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During the programme period, adolescents made twenty visits over approximately one year, within two specific stages fig. Information on inclusion Dietas faciles is given in the work of Martínez-Gómez et al.

Data obtained during the intervention was confidential and restricted to the participating investigators. Health authorities had full access rights to the database for inspection purposes. Nutritional therapy and an educational programme on diet and food knowledge, psychological and eating behavior assessment, physical activity and family involvement, were covered throughout the programme.

Nine measurement categories were established: Diet and food habits; physical activity and health-related physical fitness; psychological profile; anthropometry; body composition; haematological profile; biochemistry and metabolic profiles; mineral and vitamin profile; immunological profile and genetic profile.

All Dietas rapidas parameters in each measurement category, excluding genetic profile, were assessed at least at four points: baseline visit 1at the end of the intensive intervention visit 9at mid point of the overall intervention visit 13and at the end of the EVASYON treatment programme visit The EVASYON food and nutrition programme involved trained registered dietitians RDprofessionals who were directly responsible for the dietary and nutrition education programme.

A detailed dietary history collected information about the family food-shop organization, usual location for meals during the week and week-ends, meal-related habits before starting the therapy or the personal beliefs about the role of food in the family, among others Additional file 1. It was important for clinicians and RDs to inquire about specific disordered eating attitudes to assess whether they were likely to increase the risk of further eating disorders or weight gain.

Moreover, a semi-quantitative food frequency questionnaire FFQpreviously validated in Spain, was administered at the beginning, at six months and at the end of the programme. This tool was used to record usual food frequency consumption according to the standard portion size, energy and nutrient intake, and to detect possible nutritional risks and misbehaviors. Additionally, a visual 10 week weight loss meal plan scale VAS score was used for the measurement of appetite and anxietyrelated eating 10 week weight loss meal plan 25 Additional file 2.

After personal interview at visit 1, adolescents and their families received a group session where the RD explained how to complete a 24 h-dietary recall. Pictures of food portion sizes and tables of equivalences were used to illustrate the size of usual servings. This information helped the participants to fill in the 72 h dietary record.

The data were transformed into grams or milliliters and were processed with an "ad hoc" computer programme, using validated food composition tables from Spain. In different patient assessments visits 10 week weight loss meal plan, 9, 13 and 20 other dietary questionnaires were used to survey information on the adherence and challenges to the programme. A specific dietary record explored food habits that could be modified during the therapy Additional file 3.

Also, the survey for compliance with the diet contained two sections. The first part collected information on the food frequency intake of the main food groups, and favorite foods but supposedly not healthy items for adolescents such as sweet drinks, alcohol, cakes 10 week weight loss meal plan fast food.

The second part gathered information on meal-related habits and psychological aspects Additional file 4. Assessing energy, nutritional requirements and calorie restriction. The BMI value was normalised to the standard deviation score.

In no case were the diets lower than 1, kcal or higher than 2, kcal. Furthermore, energy restriction 10 week weight loss meal plan as a method to correct the excessive food portions consumed with reference to age, sex and physical activity level.

Dietary intervention strategy and 10 week weight loss meal plan list guidelines. The intensive treatment programme with a moderate calorie restriction was divided into two subphases: three weeks visits 1 to 3 consisting of fixed full-day 10 week weight loss meal plan plan according to the criteria described above, and the next six weeks visits 4 to 9 consisting of fixed full-day meal plan with food choices.

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During the extensive intervention period visits 10 to 20the adolescents were assigned to a flexible meal plan with food exchanges, maintaining a balanced diet according to sex and age. Daily energy distribution was based on the school period promoting breakfast and avoiding multiple snack consumption along the day.

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The initial objective of the intervention was to join both adolescents and their families in the nutritional treatment; therefore, they received an energy-adjusted full-day menu for three weeks, to achieve the established calorie and nutrient objectives. The meal plan specified all daily meals, the type of foods to include with serving sizes expressed in grams or individual portionsthe garnishes, tips for healthy cooking, and daily bread and oil servings table I.

The second meal plan used in EVASYON programme consisted of full-day menus with food choices structured similarly to the diets used before, but specifying the main food group and the serving size, and with the possibility to choose from a list of specific foods. The next step in the extensive body-weight maintenance 10 week weight loss meal plan was the full-day meal plan with exchanges.

The exchange lists system used in the EVASYON study was based on the unification of nutrients carbohydrates, proteins and lipids and calories taking into account normal Spanish foods and serving sizes. On this basis, 10 week weight loss meal plan described the main food groups to be included, and each group was broken down into a list of Adelgazar 30 kilos with appropriately exchangeable food-portions servings expressed in grams and home measures.

This system gave flexibility and diversity to the diet and the family became responsible 10 week weight loss meal plan programming the weekly menu by applying the acquired knowledge 36 table III.

10 week weight loss meal plan

The intensive programme included weekly in-person visits with the RD to control the understanding and the fulfillment of the dietetic patterns and lifestyles, to answer possible doubts and to motivate the participants with 10 week weight loss meal plan previously one-week established objectives.

After this, group sessions took place, where the RD emphasized dietary knowledge, teaching of behavioural-change techniques and motivational, life and time management strategies, as well as the importance of the compliance with healthy habits and family support.

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Educational materials were developed for EVASYON study to support the dietary treatment targets, such as the childhood food guide pyramid, pictures of portionsizes, cooking techniques, basic concepts for planning healthy menus, etc.

A practical guide with recommendations for controlling body weight was handed out to families. During the extensive body-weight maintenance period, adolescents attended monthly in person follow-up visits with the RD.

They and their families received group 10 week weight loss meal plan on 10 week weight loss meal plan aspects such as diet, physical activity, healthy habits and weight maintenance skills, how to engage in healthy weight control behaviors and relapse prevention. Objectives were planned to be accomplished on a one-month basis.

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