ext_124728 ([identity profile] sarahmichigan.livejournal.com) wrote in [personal profile] sarahmichigan 2005-09-09 12:30 pm (UTC)

Significant weight loss (more than 10 percent of starting body weight) AND maintenance, via calorie-control, is generally unsustainable:

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B758G-48KMC8J-8&_coverDate=04%2F30%2F1996&_alid=311664971&_rdoc=1&_fmt=&_orig=search&_qd=1&_cdi=12926&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=ecc96cdd0ce046e2d1651efa30f07f34

Results At 1 year, no significant differences were noted among the three groups. The diet-only group lost 6.8 kg, the exercise-only group lost 2.9 kg, and the combination group lost 8.9 kg (P=.09). During the second year, the diet-only group regained weight — reaching 0.9 kg above baseline; the combination group regained to 2.2 kg below baseline; and the exercise-only group regained slightly to 2.7 kg below baseline (P=.36). Repeated measures analysis of variance showed a group-by-time interaction (P=.001); data for the dieting groups best fit a U-shaped regain curve (P=.001).

Applications The results suggest that dieting is associated with weight loss followed by regain after treatment ends, whereas exercise alone produced smaller weight losses but better maintenance. The large outcome variability and unequal difficulty of the regimens across groups limit the generalizability of the findings. J Am Diet Assoc. 1996; 96:342-346.

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