Letters
17 August 2010

The Ice Diet

Publication: Annals of Internal Medicine
Volume 153, Number 4
Calorie-deficient weight loss diets are a cornerstone of obesity treatment. There is a systemic error in calorie determinations in commonly available foods. Recognition and clinical use of the consequences of this error may improve the outcomes of dietary management of obesity.
Most calorie determinations are made by identifying the protein, carbohydrate, and fat contents of foods and by using their known contribution to energy: protein, 4 kcal/g; carbohydrate, 4 kcal/g; and fat, 9 kcal/g (1). Complex carbohydrates, having less available energy due to incomplete digestion, are estimated to provide 2 kcal/g (2).
Water in food has not been …

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References

1.
Frary CDJohnson RK. Energy. In: Mahan LK, Escott-Stump S, eds. Krause's Food and Nutrition Therapy. 12th ed. St. Louis: Saunders Elsevier; 2008.
2.
Guenther PMJensen HH. Estimating energy contributed by fiber using a general factor of 2 vs 4 kcal/g. J Am Diet Assoc. 2000;100:944-6. [PMID: 10955054]

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Information & Authors

Information

Published In

cover image Annals of Internal Medicine
Annals of Internal Medicine
Volume 153Number 417 August 2010
Pages: 279

History

Published online: 17 August 2010
Published in issue: 17 August 2010

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Authors

Affiliations

Brian C. Weiner, MD, MS
From UMDNJ Robert Wood Johnson Medical School, New Brunswick, NJ 08901, and Rutgers, the State University of New Jersey, Piscataway, NJ 08854.
Alex C. Weiner
From UMDNJ Robert Wood Johnson Medical School, New Brunswick, NJ 08901, and Rutgers, the State University of New Jersey, Piscataway, NJ 08854.
Disclosures: None disclosed.

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Brian C. Weiner, Alex C. Weiner. The Ice Diet. Ann Intern Med.2010;153:279. [Epub 17 August 2010]. doi:10.7326/0003-4819-153-4-201008170-00027

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