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) Full Text of Discussion. Media in This Article Poll Results Contributors Figure 1 Mean Change in Body Weight and Waist Circumference from Baseline to 2 Years According to Dietary Macronutrient Content. , Steven B. The diets consisted of similar foods and met guidelines for cardiovascular health. Michael Foster, Ph. Methods Using Internet searches of popular media and scientific literature, we identified, reviewed, and classified obesity-related myths and presumptions. D. The diets improved lipid-related risk factors and fasting insulin levels. The primary outcome was the change in body weight after 2 years in two-by-two factorial comparisons of low fat versus high fat and average protein versus high protein and in the comparison of highest and lowest carbohydrate content. Results We identified seven obesity-related myths concerning the effects of small sustained increases in energy intake or expenditure, establishment of realistic goals for weight loss, rapid weight loss, weight-loss readiness, physical-education classes, breast-feeding, and energy expended during sexual activity. Conclusions Reduced-calorie diets result in clinically meaningful weight loss regardless of which macronutrients they emphasize. Finally, we identified nine evidence-supported facts that are relevant for the formulation of sound public health, policy, or clinical recommendations. ) Full Text of Discussion. , Nefertiti Durant, M. Conclusions False and scientifically unsupported beliefs about obesity are pervasive in both scientific literature and the popular press. D. D. gov number, NCT00072995. , Gareth Dutton, Ph. Thus, we recognized the need for a large trial that would be designed to overcome the limitations of previous trials and that would compare the effects of three principal dietary macronutrients.
, E. Figure 2 Mean Changes in Body Weight and Waist Circumference at Various Time Points. The project staff of the National Heart, Lung, and Blood Institute also participated in the development of the protocol, monitoring of progress, interpretation of results, and critical review of the manuscript. e. Article Activity 148 articles have cited this article Article Passionate interests, the human tendency to seek explanations for observed phenomena, and everyday experience appear to contribute to strong convictions about obesity, despite the absence of supporting data. (ClinicalTrials. Media in This Article Table 1 Seven Myths about Obesity. We also examined facts that are well supported by evidence, with an emphasis on those that have practical implications for public health, policy, or clinical recommendations. Abstract Background The possible advantage for weight loss of a diet that emphasizes protein, fat, or carbohydrates has not been established, and there are few studies that extend beyond 1 year. The participants were offered group and individual instructional sessions for 2 years. The promulgation of unsupported beliefs may yield poorly informed policy decisions, inaccurate clinical and public health recommendations, and an unproductive allocation of research resources and may divert attention away from useful, evidence-based information. The crucial question is whether overweight people have a better response in the long term to diets that emphasize a specific macronutrient composition. , M. P. Bohan Brown, Ph. H. (Funded by the National Institutes of Health. Participants Our goal was to recruit 800 overweight and obese subjects (400 at each site), of whom about 40% would be men. D. , human-made) environment. We also identified six presumptions about the purported effects of regularly eating breakfast, early childhood experiences, eating fruits and vegetables, weight cycling, snacking, and the built (i.
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