By Janet D. Latner PhD, G. Terence Wilson PhD
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Additional info for Self-Help Approaches for Obesity and Eating Disorders: Research and Practice
In one study, all participants (n = 301) were given free meal replacements and encouraged to follow the instructions on the package insert (Heber, Ashley, Wang, & Elashoff, 1994). Participants had weight measured on a weekly basis for the first 12 weeks of the study. Attrition at 12 weeks was 9%; completer analyses were conducted. 3 kg, respectively, at 12 weeks. Participants who lost at least 4 kg in the 12-week program (n = 238) were encouraged to continue using one meal replacement per day and were weighed biweekly; only these participants were included in follow-up assessments.
The method used to decrease energy intake must be logical, sustainable, safe, and effective. 3 describes some of the particular problems with extremely hypocaloric diets. Even for verylow-calorie diets, a minimum of 800 calories per day is recommended (National Task Force on the Prevention and Treatment of Obesity, 1993). Rate of weight loss is also important. If too much weight is lost too fast, the diet is not safe; therefore, rate of weight loss is another important factor to consider. No more than 10% of body weight should be lost over a period of 6 months.
48 (very active). 2 (slightly active), the woman would require 2,171 kcals per day. Note that the error in using the abbreviated method is very small, and it is usually used clinically. From the total EER, the calories necessary to produce loss of fat tissue are subtracted to give the individualized energy prescription for the reducing diet. If the woman had a caloric intake of 1,600–1,700 kcal per day (a 500-kcal-per-day deficit), weight loss of approximately 1 pound per week would be expected.