In bariatric practice, a preoperative weight loss of at least 5% is recommended. However, the hypocaloric diets prescribed vary and no consensus exists. This study examined the efficacy of preoperative diets in achieving 5% weight loss. From a systematic literature search, eight randomised controlled trials (n = 862) were identified. Half of the trials used a “very-low-calorie diet” whilst the rest employed a “low-calorie diet”. Only five diets achieved ≥ 5% weight loss over varying durations and energy intakes. By inference, compliance with a 700–1050 kcal (2929–4393 kJ) diet, consisting of moderate carbohydrate, high protein and low/moderate fat, for 3 weeks is likely to achieve 5% weight loss. A low-carbohydrate diet (< 20 g/day) may achieve this target within a shorter duration. Additional research is required to validate these conclusions.
|Number of pages||13|
|Early online date||18 Aug 2018|
|Publication status||Published (in print/issue) - 30 Nov 2018|
- Bariatric surgery
- Metabolic surgery
- Low-calorie diet
- Very-low-calorie diet