winstonw wrote:casual_cyclist wrote:My top tips to go from obese->normal weight based on my experience are:
* change your expectations, if it took 10 years to put the weight on, don't expect it to dissapear in a month
* reduce portion sizes
* eat more slowly and chew your food properly
* cut back on refined carbs (especially flour and sugar)
* more vegetables (I prefer sweet potato)
* adequate fat (I prefer coconut)
The people I deal with are not happy with the above recommendations.
They want to lose weight at a medically safe rate, at a reasonable pace.
That's good for them. It would be interesting to see how they are doing 5 years later. All of the studies I have read indicate that up to 95% will have gained back all their original weight plus more.
winstonw wrote:"reducing portions" could mean anything. reduce by how much? There's too much hit and miss and doubt in the dieter's mind. When a dieter starts to have strong hunger pangs, as they invariably do when starting off, they will question whether they reduced their portions too much. This is where a diet of a known number of Calories (1200/1500) with specific portion sizes instills confidence when hunger hits; especially when the person's energy expenditure has been estimated and a specific Calorie deficit established.
Uhh, yeah. That's because they are tips, not a diet plan and not suitable for a clinical setting.
winstonw wrote:One doesn't have to Calorie count if the counting has already been done in the form of a diet plan.
And for most, they want the weight off at a reasonable clip, 0.5-1.0kg/week.
That's why tip number 1 is "change your expectations". I have found that people are happy to eat themselves into obesity for decades and then want fast weight loss. It doesn't work like that. If you don't take the time to learn how to live sustainably you will wind up fat again. Up to 95% of dieters do.
winstonw wrote:Seeing the weight come off at a reasonable pace empowers dieters. They realize "wow, it is all about the math". If weight loss is slow, doubt creeps in re whether they are doing things right, or as good as they could.
This all comes back to expectations management. People have an urealistic concept of how lasting weight loss works and set goals that are far too short... one day, one week, one month. How about 1 year, 5 year and 10 year goals? Weight loss should be the result of the healthy lifestyle, not the goal. If weight loss is your goal then your priorities are wrong.
winstonw wrote:Anyway, this is all in the literature.
Sure is. Mostly, diets fail in the long term. It's all in the literature.
In sum, there is little support for the notion that diets lead to lasting weight loss or health benefits.
http://mann.bol.ucla.edu/files/Diets_don't_work.pdf
[EDIT: minor typos]