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document
[ Randomized clinical trial between nutritional counselling and commercial hypocaloric diet in weight loss in obese patients with chronic arthropathy ] . BACKGROUND AND OBJECTIVE The aim of our work was to evaluate in obese patients with an indication of replacement surgery for degenerative osteoarthritis , the utility of a hypocaloric diet with Optisource vs nutritional counseling . MATERIAL AND METHOD Thirty six patients were randomized in both branches : diet I with lunch and dinner substituted by two Optisource ( 1109,3 kcal/day , 166,4g of carbohydrates ( 60 % ) , 63g of proteins ( 23 % ) , 21,3g of lipids 17 % ) and diet II with nutritional counselling with a decrease of 500 cal/day from the previous dietary intake . Before and 3 months after treatment , a nutritional and biochemical study was performed . RESULTS Nineteen patients were randomized in group I and 17 patients in group II . 19 patients finished the study in group I and 14 in group II . Weight loss was higher in group I than II ( 7,7 [ 4,7 ] vs 3,92 [ 3,32 ] kg ; P=.05 ) , with a significant decrease of HOMA and diastolic blood pressure in group I. Decreases of body mass index ( -2,9 [ 1,8 ] vs -1,4 [ 0,9 ] ; P=.05 ) , fat mass ( -3,8 [ 3,4 ] vs -2,3 [ 1,7 ] kg ; P=.0,05 ) and HOMA ( -2,0 [ 2,2 ] vs -0,4 [ 1,82 ] ; P=.05 ) were higher in group I than II . CONCLUSIONS Obese patients with chronic osteoarthritis treated with a mixed diet supplemented with a commercial hypocaloric formula improved weight , fat mass and HOMA in a better way than patients treated with a dietary counselling alone .
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Intervention_Pharmacological
hypocaloric diet
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Intervention_Pharmacological
Optisource
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Intervention_Pharmacological
diet I with lunch and dinner substituted by two Optisource
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Intervention_Other
II with nutritional counselling with a decrease of 500 cal/day from the previous dietary intake
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Intervention_Other
commercial hypocaloric formula
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Intervention_Pharmacological
dietary counselling
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Outcome_Physical
Weight loss
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Outcome_Physical
HOMA
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Outcome_Physical
diastolic blood pressure
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Outcome_Physical
body mass index
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Outcome_Physical
fat mass
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Outcome_Physical
HOMA
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Outcome_Physical
weight
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Outcome_Physical
fat mass
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Outcome_Physical
HOMA
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Participant_Condition
obese patients
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Participant_Condition
chronic arthropathy
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Participant_Condition
obese patients
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Participant_Condition
replacement surgery for degenerative osteoarthritis
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Participant_Sample-size
Thirty six
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Participant_Condition
Obese patients
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Participant_Condition
chronic osteoarthritis