Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Article Comments (1)

Seven Secrets To Successful, Long-Term Weight Loss

Most people who have lost weight understand how easy it is to gain it back. In fact, I often hear patients tell me that over the course of their lifetimes they’ve “tried every popular diet out there” and yet have failed to keep the weight off permanently. If that’s your situation, you’re not alone. It’s estimated that only 20% of overweight individuals are successful at long term weight loss. But there is hope for success, and we can learn the secrets of “successful losers” from the National Weight Control Registry.

In a flash of brilliance, sociologist Rina Wing and psychologist Jim Hill decided to create a database of weight loss success cases, and simply observe how they live their lives over decades of time. They called this research study the National Weight Control Registry, and it has been enrolling study subjects since 1994.  What they’ve found is that those who have been successful at losing at least 30 pounds and keeping that weight off for at least 1 year share many behaviors in common. I believe that the closer we follow in the footsteps of these successful people, the more likely we are to be fit for a lifetime. So here goes – this is what the study subjects report:

1. They eat a low-calorie, low-fat diet. Only 10% of participants reported that they used a low-carb diet to maintain their weight loss, but those who chose the low-carb diet showed no difference in weight gain over a three year period (compared to the low-cal, low-fat majority). Interestingly, the low-carb group reported eating more total calories (and more fat calories) with less restraint, even with similar results.

2. They are extremely physically active. Though there isn’t one particular type of exercise that was preferred, the average study participant burned about 2600 calories per week (which is equivalent to about 8.5 hours of brisk walking). Roughly one-third of the people in the study reported burning more than 3000 calories per week with physical activities.

3. They eat breakfast regularly. Seventy-eight percent of the study subjects reported eating breakfast every day.

4. They watch the scale. About three-quarters of the participants report weighing themselves at least once a week. Almost a third of the study subjects weigh themselves at least once a day.

5. They are consistent in what they eat, throughout weekdays and weekends. Interestingly, one of the characteristics of successful losers is that they don’t eat a large variety of foods. The study subjects found food/meals that they liked, and repeated them regularly. They did not change what they ate during holiday seasons or special occasions.

6. They often lose weight on their own – without the help of a formal weight loss program. About 45% of the successful losers did it without any outside assistance.

7. They watch less television. While the average American watches about 28 hours of TV per week, 62% of study subjects reported watching fewer than 10 hours per week, and 36% reported watching fewer than 5 hours per week.

The good news is that the research also showed that weight maintenance becomes easier over time. So even though it takes a lot of discipline to succeed at maintaining a healthy weight for a lifetime, it feels a lot easier over time.

The bottom line? To lose weight and keep it off, it’s  important to eat a calorie-controlled, consistent diet, beginning with a healthy breakfast each day. Participating in daily physical activity, avoiding sedentary behaviors such as watching a lot of television, and opting for regular weigh-ins with the bathroom scale are critical disciplines. Weight loss programs can help you succeed, but you can also do just as well on your own if you adopt the behaviors of the success stories from the National Weight Control Registry!

For those of you who are following my nutrition advice for the Boys & Girls Clubs Triple Play Fit Family Challenge, please see my first post on the subject here. Next week we’ll begin to study the food truths and food lies so common in our society (using Dr. Marcotte’s book, Food Truths, Food Lies as our curriculum). So stay tuned!

You may also like these posts

    None Found

Read comments »

One Response to “Seven Secrets To Successful, Long-Term Weight Loss”

  1. Mindy says:

    Gives me hope!!

Return to article »

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

Read more »

How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

Read more »

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

Read more »

Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

Read more »

See all book reviews »

Commented - Most Popular Articles