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I like to post this as a PSA in HN weight loss threads. Every legitimate long term study of non surgical weight loss shows that it doesn't happen for the vast,
by cm2012 10y ago
I like to post this as a PSA in HN weight loss threads. Every legitimate long term study of non surgical weight loss shows that it doesn't happen for the vast, vast majority of people.
1) ["In controlled settings, participants who remain in weight loss programs usually lose approximately 10% of their weight. However, one third to two thirds of the weight is regained within 1 year, and almost all is regained within 5 years. "](http://www.ncbi.nlm.nih.gov/pubmed/1580453 http://www.ncbi.nlm.nih.gov/pubmed/1580453)
2) Giant meta study of long term weight loss: ["Five years after completing structured weight-loss programs, the average individual maintained a weight loss of >3% of initial body weight."](http://ajcn.nutrition.org/content/74/5/579.full http://ajcn.nutrition.org/content/74/5/579.full)
3) Less Scientific: [Weight Watcher's Failure - "about two out of a thousand Weight Watchers participants who reached goal weight stayed there for more than five years."](https://fatfu.wordpress.com/2008/01/24/weight-watchers/ https://fatfu.wordpress.com/2008/01/24/weight-watchers/)
4) [The reason why it's impossible seems to be that although calories in < calories out works, the body of a fat person makes it extremely difficult psychologically to eat less.](http://www.nytimes.com/2012/01/01/magazine/tara-parker-pope-fat-trap.html?_r=2&pagewanted=all http://www.nytimes.com/2012/01/01/magazine/tara-parker-pope-...) This is borne out by the above data.
5) [The only thing that does seem to work in the long term is gastric surgery.](http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1421028/ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1421028/)
Moreover, you won't find any reputable study on the web where the average person lost 10%+ of their body weight and kept it off for five years. Not even one.
- maxerickson 10y agoYou are talking about weight loss programs. That doesn't necessarily inform weight loss in general. It sort of points to external interventions not being hugely useful. Personally, I'm about 25% down from my heaviest and a bit more than 10% down from a decade ago. I've never gone on a program, I've just examined my habits and worked to improve them. I would say that it's taken many years to have my weight and habits stabilize at the new lower levels. But that's fine.
- jacques_chester 10y agoMost such studies are done with pathologically obese patients and aren't representative of the general population. I do, however, agree that it's easy for people to drift. The key is emphasising lifelong change, rather than "diets" per se.
- cm2012 10y agoThe studies from the meta analysis range from simply overweight (30% of pop) to obese (30% of pop) to morbidly obese (5%) of population. The data did not vary much for each one.
- jacques_chester 10y agoThen that's changed. I guess I will have to settle for being one of the impossible people for whom keeping weight off worked.
- ontoillogical 10y agoYour link to the NYTimes article at http://www.nytimes.com/2012/01/01/magazine/tara-parker-pope-fat-trap.html http://www.nytimes.com/2012/01/01/magazine/tara-parker-pope-... is cut off. I think it's because HN does auto-link shortening and you copy and pasted a previous comment?
- cm2012 10y agoThanks! Corrected.
- tomp 10y agoDiets don't work. You need to change your life(style). It's pretty common knowledge outside of commercially-promoted media.
- deleted 10y ago[deleted]