Hard Facts:
----The
weight loss industry in America is estimated to rake in more than $66 billion
annually.
----40% of
Americans are clinically obese. 155 million overall are overweight to some
degree.
----2.2 billion
people globally are overweight.
----Too much
body fat significantly increases the risks for heart disease, Type 2 diabetes,
respiratory problems, depression and certain cancers.
----As of
2017 in the U.S. obesity causes more preventable deaths than smoking.
In 2016 the
National Institute of Health spent approximately $931 million for weight loss
and obesity research. Scientists are gaining better insights into why losing weight
and keeping it off is so difficult for so many. Some of their more noteworthy
findings are:
1) The old weight loss beliefs of rigorous exercise and burning
more calories than you take in just doesn’t work in the long run for the
majority of committed dieters and fitness buffs.
2) The exact same diet may work wonders for one person
and be almost completely useless for someone else. Every person’s unique body
composition is the determining factor. Lack of willpower is often blamed for
failure. Many people would be happy to
know their resolve and self-discipline is fine, their biology let them down.
3) The answer to successful weight loss seems to be
highly personalized diets and fitness programs rather than popular diets and
fitness programs for the masses.
4) A 23 year study by the National Weight Control
Registry, conducted by Brown University and the University of Colorado, has
more than 10,000 participants in all 50 states. Each person has lost on average
66 pounds and maintained their healthy weight for at least five years. A
synopsis of their findings:
“The most
revealing detail about the registry: everyone on the list has lost significant
amounts of weight--but in different ways. About 45% of them say they lost
weight following various diets on their own, for instance, and 55% say they
used a structured weight-loss program. And most of them had to try more than
one diet before the weight loss stuck.
“The
researchers have identified some similarities among them: 98% of the people in
the study say they modified their diet in some way, with most cutting back on
how much they ate in a given day. Another through line: 94% increased their
physical activity, and the most popular form of exercise was walking.”
One of the
researchers reported the participants exercise about one hour per day on
average and watch less than 10 hours of TV weekly:
"There's
nothing magical about what they do. Some people emphasize exercise more than
others, some follow low-carb diets, and some follow low-fat diets. The one
commonality is that they had to make changes in their everyday behaviors."
5) Motivation is
enormously important for successful long-term weight loss. Many of the National
Weight Control Registry participants were not driven by the vanity of a
well-proportioned body. Their impetus was wanting more quality time with family
and friends in their later years, a general desire for a long and thriving
life, and in many cases a health emergency that scared them to their senses.
6) The individualized approach is effectively used by
The Bariatric Medical Institute in Ontario, Canada. Not just biology but
budget, psychology and behavioral strategies are emphasized:
“In order to
successfully lose weight and maintain weight loss, you will need to develop
strategies to overcome your behavioral urges by life-layering new behaviors
over your old habits. For example, if you are an emotional eater, you need to
have a set of alternate behaviors that you can access if the urge to
emotionally eat tugs at your stomach. If you can life-layer successfully for 6
to 18 months, your behaviors will no longer be your alternates but rather your
new habits. For emotional eaters, alternate behaviors may be as simple as
going for a walk, writing a journal entry, calling a close friend or weight-loss
support buddy, cleaning a part of your home, developing or cultivating a new
hobby, taking a shower, or running through a to-do list instead of having that
emotional snack …….. Because we are all individuals, there is no one simple
instruction or set of life-layers that we can give you, and what works for you
may well not work for someone else.”
7) The future of weight loss may lie in the gut - the
microbiome - and the precise way it influences the body to metabolize food. One
day doctors will prescribe highly individualized diets for people according to
their body’s unique response to different foods:
“Each of us is home to over 100 trillion microbes that reside in our
gut, skin, mouth, and other body locations. These microbes, collectively known
as the human microbiome, are a
collection of thousands of species of bacteria, fungi, parasites and viruses,
which together contain 100-times more genes than are present in the human
genome.
“Our microbiome has an enormous effect on our physiology and health. On
the one hand, our microbes benefit us by providing many essential nutrients and
vitamins that are not directly available from our food, and by protecting us
from harmful disease-causing bacteria that invade our body. On the other hand,
changes in the microbiome induced by our lifestyle can lead to many illnesses
such as obesity, diabetes, inflammatory diseases, digestive diseases, and
neurological disorders. As one example of the importance of the microbiome, the
transplantation of the microbiome from an obese mouse into a lean mouse was
shown to be enough for inducing obesity in the lean mouse in a matter of
several weeks and without any change in the food intake of the mouse. As
research progresses, we can see more and more evidence that changing a
disrupted microbiome composition to a more healthy one may be a mean by which
numerous diseases may be treated.”
8) Current research has been warning consumers
not to fall for the latest probiotics weight loss scams:
“There’s
little published clinical work showing that probiotics will help promote weight
loss, as some manufacturers claim or imply. A study in the European Journal of Clinical Nutrition
in 2011 found that people who drank fermented milk with a particular strain of Lactobacillus gasseri for 12 weeks
had a reduction in abdominal fat and body weight, compared to those consuming a
control drink. Another study, published in the Journal
of Functional Foods in November 2012, found that people who
consumed yogurt containing two “novel” strains of probiotics experienced small
losses in body fat, but no changes in body weight.
“Probiotics
are a promising field of research and may one day be used to treat or help
prevent many disorders. But there’s not enough solid evidence to recommend
their widespread use. Vague claims that probiotics ‘support good digestive
health’ are meaningless. Larger, longer and better studies are needed to test
specific strains for specific conditions and to determine the proper doses and
regimens.”
9) Unscrupulous marketers are taking advantage of the
emerging science of individualized diet plans and exercise. Numerous websites
advertise genetic testing that promise a more personalized weight loss program.
Professor in law and public health at the University
of Alberta and the Canada Research Chair in Health Law and Policy, Timothy
Caulfield isn’t buying it:
“I am
willing to bet that researchers will never find an all-powerful ‘fat gene’ (or
genes) that we can blame for our weight-gain troubles. There will never be a
gene therapy that will allow us to eat what we want. Genetic testing is not the
answer.
“(It) is
pretty obvious that the current obesity problem can't be blamed on genetics
alone. While genes play a role in the weight-gain story, they are just one
piece of the puzzle. Our genes haven't changed much for thousands of years. Our
environment has. Yes, some individuals may have been dealt genes that may make
it particularly difficult to deal with our obesogenic world -- a love of fatty food,
a slightly slower metabolism, a dislike of exercise (possibly genetic?). But
the environment hugely influences all of these factors. Advertising, poor
access to healthy food alternatives, socioeconomic conditions, sleep habits,
work environments, and even the bacteria that lives in our gut, seem likely --
either alone or in combination -- to overwhelm the role that genetics might
play.”
Citations
Alexandra
Sifferlin, “The Weight Loss Trap: Why Your Diet Isn't Working” http://time.com/4793832/the-weight-loss-trap/
Berkeley
Wellness, “Probiotics Pros and Cons” http://www.berkeleywellness.com/supplements/other-supplements/article/probiotics-pros-and-cons
Timothy
Caulfield, “Want to Lose Weight? Stop Looking For the Fat Gene” http://www.huffingtonpost.ca/timothy-caulfield/lose-weight-new-year_b_1179848.html
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