Obesity
Conditions
Keywords
weight reduction, low-carbohydrate, body fat, telemedicine, cardiovascular risk markers
Brief summary
The burden of overweight and obesity has dramatically increased during the last decades. High carbohydrate intake, particularly refined carbohydrates, probably increase the risk of obesity, type 2 diabetes, and metabolic syndrome. There is evidence that energy-restricted low-carbohydrate diets show greater weight loss and better improvement of cardiovascular risk markers compared to energy-restricted low-fat diets. Beside macronutrient relations, efficacy of weight loss programs depends on care and control. The investigators aim to investigate whether or not a carbohydrate-restricted telemedically guided weight loss program results in a more pronounced weight loss and influences metabolic risk markers more beneficial than a fat-restricted diet.
Detailed description
see brief summary.
Interventions
carbohydrate content of the diet \< 40% Frequency: daily Duration: 12 months
carbohydrate content of diet \> 55% Frequency: daily Duration: 12 months
Sponsors
Study design
Eligibility
Inclusion criteria
* age 18-70 years * body mass index \> 27 kg/m2
Exclusion criteria
* history of cardiovascular symptomatology * cholelithiasis * urolithiasis * insulin dependent diabetes * pacemaker implantation * pregnancy * lactation * vegetarianism
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| body weight | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| waist circumference | 12 months |
| blood pressure | 12 months |
| blood lipids | 12 months |
| parameters of glucose metabolism | 12 months |
| fat mass | baseline, 12 months |
Countries
Germany