Skip to main content

Thank you for visiting You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Effects of two diet techniques and delivery mode on weight loss, metabolic profile and food intake of obese adolescents: a fixed diet plan and a calorie-counting diet


The aim of this study is to compare the weight loss of obese adolescents on two different low-calorie diets: fixed diet plan and calorie-counting diet. This is a randomized clinical study with 66 obese adolescents (body mass index Z score (ZBMI)>+3, 13.7±0.7 years, 60.6% male) with anthropometric, food intake, physical activity, laboratory, body composition and stage of pubertal development data evaluated. There was a reduction in the ZBMI in both groups (P<0.0001), without significant difference between them (P=0.87). There was a significant reduction in insulin, and homeostasis model assessment insulin resistance (HOMA-IR), with no difference between groups. A reduction in total energy intake of the groups was found, with an increase in the proportion of protein and reduction in carbohydrates. In this cohort of severely obese adolescents, fixed diet plan and calorie-counting diet led to a similar reduction of ZBMI, metabolic markers and total energy intake.

This is a preview of subscription content, access via your institution

Access options

Rent or buy this article

Prices vary by article type



Prices may be subject to local taxes which are calculated during checkout


  1. Hartmann-Boyce J, Johns DJ, Jebb SA, Aveyard P Behavioural Weight Management Review Group. Effect of behavioural techniques and delivery mode on effectiveness of weight management: systematic review, meta-analysis and meta-regression. Obes Rev 2014; 15: 598–609.

    Article  CAS  Google Scholar 

  2. Weigel C, Kokocinski K, Lederer P, Dötsch J, Rascher W, Knerr I . Childhood obesity: concept, feasibility, and interim results of a local group-based, long-term treatment program. J Nutr Educ Behav 2008; 40: 369–373.

    Article  Google Scholar 

  3. Kitzman-Ulrich H, Hampson R, Wilson DK, Presnell K, Brown A, O'Boyle M . An adolescent weight-loss program integrating family variables reduces energy intake. J Am Diet Assoc 2009; 109: 491–496.

    Article  Google Scholar 

  4. Davis JN, Tung A, Chak SS, Ventura EE, Byrd-Williams CE, Alexander KE et al. Aerobic and strength training reduces adiposity in overweight Latina adolescents. Med Sci Sports Exerc 2009; 41: 1494–1503.

    Article  Google Scholar 

  5. Estabrooks PA, Shoup JA, Gattshall M, Dandamudi P, Shetterly S, Xu S . Automated telephone counseling for parents of overweight children: a randomized controlled trial. Am J Prev Med 2009; 36: 35–42.

    Article  Google Scholar 

  6. Ho M, Garnett SP, Baur L, Burrows T, Stewart L, Neve M et al. Effectiveness of lifestyle interventions in child obesity: systematic review with meta-analysis. Pediatrics 2012; 130: e1647–e1671.

    Article  Google Scholar 

  7. Epstein LH, Wing RR, Koeske R, Valoski A . Effects of diet plus exercise on weight change in parents and children. J Consult Clin Psychol 1984; 52: 429–437.

    Article  CAS  Google Scholar 

  8. Berkowitz RI, Wadden TA, Tershakovec AM, Cronquist JL . Behavior therapy and sibutramine for the treatment of adolescent obesity: a randomized controlled trial. JAMA 2003; 289: 1805–1812.

    Article  CAS  Google Scholar 

  9. Díaz RG, Esparza-Romero J, Moya-Camarena SY, Robles-Sardín AE, Valencia ME . Lifestyle intervention in primary care settings improves obesity parameters among Mexican youth. J Am Diet Assoc 2010; 110: 285–290.

    Article  Google Scholar 

  10. Sacher PM, Kolotourou M, Chadwick PM, Cole TJ, Lawson MS, Lucas A et al. Randomized controlled trial of the MEND program: a family-based community intervention for childhood obesity. Obesity (Silver Spring) 2010; 18: S62–S68.

    Article  Google Scholar 

Download references


We thank the Applied Statistics Centre of the Institute of Mathematics and Statistics of the University of Sao Paulo and Institution of Higher Education Staff Improvement Coordination (CAPES).

Author information

Authors and Affiliations


Corresponding author

Correspondence to M D S D Mendes.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and Permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mendes, M., de Melo, M., Fernandes, A. et al. Effects of two diet techniques and delivery mode on weight loss, metabolic profile and food intake of obese adolescents: a fixed diet plan and a calorie-counting diet. Eur J Clin Nutr 71, 549–551 (2017).

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI:


Quick links