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Adipositastherapie — Erfolge und Risiken

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Verhandlungen der Deutschen Gesellschaft für Innere Medizin

Part of the book series: Verhandlungen der Deutschen Gesellschaft für Innere Medizin ((VDGINNERE,volume 92))

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Zusammenfassung

Seit langem haben wir uns daran gewöhnen müssen, daß das Adipositasproblem nicht nur von Ärzten diskutiert wird, sondern auch zum bevorzugten Thema der Massenmedien geworden ist, die versuchen, die Aufmerksamkeit des Publikums durch Hochspielen scheinbarer Kontroversen wachzuhalten (Abb. 1): Ist Übergewicht noch ein Gesundheitsrisiko oder ist mollig schon wieder „in“? Die Verquickung ästhetischer und gesundheitlicher Kategorien und gegensätzliche Modetrends verunsichern den Laien und erschweren die Aufgaben des Arztes.

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Literatur

  1. Amatruda JM, Biddle TL, Patton ML, Lockwood DH (1983) Vigorous supplementation of a hyocaloric diet prevents cardiac arrhythmias and mineral depletion. Am J Med 74:1016–1022

    Article  PubMed  CAS  Google Scholar 

  2. Apfelbaum M, Bostsarron J, Brigant L, Supin H (1967) La composition du poids perdue aucours de la diète hydrique. Effets de la supplémentation protidique. Gastroenterologie 108:121–134

    Article  CAS  Google Scholar 

  3. Apfelbaum M (1981) Effects of very restrictive high-protein diets with special reference to the nitrogen balance. Int J Obes 5:209–214

    PubMed  CAS  Google Scholar 

  4. Ball MF, Canary JJ, Kyle LH (1967) Comparative effects of caloric restriction and total starvation on body composition in obesity. Ann Int Med 67:60–67

    Article  PubMed  CAS  Google Scholar 

  5. Ball MF, Canary JJ, Kyle LK (1970) Tissue changes during intermittent starvation and calorie restriction as treatment for severe obesity. Arch Int Med 125:62–68

    Article  CAS  Google Scholar 

  6. Berchtold P, Berger M, Jörgens V, Daweke C, Chantelau E, Gries FA, Zimmermann H (1981) Cardiovascular risk factors and HDA-cholesterol levels in obesity. Int J Obes 5:1

    CAS  Google Scholar 

  7. Berger M, Berchtold P, Gries FA, Zimmermann H (1981) Indications for the treatment of obesity. In: Björntorp P, Cairella M, Howard AN (eds) Recent advances in obesity research III. John Libbey, London Paris, p 1–9

    Google Scholar 

  8. Blackburn GL (1984) Protein requirements with very low calorie diets. Postgrad Med J 60: (suppl 3) 59–65

    PubMed  Google Scholar 

  9. Bloom WL (1959) Fasting as an introduction to the treatment of obesity. Metabolism 8:214–220

    PubMed  CAS  Google Scholar 

  10. Bollinger RE, Luckert BP, Brown RV, Guevara RW, Steinberg R (1966) Metabolic balance of obese subjects during fasting. Arch Int Med 118:3–8

    Article  Google Scholar 

  11. Bray GA (1982) Treatment for obesity. In: Brodoff BN, Bleicher SJ (eds) Diabetes mellitus and obesity. Williams and Wilkens, Baltimore London p 330

    Google Scholar 

  12. Brown JM, Yetter JF, Spicer MJ, Jones JD (1978) Cardiac complications of protein-sparing modified fasting. J Am Med Ass 240:120

    Article  CAS  Google Scholar 

  13. Cahill GF (1970) Starvation in man. N Engl J Med 282:668–675

    Article  PubMed  CAS  Google Scholar 

  14. Cahill GF (1976) Starvation in man. In: Albrink MJ (ed) Clinics in endocrinology and metabolism

    Google Scholar 

  15. Centres for disease control (1979) Liquid protein diets. Public Health Rep No EPI 78–11–2, l.c. [45]

    Google Scholar 

  16. Contaldo F, Biasi G Di, Fischetti A, Mancini M (1981) Evaluation of the safety of very-low-calorie diets in the treatment of severe obese patients in a metabolic ward. Int J Obes 5:221–226

    PubMed  CAS  Google Scholar 

  17. Contaldo F, Mancini M (1985) Evaluation of very-low-calorie diets in the treatment of severe obesity. In: Hirsch J, Itallie TB van (eds) Recent advances in obesity research IV. John Libbey, London Paris, p 356–362

    Google Scholar 

  18. Coronas R, Duran S, Gomez P, Romero H, Sastre A (1982) Modified total fasting and obesity: results of a multicentric study. Int J Obes 6:463–471

    PubMed  CAS  Google Scholar 

  19. Craddock D (1977) The free diet: 150 cases personally followedup after 10–18 years. Int J Obes 1:127–134

    PubMed  CAS  Google Scholar 

  20. Davie M, Abraham RR, Godsland I, Moore P, Wynn V (1982) Effect of high and low-carbohydrate diets on nitrogen balance during calorie restriction in obese subjects. Int J Obes 6:457–462

    PubMed  CAS  Google Scholar 

  21. Deutsche Gesellschaft fur Ernährung (1980) Ernährungsbericht 1980. Frankfurt, p 8

    Google Scholar 

  22. Deutsche Gesellschaft fur Ernährung (1984) Ernährungsbericht 1984. Kritische Bewertung als Diät propagierter Ernährungsformen. Frankfurt, p 182–233

    Google Scholar 

  23. Ditschuneit H, Faulhaber JD, Beil J, Pfeiffer EF (1970) Veränderungen des Stoffwechsels bei Nulldiät. Internist 11:176–183

    PubMed  CAS  Google Scholar 

  24. Ditschuneit H (1976) Was ist gesichert in der Therapie der Fettsucht; Internist 17:622–630

    PubMed  CAS  Google Scholar 

  25. Ditschuneit HH (1980) Durchfuhrung und Ergebnisse der ambulanten und stationären Behandlung mit totalem Fasten und modifiziertem Fasten. In: Ditschuneit H, Wechsler JG (eds) Möglichkeiten und Grenzen der Adipositastherapie. G. Witzstrock, Baden-Baden Köln New York, p 43–61

    Google Scholar 

  26. Drenick EJ, Swendseid ME, Bland WH, Tuttle SG (1964) Prolonged starvation as treatment for obesity. J Am Med Ass 187:100–105

    Article  CAS  Google Scholar 

  27. Dublin L, Marks HH (1951) Mortality among insured overweights in recent years. Trans Assoc Life Ins Med Dir Am 35:235

    CAS  Google Scholar 

  28. Fellig P (1984) Very-low-calorie protein diets. N Engl J Med 310:589

    Article  Google Scholar 

  29. Fisler JS, Drenick EJ, Blumfield DE, Swen-dreid ME (1982) Nitrogen economy during very low calorie reducing diets: quality and quantity of dietary protein. Am J Clin Nutr 35:471

    PubMed  CAS  Google Scholar 

  30. Forbes GB, Drenick EJ (1979) Loss of body nitrogen on fasting. Am J Clin Nutr 32:1570

    PubMed  CAS  Google Scholar 

  31. Frank A, Graham C, Frank S (1981) Fatalities on the liquid-protein diet: an analysis of possible causes. Int J Obes 5:243–248

    PubMed  CAS  Google Scholar 

  32. Genuth S, Vestes V (1974) Weight reduction by supplemented fasting. In: Howard AN (ed) Recent advances in obesity research I. John Libbey, London, p 277–278

    Google Scholar 

  33. Genuth SM, Vestes V, Hazelton J (1978) Supplemented fasting in the treatment of obesity. In: Bray GA (ed) Recent advances in obesity research II. Newman, London, p 370–378

    Google Scholar 

  34. Gries FA, Berchtold P, Berger M (1976) Adipositas. Springer, Berlin Heidelberg New York, p 21 ff.

    Book  Google Scholar 

  35. Gries FA, Kasper H, Menden E, Pudel V, Rottka H, Schlierf G, Wolfram G, Zimmermann H (1980) Stellungnahme zu den gesundheitlichen Auswirkungen des relativen Körpergewichtes. Ernährungsumschau 27:322–323

    Google Scholar 

  36. Gries FA (1986) Problems with unusual methods of obesity control. Pitman Publishing ltd, London, in press

    Google Scholar 

  37. Halperin ML, Goldstein MB, Stinebaugh BJ (1982) Biochemistry and physiology of ammonium excretion. In: Seldin DW, Giebisch G (eds) Physiology and pathology of electrolyte metabolism. Raven, New York

    Google Scholar 

  38. Hannaford MC, Leiter LA, Josse RG, Goldstein MB, Marliss EB, Halperin ML (1982) Protein wasting due to acidosis of prolonged fasting. Am J Physiol 243: (Endocrinol Metab 6) E251–E256

    PubMed  CAS  Google Scholar 

  39. Hazelton IMD (1981) Cardiac arrhythmia during liquid protein diet. N Engl J Med 304:297

    Article  Google Scholar 

  40. Hirsch J (1985) Dietary treatment. In: Hirsch J, Itallie TB van (eds) Recent advances in obesity research IV. John Libbey, London Paris, p 192–195

    Google Scholar 

  41. Howard AN, McLean Baird I (1973) The treatment of obesity by low calorie diets containing carbohydrate. Int Res Comm System 73–9, 31–12–4

    Google Scholar 

  42. Howard AN (1981) The historical development, efficacy and safety of very-low-calorie diets. Int J Obes 5:195–208

    PubMed  CAS  Google Scholar 

  43. Howard L, Dobs A, Chodos R, Chu R, Loludice T (1978) A comparison of administering protein alone and protein plus glucose on nitrogen balance. Am J Clin Nutr 31:226

    PubMed  CAS  Google Scholar 

  44. Isaacs AJ, Parry PS (1984) A clinical assessment of Modifast in U.K. general practice. Postgrad Med J 60:(Suppl 3)74–82–44.

    PubMed  Google Scholar 

  45. Isner JM, Sours HE, Paris AL, Terrans VJ, Robins WC (1979) Sudden unexpected death in avid dieters using the liquid-protein-modified-fast diet. Circulation 60:1401

    Article  PubMed  CAS  Google Scholar 

  46. Itallie TB van, Yang M-U (1984) Cardiac dysfunction in obese dieters: a potentially lethal complication of rapid, massive weight loss. Am J Clin Nutr 39:695–702

    PubMed  Google Scholar 

  47. Itallie TB van, Abraham S (1985) Some hazards of obesity and its treatment. In: Hirsch J, Itallie TB van (eds) Recent advances in obesity research IV. John Libbey, London Paris, p 1–19

    Google Scholar 

  48. Lantigua RA, Amatruda JM, Biddle TL, Forbes GB, Lockwood DH (1980) Cardiac arrhythmias associated with a liquid protein diet for the treatment of obesity. N Engl J Med 303:735–738

    Article  PubMed  CAS  Google Scholar 

  49. L.c. 34 p 179

    Google Scholar 

  50. Liebermeister H, Daweke H, Gries FA, Schilling WH, Probst G, Jahnke K (1968) Einfluß der Gewichtsreduktion auf Metabolite des Kohlenhydrat-und Fettstoffwechsels und auf das Verhalten des Seruminsulins bei Adipositas. Diabetologia 4:123–132

    Article  PubMed  CAS  Google Scholar 

  51. Liebermeister H, Jahnke K, Voss HJ, Engelhardt A, Probst G (1968) Initial-und Spätergebnisse der Diätbehandlung bei Fettsucht. Dtsch Med Wschr 93:2149–2155

    Article  PubMed  CAS  Google Scholar 

  52. Liebermeister H (1971) Gewichtsreduktion bei Adipositas durch Diät, Medikamente und ope-1rative Verfahren. Klin Wschr 49:125–134

    Article  PubMed  CAS  Google Scholar 

  53. Liebermeister H (1976) Die Behandlung der Adipositas. Therapiewoche 26:3311–3321

    Google Scholar 

  54. Liebermeister H (1980) Reduktionsdiäten, Diäten mit extremen Nährstoffrelationen und Außenseiterdiäten. In: Ditschuneit H, Wechsler JG (eds) Möglichkeiten und Grenzen in der Adipositastherapie. G Witzstrock, Baden-Baden Köln New York, p 30–36

    Google Scholar 

  55. Liebermeister H, Hilzensauer B (1986) Spätergebnisse nach Gewichtsreduktion bei Fettsüchtigen. Lebensversicherungsmedizin (H2) 62–66

    Google Scholar 

  56. Linet OI, Butler D, Caswell K, Metzler C, Reele SB (1983) Absence of cardiac arrhythmias during a very-low-calorie diet with high biological quality protein. Int J Obes 7:313–320

    PubMed  CAS  Google Scholar 

  57. Linn R, Stuart SL (1976) The last chance diet. Secausus, NJ, Lyle Stuart

    Google Scholar 

  58. Lockwood DH, Amatruda JM (1984) Very low calorie diets in the management of obesity. Ann Rev Med 35:373–381

    Article  PubMed  CAS  Google Scholar 

  59. Marliss EB, Murray FT, Nakhooda AF (1978) The metabolic response to hypocaloric protein diets in obese man. J Clin Invest 62:468

    Article  PubMed  CAS  Google Scholar 

  60. McLean Baird I, Parsons RL, Howard AN (1974) Clinical and metabolic studies of chemically defined diets in the study of obesity. Metabolism 23:645–657

    Article  Google Scholar 

  61. McLean Baird I (1981) Low-calorie-formula diets -are they safe? Int J Obes 5:249–256

    Google Scholar 

  62. Owen OE, Felig P, Morgan AP, Wahren J, Cahill GF (1969) Liver and kidney metabolism during prolonged starvation. J clin invest 48:574

    Article  PubMed  CAS  Google Scholar 

  63. Sours HE, Frattali VP, Brand CD et al. (1981) Sudden death associated with very low calorie weight reduction regimens. Am J clin Nutr 34:453–461

    PubMed  CAS  Google Scholar 

  64. Strain GW, Strain JJ, Zumoff B, Knittle J (1984) Do fat cell morphometrics predict weight loss maintenance? Int J Obes 8:53–59

    PubMed  CAS  Google Scholar 

  65. Stunkard AJ (1975) From explanation to action in psychosomatic medicine: The care of obesity. Psychosom Med 37:195–236

    PubMed  CAS  Google Scholar 

  66. Wadden TA, Stunkard AJ, Brownell KD (1983) Very low calorie diets: their efficacy, safety, and future. Ann Int Med 99:675

    Article  PubMed  CAS  Google Scholar 

  67. Wadden TA, Stunkard AJ, Brownell KD, Day SC (1985) Advances in the treatment of moderate obesity: combined treatment by behavior modification and very-low-calorie diet. In: Hirsch J, Itallie TB van (eds) Recent advances in obesity research IV. John Libbey, London Paris, p 312–319

    Google Scholar 

  68. Wechsler JG, Ditschuneit HH, Malfertheiner P, Ditschuneit H (1980) Stick-stoíïbilanzen während modifizierten Fastens. Dtsch Med Wschr 105:58–61

    Article  PubMed  CAS  Google Scholar 

  69. Wechsler JG, Wenzel H, Swobodnik W, Ditschuneit H (1984 a) Proteinverlust bei Adipositas während Gewichtsreduktion. In: Ditschuneit H, Wechsler JG (eds) Ergebnisse der Adipositastherapie. Perimed, Erlangen, p 179–196

    Google Scholar 

  70. Wechsler JG, Wenzel H, Swobodnik W, Ditschuneit H (1984b) Modifiziertes Fasten in der Adipositastherapie. Fortschr. Med 102:666–668

    PubMed  CAS  Google Scholar 

  71. Yang M-U, Itallie TB van (1984) Variability in body protein loss during protracted, severe calorie restriction: role of triiodothyronine and other possible determinants. Am J Clin Nutr 40:611–622

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Klinische Abteilung, Diabetes-Forschungsinstitut, Universität Düsseldorf, Deutschland

    F. A. Gries

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  1. F. A. Gries
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  1. Humboldtstr. 14, D-6200, Wiesbaden, Deutschland

    Klaus Miehlke (ständigen Schriftführer) (ständigen Schriftführer)

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© 1986 J. F. Bergmann Verlag, München

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Gries, F.A. (1986). Adipositastherapie — Erfolge und Risiken. In: Miehlke, K. (eds) Verhandlungen der Deutschen Gesellschaft für Innere Medizin. Verhandlungen der Deutschen Gesellschaft für Innere Medizin, vol 92. J.F. Bergmann-Verlag, Munich. https://doi.org/10.1007/978-3-642-85459-0_44

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  • DOI: https://doi.org/10.1007/978-3-642-85459-0_44

  • Publisher Name: J.F. Bergmann-Verlag, Munich

  • Print ISBN: 978-3-8070-0360-3

  • Online ISBN: 978-3-642-85459-0

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