[Increase of overweight and obesity among younger population groups].
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Biomedical subjects
Publications and source records attributed to H D Wobbe.
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Six to ten days after conversion from usual alimentary habits to a so-called "reasonable" regimen, the serum concentrations of different lipid fractions were examined under standardized conditions, in a total of 325 in-patients, who had not been pre-treated, and 268 of whom showed - after diverse examinations - a hyperlipoproteinaemia; the other 57 patients had normal lipid values. This diet food is vitamin-rich, poor in calories, protein-rich with a 20 per cent to 25 per cent part of calories, poor in carbohydrates (maximum 120 g/day), and extensively renouncing monomeric and dimeric carbohydrates; furthermore, it contains a percentage of 40 to 45 calories of lipids with a standardized part of multiple-unsaturated fatty acids. During the period of observation, there was in none of the patients an alteration of the body-weight exceeding 1 kg. During the period of the regimen, the following highly significant decreases - without any medicamentous measures - were stated with regard to the serum concentrations: Total cholesterol (average) 9.9 per cent, triglycerides (average) 23.1 per cent, beta-cholesterol (average) 17.6 per cent, and phosphatides (average) 14.2 per cent - all percentages being in relation to the reference values. A hyperproteinaemia (type IIa/Fredrickson) disappeared in 14 out of 18 cases, a hyperlipoproteinaemia (type IIb) in 14 out of 44 cases, and the same happened with this disease type IV in 114 out of 206 cases. A change of type was stated 16 times.
The significant decrease of the serum concentrations of total cholesterol, triglycerides, phosphatides, beta-cholesterol, and beta-lipoproteins, which usually is observed after conversion from normal eating habits to a "reasonable" diet, is prevented by supplementary and unverifiable consumption of confectionery and/or by alcohol abuse in irregular intervals. The so-called "reasonable" regimen is a high-fat and protein-rich diet food containing more than 50 per cent of multiple-unsaturated fatty acid in the fat supply. The fact that the average serum concentrations of the divers lipid fractions within the entire group of the 30 patients examined (patients who - admittedly - were practising a luxury form of consumption) showed merely insignificant fluctuations, is in no way a justification for the conclusion that a "reasonable" diet will at any time ostensively represent a protection against the effect of luxury consumption on the serum lipids.