Max Wishnofsky asked in a 1958 report, “What is the caloric equivalent of one pound of body weight gained or lost?”1 After a thoughtful analysis of the existing literature, Wishnofsky concluded that “the caloric equivalent of one pound of body weight lost” or “gained will be 3,500.” Fifty years later and with thousands of citations in the scientific literature and the lay press, Hill and his colleagues repeated the often-used statement “an energy deficit of approximately 3,500 kcal is needed to lose 1 lb of body weight” in the authoritative textbook, Modern Nutrition in Health and Disease.
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