]. A nonelastic tape was used with an accuracy of 0.1 cm at the midpoint between the lowest costal bones and the highest point of the iliac crest. In women with the highest degree of obesity or where the narrowest point of the waist was not available, WC was assessed with 0.
Women who fulfilled inclusion / exclusion criteria underwent VLCKD protocol with total meal replacement consisting of three main phases []. A commercial weight -loss program was used for VLCKD . The active phase diet was planned by the nutritionist and recommended by the endocrinologist. As for diet composition, total energy intake was 10 were excluded to avoid multicollinearity. The-values below 5% were considered statistically significant.