title: [Changes in dietary intake of obese patients treated by diet associated with d-fenfluramine].
abstract: The object of the present research was to study the effect of dexfenfluramine (d-F) and placebo (P) on compliance with dietary treatment, especially as far as changes in kcal and macronutrient intake are concerned. A double-blind study d-F vs P was performed in 36 obese females, age range 20-59 years (mean 37.22 +/- 12.41), with a mean BMI of 33.95 +/- 5.36, suffering from obesity due to overeating without complications: Outpatient control every 30 days. The study protocol provided for a 14-month double-blind treatment with daily administration of either P (2 capsules) or d-F (two 15 mg capsules). Dietary prescription of 1200 kcal (5016 kJ) was given 15 days before enrollment (T/0) and during this period enrollment criteria were checked prior to randomization. Dietary intake was checked by a three-day recall (one working day, one half-holiday and one full holiday) in basal conditions and after 6-12 and 14 months. Administration of d-F and P brought about changes in alimentary behaviour in obese patients according to the dietary regime prescribed. In our patients, no highly significant differences between d-F and P were observed; however, the effect of P on macronutrient intake (carbohydrates, lipids and proteins) tended to peter out around the 12th month. Treatment with d-F reduced the consumption of simple carbohydrates, animal fats but not of animal proteins.
authors.affiliation: Servizio Speciale di Dietologia, Università degli Studi di Roma La Sapienza.
authors.forename: M
authors.initials: M
authors.lastname: Cairella
authors.forename: G
authors.initials: G
authors.lastname: Cairella
authors.forename: P
authors.initials: P
authors.lastname: Graziani
authors.forename: M G
authors.initials: MG
authors.lastname: Mirante
authors.forename: A R
authors.initials: AR
authors.lastname: Taghva
mesh_terms: D000328:Adult; D004038:Diet, Reducing; D004311:Double-Blind Method; D005260:Female; D005277:Fenfluramine / Q000627:therapeutic use*; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000178:diet therapy / Q000188:drug therapy / Q000628:therapy*; D010919:Placebos; D013997:Time Factors
chemical_list: D010919:Placebos; D005277:Fenfluramine
vernacular_title: Modificazioni dei consumi alimentari di pazienti obese indotte dal trattamento dietetico associato a d-fenfluramina.