Table 1.
Summary of the continuous energy restriction meal replacement program a (DER) and alternate day fasting meal replacement program (ADF + DER) dietary protocols.
| DER | ADF + DER | |||
|---|---|---|---|---|
| Mon-Sun | M,W,F | Tu,Th,Su | Sa | |
| Breakfast | MR b | MR b | MR b | ad libitum |
| Snack c | 1 snack | 1 snack | - | |
| Lunch | MR b | MR b | MR b | |
| Snack c | 1 snack | 1 snack | - | |
| Dinner | 200 g lean protein + low energy vegetables + 2 teaspoons oil | 200 g lean protein + low energy vegetables + 2 teaspoons oil | Low energy vegetables | |
| Energy (kJ) | 5000 | 5000 | 2400 | 10,000 (estimate) |
| Protein (g) | 102 | 102 | 55 | NA |
DER, continuous energy restriction meal replacement program; ADF + DER, alternate day fasting meal replacement program; MR, meal replacement; M, Monday; Tu, Tuesday; W, Wednesday; Th, Thursday; F, Friday; Sa, Saturday; Su, Sunday; NA, not assessed. a The total daily macronutrient distribution for the DER diet shown above was 31% of total energy as carbohydrate, 38% protein, and 28% total fat (52% monounsaturated fat and 17% polyunsaturated fat). b ImpromyTM, manufactured by Probiotec Pty Ltd., Laverton North, Australia; MR was ~1000 kJ, 25 g protein, 4 g fat, 27 g carbohydrate, 6 g fiber with each containing 25% recommended daily intake for Vitamin A, Thiamin, Riboflavin, Niacin, Folate, Vitamin B6, Vitamin B12, Vitamin C, Vitamin D, Vitamin E, Calcium, Iodine, Iron, Magnesium, Phosphorus, and Zinc. The number of meal replacements allocated per day was determined by individual energy requirements for weight loss. c Prescribed snack options: fruit, low fat dairy, wholegrains, and nut/seed/legume. The number of snacks allocated per day was determined by individual energy requirements for weight loss.