Dietary Management

Treatment must alter energy balance so that energy intakes are less than energy expenditures in metabolism and activity. Diets should be adequate for protein and micronutrients. They should aim to change the quality and energy density of the food eaten more than reduce the quantity of food eaten, although reducing the amount of snacking will probably be appropriate (Table 3). There is no consistent evidence that reduction of any particular energy source is more effective than any other in promoting fat loss, so 'balanced diets' conforming to the 'healthy diet' principles of WHO and many governments should be followed.

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