title: INDICATORS OF SUCCESS IN THE DIETARY MANAGEMENT OF OVERWEIGHT AND OBESITY: WEIGHT, BODY FAT LOSS AND QUALITY.
abstract: METHODS
  %WL: Percentage of weight loss; %FL: Percentage of fat loss.
  
  
  OBJECTIVE
  evaluate which unit of measurement for weight loss could determine the success or failure of dietary treatment for overweight and obesity.
  
  
  METHODS
  4,625 consultations carried out on 616 patients in the southeast of Spain from 2006 to 2012. All of the patients were over 25 years of age and suffered from overweight or obesity. The consultations were carried out every fortnight, using the Mediterranean or low-calorie diet. The patients were divided into four groups according to their %WL and %FL.
  
  
  RESULTS
  most of the sample consisted of: women; participants between 25-45 years of age; attended consultations for over a month and a half; obese. 80% of the patients obtained a %FL ≥ 5% (15.5 } 12.8). The groups with a higher %FL obtained significant differences in weight loss (22.6 vs 11.2%, p = 0.000). The multinomial analysis shows significant differences between the groups with the highest %FL and the lowest %WL and %FL: sex (p = 0.006 vs p = 0.005), BMI (p = 0.010 vs p = 0.003) and attendance (p = 0.000 vs p = 0.000).
  
  
  CONCLUSIONS
  the patients who lost < 5% of fat had higher initial parameters (percentage of weight and fat); most of the sample lost ≥ 5% of fat. This means that the method of personalised dietary treatment results in a high fat loss; fat is an indicator of the quality loss obtained.
  
  
  CONCLUSIONS
  use the measurement of fat as a complementary unit of measurement to weight loss; establish a limit of 5% to evaluate such loss; and increase this type of research in any method of weight loss.
authors: Department of Nursing, Faculty of Health Sciences, University of Alicante.. manuel.reig@ua.es.
authors: Manuel
authors: M
authors: Reig García-Galbis
authors: Department of Nursing, Faculty of Health Sciences, University of Alicante.. manuel.reig@ua.es.
authors: Mercedes
authors: M
authors: Rizo Baeza
authors: Department of Pharmacology, Paeditrics and Organic Chemisty University Miguel Hernández, Spain.. manuel.reig@ua.es.
authors: Ernesto
authors: E
authors: Cortés Castell
mesh_terms: D000273:Adipose Tissue / Q000033:anatomy & histology*; D000328:Adult; D001835:Body Weight; D001837:Body Weights and Measures; D038441:Diet, Mediterranean; D019468:Disease Management; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000178:diet therapy*; D050177:Overweight / Q000178:diet therapy*; D012017:Referral and Consultation; D013030:Spain; D017211:Treatment Failure; D016896:Treatment Outcome; D015431:Weight Loss