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Pediatric Weight Management

PWM: Protein Sparing Modified Fast Diets (2007)

Protein sparing modified fast diets to reduce pediatric overweight

Intervention
Are children on protein sparing modified fast diets less hungry than children on balanced macronutrient diets at the same level of energy intake?
- Conclusion
  
  There is insufficient evidence to determine whether or not high-protein, low-carbohydrate, very-low-calorie diets provide a greater level of satiety for children in weight loss programs than balanced macronutrient diets at the same level of energy intake.
- Grade: V
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
- Evidence Summary: Are children on protein sparing modified fast diets less hungry than children on balanced macronutrient diets at the same level of energy intake?
  - Detail
  - Quality Rating Summary
    For a summary of the Quality Rating results, click here.
  - Worksheets
    
    Figueroa-Colon R, von Almen TK, Franklin FA, Schuftan C, Suskind RM. Comparison of two hypocaloric diets in obese children. Am J Dis Child. 1993 Feb;147(2):160-6.
Do protein sparing modified fast diets bring about greater weight loss in children than macronutrient balanced diets of the same level of energy intake?
- Conclusion
  There is insufficient evidence to suggest that high-protein, low-carbohydrate, very-low-calorie diets (protein-sparing modified fast) result in greater long-term weight loss in children, compared to balanced macronutrient diets at the same calorie intake level.
- Grade: V
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
- Evidence Summary: Protein Sparing Modified Fast Diets and Long Term Weight Loss
- Search Plan and Results: Diet Therapy: Modified Protein 2005
Do protein sparing modified fast diets preserve fat free body mass in children better than balanced macronutrient diets at the same level of energy intake?
- Conclusion
  There is insufficient evidence to determine whether the short-term use of protein-sparing modified-fast diets preserve fat-free body mass in children any more or less effectively than balanced macronutrient diets at the same energy intake level.
- Grade: V
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
- Evidence Summary: Protein Sparing Modified Fast Diets and the Preservation of Fat Free Mass in Children
Does short term (no more than 20 weeks) use of protein sparing modified fast diets compromise fat free body mass in obese children?
- Conclusion
  Several studies from a single program that measured body composition, using skin calipers, indicate that short-term use of PSMF for weight-loss in children, by and large, preserves fat-free body mass.
- Grade: III
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
- Evidence Summary: Protein Sparing Modified Fast Diets and the Preservation of Fat Free Mass in Children
Basic Research
What evidence is there that short-term use of protein sparing modified fast diets for childhood weight loss may compromise the growth velocity of children?
- Conclusion
  The evidence is too limited to determine the long-term the effects of the short-term use (less than 20 weeks) of a protein-sparing modified fast on children's linear growth.
- Grade: V
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
- Evidence Summary: Protein Sparing Modified Fast Diets and Growth Velocity in Children