A review on long-term weight loss maitenance.

ldrosophila

This review looks at some of the strategies on people who have maintained weight loss for a long term. Although I'm not sure I completely agree that a low fat diet causes weight loss as much as a diet lower in fat usually means lower calories. Interesting thought, and does provide hope for anyone who has maintained longer than 2years.

Am J Clin Nutr. 2005 Jul;82(1 Suppl):222S-225S.

Long-term weight loss maintenance.

Wing RR, Phelan S.


Source

Brown Medical School, The Miriam Hospital, Department of Psychiatry, Providence, RI, USA. rwing@lifespan.org


Abstract


There is a general perception that almost no one succeeds in long-term maintenance of weight loss. However, research has shown that approximately 20% of overweight individuals are successful at long-term weight loss when defined as losing at least 10% of initial body weight and maintaining the loss for at least 1 y. The National Weight Control Registry provides information about the strategies used by successful weight loss maintainers to achieve and maintain long-term weight loss. National Weight Control Registry members have lost an average of 33 kg and maintained the loss for more than 5 y. To maintain their weight loss, members report engaging in high levels of physical activity ( approximately 1 h/d), eating a low-calorie, low-fat diet, eating breakfast regularly, self-monitoring weight, and maintaining a consistent eating pattern across weekdays and weekends. Moreover, weight loss maintenance may get easier over time; after individuals have successfully maintained their weight loss for 2-5 y, the chance of longer-term success greatly increases. Continued adherence to diet and exercise strategies, low levels of depression and disinhibition, and medical triggers for weight loss are also associated with long-term success. National Weight Control Registry members provide evidence that long-term weight loss maintenance is possible and help identify the specific approaches associated with long-term success.

ldrosophila

Here is another one and quit low saying 24% of the diet from fat. I'm still not convinced though.

J Am Diet Assoc. 1998 Apr;98(4):408-13.

Persons successful at long-term weight loss and maintenance continue to consume a low-energy, low-fat diet.

Shick SM, Wing RR, Klem ML, McGuire MT, Hill JO, Seagle H.


Source

Department of Epidemiology, University of Pittsburgh School of Medicine, PA 15213, USA.


Abstract


OBJECTIVES:

To describe the dietary intakes of persons who successfully maintained weight loss and to determine if differences exist between those who lost weight on their own vs those who received assistance with weight loss (eg, participated in a commercial or self-help program or were seen individually by a dietitian). Intakes of selected nutrients were also compared with data from the third National Health and Nutrition Examination Survey (NHANES III) and the 1989 Recommended Dietary Allowances (RDAs).

SUBJECTS:

Subjects were 355 women and 83 men, aged 18 years or older, primarily white, who had maintained a weight loss of at least 13.6 kg for at least 1 year, and were the initial enrollees in the ongoing National Weight Control Registry. On average, the participants had lost 30 kg and maintained the weight loss for 5.1 years.

METHODS:

A cross-sectional study in which subjects in the registry completed demographic and weight history questionnaires as well as the Health Habits and History Questionnaire developed by Block et al. Subjects' dietary intake data were compared with that of similarly aged men and women in the NHANES III cohort and to the RDAs. Adequacy of the diet was assessed by comparing the intake of selected nutrients (iron; calcium; and vitamins C, A, and E) in subjects who lost weight on their own or with assistance.

RESULTS:

Successful maintainers of weight loss reported continued consumption of a low-energy and low-fat diet. Women in the registry reported eating an average of 1,306 kcal/day (24.3% of energy from fat); men reported consuming 1,685 kcal (23.5% of energy from fat). Subjects in the registry reported consuming less energy and a lower percentage of energy from fat than NHANES III subjects did. Subjects who lost weight on their own did not differ from those who lost weight with assistance in regards to energy intake, percent of energy from fat, or intake of selected nutrients (iron; calcium; and vitamins C, A, and E). In addition, subjects who lost weight on their own and those who lost weight with assistance met the RDAs for calcium and vitamins C, A, and E for persons aged 25 years or older.

APPLICATIONS:

Because continued consumption of a low-fat, low-energy diet may be necessary for long-term weight control, persons who have successfully lost weight should be encouraged to maintain such a diet.

ldrosophila

This one is saying that the fat over the years has increased, but it is still below 30%. I still think that fat plays a crucial role in the diet. I'm going with a lower calorie intake and physical activity. I guess if I start to gain when I reach goal my mindset can change.

Obesity (Silver Spring). 2006 Apr;14(4):710-6.

Are the eating and exercise habits of successful weight losers changing?

Phelan S, Wyatt HR, Hill JO, Wing RR.


Source

Brown Medical School, The Miriam Hospital, Providence, Rhode Island, USA. sphelan@lifespan.org


Abstract


OBJECTIVE:

The purpose of this study was to examine whether the diet and exercise behaviors of successful weight losers entering the National Weight Control Registry (NWCR) have changed between 1995 and 2003. Research Method and Procedures: Participants (N = 2708) were members of the NWCR who enrolled in intermittent years since 1995. Participants had lost an average of 33.1 kg and maintained a 13.6-kg loss for 5.8 years before enrollment. Evaluations of diet and physical activity were conducted at entry into the NWCR and prospectively over 1 year.

RESULTS:

From 1995 to 2003, the daily percentage of calories from fat increased from 23.8% to 29.4%, saturated fat intake increased from 12.3 to 154.0 g/d, and calories from carbohydrate decreased from 56.0% to 49.3% (p < 0.0001). The proportion consuming <90 grams of carbohydrate (considered a low-carbohydrate diet) increased from 5.9% to 17.1% (p = 0.0001). Physical activity was elevated in 1995 (mean = 3316 kcal/wk) but comparable in all other years (mean = 2620 kcal/wk). Stepwise regression collapsing across cohorts indicated that weight regain over 1 year was related to higher levels of caloric intake, fast food consumption, and fat intake and lower levels of physical activity (p < 0.03).

DISCUSSION:

The macronutrient composition of the diet of NWCR members has shifted over the past decade. Still, only a minority consumes a low-carbohydrate diet. Despite changes in the diet over time, the variables associated with long-term maintenance of weight loss were the same: continued consumption of a low-calorie diet with moderate fat intake, limited fast food, and high levels of physical activity.

ldrosophila

Found this dont give up hope all you paleos and low carbers...

Three-year weight change in successful weight losers who lost weight on a low-carbohydrate diet.

Phelan S, Wyatt H, Nassery S, Dibello J, Fava JL, Hill JO, Wing RR.


Source

Department of Psychiatry and Behavioral Medicine, Brown Medical School, 196 Richmond Street, Providence, RI 02903, USA. sphelan@lifespan.org


Abstract


OBJECTIVE:

The purpose of this study was to evaluate long-term weight loss and eating and exercise behaviors of successful weight losers who lost weight using a low-carbohydrate diet.

RESEARCH METHODS AND PROCEDURES:

This study examined 3-year changes in weight, diet, and physical activity in 891 subjects (96 low-carbohydrate dieters and 795 others) who enrolled in the National Weight Control Registry between 1998 and 2001 and reported >or=30-lb weight loss and >or=1 year weight loss maintenance.

RESULTS:

Only 10.8% of participants reported losing weight after a low-carbohydrate diet. At entry into the study, low-carbohydrate diet users reported consuming more kcal/d (mean +/- SD, 1,895 +/- 452 vs. 1,398 +/- 574); fewer calories in weekly physical activity (1,595 +/- 2,499 vs. 2,542 +/- 2,301); more calories from fat (64.0 +/- 7.9% vs. 30.9 +/- 13.1%), saturated fat (23.8 +/- 4.1 vs. 10.5 +/- 5.2), monounsaturated fat (24.4 +/- 3.7 vs. 11.0 +/- 5.1), and polyunsaturated fat (8.6 +/- 2.7 vs. 5.5 +/- 2.9); and less dietary restraint (10.8 +/- 2.9 vs. 14.9 +/- 3.9) compared with other Registry members. These differences persisted over time. No differences in 3-year weight regain were observed between low-carbohydrate dieters and other Registry members in intent-to-treat analyses (7.0 +/- 7.1 vs. 5.7 +/- 8.7 kg).

DISCUSSION:

It is possible to achieve and maintain long-term weight loss using a low-carbohydrate diet. The long-term health effects of weight loss associated with a high-fat diet and low activity level merits further investigation

ldrosophila

This is telling me to talk to a professional, get support, eat less and more of the same diet with limited choices (hmmmm, this makes me a sad panda bear), watch my weight, eat breakfast, and move. Or get WLS. Guess I'll see what happens...

Am Fam Physician. 2010 Sep 15;82(6):630-4.

Weight loss maintenance.

Grief SN, Miranda RL.


Source

University of Illinois at Chicago (UIC), Department of Family Medicine, Chicago, Illinois 60612, USA. sgrief@uic.edu


Abstract


Successful long-term weight loss maintenance can be achieved by various means. A combination of dietary and physical activity interventions, along with one or more behavioral approaches, has proven successful in some persons, as documented by the National Weight Control Registry, but is limited by adherence to a consistent weight loss regimen. Successful approaches to weight loss maintenance include consulting with a physician, nutritionist, or another support source; adhering to a stable diet with a limited variety of food; monitoring weight; eating breakfast; and exercising regularly. Long-term pharmacologic treatments for weight loss maintenance have been studied and were found to have modest success, with some weight regain typically reported. Sibutramine and orlistat are the two medications approved by the U.S. Food and Drug Administration with the potential to help patients achieve long-term weight loss maintenance. Bariatric surgery is another modality for accomplishing successful long-term weight loss maintenance in patients with morbid or complicated obesity. Its success is due in large part to better weight loss outcomes, more successful long-term weight loss maintenance, and remission of comorbid medical conditions.

ldrosophila

Well, SOB I spelled maintenance wrong!