A protein-sparing modified fast or PSMF diet is a type of a

very-low-calorie diet A very-low-calorie diet (VLCD), also known as semistarvation diet and crash diet, is a type of diet with very or extremely low daily food energy consumption. Often described as a fad diet, it is defined as a diet of per day or less. Modern medica ...

(<800 kcal per day) with a high proportion of protein calories and simultaneous restriction of carbohydrate and fat. It includes a

protein Proteins are large biomolecules and macromolecules that comprise one or more long chains of amino acid residues. Proteins perform a vast array of functions within organisms, including catalysing metabolic reactions, DNA replication, respo ...

component,

fluids In physics, a fluid is a liquid, gas, or other material that continuously deforms (''flows'') under an applied shear stress, or external force. They have zero shear modulus, or, in simpler terms, are substances which cannot resist any shear ...

, and vitamin and mineral supplementation. PSMF diets can last for up to 6 months, followed by a gradual increase in calories over 6–8 weeks.

Description

A PSMF attempts to spare the dieter the health risks of a complete fast by introducing the minimum amount of protein necessary to prevent muscle-wasting effects, while still eliminating fats and carbohydrates. Typically, depending on activity level, 0.8–1.2 g of protein per pound of lean body mass (not total body weight) is consumed. Protein beyond this minimum amount is also eliminated, as the body would use it for energy in a process called

gluconeogenesis Gluconeogenesis (GNG) is a metabolic pathway that results in the generation of glucose from certain non-carbohydrate carbon substrates. It is a ubiquitous process, present in plants, animals, fungi, bacteria, and other microorganisms. In vertebrat ...

. Further lean body mass (muscle, organs, etc.) are spared through resistance training and limiting aerobic activity.

History

The Last Chance Diet

The concept of "protein-sparing modified fast" (PSMF) was described by George Blackburn in the early 1970s as an intensive weight-loss diet designed to mitigate the harms associated with protein-calorie malnutrition and nitrogen losses induced by either acute illness or hypocaloric diets in patients with obesity, in order to adapt the patient's metabolism sufficiently to use endogenous fat stores as well as to preserve the protein contained in the body cell mass. The "liquid protein" PSMF diet described in the book The Last Chance Diet in 1976, motivates that the liquid protein diets of varying composition became widely popular. Three years later, in 1979, Isner published a report of 17 deaths associated with low-quality liquid protein VLCD, due to heart-related causes. These serious effects caused a substantial concern about the safety of clinical use of PSMF and VLCD. As a result, a review was published that highlighted the differences with these low-quality liquid protein diets and emphasized the importance of close medical monitoring during the fast and refeeding periods.

Modern PSMF diets

Instead of hydrolyzed collagen, modern medically-supervised PSMF diets include foods of higher biological value, such as meat, fish, eggs, cheese, and/or tofu. PSMF is used as a treatment for highly motivated patients to achieve rapid weight loss and usually is administered for 6 – 16 weeks. Before an individual starts a PSMF diet, their doctor should order an electrocardiogram, to check for signs of heart disease and also will prescribe specific vitamins minerals and electrolytes to be taken daily as long as the diet persists.

References

{{Fad diets Diets Fasting Proteins as nutrients Fad diets fr:Régime protal nl:Dukan-dieet pl:Dieta proteinowa

Description

History

The Last Chance Diet

Modern PSMF diets

See also

References