Korean J Med.  2002 Mar;62(3):250-257.

Effect of a traditional korean very-low-calorie diet on obese patients

Affiliations
  • 1Department of Internal Medicine, Dong Eui Medical Center, Busan, Korea. pwibang@hanmail.net
  • 2Department of Food, Nutrition, Dong Eui Medical Center, Busan, Korea.
  • 3Department of Endocrinology, Metabolism, Ajou University College of Medicine, Suwon, Korea.
  • 4Department of Food, Nutrition, Ajou University College of Medicine, Suwon, Korea.

Abstract

BACKGROUND
There is increasing interest in the use of a very low calorie diet (VLCD) as a treatment regimen for weight loss in obese subjects. This study was designed to investigate the effects and safety of a traditional Korean very-low-calory diet.
METHODS
Twelve hospitalized obese patients at Dong Eui hospital in Busan city from May 1998 to December 1998 were selected. Height, body weight, blood lipids, blood insulin level, body fat, lean body mass, subcutaneous fat and visceral fat were measured. A traditional Korean VLCD was supplied for 14 days.
RESULTS
Patient's body weight was significantly decreased from 83.8 kg to 78.6 kg, body fat from 32.2 kg to 28.6 kg, lean body mass from 32.2 kg to 28.6 kg, and BMI from 31.4 to 29.5, respectively (p<0.05). Total fat was significantly decreased from 807 cc to 659 cc, subcutaneous fat from 567 cc to 473 cc, visceral fat from 273 cc to 185 cc, respectively. However there were no significant changes in minerals. After VLCD intervention, total cholesterol was significantly decreased from 199 mg/dL to 166 mg/dL, HDL-cholesterol from 42 mg/dL, to 35 mg/dL, triglyceride from 158 mg/dL, to 75 mg/dL (p<0.05). The insulin area under the curve was also significantly decreased from 205 micro International-Unit/mL x 2hr to 168 micro International-Unit/mL x 2hr (p<0.05).
CONCLUSION
Above findings suggested that a traditional Korean VLCD is effective and safe for short term use in terms of reducing body fat and improving insulin resistance in obese patients.

Keyword

VLCD; Insulin resistance; HDL-cholesterol

MeSH Terms

Adipose Tissue
Body Height
Body Weight
Busan
Caloric Restriction
Cholesterol
Diet*
Humans
Insulin
Insulin Resistance
Intra-Abdominal Fat
Minerals
Subcutaneous Fat
Triglycerides
Weight Loss
Cholesterol
Insulin
Minerals
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