Is the loss of 'slow and steady' weight really the best method?



Is the loss of 'slow and steady' weight really the best method?




Wednesday 22 October 2014.- An Australian study casts doubt on the idea that a more gradual approach to weight loss is always the most effective way.
The study also found that if a "lightning" diet or something a little slower, the rate at which excess weight is lost you choose not to do with whether the weight is recovered or not.
The findings are published in the October 15 issue of The Lancet Diabetes & Endocrinology.
"Worldwide, the guidelines it recommends a gradual weight loss for the treatment of obesity, which reflects the common idea that the weight you lose quickly recovered with ease," he said in a press release magazine the study's lead author, Katrina Purcell, dietitian at the University of Melbourne in Australia.
But the new study shows that "it is more likely that a goal of losing 12.5 percent of the weight is reached, and the dropout rate is lower, if weight is lost quickly," said Purcell.
Current guidelines recommend a loss of slow and steady weight to the belief that it is more likely to help people keep weight under control a rapid weight loss.
The study included 200 obese people were randomly assigned to a program of gradual weight loss of 36 weeks, they consumed 500 fewer calories a day, or a system of rapid weight loss 12 weeks with a diet low in calories, 450 to 800 calories a day.
In total, 81 percent of the group of rapid weight loss and 50 percent of the group gradually lost more weight loss of 12.5 percent of their body weight. After that weight loss, dieting participants to "maintenance" weight assigned for three years.
People in both groups recovered about 71 percent of the weight lost by the end of the three years, regardless of how fast they had lowered, the researchers said.
The study findings have several possible reasons, the researchers said. The very limited carbohydrate intake of a very low calorie diet (the type used to lose weight quickly) may cause an increased sense satiety and reduce food intake by forcing the body to burn fat.


This exercise fat burning causes the body to release some derivatives known as ketones, which suppress hunger, the researchers said.
Rapid weight loss may also motivate people to stick with the diet and achieve higher levels of weight loss, added.
The study, "they indicated that to lose weight, a slow and steady approach is not the winner, and the myth that rapid weight loss is associated with a rapid recovery of weight is not more real than a fable of Aesop," they wrote in a commentary accompanying the study Corby Martin and Kishore Gadde, the Pennington Biomedical Research Center in Baton Rouge, Louisiana.
"Clinicians should consider the different weight loss methods may be appropriate for different patients ... and that efforts to control the speed of the initial weight loss may, ultimately, prevent loss success weight, "warned Martin and Gadde.
Christopher Ochner is assistant professor of pediatrics and psychiatry at the School of Medicine at Mount Sinai Icahn, in the city of New York. He said the study was "very well done" with a "solid performance" but said that may not take into account human psychology.
"Recommendations for the gradual loss of weight does not rely on the assumption that the rate of weight loss affects the weight recovery ratio [after diet], but on the assumption that the rate of weight loss it affects the length of time before the typical "diet fatigue" begins "he said.


"That's the time when people typically leave the diet and return to their past eating habits, which makes weight regain," Ochner said.
"In the final analysis, the answer is not a particular type of diet, but make a healthy adjustment to life in eating habits," he said.
But one expert said the study could support a faster weight loss methods in some people.
Dr.. Caroline Messer, an endocrinologist at Lenox Hill Hospital in New York City, believes that "based on these findings, clinicians should consider a quick weight loss as a possible strategy for some patients program."

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