Andersen M M, Osler M, Pedersen A N, Ebbesen K, Simony K, Larsen S O
Ernaeringsfysiologisk laboratorium, Københavns Kommunehospital.
Ugeskr Laeger. 1991 Feb 25;153(9):650-4.
The results of treatment of obesity by means of conventional dietary advice in the nutritional physiological laboratory. The Municipal Hospital, Copenhagen, during a period of 17 years are reviewed. This review involves 1,640 patients, 973 women and 667 men. 31% had a body mass index (BMI) of 25-29 kg/m2, 59% had BMI of 30-39 kg/m2 and 10% had BMI greater than or equal to 40 kg/m2. After 12 weeks, a total of 56.4% and after 16 weeks 50% of the patients were still receiving treatment. The weight-loss by the 12th week averaged 6.7 kg for women and 7.8 kg and 9.2 kg, respectively. The percentage of defaulters by the 12th week was independent of sex, initial BMI and the presence of other possible diagnoses but was significantly higher for the younger patients (less than 40 years) as compared with the older patients (greater than or equal to 40 years). The weight-loss at the 12th week was independent of age but was significantly positively correlated to high initial BMI and presumably high energy intake in the dietary history. The number of control weighings (frequency of attendance) was the parameter which best correlated to the weight-loss with an average weight-loss of 0.14 kg per attendance.
哥本哈根市立医院营养生理实验室采用传统饮食建议治疗肥胖症的结果回顾。该回顾涵盖了17年期间的1640名患者，其中973名女性和667名男性。31%的人体重指数（BMI）为25 - 29千克/平方米，59%的人BMI为30 - 39千克/平方米，10%的人BMI大于或等于40千克/平方米。12周后，共有56.4%的患者仍在接受治疗，16周后这一比例为50%。到第12周时，女性平均减重6.7千克，男性分别减重7.8千克和9.2千克。到第12周时失访者的比例与性别、初始BMI以及其他可能诊断的存在无关，但与老年患者（大于或等于40岁）相比，年轻患者（小于40岁）的失访率显著更高。第12周时的体重减轻与年龄无关，但与高初始BMI以及饮食史中可能的高能量摄入显著正相关。对照称重的次数（就诊频率）是与体重减轻最相关的参数，每次就诊平均减重0.14千克。
