 31 · see citing works
- Authors
- Flechtner‐Mors, M., Boehm, B. O., Wittmann, R., Thoma, U., & Ditschuneit, H. H.
- Affiliations
- Universität Ulm (DE)
- Corresponding author
- Flechtner‐Mors, Marion
- Venue
- Diabetes/Metabolism Research and Reviews
- Publisher
- Wiley
- Published
- 2010-06-27
- Volume
- 26
- Issue
- 5
- Pages
- 393-405
- ISSN
- 1520-7552 (ISSN-L)
- 1520-7560
- OpenAlex
- W2048404102
- Cited by
- 69
- References
- 14
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 7 · 2023: 3 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 2 · 2018: 5 · 2017: 4 · 2016: 2 · 2015: 5 · 2014: 7 · 2013: 4 · 2012: 8
- FWCI
- 3.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes/Metabolism Research and Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Universität Ulm
- Topics
- Health Sciences › Medicine › Physiology › Diet and metabolism studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Physiology › Dietary Effects on Health
- Keywords
- metabolic syndrome, weight loss, high-protein diet, hypocaloric diet, obesity, fat loss, fat-free mass, body composition, weight maintenance
- MeSH terms
- Adult, Aged, Body Composition, Energy Intake, Diet, Reducing, Dietary Proteins, Female, Humans, Male, Middle Aged, Obesity, Weight Loss, Metabolic Syndrome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review