It turns out that all that fat really is like a giant extra-length fuel tank.
And many, many Americans have enough fat on them to break 3 months without eating a calorie. It might, in a bizarre way, save some of them.
(Micronutrients might be a problem but is much easier to solve than the calorie problem.)
Also, the initial onset of ketogenesis from fasting is very rough for people who aren't used to it. Most people's bodies are not used to it, and they won't be able to think clearly, they won't have much energy, etc.
I wonder suspect this would be alleviated if survivors managed to get like 300 calories a day of various foods, which seems more likely than pure starvation.
In general, in situation like these, the first to die are sick, old/kids and those suffering from malnutrition. It would be super safe to guess that Leningrad at the time and a lot of those (given general state of that country).