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Previous Volume 328:1494-1496 May 20, 1993 Number 20 Next

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To the Editor: Lichtman et al. (Dec. 31 issue)¹ investigated why some obese persons have difficulty losing weight, although their diet is reportedly hypocaloric. The authors concluded that "failure to lose weight despite a self-reported low caloric intake can be explained by substantial misreporting of food intake and physical activity." We do not concur with their inference.

In their analyses, Lichtman et al. studied 10 subjects in the "diet-resistant" group (group 1) and 6 in the control group (group 2). Self-reports of food intake and physical activity were compared with indirect calorimetry and body-composition analysis. The subjects in group 1 . . . [Full Text of this Article]

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