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Few years ago, food combining a popular weight reducing diet has been promoted and practiced by the public in Indonesia. The objective of this study was to compare the effect of food combining on change in body weight with a calorie reducing diet. We used a crossover experiment study design where 12 healthy free-living subjects (10 women, 2 men), age range 18-21 years old and BMI > 25 kg/m2 were randomly allocated into each groups. Participants were prescribed two diets for 3 consecutive weeks with a 6 week washout period when subjects were instructed free to eat. Diet of 1200 kcal/day for women and 1500 kcal/day for men were prescribed for respondents, whereas the food combining intervention included fruits in the morning and a combination of protein foods with vegetables or carbohydrate foods and vegetables for the other meals. The body weight and nutrients intake were measured before and after each intervention. The result analyzed using a linear mixed model and it showed there was no significant difference (p=0.235) in change in body weight after treatment with the food combining (65.8 kg, CI 95%: 59.7, 71.8) as compared to the calorie restricted diet (66.5 kg, CI: 95%: 60.4, 72.5) at F (1, 10) =1.59. The risk inadequate intake of protein, vitamin B-2, folate, calcium, iron and zinc after followed food combining compared to calorie restricted diet should taking into consideration. The food combining as well as energy reducing diet showed a similar effect on reduction in body weight.
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Redinger RN. The pathophysiology of obesity and its clinical manifestations. Gastroenterol Hepatol. 2007;3(11):856–63.
Peeters, Anna; Barendregt, Jan J; Willekens, Frans; Mackenbach, Johan P; Al Mamun, Abdullah; Bonneux L. Article Obesity in Adulthood and Its Consequences for Life Expectancy : Ann Intern Med. 2003;138:24–32.
Cheskin LJ, Poddar KH. Obesity Management. In: Modern Nutrition in Health and Disease. 2014. p. 786–99.
Redman LM, Heilbronn LK, Martin CK, de Jonge L, Williamson DA, Delany JP, et al. Metabolic and behavioral compensations in response to caloric restriction: Implications for the maintenance of weight loss. PLoS One. 2009;4(2).
Freedman MR, King J, Kennedy E. Popular Diets: A Scientific Review (Weight Maintenance section). Obes Res [Internet]. 2001; (Supplement 1 March 2001) : 33S–34S. Available from: http://onlinelibrary.wiley.com/doi/10.1038/oby.2001.113/full
Gunawan A. Food Combining: Kombinasi Makanan Serasi: Pola Makan Untuk Langsing dan Sehat. Jakarta: Gramedia; 1999.
Stanton R. Dietary extremism and eating disorders in athletes. In: Burke L, Deakin V, editors. Clinical Sports Nutrition. NSW Australia: McGraw-Hill Book Company Australia Pty Limited; 1994. p. 295–6.
Golay a, Allaz a F, Ybarra J, Bianchi P, Saraiva S, Mensi N, et al. Similar weight loss with low-energy food combining or balanced diets. Int J Obes Relat Metab Disord [Internet]. 2000;24(4):492–6. Available from: http://www.researchgate.net/profile/Juan_Ybarra/publication/12511324_Similar_weight_loss_with_low-energy_food_combining_or_balanced_diets/links/5460f54c0cf295b56163825e.pdf
Foreyt JP, Salas-Salvado J, Caballero B, Bulló M, Gifford KD, Bautista I, et al. Weight-reducing diets: Are there any differences? In: Nutrition Reviews. 2009.
Indonesia M of HR of. Pedoman Gizi Seimbang (Indonesia Nutrition Guidelines). Jakarta; 2014. 61-64 p.
Hulley SB, Cummings, Steven R Browner WS, Grady DG, Newman TB. Designing Clinical Research. Third. Philadelphia USA: Lippincott Williams & Wilkins; 2007.
Almatsier S, editor. Penuntun Diet Edisi Baru (Dietary Guidelines New Edition). Jakarta; 2013.
Supariasa IDN, Bakri B, Fajar I. Penilaian Status Gizi (Nutritional Status Guidelines). Penerbit Buku Kedokteran EGC; 2001.
Dansinger ML, Gleason JA, Griffith JL, Selker HP, Schaefer EJ. Comparison of the Atkins, Ornish, WeightWatchers, and Zone Diets for Weight Lossand Heart Disease Risk ReductionA Randomized Trial. J Am Med Assoc. 2005;293:43–53.
Kennedy ET, Bowman SA, Spence JT, Freedman M, King J. Popular Diets: Correlation to Health, Nutrition, and Obesity [Internet]. Vol. 101, Journal of the American Dietetic Association. 2001. p. 411–20. Available from: http://www.sciencedirect.com/science/article/pii/S0002822301001080%5Cnhttp://www.sciencedirect.com/science/article/pii/S0002822301001080#%5Cnhttp://www.sciencedirect.com/science/article/pii/S0002822301001080/pdfft?md5=115f37035883d874b90b2e64c69830f0&pid=
Malik VS, Hu FB. Popular weight-loss diets: from evidence to practice. Nat Clin Pract Cardiovasc Med [Internet]. 2007;4(1):34–41. Available from: http://www.nature.com/doifinder/10.1038/ncpcardio0726
Sargrad KR, Homko C, Mozzoli M, Boden G. Effect of high protein vs high carbohydrate intake on insulin sensitivity, body weight, hemoglobin A1c, and blood pressure in patients with type 2 diabetes mellitus. JAmDietAssoc. 2005;105(0002–8223 (Print)):573–80.
Nickols-Richardson SM, Coleman MD, Volpe JJ, Hosig KW. Perceived hunger is lower and weight loss is greater in overweight premenopausal women consuming a low-carbohydrate/high-protein vs high-carbohydrate/low-fat diet. J Am Diet Assoc. 2005;105(9):1433–7.
Purwanti PH. Pengaruh diet rendah energi dan rendah karbohidrat terhadap IMT dan persen lemak tubuh pada pasien wanita dengan berat badan lebih di Prima Diet Catering Jakarta 2006 (Effect Reducing Diet and Low Carbohydrate on BMI and Percent Body Fat among Women with . Universitas Indonesia; 2006.
Sabate J. EPDM 515 Clinical Trials: Cross Over Design. 2010.
Vahedian M, Arian NJ, Meimarbashi A. Statistical Results of Previous Side Effects of Diet Therapy in Overweight Patients and Antropometric Findings. In: 3rd Asian Conggress of Dietetics. Kuala Lumpur; 2002.