The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.
Protein-Pacing Caloric-Restriction Enhances Body Composition Similarly in Obese Men and Women during Weight Loss and Sustains Efficacy during Long-Term Weight Maintenance
Abstract
Short-Term protein-pacing (P; ~6 meals/day, >30% protein/day) and caloric restriction (CR, ~25% energy deficit) improves total (TBF), abdominal (ABF) and visceral (VAT) fat loss, energy expenditure, and biomarkers compared to heart healthy (HH) recommendations (3 meals/day, 15% protein/day) in obese adults. Less is known whether obese men and women respond similarly to P-CR during weight loss (WL) and whether a modified P-CR (mP-CR) is more efficacious than a HH diet during long-term (52 week) weight maintenance (WM). The purposes of this study were to evaluate the efficacy of: (1) P-CR on TBF, ABF, resting metabolic rate (RMR), and biomarkers between obese men and women during WL (weeks 0–12); and (2) mP-CR compared to a HH diet during WM (weeks 13–64). During WL, men (n = 21) and women (n = 19) were assessed for TBF, ABF, VAT, RMR, and biomarkers at weeks 0 (pre) and 12 (post). Men and women had similar reductions (p < 0.01) in weight (10%), TBF (19%), ABF (25%), VAT (33%), glucose (7%–12%), insulin (40%), leptin (>50%) and increase in % lean body mass (9%). RMR (kcals/kg bodyweight) was unchanged and respiratory quotient decreased 9%. Twenty-four subjects (mP-CR, n = 10; HH, n = 14) completed WM. mP-CR regained significantly less body weight (6%), TBF (12%), and ABF (17%) compared to HH (p < 0.05). Our results demonstrate P-CR enhances weight loss, body composition and biomarkers, and maintains these changes for 52-weeks compared to a traditional HH diet.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“In contrast to these findings, Arciero et al. [4,70,71] have shown superior body composition (reduced total body, fat, and visceral fat mass) with TWF compared with CER.”
From International Society of Sports Nutrition position stand: diets for body weight reduction (2026) · cites this paper as [70]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
A 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
Long-term persistence of hormonal adaptations to weight loss
Sumithran, P., Prendergast, L. A., Delbridge, E., Purcell, K., Shulkes, A., Kriketos, A., & Proietto, J. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa1105816 · Cited by 1,449
Long-term weight-loss maintenance: a meta-analysis of US studies
Anderson, J. W., Konz, E. C., Frederich, R. C., & Wood, C. L. (2001) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/74.5.579 · Cited by 1,351
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
Diets with high or low protein content and glycemic index for weight-loss maintenance
Larsen, T. M., Dalskov, S.-M., van Baak, M., Jebb, S. A., Papadaki, A., Pfeiffer, A. F. H., Martinez, J. A., Handjieva-Darlenska, T., Kunešová, M., Pihlsgård, M., et al. (2010) · New England Journal of Medicine · doi:10.1056/nejmoa1007137 · Cited by 843
Self-citationStern, 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 · cited 1×
“Not surprisingly, the failure of established dieting strategies for weight loss, and more importantly weight loss maintenance, has prompted an increase in lower-calorie nutritional interventions to facilitate weight loss and reduce weight regain [2–6], but without much success [7].”
BackgroundHarvie, M. N., Pegington, M., Mattson, M. P., Frystyk, J., Dillon, B., Evans, G., Cuzick, J., Jebb, S. A., Martin, B., Cutler, R. G., et al. (2011) · International Journal of Obesity · doi:10.1038/ijo.2010.171 · Cited by 804
Areta, J. L., Burke, L. M., Camera, D. M., West, D. W. D., Crawshay, S., Moore, D. R., Stellingwerff, T., Phillips, S. M., Hawley, J. A., & Coffey, V. G. (2014) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00590.2013 · Cited by 227 · cited 2×
“Nonetheless, recent data have shown that lower rates of MPS can also be restored by a higher dietary protein intake [28], particularly so with whey protein [26], which was the supplemental protein source used throughout the WL phase.”
Backgroundde Souza, R. J., Bray, G. A., Carey, V. J., Hall, K. D., LeBoff, M. S., Loria, C. M., Laranjo, N. M., Sacks, F. M., & Smith, S. R. (2012) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.111.026328 · Cited by 192
Pasiakos, S. M., Vislocky, L. M., Carbone, J. W., Altieri, N., Konopelski, K., Freake, H. C., Anderson, J. M., Ferrando, A. A., Wolfe, R. R., & Rodriguez, N. R. (2010) · The Journal of Nutrition · doi:10.3945/jn.109.118372 · Cited by 176
Flagged first, then by citations
Research works printed but not linked: 35
- Franz, 2007, Weight-Loss outcomes: A systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up, J. Am. Diet. Assoc., 107, 1755, 10.1016/j.jada.2007.07.017 · DOI · Paper page
- Dansinger, 2005, Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: A randomized trial, J. Am. Med. Assoc., 293, 43, 10.1001/jama.293.1.43 · DOI · Paper page
- Brehm, 2003, A randomized trial comparing a very low carbohydrate diet and a calorie-restricted low fat diet on body weight and cardiovascular risk factors in healthy women, J. Clin. Endocrinol. Metab., 88, 1617, 10.1210/jc.2002-021480 · DOI · Paper page
- Heymsfield, 2007, Why do obese patients not lose more weight when treated with low-calorie diets? A mechanistic perspective, Am. J. Clin. Nutr., 85, 346, 10.1093/ajcn/85.2.346 · DOI
- Arciero, 2013, Increased protein intake and meal frequency reduces abdominal fat during energy balance and energy deficit, Obesity, 21, 1357, 10.1002/oby.20296 · DOI · Paper page
- Camhi, 2010, Potential mechanisms linking low-fat diet to inflammation and metabolic syndrome, Metabolis, 59, 455, 10.1016/j.metabol.2009.10.008 · DOI
- Song, 2016, A low-fat high-carbohydrate diet reduces plasma total adiponectin concentrations compared to a moderate-fat diet with no impact on biomarkers of systemic inflammation in a randomized controlled feeding study, Eur. J. Nutr., 55, 237, 10.1007/s00394-015-0841-1 · DOI
- Leidy, 2015, The role of protein in weight loss and maintenance, Am. J. Clin. Nutr., 101, 1320, 10.3945/ajcn.114.084038 · DOI · Paper page
- Klempel, 2012, Intermittent fasting combined with calorie restriction is effective for weight loss and cardio-protection in obese women, Nutr. J., 11, 98, 10.1186/1475-2891-11-98 · DOI
- Varady, 2013, Alternate day fasting for weight loss in normal weight and overweight subjects: a randomized controlled trial, Nutr. J., 12, 146, 10.1186/1475-2891-12-146 · DOI
- Kroeger, 2012, Improvement in coronary heart disease risk factors during an intermittent fasting/calorie restriction regimen: Relationship to adipokine modulations, Nutr. Metab., 9, 98, 10.1186/1743-7075-9-98 · DOI
- Tinsley, 2015, Effects of intermittent fasting on body composition and clinical health markers in humans, Nutr. Rev., 73, 661, 10.1093/nutrit/nuv041 · DOI · Paper page
- Kuk, 2009, Influence of sex on total and regional fat loss in overweight and obese men and women, Int. J. Obes., 33, 629, 10.1038/ijo.2009.48 · DOI
- Gasteyger, 2009, Visceral fat loss induced by a low-calorie diet: A direct comparison between women and men, Diabetes Obes. Metab., 11, 596, 10.1111/j.1463-1326.2008.01025.x · DOI
- Arciero, 2014, Timed daily ingestion of whey protein and exercise training reduces visceral adipose tissue mass and improves insulin resistance, J. Appl. Physiol., 117, 1, 10.1152/japplphysiol.00152.2014 · DOI
- Gentile, 2015, Resistant starch and protein intake enhances fat oxidation and feelings of fullness in lean and overweight/obese women, Nutr. J., 14, 1, 10.1186/s12937-015-0104-2 · DOI · Paper page
- Lonnqvist, 1997, Sex differences in visceral fat lipolysis and metabolic complications of obesity, Arterioscler. Thromb. Vasc. Biol., 17, 1472, 10.1161/01.ATV.17.7.1472 · DOI
- Blaak, 2001, Gender differences in fat metabolism, Curr. Opin. Clin. Nutr. Metab. Care, 4, 499, 10.1097/00075197-200111000-00006 · DOI
- Murphy, 2015, Hypoenergetic diet-induced reductions in myofibrillar protein synthesis are restored with resistance training and balanced daily protein ingestion in older men, Am. J. Physiol. Endocrinol. Metab., 308, 734, 10.1152/ajpendo.00550.2014 · DOI · Paper page
- Considine, 1996, Serum immunoreactive-leptin concentrations in normal-weight and obese humans, N. Engl. J. Med., 334, 292, 10.1056/NEJM199602013340503 · DOI · Paper page
- Havel, 1996, Relationship of plasma leptin to plasma insulin and adiposity in normal weight and overweight women: Effects of dietary fat content and sustained weight loss, J. Clin. Endocrinol. Metab., 81, 4406
- MacLean, 2015, The role for adipose tissue in weight regain after weight loss, Obes. Rev., 16, 45, 10.1111/obr.12255 · DOI
- Staiger, 2003, Relationship of serum adiponectin and leptin concentrations with body fat distribution in humans, Obes. Res., 11, 368, 10.1038/oby.2003.48 · DOI
- Klempel, 2011, Reliability of leptin, but not adiponectin, as a biomarker for diet-induced weight loss in humans, Nutr. Rev., 69, 145, 10.1111/j.1753-4887.2011.00373.x · DOI
- Koh, 2008, Influence of age and visceral fat area on plasma adiponectin concentrations in women with normal glucose tolerance, Clin. Chim. Acta, 389, 45, 10.1016/j.cca.2007.11.017 · DOI
- Clifton, 2009, High protein diets decrease total and abdominal fat and improve CVD risk profile in overweight and obese men and women with elevated triacylglycerol, Nutr. Metab. Cardiovasc. Dis., 19, 548, 10.1016/j.numecd.2008.10.006 · DOI
- Pekkarinen, 2015, Long-Term weight maintenance after a 17-week weight loss intervention with or without a one-year maintenance program: A randomized controlled trial, J. Obes., 2015, 651460, 10.1155/2015/651460 · DOI
- Varady, 2007, Alternate-Day fasting and chronic disease prevention: A review of human and animal trials, Am. J. Clin. Nutr., 86, 7, 10.1093/ajcn/86.1.7 · DOI
- Malik, 2007, Popular weight-loss diets: from evidence to practice, Nat. Clin. Pract. Cardiovasc. Med., 4, 34, 10.1038/ncpcardio0726 · DOI
- Rosenbaum, 2008, Long-Term persistence of adaptive thermogenesis in subjects who have maintained a reduced body weight, Am. J. Clin. Nutr., 88, 906, 10.1093/ajcn/88.4.906 · DOI · Paper page
- Soenen, 2012, Relatively high-protein or ‘low-carb’ energy-restricted diets for body weight loss and body weight maintenance?, Physiol. Behav., 107, 374, 10.1016/j.physbeh.2012.08.004 · DOI
- Belza, 2013, Contribution of gastroenteropancreatic appetite hormones to protein-induced satiety, Am. J. Clin. Nutr., 97, 980, 10.3945/ajcn.112.047563 · DOI
- Maersk, 2012, Satiety scores and satiety hormone response after sucrose-sweetened soft drink compared with isocaloric semi-skimmed milk and with non-caloric soft drink: A controlled trial, Eur. J. Clin. Nutr., 66, 523, 10.1038/ejcn.2011.223 · DOI
- Schmidt, 2014, Effects of PYY3-36 and GLP-1 on energy intake, energy expenditure, and appetite in overweight men, Am. J. Physiol. Endocrinol. Metab., 306, 1248, 10.1152/ajpendo.00569.2013 · DOI
- Dhillon, 2016, The effects of increased protein intake on fullness: A meta-analysis and its limitations, J. Acad. Nutr. Diet., 116, 968, 10.1016/j.jand.2016.01.003 · DOI
Cited by
Sorted by citations
International society of sports nutrition position stand: nutrient timing
Kerksick, C. M., Arent, S., Schoenfeld, B. J., Stout, J. R., Campbell, B., Wilborn, C. D., Taylor, L., Kalman, D., Smith-Ryan, A. E., Kreider, R. B., et al. (2017) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-017-0189-4 · Cited by 622
“In addition to these aforementioned studies, extensive work by Arciero and colleagues has directly examined the combined effect of meal frequency and timing along with the distribution of protein intake with [129, 130, 152–156] and without [157, 158] exercise training in both short-term (3 months) and longer-term (> 1…”
Self-citationPreserving Healthy Muscle during Weight Loss
Cava, E., Yeat, N. C., & Mittendorfer, B. (2017) · Advances in Nutrition · doi:10.3945/an.116.014506 · Cited by 452
Weight loss strategies and the risk of skeletal muscle mass loss
McCarthy, D., & Berg, A. (2021) · Nutrients · doi:10.3390/nu13072473 · Cited by 163
International Society of Sports Nutrition position stand: diets for body weight reduction
Aragon, A. A., Campbell, B. I., Schoenfeld, B. J., Stout, J. R., Kalman, D., Arciero, P. J., Arent, S. M., Kreider, R. B., Taylor, L. W., Bannock, L., et al. (2026) · Journal of the International Society of Sports Nutrition · doi:10.1080/15502783.2026.2740266
Self-citation
Metadata
- Authors
- Arciero, P., Edmonds, R., He, F., Ward, E., Gumpricht, E., Mohr, A., Ormsbee, M., & Astrup, A.
- Affiliations
- Human Nutrition and Metabolism Laboratory, Health and Exercise Sciences Department, Skidmore College, Saratoga Springs, NY 12866, USA
- Isagenix International LLC, Gilbert, AZ 85297, USA
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32306, USA
- Department of Nutrition, Exercise and Sports, University of Copenhagen, København 1017, Denmark
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2016-07-30
- Volume
- 8
- Issue
- 8
- Pages
- 476
- ISSN
- 2072-6643
- PMC
- PMC4997389
- Cited by
- 36
- References
- 12
- Language
- en
- Funders
- Isagenix International, LLC (IRB #: 1307-347)
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