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Abstract
It is still uncertain whether subgroups of obese subjects demonstrate different eating
patterns. The aim of this report is to compare data on dietary intake obtained by
different methods (dietary history and dietary diary) in several groups of obese patients
in which the effects of weight-reducing agents were investigated. In our first and
our second study, the latter part of an international multicenter study, we investigated
the weight-reducing potential of lipase inhibition, a novel concept in the treatment
of obesity, in healthy moderately obese subjects. In the third study, part of a national
multicenter study, we investigated the effect of a serotoninergic drug (dexfenfluramine)
on eating habits in moderately obese people who considered themselves snackers. Eating
habits of the third group seem to be different from those of the other two groups
in both men and women. These patients have a greater total energy intake due to a
greater carbohydrate and fat intake. In our second study, little difference is found
when results obtained by dietary history are compared with those obtained by dietary
diaries. Our comparisons indicate that groups of obese patients with different patterns
of eating behavior may exist and that obese snackers have a significantly greater
energy intake. Therefore, various therapeutic strategies for weight reduction may
be useful for patients with different types of eating behaviors. Furthermore, the
methods by which data on dietary intake are obtained seem to show comparable results
and therefore at least suggest accuracy.
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Article info
Footnotes
☆Adapted from a chapter of the doctoral thesis of M.L.D., Free University, Amsterdam, The Netherlands 1993.
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Copyright
© 1995 Published by Elsevier Inc.