Wednesday, November 7, 2012

Bounce Out of Yo-Yo Dieting…


With the holidays coming up, many people will be both gaining weight and starting the time honored New Year’s tradition of trying to lose it. Most New Year’s resolutions to lose weight end up in failure. While most people can lose weight, most people can’t maintain that weight loss for any appreciable amount of time.



A new study from the Journal of Consulting and Clinical Psychology suggests a new way to approach a weight loss effort. Rather than trying to lose weight right away, half of the 267 overweight or obese women were randomized to a program teaching them various skills to help maintain their current weight for 8 weeks. After the 8 weeks were over, the women embarked on proven weight loss strategies such as increased physical activity and food journaling for another 20 weeks. The control group had the opposite order of their training. They first participated in 20 weeks of weight loss counseling, and then 8 weeks of weight maintenance training.


At the end of the 28-week programs, both groups of women lost on average 17 pounds. A year and no outside help later, the control group had regained on average 7 pounds while the pre-weight loss skill group had regained only 3 pounds. The lead author commented, “Losing a significant amount of weight requires a lot of focused attention to what you’re doing, and most people can’t keep up that intensity over the long term. For weight maintenance, we wanted something that would make the day-to-day experience positive while not requiring overwhelming amounts of effort.”


For this year’s New Year’s resolution, you might want to start in November, spending two months or so practicing small weight maintenance skills such as finding low-fat or low-calorie foods that can substitute for high-fat/high-calorie foods without making you feel deprived, occasionally eating and savoring small amounts of your favorite sinful foods, weighing yourself daily to see how your body weight naturally fluctuates, identifying a 5 pound range that encompasses normal fluctuations in body weight and activity, being more careful with your diet and exercise before you knowingly have a break such as a vacation coming up, or eating a little more if your weight is at the low end of your 5 pound range of normal. So before you head home for Thanksgiving turkey, practice eating healthy with some salads or veggies!


Krista Whalen is a PhD Student at Emory University Department of Epidemiology, who does research in nutrition and chronic disease. She also is a great lover of the zombie genre, and feels preparing for the zombie apocalypse is a great reason to get into better shape. 


Michaela Kiernan, Susan D. Brown, Danielle E. Schoffman, Katherine Lee, Abby C. King, C. Barr Taylor, Nina C. Schleicher, Michael G. Perri. Promoting Healthy Weight With “Stability Skills First”: A Randomized Trial..Journal of Consulting and Clinical Psychology, 2012;

17 comments:

  1. Hi Krista,

    I thought this was great. Appeals to just about everyone and I like the last paragraph that focuses on how we can make these results meaningful in our own lives.

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  4. Great job, Krista! I think this is such a timely issue, given that the holidays are coming up, and I love that it's something people can incorporate today (literally, as it's November). I think the general structure of the blog is great, and it's easy to understand why you're moving from one paragraph to the next. One thing that might make it easier for the reader to understand the post is to rework some of the more "chatty" or "conversational" sentences so that your point comes across more strongly. For example, "a year and no outside help later" is charmingly down-to-earth, but reads a bit awkwardly. Use that guidance cautiously, though, because I think people would really love the grounded tone of the article overall. In sum, excellent job! (PS: I love your "about me" section. Hilarious.)

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  5. Krista, I think your post is really good! I actually really liked the title and thought it was clever. Like some of the others have stated, I thought it was really easy to understand and had good flow through the topics. I love that you applied it to the upcoming holidays when people do have such a problem with this, and this made the link between the article and application seem very straight forward. Good job!

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  6. Krista, I really enjoyed your post. Your description of the study is clear and accessible, as well as obviously very interesting to the general public (esp around the holidays!). The last paragraph is strong in terms of detailing how people can apply this study to their own lives! You could title the article something more along the lines of making holiday weight loss sustainable - it feels a little off topic from your post. Great job!

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  7. Thanks, Krista, for your timely posting. I agree with the others that this message is useful prior to the upcoming holidays. However, I was not sure who your specific audience was, such as people who currently struggle with weight or any person no matter what their weight. I agree that the title could be slanted toward the holiday weight concerns. However, the habits you suggest in the last paragraph are worthwhile year round and could be encouraged by ending it with "These habits will help you year round to enjoy food and maintain your weight." Another idea is to refer people to other websites that provide self-help dietary monitoring. One program I'm aware of that fits with your article is the Eat Smart Move More Maintain Don't Gain Holiday Challenge at http://www.myeatsmartmovemore.com/HolidayChallenge/index.html.
    It's ironic that I read your article tonight after baking a batch of cookies. I'll need to follow your advice too!
    All the best, Sarah Kuester sak2@cdc.gov

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  8. Great post. I like how it relates to the upcoming eating holidays. I know my waistband always feels tighter during the next two months. Weight loss maintenance is so important but extremely difficult to implement. In light of the recently rejected sugar-sweetened beverage tax in Richmond, California where childhood obesity is increasing, I just want to plug that some of the revenue would have gone to weight-maintenance programs. Too bad.

    P.S. Great bio. As we should all know by now, cardio-training is the number one rule for the zombie apocalypse. Also, don't forget to double tap.

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  9. I also really like the last paragraph. It is great in helping the reader find practical ways to apply the findings of this study to his/her own weight loss plans. Great job!

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  10. I also thought this was a great post! I feel like the writing was clear and upbeat, and the language was easy to understand. I also felt that the topic was accessible and relevant to many people. I liked how you made the study relevant to people's daily lives.

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  11. Hi Krista,

    Ok, so this is where behavioral science meets epidemiology. : )

    First, this is definitely a timely topic, and even if it weren't timely, it applies to a lot of people. Because of that, it's really important to think about what motivates people to change. I'd begin with using the same ideas in your intro paragraph, but instead use a conversational tone, for example, "Not even Thanksgiving yet, and already thinking about losing weight as your new year's resolution? You're in good company."

    Next, I'd pick a picture that would really speak to your audience, for example a picture of someone looking in the mirror and not looking too happy about it. You could contrast that with another picture later of someone eating healthy (and looking happy about it). : )

    I would also really focus on your last paragraph and putting those suggestions into bullet points, followed by a brief specific example. If this is what we want people to actually do, let's make it easy for them to know what to do.

    Last, I would end on a positive message (i.e., something along the lines of "it may be challenging, but if you start slowly, you can do it and you will be glad you did.")

    Happy to talk with you more about this -- I am passionate about nutrition and healthy eating too and want to find more ways to make this attainable for people.

    Ariela


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  12. Hi Krista,

    I thought this was a really interesting post! As many have mentioned, I liked the last paragraph where you gave some suggestions of how to implement the study findings.

    One suggestion I had was to give a little more introduction into the study. In your second paragraph, you mention right away how the two groups were split up. I think including a sentence generally describing what the investigators were trying to test would have helped 'set a scene' for some of the methods and findings you describe.

    Thanks for the post!

    Nick

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  13. Hi Krista,

    This blog was really catchy. It's so relevant to many audiences. I am a person who struggles with weight loss and really like the results of this study. I think you did a great job keeping the readers attention from start to finish. Awesome job!!!!

    Domonique

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  14. Hi, Krista,
    I'm a huge fan of cognitive psychology and behavioral economics, and I really enjoyed your post a lot. You set the tone very appropriate, so it's easy for lay audience to relate to.

    I'd love to see you dawn on the last paragraph and give more practical guides and tips, perhaps in the form of something like 1,2,3 easy steps of weight loss.
    In addition, There were several "big words" in the sections you described the study, such as "randomization", "pre-weight loss skill group", "control group", you may try to replace with simpler words.
    Any linkage to related online resources would also help.

    Overall, beautifully-done!

    Hefei

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  15. Nicely done. I think explain a clinical trial to a lay audience is really hard to do in such limited space because so much needs to be defined. I’m not sure most people know what a control group is, for example. I think the last paragraph was really good. It broke it down in terms of how this applies to the reader and what to do if you’re interested in losing weight. Especially relating new years and thanksgiving since weight loss and eating are so related to those holidays, respectively.

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  16. Krista,

    This is a great post! I thought the title was very catchy and your introduction continued to follow suit. I would have loved to see a different picture with your post! Otherwise, I thought this was very relatable and the ending tied it all together really well. Your bio definitely adds a lot of great personality to the post! Great job!

    Sam

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  17. Nice job, Krista! The post was positive and an easy read.

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