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Weight Reduction in Overweight or Obese Adults

at Sawanpracharak Hospital

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IGittiya Kraisuwan IWD.

Soontorn Kraisuwan lvLD.

Department of Medicine

Sawanpracharak Hospital

Nakhon Sawan

Sawanprachuak Medical ]ournal

VoLo No.z May-August zooe

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Abstract

Objective

Setting

Design

Subiects

Method

To study effect of weight reduction in ovenareight or obese adults at

Sawanpracharak Hospital.

Medical department, Sawanpracharak Hospital.

Descriptive study

120 ovenrueight or obese adults were recruited into the study from

November 2008 to April 2009.

lnstruments in this study were calory controlled Food carrier Diet,

very low calorie diet (Nephromin) for meal replacement, behavior

modification activity book, and exercise VCD. The subjects were

followed every month for 6 months. Demographic of subjects, sex,

Results

Conclusion

Key words

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age, body weight, weight circumference and BMI data were recorded.

Comparisons of continuous variables between groups were made

using the Mann-whitrey and wlcoxon test witr P value<0.05 significance.

Most of subjects were female (91 .7o/o). Age range of 22-60, mean

age aA3 9.2 yeas. Before starting this program, mean body weight,

waist circumference and body mass index were 73.5 15.2 kgs,

90.0 11.6 cm and 29.6 5.3 kg/m2, respectively. Subjects with behavior

modification activity, lost 1.5 kgs.(median -i.5; range 5 to -16.0).Subjects who received Food Carrier Diet, lost 1.6 kgs. (median -1.6;range 4.6 to -16.0). Subjects who received Nephromin lost 2.0 t(gs.

(median -2.3; range 0 to -16.0). and Subjects who exercised, lost

weight 2.8 kgs.(median -2.8; range '1.3 to -16.0). The amount of

weight reduction in all groups statistically significant.

Behavior therapy, exercise and very low calorie diet were previously

recommended methods for weight reduction. And this study show

that Food carrier Diet could be used an alternative choice for weight

reduction.

Obesity, Weight reduction

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n ri u il :szr n r or-.,: n rim o r o rfl u 6 n n r.: rf, a n n d.,:q

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a cirr il'fa 6i'r d'ryntafi fi uiu riu a1 n n1:fi nw1

n #t da s uf; ut fi 'i r a r m r :tl ulm a r alfi r{l u 6 n m'r.,:

A A o v .J. a

16 a n u fi .,: dr u fu pifi da.,: fl 1:a n d1 11 rinlfiIot u{t

taYdqtdoelQYIleO E1{ Ehl zun LeJ il r'tnl00 n nlnd nl Er{

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qrnly{Lryi{trfi arrrrrnduii (iln:d?::d') idoe v a trJ" d v dLfi Ytuduu duuou n1:F[nu1 Ft:{ud1 rro Flz u 6tqq

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6l?T:nilTet1:nuL?Zd',t: nqfiur lnrq?!:fl. quilr lnrq2rror 132

lonm:01{o.t

1. Garrow JS. Obesity and related disease. London: Churchill Livingstone; 1998. p. 1-16.

2. National lnterstitutes of Health, National Heart, Lung, and Blood lnstitute : Clinical

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2Q04:87: 685-93

5. Snow V, Barry P, Fitterman N. Pharmacologic and surgical management of obesity

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sibutramiune on weight maintenance after weight loss : a randomized trial; STROM

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11. Brolin RE, Bariatric surgery and long-term control of morbid obesity. JAMA Z1OZ

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12. Maggard MA, Shugarman LR, Suttorp M. Meta-analysis : surgical treatment of

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133Nnnl:nnd1fl f nt0.trifi irirurinrfi uniod:u111:ltur:.lraar::rir.l:clrind

Weight Reduction in ivemeight or Obese Adults at Sawmpracharak Hospital fld o oriud 2 il.n.-6.n. 2s52

13. Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, et al.

Bariatric surgery: a systemic review and meta-analysis. JAMA 2OO4:292:. 1724-37.

14. Tanphaichitr V, Leelahagul P, Taechangam S, Suwan K, Prakongpak J. Effect of

areduced caloric diet for the treatment of obesity : a preliminary report. lntern Med

1995; 11:119-24.'lS. Roongpisuthipong C, Boontawee A, Kulapongse S. Behavior modification in

treatment of obesity: acceptability profiles. J med Assoc Thai 1995; 78:232-7.

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status in obesity.(Master of Science: Nutrition). Faculty of Graduate Studies.

Bangkok: Mahidol University; 1998.

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editors. Williams textbook of endocrinology. 1Oth ed. Philadephia : The Curtis

Center; 2003. p.1619-41.

'18. Wing RR, Marcus MD, Salata R. Effects of a very-low-caloric diet on long-term

glycemic control in obese type 2 diabetic subjects. Arch lntem Med 1991; 151: 1334-40.

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ketogenic diet versus a low-fat diet to treat obesity and hyperlipidemia: a randomized

controlled trial. Ann lntern Med 2004; 140:769-77.

20. no.-ilntu1n1t n:ilau1#u .Iil:un:runrunrufrmu-n. firur(n#.:d 4. uunu5: n?sYl:?'*l

6{'10'1:6ud1; 2549.

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22. Utnn?ru i',:frdmfrn.,:S,. tnnnnnlTflulruLnoau. fltiflnr',:m 1. n:{tmyl: o,nnncl!\ 2544'

d, I c6t2::nu:r{1:nut?td1: rqem br$:ror. mrm lrn{arrq 134

A . o t y)y, r t vn1fl {7r 1 anEols[tacr{an1:91??0i"}0mg ?a{ryfi ti'tfxillnT{n1Tanu1ililn

uaflMttv ttnr tJafl1:m:2a:1itn1fl 'truru (iaaru)

N = 1.20

$rf, ; ur!.,r

aq tfl) mean (SD)

ariivrov)

te1?1u1YI6181?fUE?t

na uas a1e1rdAaul

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A y t,Jn1iflilt}lfl1 ;Hniltvtur,F

ritnrinriaur{T daruIntnr: (fitraniu) mean (SD)

?aum?riourfrrdrruIn:.:nr: (t'irufi [uar) mean (SD)

n"trfiil?aR1a 1filanirulwn:z) mean (SD)

110(e1.7)

,&4.3(9.2)

103(85.8)

6(5.0)

11(e.2)

ee(82.s)

12(10.0)

6(5.0)

1(0.8)

2(1.71

120(100)

112(s3.3)

73.5(15.2)

90.0(11.6)

2e.6(5.3)

fl onrranrirfl fnto {fi iritnrinrfi vriodrulu'l:'tnouraae::drJ::tiin Jfld o afud zu.a.-d.a. zsszReduaion in Overweight or Ob€se Adults at

J ta d q u , Y u6l vAo ' I Y -n1:1\:fi 2 ttlSuutfruutlaosriar.lanlianul?1un [uLlmta''l:?tJLFl:{n1:anu1fiun

ilaau,iruru dtlrnrindnldaulrJlfiIanier;.

(Flu) Median (minimum - maximum)P value**

tl rFl

{1fl

fi6I\:

a1flv{

10

110

0.8(3.8, -12.9)

0.0(5.0, -16.0)

0.0(5.0,

o.o(0.0,

-1.0(4.0,

0.0(5.0,

-16.0)

-12.e)

-16.0)

-6.e)

-1.5(5.0, -16.0)

0.0(3.8, -12.9)

-1.6(4.6, -16.0)

0.0(5.0, -10.6)

-2.8(1.3,

0.0(5.0,

-16.0)

-8.1)

-2.3(0.0, -16.0)

0.0(5.0, -10.6)

1.946

0.847

0.196

< 0.007

< 0.007

< 0.007

< 0.007

103

17

21

99

50

70

45

75

20

100

7

113

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a1?11:qfoil (Nephromin)

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triiurl:vnru

. rlr m fn m n-r uflr irrrln:.: n1 : - rlr m u-n ri au tflr ia ruIn:t nr:

.. iliurir P value q1n multiple test effect ufir