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Treatment of Massive Obesity With Rice/Reduction Diet ProgramAn Analysis of 106 Patients With at Least a 45-kg Weight Loss
Walter Kempner, MD;
Barbara C. Newborg, MD;
Ruth L. Peschel, MD;
Jay S. Skyler, MD
Arch Intern Med. 1975;135(12):1575-1584.
Abstract
• One hundred six massively obese patients, who each lost at least 45 kg, were treated as outpatients with the rice/reduction diet, exercise, and motivational enhancement under daily supervision. Average weight loss was 63.9 kg. Forty-three patients achieved normal weight. Men lost weight at a greater rate than women. Concomitant with weight reduction, there were significant decrements in blood pressure; fasting and two-hour postprandial blood glucose, serum triglyceride, and serum uric acid levels, and heart-chest ratio as evidenced on chest x-ray film. Electrocardiographic and retinal venous changes improved. Serum cholesterol level did not change significantly. This study demonstrates that massively obese persons can achieve marked weight reduction, even normalization of weight, without hospitalization, surgery, or pharmacologic intervention. Accompanying cardiovascular risk factors show great decrements concomitant with weight loss.
(Arch Intern Med 135:1575-1584, 1975)
Author Affiliations
From the Department of Medicine, Duke University Medical Center, Durham, NC.
Footnotes
Received for publication Dec 16,1974; accepted July 2, 1975.
Part of this work was read before the First International Congress on Obesity, London, Oct 10, 1974.
Reprint requests to Department of Medicine, Duke University Medical Center, Durham, NC 27710 (Dr Kempner).
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ABSTRACT
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