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A 2-Week Course of Enteral Treatment with a Very Low-Calorie Protein-Based Formula for the Management of Severe Obesity
Joint Authors
Castaldo, Giuseppe
Monaco, Luigi
Castaldo, Laura
Sorrentino, Paolo
Source
International Journal of Endocrinology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-05-06
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Multiple weight loss failures among obese patients suggest the design of new therapeutic strategies.
We investigated the role of 2-week course of enteral treatment with a very low-calorie protein-based formula in the management of severe obesity.
Methods.
We evaluated the feasibility, safety, and efficacy of 2-week continuous administration of a protein-based formula (1.2 g/kg of ideal body weight/day) by nasogastric tube in severely obese adults (body mass index (BMI) ≥ 40 kg/m2).
Results.
In total, 364 patients (59% women; BMI = 46.6±7.2 kg/m2) were recruited.
The intervention was discontinued within 48 hours in 26 patients, due to nasogastric tube intolerance.
No serious adverse events occurred.
During the first and the second week, 65% and 80% patients, respectively, reported no side effects.
All biochemical safety parameters were affected by the intervention, particularly uric acid (+45%) and aminotransferases (+48%).
In the other cases the change was negligible.
We observed significant weight loss (5.7±2.3%) and improvement in blood pressure and glucose and lipid metabolism parameters (P<0.001).
Conclusions.
A 2-week course of enteral treatment with a very low-calorie protein-based formula appeared a feasible, likely safe, and efficacious therapeutic option to be considered for inclusion into a composite weight loss program for the management of severe obesity.
This trial is registered with ClinicalTrials.gov Identifier: NCT01965990.
American Psychological Association (APA)
Castaldo, Giuseppe& Monaco, Luigi& Castaldo, Laura& Sorrentino, Paolo. 2015. A 2-Week Course of Enteral Treatment with a Very Low-Calorie Protein-Based Formula for the Management of Severe Obesity. International Journal of Endocrinology،Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1065797
Modern Language Association (MLA)
Castaldo, Giuseppe…[et al.]. A 2-Week Course of Enteral Treatment with a Very Low-Calorie Protein-Based Formula for the Management of Severe Obesity. International Journal of Endocrinology No. 2015 (2015), pp.1-10.
https://search.emarefa.net/detail/BIM-1065797
American Medical Association (AMA)
Castaldo, Giuseppe& Monaco, Luigi& Castaldo, Laura& Sorrentino, Paolo. A 2-Week Course of Enteral Treatment with a Very Low-Calorie Protein-Based Formula for the Management of Severe Obesity. International Journal of Endocrinology. 2015. Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1065797
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1065797