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With all the talk about getting extra weight off your body, there's a
lot less being said about how to keep it off -- an elusive concept that
is still poorly understood by the average dieter.
Yet, if you really think about it, weight maintenance is significantly
more important and more difficult than losing weight. I can hear all of
you saying, "That's ridiculous. In order to keep weight off, you have
to lose it first." That is certainly true, but think about how many
times you've actually lost weight. Five, 10, maybe 20 times?
"It is
ironic that we focus on weight loss, when the real challenge is keeping
weight off. Most popular diets work when it comes to losing weight, but
few if any succeed when it comes to weight maintenance," says James
Hill, Ph.D., the director of the Center for Human Nutrition at the
University of Colorado Health Sciences Center in Denver and one of the
founders of the National Weight Control Registry (an ongoing study of
more than 4,000 individuals who have lost significant weight and kept
it off).
Why don't we pay more attention to the most important
aspect of weight control? "Weight maintenance is just not as sexy. No
scale moves, no dramatic 'before-and-after' experiences; it's a routine
and, as a result, can be boring," says Suzanne Phelan, Ph.D., an
assistant professor of psychiatry and human behavior at Brown
University Medical School in Providence, R.I.
WHO ARE SUCCESSFUL LOSERS?
Hill describes successful losers as "individuals who have intentionally
lost at least 10 percent of their body weight and kept it off at least
one year." Why 10 percent? Because that's the amount most people need
to lose to significantly reduce their risk factors for diabetes and
heart disease.
WEIGHT LOSS VS. WEIGHT MAINTENANCE
"They're different processes. There are many ways to lose weight but
not many ways to keep it off," says Hill. In fact, the truth is that
almost anyone can lose weight in the short run using almost any method.
"However, when it comes to weight maintenance, fewer strategies work,"
says Phelan.
IT'S NOT THAT DIFFICULT
If you have doubts about your ability to keep off the weight you lost,
things might be looking up. One of the most popular myths about losing
weight is that everyone who loses will eventually gain it back.
However, the concept that no more than 2 percent of dieters can
actually maintain their weight loss is based on only one or two studies
that are decades old. "The fact is that about 20 percent of people in
the general population are successful at long-term weight-loss
maintenance," says Phelan.
So what do you do after the fat is
gone? You need to learn the techniques that other successful
weight-loss maintainers follow and develop strategies that will last a
lifetime.
THE "FAST-METABOLISM-I-CAN-EAT-WHATEVER-I-WANT" CLUB
Does this sounds familiar? After losing those pounds you suddenly feel
that, magically, your body has changed, making you a charter member of
the exclusive "fast-metabolism-I-can-eat-whatever-I want" club. For the
first few weeks in your new, fit body, you are confident that the
weight is off for good. You indulge, and the diet you had been on is
now ancient history because all along you knew you could never live on
that diet for the rest of your life. Weight control is a forever
process, so you need to create practices you can live with -- forever.
KEEP YOUR PANTS ON
The National Weight Loss Registry has determined that almost all
successful weight-loss maintainers have some kind of "5-pound warning
system" -- a way of measuring and/or monitoring their weight before it
gets out of control. It could be something as simple as keeping a
"thin" pair of pants or a dress they try on periodically instead of
getting on the scale, but they all have some way of knowing if they are
slipping and a backup plan to put into action as soon as they receive
their warning.
WALK
It seems that walking is an important key to long-term weight
maintenance. The theory is that as you lose weight you need something
to compensate for the lower metabolism -- that's right, you burn fewer
calories as you lose weight. Walking or other physical activities keep
your calorie-burning capacity high. Walking is easy to do and easy to
maintain no matter where you are or what you're doing. In fact,
according to the National Weight Control Registry, 77 percent of
successful losers use walking as their primary means of physical
activity.
Look for parks, paths and trails in your area. Even
your neighborhood sidewalks can be perfect, and on rainy or cold days,
malls can be converted into indoor tracks. The level flooring (fewer
injuries) and air conditioning are excellent motivators. Scope out
scenic walking paths to keep motivated. Also make arrangements to walk
with friends, family or co-workers -- socializing helps get you there
and keeps you busy with gossip, so you actually have fun. How long do
weight maintainers engage in physical activity each day? At least an
hour more than they did before they lost the weight.
MAKE IT AUTOMATIC
Successful maintainers have figured out ways to make their behaviors
and choices second nature. It's based on the concept of automaticity --
the subconscious ways we perform daily behaviors. Activities like
setting your alarm clock at night, putting on your shoes before leaving
the house and remembering how to drive to work do not require much
thought. The idea is to apply the same principle to your diet. Arrange
your personal environment to maximize your chances of losing and
maintaining your weight loss and minimize your chances of slipping up.
Avoid cues that tempt you. If you drive by Dunkin' Donuts on the way to
work and can't resist stopping for a box of doughnuts, change your
route. Don't leave foods in the house that are going to "set you off"
-- or at least put them out of reach.
KEEP IT CONSISTENT
According to research at Brown University Medical School, a major
predictor of successful weight maintenance is dietary consistency. This
means that those who maintain the same diet regimen across the week and
year are more likely to maintain their weight loss over the following
year than those who diet more strictly on weekdays and/or during
non-holiday periods.
"It takes a couple hundred executions of a
new behavior to make it automatic," says Walter Schneider, Ph.D., a
professor and researcher in psychology at the University of Pittsburgh.
For instance, if you want to start automatically ordering steamed
vegetables with garlic instead of french fries as your dinner side
dish, you would need to do it a few hundred times before it became
unconscious.
EASIER OVER TIME
Automated behavior is essential for permanent weight control, but the
good news is that, according to a study conducted by the National
Weight Control Registry and reported in "Obesity Research," once you've
lost weight and maintained it for more than a few years, weight
maintenance gets easier.
LOW-CALORIE DIET
Additional findings of the National Weight Control Registry indicate
that successful losers typically eat a low-calorie, low-fat diet, not a
low-carb diet. And lastly, the research shows that all successful
dieters eat breakfast each morning, most likely preventing them from
overeating during the rest of the day.
CHARLES STUART PLATKIN JD MPH is a nutrition and public health
advocate, author of the best seller Breaking the Pattern (Plume, 2005),
Breaking the FAT Pattern (Plume, 2006) and Lighten Up (Penguin
USA/Razorbill, 2006) and founder of Integrated Wellness Solutions.
Copyright 2006 by Charles Stuart Platkin. Sign up for the free The Diet
Detective newsletter at www.dietdetective.com
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