[Dietary options in obesity and metabolic syndrome]

Long-term stabilization of weight after a decrease in weight makes sense together with a fat-reduced, fiber-rich, well-balanced diet. "Little sins" depending on the patient's preferences are acceptable. A complete day-food report is very important.A short-term decrease in weight can be achieved by a diet rich in fat. For a long-term stabilization of weight one should switch to a fat-reduced, well-balanced diet, because there are no data from long-lasting studies of "low-carb diets". During intervention all diets show a positive effect. If, however, the decreased consumption of energy by reduced weight is not considered in the diet, a reincrease in weight will result. The regulation of satiety and hunger is mainly determined by the volume of nutrition and less by nutritive substances. So it is not surprising that food with a lower energy density seems to be advantageous. To achieve long-term positive results, a good patient compliance combined with daily physical activity is important.