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[Complications in null-diet]

P Oster, R Mordasini, H Raetzer

    Schweizerische Medizinische Wochenschrift
    |September 24, 1977
    PubMed
    Summary
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    Total starvation can cause acute weight loss but carries risks. Severe complications like reversible cerebral ischemia and cardiac arrhythmias occurred in 8% of patients, particularly those with underlying conditions or arteriosclerosis.

    Area of Science:

    • Metabolic Disorders
    • Cardiovascular Health
    • Gastroenterology

    Context:

    • Obesity management often involves aggressive weight reduction strategies.
    • Total starvation diets are explored for rapid weight loss.
    • Patients with internal diseases may have unique risks.

    Purpose:

    • To evaluate the efficacy and safety of total starvation for acute weight reduction.
    • To identify potential complications and contraindications associated with total starvation.
    • To assess risks in obese patients with co-existing internal diseases.

    Summary:

    • Total starvation is effective for acute weight reduction.
    • 8% of 200 patients experienced severe complications, including reversible cerebral ischemia, circulatory collapse, and cardiac arrhythmias.

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  • Clinical signs of arteriosclerosis may be relative contraindications.
  • Impact:

    • Highlights the significant risks of total starvation, especially in patients with comorbidities.
    • Suggests caution and hospital supervision for total fasting, particularly in individuals with cardiovascular risk factors.
    • Informs clinical decision-making regarding the use of extreme dietary interventions for obesity.