Obesity Clinical Trial
Official title:
Long-term Adherence and Cardiovascular Outcomes of a Randomized Controlled Trial of Medium-intensity Minimally-directive Counseling for Different Diets
(1) What effect does behavioral counseling for vegan, for low to moderate fat, and for lowered carbohydrate diets have on coronary blood flow? (2) What are the effects of different diet protocols when caloric intake and exercise are equalized? (3) Do people, so counseled, maintain their modified behaviors after they have completed their diet program? (4) How does targeting different diets affect secondary indices associated with heart disease such as weight, lipid, inflammatory, and thrombotic factors?
Given the current epidemic of overweight and obesity on a global scale ("globesity") and the
consequent world public health objective of reducing that obesity, it is evident as a
practical matter that, the main line of attack must be through diet. The public health
objective and the lack of information regarding the long-term public health effects of
alternative weight-loss diets motivated this comparative study of the three major types of
weight-loss diets and their long term effects on coronary blood flow. Secondary endpoints are
inflammatory and other variables associated with heart disease and obesity.
Specifically we asked: (1) What effect does behavioral counseling for vegan, for low to
moderate fat, and for lowered carbohydrate diets have on coronary blood flow? (2) What are
the effects of different diet protocols when caloric intake and exercise are equalized? (3)
Do people, so counseled, maintain their modified behaviors after they have completed their
diet program? (4) How does targeting different diets affect secondary indices associated with
heart disease such as weight, lipid, inflammatory, and thrombotic factors?
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