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Daily weighing key to keeping lost
pounds off
New York -
Losing excess weight is often easier than keeping it off. A new
study shows that stepping on a scale every day, and adjusting eating
and exercise habits accordingly, can go a long way in helping dieters
maintain a weight loss.
"If you want to keep lost pounds off,
daily weighing is critical," said Dr. Rena R. Wing in a statement
accompanying the study appearing in The New England Journal of
Medicine this week.
"But stepping on a scale isn't
enough. You have to use that information to change your behavior,
whether than means eating less or walking more. Paying attention to
weight -- and taking quick action if it creeps up -- seems to be the
secret to success," noted Wing, who is director of the Weight Control
and Diabetes Research Center at The Miriam Hospital and professor of
psychiatry and human behavior at Brown Medical School in Providence.
The finding comes from a study in
which Wing and colleagues split 314 successful dieters who'd lost at
least 10 percent of their body weight -- averaging nearly 20 percent
of their body weight or 42 pounds -- within the last two years, into a
control group and two intervention groups.
Women in the control group received
newsletters in the mail four times per year on the importance of
eating right and exercising.
Women in the intervention groups were
taught -- either in face-to-face group meetings or via an online
program -- techniques known to prevent weight regain such as advice to
eat breakfast, get an hour of physical activity each day and weigh
themselves daily.
The women reported their weight
weekly and were given a goal of maintaining their weight to within
five pounds. Women in the intervention groups were also introduced to
a color-based weight-monitoring system. Women who remained within
three pounds of their starting weight after the weekly check-in fell
into the "green zone," and received encouraging phone messages and
green rewards, such as mint gum.
Gaining between three and four pounds
landed women in the "yellow zone" and prompted advice to tweak their
eating and exercise habits, while gaining five pounds or more landed
one in the "red zone," prompting advice and encouragement to restart
active weight-loss efforts.
The investigators report that
significantly fewer women in the intervention groups regained five or
more pounds during the 18-month long study; 72 percent of women in the
control group regained five or more pounds, compared with 46 percent
in the face-to-face intervention group and 55 percent in the Internet
group.
"The Internet intervention worked,
but the face-to-face format produced the best outcomes," Wing said.
Daily weighing was key to keeping the
weight off, the authors say, noting that women in the intervention
groups who stepped on the scale each day were 82 percent less likely
to regain lost weight compared to those who did not weigh themselves
daily.
However, in the control group, daily
weighing had little impact on the amount of weight regained. This
suggests, Wing said, that women in the intervention groups used the
information from the scale to make constructive changes in their
eating and exercise habits. --
Reuters Limited
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