Losing Weight Quickly Gives More Lasting Results, Study

If you thought the best way to lose and maintain weight was the slow and steady approach, think again. A new study by Lisa Nackers and colleagues, from the University of Florida in the US, suggests that the key to long-term weight loss and maintenance is to lose weight quickly, not gradually, in the initial stages of obesity treatment. Their findings(1) are published online in Springer’s International Journal of Behavioral Medicine.

Successful weight loss in obese individuals is defined as a reduction of 10 percent or more of initial body weight maintained for at least a year. The jury is still out, however, as to whether fast or slow initial weight loss is the best approach for long-term weight control in obese patients. On the one hand, there is evidence that losing weight slowly initially results in continued weight loss, reduced risk of weight regain, and successful long-term weight loss maintenance. On the other hand, it has also been shown that the greater the initial weight loss in obese patients, the larger the total weight loss observed longer term.

Nackers and team’s study examines the association between rate of initial weight loss and long-term maintenance of lost weight, by looking specifically at whether losing weight at a slow initial rate results in larger long-term weight reduction and less weight regain than losing weight at a fast initial rate. Read more

Depressed Women Can Lose Weight As Successfully As Others Do

Women with major depression were no less likely than were women without it to have successful results with a weight loss program, according to an article in the Winter 2009 Behavioral Medicine. Group Health Research Institute Senior Research Associate Evette J. Ludman, PhD, the study leader, concluded that weight loss programs should not exclude depressed people.

Dr. Ludman’s study included 190 female Group Health patients age 40 to 65 with a body mass index (BMI) of 30 or more: 65 with major depressive disorder and 125 without it. The women had not been seeking treatment, but they enrolled in a one-year behavioral weight loss intervention involving 26 group sessions. The intervention, developed at the University of Minnesota over the past 20 years, has proven at least as good as any other currently available non-medical treatment.

Some previous research had hinted that depression might worsen outcomes in behavioral weight loss programs. That’s why trials of weight loss interventions typically exclude people with major depression.

“We expected women with major depression to lose less weight, attend fewer sessions, eat more calories, and get less exercise than those without depression,” Dr. Ludman said. Read more