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Practical dietary calorie management, body weight control and energy expenditure of diabetic patients in short-term hospitalization

Nakajima, Yasushi; Sato, Kazumi; Sudo, Mariko; Nagao, Mototsugu LU ; Kano-Wakakuri, Toshiko; Harada, Taro; Ishizaki, Akira; Tanimura-Inagaki, Kyoko; Okajima, Fumitaka and Tamura, Hideki, et al. (2010) In Journal of Atherosclerosis and Thrombosis 17(6). p.558-567
Abstract

Aim: We investigated how dietary management affected body weight (BW) reduction and energy expenditure in obese and normal-weight type 2 diabetic patients. Methods: Type 2 diabetic patients who were hospitalized for diabetic control (93 men and 51 women) were checked for resting energy expenditure (REE). Subjects were divided into the two groups according to body mass index (BMI): obese (BMI ≥ 25), and normal-weight (BMI <25). Following the recommendations by JDS, JAS and JASSO, ideal body weight was calculated as [IBW= height (m)×height (m)×22 (kg/m2)], and dietary calorie (kcal/day) was determined as 25 kcal/kg IBW. Results: Dietary calorie intake during hospitalization was similar in both groups. REE was greater in... (More)

Aim: We investigated how dietary management affected body weight (BW) reduction and energy expenditure in obese and normal-weight type 2 diabetic patients. Methods: Type 2 diabetic patients who were hospitalized for diabetic control (93 men and 51 women) were checked for resting energy expenditure (REE). Subjects were divided into the two groups according to body mass index (BMI): obese (BMI ≥ 25), and normal-weight (BMI <25). Following the recommendations by JDS, JAS and JASSO, ideal body weight was calculated as [IBW= height (m)×height (m)×22 (kg/m2)], and dietary calorie (kcal/day) was determined as 25 kcal/kg IBW. Results: Dietary calorie intake during hospitalization was similar in both groups. REE was greater in obese than in normal-weight patients. The difference between the calorie intake and energy expenditure (Δcalorie) was -222±26 kcal in obese patients and 69±27 kcal in normal-weight patients. Obese patients therefore had larger BW decreases than normal-weight patients (-171±12 vs. -92± 11 g/day, p<0.005). In the obese group, a positive correlation was found between the change of BW and Δcalorie. This correlation remained after adjusting for age, BMI, gender, and respiratory quotient. Serum lipid profiles were significantly improved in both groups. Conclusion: These diet instructions showed the appropriate calorie restriction depending on the BMI and induced reasonable BW reduction in both obese and normal-weight subjects. The dietary program recommended by JDS, JAS and JASSO is practically useful for BW control and for improving lipid metabolism in type 2 diabetic patients.

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Contribution to journal
publication status
published
subject
keywords
Diabetes, Energy expenditure, Indirect calorimetry, Nutrition, Obese
in
Journal of Atherosclerosis and Thrombosis
volume
17
issue
6
pages
558 - 567
publisher
Japan Atherosclerosis Society
external identifiers
  • scopus:77954744670
ISSN
1340-3478
DOI
10.5551/jat.3806
language
English
LU publication?
no
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cb246b0a-cad6-415a-9595-ee40895b92b7
date added to LUP
2017-08-23 20:06:01
date last changed
2018-05-29 10:27:56
@article{cb246b0a-cad6-415a-9595-ee40895b92b7,
  abstract     = {<p>Aim: We investigated how dietary management affected body weight (BW) reduction and energy expenditure in obese and normal-weight type 2 diabetic patients. Methods: Type 2 diabetic patients who were hospitalized for diabetic control (93 men and 51 women) were checked for resting energy expenditure (REE). Subjects were divided into the two groups according to body mass index (BMI): obese (BMI ≥ 25), and normal-weight (BMI &lt;25). Following the recommendations by JDS, JAS and JASSO, ideal body weight was calculated as [IBW= height (m)×height (m)×22 (kg/m<sup>2</sup>)], and dietary calorie (kcal/day) was determined as 25 kcal/kg IBW. Results: Dietary calorie intake during hospitalization was similar in both groups. REE was greater in obese than in normal-weight patients. The difference between the calorie intake and energy expenditure (Δcalorie) was -222±26 kcal in obese patients and 69±27 kcal in normal-weight patients. Obese patients therefore had larger BW decreases than normal-weight patients (-171±12 vs. -92± 11 g/day, p&lt;0.005). In the obese group, a positive correlation was found between the change of BW and Δcalorie. This correlation remained after adjusting for age, BMI, gender, and respiratory quotient. Serum lipid profiles were significantly improved in both groups. Conclusion: These diet instructions showed the appropriate calorie restriction depending on the BMI and induced reasonable BW reduction in both obese and normal-weight subjects. The dietary program recommended by JDS, JAS and JASSO is practically useful for BW control and for improving lipid metabolism in type 2 diabetic patients.</p>},
  author       = {Nakajima, Yasushi and Sato, Kazumi and Sudo, Mariko and Nagao, Mototsugu and Kano-Wakakuri, Toshiko and Harada, Taro and Ishizaki, Akira and Tanimura-Inagaki, Kyoko and Okajima, Fumitaka and Tamura, Hideki and Sugihara, Hitoshi and Tsuda, Kinsuke and Oikawa, Shinichi},
  issn         = {1340-3478},
  keyword      = {Diabetes,Energy expenditure,Indirect calorimetry,Nutrition,Obese},
  language     = {eng},
  month        = {06},
  number       = {6},
  pages        = {558--567},
  publisher    = {Japan Atherosclerosis Society},
  series       = {Journal of Atherosclerosis and Thrombosis},
  title        = {Practical dietary calorie management, body weight control and energy expenditure of diabetic patients in short-term hospitalization},
  url          = {http://dx.doi.org/10.5551/jat.3806},
  volume       = {17},
  year         = {2010},
}