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. 2017 Aug 15;34(11):1554–1567. doi: 10.1111/dme.13426

Table 4.

List of strategies that the participants found helpful for their adherence to the very‐low‐energy diet

Group Strategy
Food removal
  • 1

    Throwing away/giving away/eating up leftovers before starting the VLED.

  • 2

    Not buying undesired food.

  • 3

    Keeping undesired food out of sight.

  • 4

    Freezing undesired food so that it's not immediately available during a craving.

Avoidance of…
  • 5

    …places where there is limited choice or lack of healthy food options.

  • 6

    … television watching, in order to avoid looking at food adverts or habitual snacking.

  • 7

    …social events with abundance of food.

  • 8

    …shopping in shopping centres; shopping can be done online instead.

  • 9

    …eating with other people.

Planning
  • 10

    Planning the logistics of being on a diet; e.g. food shopping/cooking/eating times, attendance of social events, and coming to terms with the plan.

  • 11

    Thinking about and preparing food for the next day.

  • 12

    Cooking in batches and freezing food for quick healthy meals.

  • 13

    Having healthy nibbles at hand (e.g. carrot sticks, pieces of apple etc.).

  • 14

    Carrying a bottle of water.

Hunger management
  • 15

    Drinking water throughout the day.

  • 16

    Drinking water when starting to feel hungry.

  • 17

    Spreading meals throughout the day.

  • 18

    Adding spices and herbs to the VLED shakes to increase variability and palatability.

  • 19

    Drinking the VLED shakes hot or very cold to increase palatability.

  • 20

    Getting active/distracting oneself from thinking about food (e.g. gardening, hobbies).

  • 21

    Adding more water to the VLED shakes to increase volume.

  • 22

    Chewing a gum or a sugar‐free mint.

  • 23

    Going to bed earlier.

  • 24

    Allowing oneself a taste of food to satisfy curiosity and prevent cravings.

  • 25

    Self‐talk and negotiation when tempted, weighing the pros and cons of eating undesired food.

  • 26

    Reminding oneself of one's goals.

  • 27

    Reminding oneself of one's success.

  • 28

    Becoming aware of situations in which one feels tempted.

  • 29

    Being kind to oneself after a lapse and carrying on with the plan.

Social
  • 30

    Telling other people about one's weight loss attempt to prevent temptations from others, to get support and understanding, and to increase the commitment to one's weight loss plan.

  • 31

    Getting a weight loss ‘buddy’ to share experiences and tips with, to be accountable to, and to facilitate adherence (this would ideally be a partner).

  • 32

    Getting monitored by a third party, e.g. asking one's general practice for regular weigh‐ins.

VLED, very‐low‐energy diet.