Ramuth Edson, Ramuth Sylvia, Pavão Tamaris R R, Biacchi Kimberlly B, Bachi Andre L L
Faculty of Medical Sciences of Santa Casa de São Paulo, São Paulo 01224-001, Brazil.
São Camilo University Center, São Paulo 04263-200, Brazil.
Healthcare (Basel). 2022 Jul 27;10(8):1398. doi: 10.3390/healthcare10081398.
Background: Investigate the effectiveness of the scientific 4 Phases Method, a methodology developed by EMAGRECENTRO, which is based on a ketogenic approach (total carbohydrate intake <40 g/day; including fibers) associated with health coach assistance, in promoting reductions in body weight, body mass index (BMI), and waist circumference after 5 weeks of methodology application. Methods: Record files from 354 individuals, both sexes, aged between 18 and 67, who took part in the 4 Phases Method were used to develop this study. Age, sex, weight, height, BMI, waist circumference measurement, and the presence of ketone bodies in the urine were evaluated before (baseline) and after 5 weeks of the 4 Phases application. Results: In general, a significant reduction in body weight (−7.8 ± 1.2 kg, p < 0.0001), BMI (−2.8 ± 0.4 kg/m2, p < 0.0001), and waist circumference measurement (−7.6 ± 0.4 cm, p < 0.0001) was found after the application of the 4 Phases Method, regardless of age, gender, and BMI. Conclusions: Taken together, our results demonstrated that the 4 Phases Method was able to promote significant body weight, BMI, and waist circumference reductions in the short term, particularly by associating a ketogenic intake strategy with a regular close follow-up weekly consultation with a health coach assistance.
研究由EMAGRECENTRO开发的科学四阶段法的有效性，该方法基于生酮方法（总碳水化合物摄入量<40克/天；包括纤维）并辅以健康教练指导，在应用该方法5周后促进体重、体重指数（BMI）和腰围降低。方法：本研究使用了354名年龄在18至67岁之间、参与四阶段法的男女个体的记录文件。在应用四阶段法前（基线）和5周后，评估年龄、性别、体重、身高、BMI、腰围测量值以及尿中酮体的存在情况。结果：总体而言，应用四阶段法后，无论年龄、性别和BMI如何，体重（-7.8±1.2千克，p<0.0001）、BMI（-2.8±0.4千克/平方米，p<0.0001）和腰围测量值（-7.6±0.4厘米，p<0.0001）均显著降低。结论：综上所述，我们的结果表明，四阶段法能够在短期内显著降低体重、BMI和腰围，特别是通过将生酮摄入策略与健康教练定期密切跟进的每周咨询相结合。
