Oshakbayev, KuatDukenbayeva, BibazharOtarbayev, NurzhanTogizbayeva, GulnarTabynbayev, NarimanGazaliyeva, MeruyertIdrisov, AlisherOshakbayev, Pernekul2017-11-222017-11-222015-11-25Oshakbayev Kuat et al.(>7), 2015(November 25), Weight loss therapy for clinical management of patients with some atherosclerotic diseases: a randomized clinical trial, Nutrition JournalDOI 10.1186/s12937-015-0108-yhttp://nur.nu.edu.kz/handle/123456789/2843Background: The prevalence and burden of atherosclerotic (AS) diseases are increasing during the last twenty years. Some studies show a close relationship between overweight and AS, but influence on AS diseases of different weight loss methods are still studying. The purpose of the research was to study the effectiveness of a weight loss program in AS patients in randomized controlled trial, and to develop a conception of evolution of AS. Methods: A randomized controlled prospective clinical trial including 97 people, from them 71 patients with various AS manifestations. Patients were divided in 2 subgroups for non-drug weight loss program, and conventional drug therapy. The weight loss program included calorie restriction with 100–150 kcal/day, fat-free vegetables, salt diet, and optimum physical activity. Statistical analysis was performed using SPSS for Windows version 17.0. Results: The weight loss subgroup lost ranging between 7-20 % from an initial weight (P = 0.016). Weight loss was achieved due to fatty mass reduction only (P = 0.005). Hemoglobin levels (P < 0.001), bone mineral density (P < 0.001), percentages of water (P = 0.006) and muscle masses (P = 0.0038) were increased in weight loss subgroup. Ejection fraction (P < 0.0001), systolic output (P < 0.0001) were increased in patients with coronary artery disease. The weight loss program led to a decrease in symptomatic drugs doses up to total abolition. A conception of AS was developed. Conclusions: The weight loss program treated the AS diseases; improved laboratory and instrumental parameters, decreased symptomatic drugs doses. AS development is a logical way of ontogenetic ageing of body fat.enOpen Access - the content is available to the general publicAttribution-NonCommercial-ShareAlike 3.0 United Statesatherosclerosisoverweightweight lossendogen metabolic intoxicationageingResearch Subject Categories::MEDICINEArticle