Meal Replacements in Weight Intervention
Article first published online: 6 SEP 2012
2001 North American Association for the Study of Obesity (NAASO)
Special Issue: Dietary Patterns for Weight Management and Health
Volume 9, Issue S11, pages 312S–320S, November 2001
How to Cite
Ashley, J. M., St. Jeor, S. T., Perumean-Chaney, S., Schrage, J. and Bovee, V. (2001), Meal Replacements in Weight Intervention. Obesity Research, 9: 312S–320S. doi: 10.1038/oby.2001.136
- Issue published online: 6 SEP 2012
- Article first published online: 6 SEP 2012
- weight loss;
- risk factors;
- primary care practice;
- premenopausal women
Objective: To evaluate the effectiveness of meal replacements (MRs) in weight loss interventions in premenopausal women.
Research Methods and Procedures: Overweight premenopausal women (n = 113; body mass index: 25 to 35 kg/m2; 30 to 50 years old) were randomized into three interventions: group A, a dietitian-led intervention; group B, a dietitian-led intervention incorporating MRs; and group C, a clinical office-based intervention incorporating MRs. In year 1, groups A and B attended 26 group sessions, whereas group C received the same educational materials during 26 10-minute office visits with a physician–nurse team. In year 2, participants attended monthly group seminars and drop-in visits with a dietitian.
Results: For the 74 subjects completing year 1, weight loss in the office-based group C was as effective as the traditional dietitian-led group A (4.3 ± 6.5% vs. 4.1 ± 6.4%), while group B maintained a significantly greater weight loss (9.1 ± 8.9%; p < 0.02; mean ± SD). For the 43 subjects completing year 2, group B showed significant differences in the percentage of weight loss (−8.5 ± 7.0%) compared with group A (−1.5 ± 5.0%) and group C (−3.0 ± 7.0%; p < 0.001).
Discussion: Study results showed that a traditional weight loss intervention incorporating MRs was effective as a weight loss tool in the medical office practice and in the dietitian-led group setting.