Losing Weight Quickly Gives More Lasting Results, Study

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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.

The authors analyzed data for 262 middle-aged obese women who took part in the

Treatment of Obesity in Underserved Rural Settings (TOURS) trial. These women

followed a six-month lifestyle program encouraging them to reduce their calorie

intake and increase their moderate intensity physical activity to achieve an

average weight loss of 0.45kg per week. They were then supported for a further

year with an extended care program involving contact twice a month in the form

of group sessions, telephone contact or newsletters.

 

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