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Enhanced weight loss with protein-enriched meal replacements in subjects with the metabolic syndrome.

Diabetes/metabolism research and reviews
July 1, 2010
Marion Flechtner-Mors et al. (5 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effects of a high-protein diet versus a conventional protein diet on weight loss, weight maintenance, and body composition in individuals with metabolic syndrome.

Results Summary

The high-protein diet group lost more body weight and fat mass than the conventional protein diet group, with similar fat-free mass loss in both groups. Improvements in metabolic syndrome parameters were greater in the high-protein group, with 64.5% no longer meeting metabolic syndrome criteria after 12 months.

Population

Obese individuals with metabolic syndrome.

Effective Dosage

High-protein diet (1.34 g/kg body weight) vs. conventional protein diet (0.8 g/kg body weight).

Duration

12 months.

Interactions

None mentioned.

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
high-protein diet
decrease
body weight
obese subjects with the metabolic syndrome
-
lost more
#1
high-protein diet
decrease
fat mass
obese subjects with the metabolic syndrome
-
lost more
#2
high-protein diet
no change
loss of fat-free mass
obese subjects with the metabolic syndrome
-
similar
#3
conventional protein diet
no change
loss of fat-free mass
obese subjects with the metabolic syndrome
-
similar
#4
high-protein diet
increase
biochemical parameters associated with the metabolic syndrome
obese subjects with the metabolic syndrome
-
improved
#5
conventional protein diet
increase
biochemical parameters associated with the metabolic syndrome
obese subjects with the metabolic syndrome
-
improved
#6
high-protein diet
increase
biochemical parameters associated with the metabolic syndrome
obese subjects with the metabolic syndrome
-
modestly greater improvements
#7
high-protein diet
decrease
metabolic syndrome status
obese subjects with the metabolic syndrome
64.5%
no longer met three or more of the criteria for having the metabolic syndrome
#8
conventional protein diet
decrease
metabolic syndrome status
obese subjects with the metabolic syndrome
34.8%
no longer met three or more of the criteria for having the metabolic syndrome
#9
energy-restricted, high-protein diet with nutrient-dense meal replacements
decrease
body weight and fat-free mass
individuals with the metabolic syndrome
-
achieved significant weight loss while preserving fat-free mass
#10
Abstract

BACKGROUND: The objective of this study was to investigate the effects of a protein-rich diet in comparison with a conventional protein diet on weight loss, weight maintenance, and body composition in subjects with the metabolic syndrome. METHODS: Obese subjects received instructions for an energy-restricted diet with a calorie deficit of 500 kcal/day and were randomly assigned to either high-protein (1.34 g/kg body weight) or conventional protein (0.8 g/kg body weight) diets for 12 months. Protein-enriched meal replacements were used to enrich one arm of the diet with protein throughout the study. In all, 67% of the participants completed the 1-year study. RESULTS: Subjects following the high-protein diet lost more body weight and more fat mass compared with those on the conventional protein diet, whereas the loss of fat-free mass was similar in both diet groups. Biochemical parameters associated with the metabolic syndrome improved in both diet groups. Improvements were modestly greater in subjects with the high-protein diet. After 12 months of treatment, 64.5% of the subjects in the high-protein diet group and 34.8% of the subjects in the conventional diet group no longer met three or more of the criteria for having the metabolic syndrome. CONCLUSIONS: Individuals with the metabolic syndrome achieved significant weight loss while preserving fat-free mass when treated with an energy-restricted, high-protein diet that included nutrient-dense meal replacements, as compared with the results for conventional protein intake. An intervention with a protein-enriched diet may have advantages for the management of the metabolic syndrome.

Medical Subject Headings (MeSH)
AdultAgedBody CompositionDiet, ReducingDietary ProteinsEnergy IntakeFemaleHumansMaleMetabolic SyndromeMiddle AgedObesityWeight Loss
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations44
Citations/Year2.9
Relative Citation Ratio1.31
NIH Percentile60.3%
Research Impact Scores
APT Score0.75
Weight Score1.32
Normalized Score0.70
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