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Paradoxical nutritional deficiency in overweight and obesity: the importance of nutrient density

Julie A Pasco, Margaret J Henry, Mark A Kotowicz and Geoffrey C Nicholson
Med J Aust 2009; 191 (1): . || doi: 10.5694/j.1326-5377.2009.tb02679.x
Published online: 6 July 2009

To the Editor: We read with interest the work presented by Markovic and Natoli, highlighting the importance of recognising the nutrient density of foods in managing overweight and obese patients.1 We present data to support their observation that it should not be assumed that a patient who is overweight or obese has a nutritionally adequate diet.


  • Department of Clinical and Biomedical Sciences, Barwon Health, University of Melbourne, Geelong, VIC.


Correspondence: juliep@barwonhealth.org.au

Competing interests:

Our study was supported by funds from the National Health and Medical Research Council (NHMRC) and the Geelong Region Medical Research Foundation. These sources played no role in the study design, data collection, analysis and interpretation, or in the writing or publication of our letter.

  • 1. Markovic TP, Natoli SJ. Paradoxical nutritional deficiency in overweight and obesity: the importance of nutrient density. Med J Aust 2009; 190: 149-151. <MJA full text>
  • 2. Giles GG, Ireland PD. Dietary questionnaire for epidemiological studies (version 2). Melbourne: The Cancer Council Victoria, 1996.
  • 3. Australian Government Department of Health and Ageing, National Health and Medical Research Council and New Zealand Ministry of Health. Nutrient reference values for Australia and New Zealand including recommended dietary intakes. Canberra: Commonwealth of Australia, 2006. http://www.nhmrc.gov.au/PUBLICATIONS/synopses/_files/n35.pdf (accessed Feb 2009).
  • 4. Food Standards Australia New Zealand. Standard 1.2.8: nutrition information requirements. Table to subclause 7(3). http://www.foodstandards.gov.au/_srcfiles/FSC_Amend_Standard_1_2_8_Nutrition_Info_v91.pdf (accessed Mar 2009, link no longer available).

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