Home
>
Weight Loss
>
Weight Loss Success -- The Most Important Determinant

Weight Loss Success -- The Most Important Determinant

Adherence to diet for one year, not the specific diet plan, is the most important determinant of successful weight loss. According to the results of a randomized trial published in the January 2005 issue of JAMA. When comparing Atkins, Ornish, Weight Watchers, and Zone diets, the author recommends the "low fad" approach.

The Low Fad Approach

Successful weight loss is best achieved by following the low fad approach. The low fad approach to losing weight involves moderate reductions in caloric intake with increased physical activity. There is nothing "fad" about this approach and is supported by a few studies.

The fact that the low fad approach is backed by scientific evidence is key...the fad diets currently in the market have very little credible evidence supporting their claims.

"The scarcity of data addressing the health effects of popular diets is an important public health concern, especially since patients and physicians are interested in using popular diets as individualized eating strategies for disease prevention," write Michael L. Dansinger, MD, a Preventative Medicine specialist from Boston, Massachusetts.

Dr. Dansinger goes on to say, "Some plans minimize carbohydrate intake without fat restriction (eg, Atkins diet), many modulate macronutrient balance and glycemic load (eg, Zone diet), and others restrict fat (eg, Ornish diet)."

So, besides the lack of evidence backing the claims made by fad diets, there is no consistency from one diet to the next within the same category of diet type. This makes it extremely difficult to study the fad diets and measure the effects on your health, let alone your chances for successful weight loss.

But there's hope for dieters...the low fad approach or "Low Fad Diets."

Successful Weight Loss...The Evidence Supporting Low Fad Diets

At a single academic medical center, 160 overweight or obese adults were randomized to the Atkins, Zone, Weight Watchers (calorie restriction), or Ornish diet. The total time of the study was one year. The age range was 22 to 72 years, mean body mass index (BMI) was 35 kg/m2 (range, 27-42 kg/m2), and all participants had high blood pressure, high cholesterol, or diabetes.

After two months of maximum effort, participants controlled their degree of adherence to the diet. Primary outcomes were changes in baseline weight and cardiac risk factors at one year, and dietary adherence rates based on self-report.

The percent of subjects who were able to finish the study and stick with their diets for one year were 53% for Atkins, 65% for The Zone, 65% for Weight Watchers, and 50% for Ornish. Participants who discontinued the study were assumed to have no change from baseline in their weight.

At one year, mean weight loss was 6-7 pounds for Atkins, 6-9 pounds for The Zone, 6-8 pounds for Weight Watchers, and 6-10 pounds for The Ornish Diet.

Compared to subjects that quit the study before one year, the subjects that made it to one year experienced greater weight loss. In each group, approximately 25% of the initial participants maintained a one-year weight reduction of more than 5% of initial body weight, and approximately 10% of participants lost more than 10% of body weight.

The amount of weight loss was associated with the self-reported level of dietary adherence. Basically, the longer a subject stayed on the diet that they were randomized to, the more weight loss they experienced. However, the type of diet they were on had no real effect on the amount of weight loss. The type of diet also had no effect on dropping their blood pressure or lowering their cholesterol level.

Successful Weight Loss Conclusion

The author concluded, "Each popular diet modestly reduced body weight and several cardiac risk factors at one year." Overall, dietary adherence rates were low, although increased adherence was associated with greater weight loss and cardiac risk factor reductions for each diet group.

The study limitations include the inability to identify a "best diet" and the limited ability to exclude long-term safety risks.

Lastly, the author stated, "One way to improve dietary adherence rates may be to use a broad spectrum of diet options, to better match individual food preferences, lifestyles, and cardiovascular risk profiles." I have always supported the idea of more personalized weight loss plans.

The General Clinical Research Center via the National Center for Research Resources of the National Institutes of Health, the U.S. Department of Agriculture, and the Boston Obesity Nutrition Research Center supported this study on successful weight loss.

To Healthy Living!

Michael A. Smith, MD
Chief Medical Consultant
Diet Basics Website

The complete study can be found at JAMA. 2005;293:43-53, 96-97.

Dr. Smith is the Chief Medical Consultant for Diet Basics, a content rich weight loss web site. He is dedicated to the education of all dieters. Please visit his site at personalized weight loss plans.

one time home cleaning Highland Park ..

In The News:

Privacy risks are hiding in plain sight, as your personal data is likely being collected, tracked, and sold without your knowledge.

VenHub, a fully autonomous, AI-powered smart store just opened at the LAX/Metro Transit Center in Los Angeles.

A woman's Facebook account takeover reveals dangerous social engineering tactics and provides lessons on recovery, avoiding scams and enacting stronger security measures.

Shanghai engineers are using 432 walking robots to relocate a complex, preserving Shikumen architecture while creating space for a modern underground hub and cultural center.

Major healthcare data analytics firm Episource had a cybersecurity incident exposing 5 million patients' medical records and personal information in recent breach.

A new sophisticated PayPal scam sends legitimate-looking emails from official PayPal addresses, using phone numbers instead of links to convince victims to download remote access tools.

Fox News' AI Newsletter brings you the latest on this rapidly evolving technology.

The innovative Kara Pod device extracts moisture from air to create mineral-rich water and brew coffee, featuring UV sterilization and compatibility with Nespresso pods.

Gov. Hochul unveiled New York's nuclear power plant project to power a million homes, which faces permit challenges while promising jobs and a cleaner energy future.

SAFE introduces Aerie, an underground luxury bunker combining high-end living with advanced security, wellness amenities and interactive walls simulating panoramic views.

A Facebook scammer posing as Elon Musk tricked a victim with promises of a Tesla and $250,000, requesting gift cards that become untraceable once the codes are shared.

Experience hands-free golfing with the Robera Neo smart caddie that uses AI to follow you, navigate obstacles and carry your clubs with GPS course mapping.

Cybersecurity alert: 16 billion passwords exposed in massive credential database affecting major platforms. Protect your accounts with password managers

The innovative BeBot robot uses electric power to remove pollution from shorelines, covering 20-30 times more area than manual collection while preserving wildlife.

A new ClickFix campaign targets macOS users with fake Spectrum support sites, tricking victims with CAPTCHA failures to paste commands that install information-stealing malware.

AI-powered autonomous trucks from Plus Automation are being tested across the U.S., Europe and Asia to solve logistics challenges while facing regulatory hurdles and labor concerns.

Your health information might feel private and secure with your doctor, but the reality is far more complicated. Data brokers collect a wide range of sensitive health data, from diagnoses and prescription details to personal identifiers, and sell this data to marketers, insurers, and other third parties.

Kepler Robotics has officially introduced its Forerunner K2 "Bumblebee" humanoid robot at the SAIC-GM automotive plant in Shanghai, marking a significant moment in the real-world deployment of advanced robotics.

Scammers never seem to be running out of new ways to try and get their hands on your money – and lately, they've been getting sophisticated.

Thirty people were injured and killed, though the exact number remains currently unknown, when a suicide bomber blew himself up in a Damascus church.

Unexpected password reset alerts signal potential hacking attempts or phishing scams. Learn how to respond and establish stronger security measures for your accounts.

A historic electric airplane flight landed at JFK with passengers, marking a milestone as Beta Technologies demonstrates the practicality and efficiency of electric air travel.

The Chaos ransomware group breached Optima Tax Relief in a double-extortion attack, stealing sensitive customer case files and corporate documents with personal information.

Stay up to date on the latest AI technology advancements and learn about the challenges and opportunities AI presents now and for the future.

The first human brain-computer interface by Paradromics was completed in 20 minutes, featuring microelectrodes to help paralyzed individuals control computers with thoughts.