{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:07:59Z","timestamp":1777385279217,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,11,21]],"date-time":"2017-11-21T00:00:00Z","timestamp":1511222400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>This study investigated whether a lifestyle modification program that encouraged a ketogenic diet (KD) for participants with lymphedema and obesity would reduce weight and limb volume and improve quality of life. A total of 12 participants with lymphedema and obesity (mean body mass index = 38.38; SD = 7.02) were enrolled in a lifestyle modification group. The timespan from baseline data collection to 30-day follow-up was 18 weeks. Retention rate was 83.3%. Data were analyzed with repeated-measures ANOVA and Pearson correlation. Participants demonstrated statistically significant improvement in most outcome measures. Mean weight loss was 5.18 kg\u2014F(4, 36) = 11.17; P &lt; .001\u2014or 4.8% of mean baseline weight. The average limb volume reduction was 698.9 ml\u2014F(4, 36) = 9.4; P &lt; .001\u2014and was positively correlated with weight loss (r = 0.8; P = .005). There appeared to be a tendency for participants who used a KD (n = 6) to demonstrate superior results in most outcome measures compared with those who did not use the diet (n = 4), although the sample size of the 2 groups was too small to report definitive results. This lifestyle modification program provided insight into the possible value of a KD for obesity and lymphedema management.<\/jats:p>","DOI":"10.1177\/1559827617742108","type":"journal-article","created":{"date-parts":[[2017,11,22]],"date-time":"2017-11-22T02:30:16Z","timestamp":1511317816000},"page":"420-428","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Lifestyle Modification Group for Lymphedema and Obesity Results in Significant Health Outcomes"],"prefix":"10.1177","volume":"14","author":[{"given":"Leslyn","family":"Keith","sequence":"first","affiliation":[{"name":"Central Coast Lymphedema Therapy, San Luis Obispo, California (LK)"},{"name":"Comprehensive Weight Management, A Nursing Corp, Templeton, California (CR)"},{"name":"Department of Occupational and Recreational Therapies, University of Utah, Salt Lake City, Utah 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