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12.04.2014
Time has published an article about a marvelous new study out of Penn State on how the behaviors necessary to lose weight differ from those needed to keep said weight from returning. First, the researchers surveyed more than 1,100 people who had achieved significant weight loss and maintained it.
Then the researchers conducted a national telephone survey of overweight people (with a BMI of 25 or higher) who had tried to lose weight and keep it off with varying success: about 11% reported successfully losing weight, defined as losing at least 10% of body weight, and 21% were able to maintain that loss for at least a year. Call the hyberbole police because, my friends, we have stumbled upon the BEST DIET SURVEY EVER. Still, say many nutrition and obesity experts, the basic underlying principles of weight loss and maintenance are the same: you have to eat a healthy diet and increase your exercise. But if this is true — if it is simply a matter of oft-cited thermodynamics — why do only 10% of the survey respondents report a whopping thirty-six shared techniques? Basically, in order you succeed at long-term weight-loss, you need to marry your diet*, to recognize and accept that the rest of your life will be spent making compromises with your metabolism — and that may not even work past that first year post-loss anyway.
Ultimately what we have here is a study that tells us little of value, aside from the fact that the scant few individuals who manage to lose weight and keep it off for a year all seem to have their own unique methods and circumstances for doing so. I thought people claiming to eat 100 calories a day and not lose weight were just defying the laws of nature?
And forgive me for butting in, but it’s my understanding that there is also a difference in preferred methodologies between quantitative and qualitative research. In quantitative research, however, you need more standardized data, you need greater amounts of it, and you need to make sure that there is less subjectivity and more objectivity in what is measured…so that you can make general pronouncements on the outcomes that might be applied to larger swaths of the population.
Problem is, self-reporting for touchy issues like weight and eating for the purposes of a quantitative study doesn’t tend to result in good-quality data. Secondly, why does a technique have to be used by all of a group, or even a majority of a group, to be worthwhile? My great-grandmother, while still a middle-aged woman, was so fat that she was rendered immobile. I am also, unfortunately, lacking in energy for a productive conversation about ableism right now, so maybe another commenter will pick that up.
So, if your grandma wanted to go ahead with dieting and WLS that is her choice, but as an informed individual making choices about her health she should know this: dieting and WLS are often ineffective medical treatments for most people EVEN the people who are really extremely fat.
However, Lesley and many FA activists believe strongly in bodily autonomy which is the belief that people have the right to do what they want with their own bodies. It’s not up to you or me or anyone but your great-grandmother to account for, diagnose, prognosticate, judge or condone her weight, size, mobility, health, etc.
Sumo wrestlers weigh upwards of 500 pounds, partly as a result of favorable genetics and partly as a result of a starve-binge-starve cycle they use to deliberately get their weights as high as possible. On the part of neighbors, family members, or coworkers, I don’t think any such duty exists.
The other problem with education is that knowing things isn’t useful unless you have the resources to put that information into action. If your great-grandmother were asking me for my advice on whether she should go on a diet, *of course* I wouldn’t glibly tell her that diets never work and that her being unable to walk is no big deal.
There are certainly people who have health issues that are exacerbated by weight, either directly or indirectly*.
They say they identified 36 techniques for both weight loss and attempting to keep the weight off.
This also includes the statement you are picking apart here – assuming, of course, that it is a good representation of what the paper is actually saying.
It seems very clear to me that you are given no information in the two sentences you seem to think makes this a useless study that tells you anything about how many of the 36 behaviors identified any portion of the 1100 people used. Really enjoyed this article, and the mostly commenting ebcause I wanted to tell you the footnote made me snrot tea out of my nose. Or did you pick 120 because it may be hard for a formerly overweight person (or anyone, really) to maintain such a low weight, just to bolster your argument that long-term weight loss is “impossible”?
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The arrival of two new diet drugs are also two new prescription medications to treat obesity, the first new ones available to heavy patients in more than a decade. The wholesale cost of a month’s supply of Belviq to pharmacies is just under $200, so the price that patients will pay depends on their insurance coverage and may vary between pharmacies. Likewise, they are made for overweight patients who have one other weight-related condition, such as high blood pressure, type 2 diabetes or high cholesterol.
High intensity interval training (HIIT) has been growing in popularity in the past few years. The researchers identified 36 weight-loss and weight-maintenance practices that at least 10% of the group used.
Unfortunately Time doesn’t specify what counts as “significant” in the first group, and the study is going to be published in the August issue of the American Journal of Preventative Medicine, which means I can’t actually go and read it yet.
The researchers pinpoint 36 techniques used by 10% of the group modeling successful weight loss.
Phone surveys are great, because they rely on self-reported figures, and I should not have to tell you that if you ask a stranger on the phone about their weight and their eating habits, they are probably going to fudge the truth a little. According to current BMI standards, a 5’6” woman weighing 186 pounds has a BMI of 30 and counts as “obese”. People who lose weight and keep it off tend to eat significantly healthier foods and do a lot more exercise than the average American. Why don’t 100% of successful long-term weight-loss maintainers agree that they all do two things: eat healthy and exercise?
I think there’s a difference between reporting lived experience as an individual, and asking that such stories be taken seriously, and more importantly believed, versus offering them up as ACTUAL SCIENCE. In qualitative research, the lived experience is considered front-and-centre for data collection. Taking those same subjective answers and putting them into a qualitative study about the subjective, lived experience of maintaining weight loss? The point of my criticism is that these sorts of studies are promoted and written about as though they are telling us something useful, and they’re not. So each person listed all of the different techniques that they used, and 36 techniques ended up being the most commonly used ones, and those were used by at least 10% of the people who were surveyed. You all seem to be of the opinion that diets only work 1% of the time, and that they’re damaging and counter-productive the other 99%. Some of them might decide that the possibility that being smaller will help with their issues is worth the risks and side effects dieting entails.
When you read statements about paper findings you think are meant to be factually accurate (i.
Does that mean you would consider a successful dieter who is maintaining at, say, 130 pounds to be a failure? In the near future there may also be a range of options for patients who don’t have insurance need financial support for the medication. Indeed, odds are good that neither Time nor any other media outlet covering this story will have read more than a press release.
I have been on many diets in my life, but I’d be hard-pressed to come up with 20 individual “techniques” I used, much less 36.
Unfortunately, as a culture we have invested so much of our self-worth in these numbers and behaviors, it’s almost inconceivable that the narrowest majority would be fully honest on this point — even people who have “successfully” lost weight. And why do so many “overweight” and “obese” people do these things in real life without instantly experiencing “significant” weight loss? I have a human marriage of my own that is built on an enormous amount of love and sacrifice from two incredibly stubborn individuals. Pretty much everyone who successfully maintains long-term weight loss does so with a method unique to them. I might have done better to just wait for the damn study to be published so I could get all the details. I believe that individual, subjective health should be self-determined, and that we as a people and a culture are actively harmed by the overwhelming focus on weight loss as the be-all end-all of good health, because it implies that being active and eating good food is worthless unless you lose weight by it, even if it makes you feel good or helps with health issues. It seems as if you would discourage most people seeking your advice from attempting a diet plan because, in your opinion, it’s a non-viable option. They’re strong and happy and, anyway, they have far bigger health concerns to worry about considering their circumstances. That is say 18 for weight loss and 18 to maintain (well try to anyway, look at the stats!). But that is kind of like trying to guess the ending of a novel, having read a summary of the characters in the book. These new diet drugs are now additional “tools in the toolbox” for physicians trying to help people out of their obesity crisis.
Another new diet drug, Qsymia (kyoo-sim-ee-uh), from Vivus, which came out in mid-September, helps people with weight problems drop about 10% of their weight by suppressing appetite and increasing the feeling of fullness.


The fact that this number is so large would seem to indicate that the “techniques” for long-term diet maintence are diverse and varied — in other words, that there is no handy list of simple rules to follow for assured success. Let’s imagine that among the telephone-survey respondents, we’ve got a hundred ladies who are about this size. But the fact is the overwhelming majority of these diets will fail, and not because of individual inadequacy, but because some folks are never going to weigh 120 pounds for any appreciable length of time.
Some people work better in groups, others solo, some people learn better with supplementary material, others share lecture outlines, whatever. Again, going by a news article based on a press release, it’s difficult to know for sure. I just found it curious that 36 different techniques for weight loss could EXIST, as I can’t imagine that many, and ostensibly if the 36 only represents the number 10% had in common, then that means there are actually MORE than that being cataloged.
I find these studies laughable because you just KNOW someone is going to put together a diet plan based on “The 36 Sure-Fire Ways to Long-Term Weight Loss”!
So, yes, it was her choice what to do with her body, but this live-and-let-live, mind-your-own-business philosophy only extends so far. But I will tell a close friend who recently lost his grandmother to diabetes and who is open with me about how he is trying to avoid sugary foods that the three cups of white rice he is devouring is probably spiking his blood sugar. I only brought up my great-grandmother because her weight greatly reduced her quality of life.
Just wait for the study to be published, read it, and see what they report on the distribution! Both drugs are intended to provide treatment help for those who are obese that is roughly 35 or more pounds over a healthy weight. In reality, initial sales of Belviq and Qsymia have been lower than the company expected, but the demand is seen to grow in the near future as insurance coverage will greatly improve. Ten of them would have reported a loss of around 18 pounds, which would actually still keep them squarely in the BMI’s “overweight” category. But sometimes you wouldn’t know to test those tips unless they were compiled and shared with you to begin with. I believe there is at least a duty to educated people on health issues so they can make informed choices. I’m comfortable telling my father (also pre-diabetic, watching his carb intake, and open with me about his struggle to be healthy) that the tuna sandwich he just ate had 1100 calories. As to how she become so heavy… She and her husband were farmers and goat herders with over a dozen children in a culture where elders are revered.
Does the number of behaviors identified matter in any way when it comes to changing the overall conclusion of the paper?”) Words, statements, and sentences are used differently in scientific papers than in literature or even newspaper articles. The reason it can take you MONTHS to write a 5-page paper is that you have to be very specific with the words, the implications of those words and the sentences they form, EVERYTHING.
Eisai and Vivus are also showing that their products are better than resorting to weight loss surgery. Of those ten women, only two would have reported maintaining that loss for at least a year.
And in those examples, they were both shocked by what they learned and grateful that I told them. Some familiar words have very, very specific meanings in papers that are much more precise than what you might be used to, just like in any other specialized use. You CANNOT leave it up to the reader to assume or feel or jump to conclusions the way you can in the humanities. So, yeah, I agree that there are lots of ways to share nutritional information that is just rude and judgmental and counterproductive.
Poor scientific papers are often poor not because their experiments were poor, but because EXACTLY what they did or concluded is not clear – there are too many ways to read the word choices or sentences to be sure of exactly what they are saying. But I also think when you have a close relationship with a person and they are open with you about their health and expressed a desire to improve themselves, it’s better to share and inform than sit on information that they could benefit from. And you know absolutely nothing at all about the distribution of number of behaviors used among the study population, because that’s not what the statement is talking about. Further, since 110 people was also the cutoff for inclusion on the list, that would imply that the study found that there was a group of 110+ people that did the exact same 36 things to lose weight and maintain that weight loss but concluded nothing at all about the 1100-110+ people who did not do the complete set of those 36 things. This seems to be the message you have inferred and while I agree that would be a pretty useless way of slicing whatever data they got, I do not think that is what they did. You are assuming things about the distribution of the 36 behaviors among the 1100 people, on which no information whatsoever is given.




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