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The Study

Effectiveness of a protein-supplemented very-low-calorie diet program for weight loss: a randomized controlled trial in South Korea

In simple terms

This study compared two diets and found that one with extra protein and meal replacements helped people lose a little more waist fat than the other diet. But because both groups got lots of help and support, we can't say for sure that the protein itself caused the difference—it might have been the extra coaching.

76%

Analysis score

76/ 90

Maximum 90 for a randomized controlled trial.

Where the score came from

Reporting40
Methodology67
Publication100
Statistical100
Study type (basis of the score)
Randomized Controlled Trial
Level 1b - Individual RCT
What’s the bottom line?

This study tested if drinking high-protein shakes instead of eating regular food for a few months helps people lose more belly fat and keep muscle, compared to just eating fewer calories.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Randomized Trials
Level 1b
76

76 / 100

Quality score

Participants are randomly assigned to treatment or control groups, minimizing bias. The gold standard for testing whether an intervention causes an effect.

Can establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Losing belly fat matters more for health than just losing weight — this study shows protein shakes helped people shrink their waist and visceral fat significantly, which lowers diabetes and heart disease risk.
  2. 2People who drank protein shakes lost 6.86 kg (8.2%) and cut 8.35 cm off their waist.
  3. 3Those who ate less food lost 4.66 kg (5.5%) and cut 4.85 cm off their waist.
  4. 4The waist difference was clear, but weight loss difference was small and not certain.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Frontiers in Nutrition

Year

2024

Authors

Eunbyul Cho, Sohye Kim, Hwa-Jung Kim, Belong Cho, J. Park, H. Kwon, Ju Young Kim, Yumi Go, D. Kang, Eunyoung Shin, Sumi Lee, Siye Gil, Hyerim Kim, J. Ahn, J. Kim, Wonjoon Jung, Eunyoung Go

Open Access
3 citations
Analysis v5

Related Content

Claims (6)

Assertion

Over 12 months, a diet high in protein and very low in calories led to an average weight loss of 6.86 kg, while a standard calorie-restricted diet led to an average weight loss of 4.66 kg. The difference between the two groups was 2.20 kg, but this difference was not statistically certain.

Quantitative
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Assertion

Obese adults aged 19–70 who follow a protein-supplemented very-low-calorie diet for 12 months with intermittent very-low-calorie phases lose 8.35 cm more waist circumference and 28.28 cm² more visceral fat than those on a standard calorie-restricted diet.

Quantitative
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Assertion

Long-term adherence to very low-calorie, high-protein diets leads to diminished weight loss outcomes because of changes in metabolism and behavior.

Mechanistic
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Assertion

In obese adults, a very-low-calorie diet with extra protein leads to improvements in blood pressure, blood sugar, triglycerides, and liver enzymes, but these improvements are the same as those seen with a very-low-calorie diet without extra protein.

Correlational
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Assertion

Over 12 months, people on a very-low-calorie diet with extra protein lost 0.90 kilograms less lean body mass than those on a standard calorie-restricted diet, but the difference was not statistically significant.

Correlational
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Assertion

Obese adults following a very-low-calorie diet with extra protein show lower levels of triglycerides, liver enzymes, and uric acid than those on a standard calorie-restricted diet, but their total cholesterol and blood pressure change similarly in both groups.

Correlational
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Fit Body Science verdict — we translate health studies into clear verdicts backed by peer-reviewed research.

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