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Effect of dietary adherence on the body weight plateau: a mathematical model incorporating intermittent compliance with energy intake prescription

Thomas, Diana M, Martin, Corby K, Redman, Leanne M, Heymsfield, Steven B, Lettieri, Steven, Levine, James A, Bouchard, Claude, Schoeller, Dale A·2014·The American Journal of Clinical Nutrition

Abstract

Background Clinical weight loss in individuals typically stabilizes at 6 mo. However, validated models of dynamic energy balance have consistently shown weight plateaus between 1 and 2 y. The cause for this discrepancy is unclear. Objective We developed 2 mathematical models on the basis of the first law of thermodynamics to investigate plausible explanations for reaching an early weight plateau at 6 mo. Design The first model was an energy-expenditure adaptation model and was applied to determine the degree of metabolic adaptation required to generate this plateau. The second model was an intermittent lack-of-adherence model formulated by using a randomly fluctuating energy intake term accounting for intermittent noncompliance in dietary intake to reach this plateau. To set model variables, validate models, and compare free-living weight-loss patterns to in-residence supervised programs, we applied the following 4 different studies: The US NHANES 1999-2004, Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy (CALERIE) weight-loss study, the Bouchard Twin overfeeding study, and the Minnesota Starvation Experiment. Results The metabolic adaptation model increased final weight but did not affect the predicted plateau time point. The intermittent lack-of-adherence model generated oscillating weight graphs that have been frequently observed in weight-loss studies. The model showed that a 6-mo weight-loss plateau can be attained despite what can be considere…

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Research works printed but not linked: 16

  1. Miller, 1975, Resistance to slimming: adaptation or illusion?, Lancet, 1, 773, 10.1016/S0140-6736(75)92437-X · DOI
  2. Cannon, 2005, Dieting. Makes you fat?, Br J Nutr, 93, 569, 10.1079/BJN20041382 · DOI
  3. Dansinger, 2005, Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomized trial, JAMA, 293, 43, 10.1001/jama.293.1.43 · DOI · Paper page
  4. 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
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  7. Bouchard, 1990, The response to long-term overfeeding in identical twins, N Engl J Med, 322, 1477, 10.1056/NEJM199005243222101 · DOI · Paper page
  8. Thomas, 2010, A computational model to determine energy intake during weight loss, Am J Clin Nutr, 92, 1326, 10.3945/ajcn.2010.29687 · DOI
  9. de Jonge, 2007, Validation study of energy expenditure and intake during calorie restriction using doubly labeled water and changes in body composition, Am J Clin Nutr, 85, 73, 10.1093/ajcn/85.1.73 · DOI
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Metadata

Authors
Thomas, D. M., Martin, C. K., Redman, L. M., Heymsfield, S. B., Lettieri, S., Levine, J. A., Bouchard, C., & Schoeller, D. A.
Venue
The American Journal of Clinical Nutrition
Publisher
Elsevier BV
Published
2014-09
Volume
100
Issue
3
Pages
787-795
ISSN
0002-9165
Cited by
56
References
8
Language
en

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