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Using a Revised Protein-Sparing Modified Fast (rPSMF) for Children and Adolescents with Severe Obesity: A Pilot Study

Author

Listed:
  • Ihuoma Eneli

    (Center for Healthy Weight and Nutrition, Nationwide Children’s Hospital, Columbus, OH 43205, USA
    Department of Pediatrics, The Ohio State University, Columbus, OH 43210, USA)

  • Jinyu Xu

    (Center for Healthy Weight and Nutrition, Nationwide Children’s Hospital, Columbus, OH 43205, USA)

  • Alexis Tindall

    (Center for Healthy Weight and Nutrition, Nationwide Children’s Hospital, Columbus, OH 43205, USA)

  • Rosanna Watowicz

    (Department of Nutrition, Case Western University, Cleveland, OH 44106, USA)

  • Jennifer Worthington

    (Division of Clinical Therapies, Nationwide Children’s Hospital, Columbus, OH 43205, USA)

  • Kelly Tanner

    (Division of Clinical Therapies, Nationwide Children’s Hospital, Columbus, OH 43205, USA)

  • Keeley Pratt

    (Department of Human Sciences, The Ohio State University, Columbus, OH 43210, USA)

  • Marnie Walston

    (Department of Pediatrics, Akron Children’s Hospital, Akron, OH 44308, USA)

Abstract

Treatment options are limited for children and adolescents with severe obesity. One alternative treatment is the protein-sparing modified fast (PSMF), a low-carbohydrate, high-protein diet that can result in substantial weight loss. The aim of the study is to evaluate the adherence and efficacy of a revised PSMF (rPSMF) for severe obesity in a pediatric tertiary care weight-management program. The rPSMF with 1200–1800 calories, 40–60 g of carbohydrate/day and 1.2–1.5 g protein/kg of ideal bodyweight was implemented over 12 months. Twenty-one participants enrolled in the study. Mean age 16.2 ± 1.4 years, females (76.2%) and mean weight at baseline was 119 ± 19.9 kg. Regardless of adherence to the rPSMF, the mean weight change at 1 month was −3.7 ± 3.5 kg, (range −13.5 kg to 0.9 kg); at 3 months was −5.5 ± 5.1 kg, (range −19.3 kg to 1.8 kg) and at 6 months was −4.7 ± 6.6 kg, (range −18.3 kg to 8.6 kg). At 12 months, the mean weight change was −1.3 ± 10.6 kg (range −17.7 kg to 14.8 kg). Parent and child-reported physical and psychosocial quality of life (HRQOL) improved. Despite limited adherence, the rPSMF diet resulted in clinically significant weight loss and improved HRQOL for children and adolescents with severe obesity.

Suggested Citation

  • Ihuoma Eneli & Jinyu Xu & Alexis Tindall & Rosanna Watowicz & Jennifer Worthington & Kelly Tanner & Keeley Pratt & Marnie Walston, 2019. "Using a Revised Protein-Sparing Modified Fast (rPSMF) for Children and Adolescents with Severe Obesity: A Pilot Study," IJERPH, MDPI, vol. 16(17), pages 1-12, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3061-:d:260253
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    References listed on IDEAS

    as
    1. Keeley Pratt & Jennifer Cotto & Jinyu Xu & Rosanna Watowicz & Marnie Walston & Ihuoma Eneli, 2019. "Adolescents’ and Parents’ Perspectives of a Revised Protein-Sparing Modified Fast (rPSMF) for Severe Obesity," IJERPH, MDPI, vol. 16(18), pages 1-17, September.
    2. Palgi, A. & Read, J.L. & Greenberg, I. & Hoefer, M.A. & Bistrian, B.R. & Blackburn, G.L., 1985. "Multidisciplinary treatment of obesity with a protein-sparing modified fast: Results in 668 outpatients," American Journal of Public Health, American Public Health Association, vol. 75(10), pages 1190-1194.
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