To evaluate the efficacy and safety of a carbohydrate restricted versus a low fat diet on weight loss, metabolic markers, body composition, and cardiac function tests in severely obese adolescents. After the intervention, no clinical contact was made until follow-up measurements were obtained at 24 and 36 weeks from baseline. The primary outcome was change in BMI-Z-score at 13, 24, and 36 weeks. Forty-six subjects 24 HPLC, 22 in LF initiated and 33 subjects completed the intervention; follow-up data were available on approximately half of the subjects. Both groups maintained significant BMI-Z reduction at follow-up; changes were not significantly different between groups. Loss of lean body mass was not spared in the HPLC group.
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Tiffany Linn Bierer, Linh M. The number of obese and overweight people is of growing concern in the human population. Current weight loss regimens for pets often involve a severe calorie restriction that is many times coupled with high intakes of dietary fiber. Either alone or combined with an increase in physical activity, these diets are efficacious when strictly followed. Unfortunately, they are often not followed. In addition to the reduced palatability and increased stool volume commonly associated with high-fiber diets, the strict calorie restriction required for weight loss often leaves an animal hungry. Aggression and begging in a hungry pet stresses the pet owner who will dramatically increase the pet’s caloric intake by offering the pet numerous treats in an attempt to decrease the begging and alleviate the owner’s concern that the pet remains hungry after a meal.