Body weight and body composition were measured using the direct segmental multi-frequency bioelectrical impedance method (Inbody 230, Biospace, Korea) (22). The measurements presented were fasting state, shortly after waking in the morning, and at a dehydrated state. Standing height without shoes was measured using a stadiometer. Body Mass Index was calculated with the following formula: weight (kg) / height2 (m2). Waist circumference was obtained at the level of the noticeable waist narrowing, located approximately half way between the costal border and the iliac crest and the level of the greatest posterior protuberance. Hip circumference was also measured in the region of the greatest posterior protuberance and at approximately the symphysion pubis level, anteriorly. Blood pressure was measured using an automatic blood pressure monitor (BM65, Beurer, Germany) after subjects rested for more than 10 minutes. All anthropometric and blood pressure measurements were done in triplicates and the mean was calculated for each subject. Resting metabolic rate was measured at baseline and following the dietary intervention by indirect calorimetry (FitMate, Cosmed, Rome, Italy), using resting oxygen uptake (VO2).
Most women will need to eat and drink fewer calories and get the right amount of healthy foods to lose weight. Increasing exercise or physical activity may help with weight loss, but choosing healthy foods (lean protein, whole grains, vegetables, and fruits) is what works best for many people to achieve a healthy weight.1 Combining healthy eating with increased physical activity is best. Talk to your doctor or nurse before starting any weight-loss program. He or she can work with you to find the best way for you to lose weight.