Quite relevant is the question of the predictors of the effect of weight loss while observing a hypocaloric diet, as reported by the Internet edition for girls and women from 14 to 35 years old Pannochka. net Indeed, if a doctor can predict the result in each specific case, if he can correlate the result obtained with the predicted one and determine it qualitatively, finally, if he can reasonably explain to himself and the patient why the predicted result is not achieved, then he can reliably manage the process.

It can be assumed that the effect of diet therapy depends on the sex of patients, their age, as well as the initial body weight..

These assumptions need to be tested..

Table 12 shows the data on the effect of weight loss in men and women who completed a three-month course of diet therapy..

Table 12. Dependence of the effect of the diet on the sex, age and initial body weight of patients Gender The effect of weight loss (kg) In % of the initial Correlation coefficient of the effect with age Coefficient of correlation of the effect with the initial body weight Men (n\u003d14) 12.1+1.86 11,; p\u003e0.05).

We emphasize that the expression of the result of diet therapy as a percentage of the initial weight is found in the literature more and more often lately.. It is believed that such an expression of the effect reflects the situation more correctly than the expression of the effect in kilograms.. On the expression of the effect as a percentage of the original, it is possible to build a qualitative classification of the result of a particular obesity treatment regimen..

An example is the classification:.

• Poor effect - less than 5% of the initial weight for 12 weeks of treatment;

• Satisfactory - more than 5%, but less than 10% of the initial weight;

• Good - more than 10% of the original weight.

In both men and women, there is a significant inverse correlation between the severity of the effect (in kilograms) and age.. (r\u003d-0.58 and r\u003d-0.47 respectively; good result. Otherwise, the probability is quite high that the patient will refuse treatment..

Patients tend to compare their effect with the effect of their acquaintances who received other, often non-medical treatments for excess weight.. And if it turns out that the result of acquaintances was better than theirs, this also increases the risk of refusing treatment..

Unfortunately, very often in popular literature, in all kinds of advertising of healing methods, and often in the philistine rumor, there is an opinion that the method of treatment is the better, the more kilograms per month it allows you to lose and that you should strive to lose 5-10 kg per month and.

In this regard, we would advise doctors in their work with patients from the very beginning to focus on the relative values \u200b\u200bof weight loss and orient their patients to the fact that any result of weight loss is good if it can be achieved with minimal psycho-emotional effort, without significant health risks..

Ginzburg M.

medbe. en.