A Responsible and Safe Weight-Loss Program
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A responsible and safe weight-loss program should
be able to document for you the five following features:
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The diet should be safe. It should include all of the Recommended Daily
Allowances (RDAs) for vitamins, minerals, and protein. The weight-loss
diet should be low in calories (energy) only, not in essential foodstuffs.
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The weight-loss program should be directed towards a slow, steady weight
loss unless your doctor feels your health condition would benefit from
more rapid weight loss. Expect to lose only about a pound a week after
the first week or two. With many calorie-restricted diets there is an initial
rapid weight loss during the first I to 2 weeks, but this loss is largely
fluid. The initial rapid loss of fluid also is regained rapidly when you
return to a normal-calorie diet. Thus, a reasonable goal of weight loss
must be expected.
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If you plan to lose more than 15 to 20 pounds, have any health problems,
or take medication on a regular basis, you should be evaluated by your
doctor before beginning your weight-loss program. A doctor can assess your
general health and medical conditions that might be affected by dieting
and weight loss. Also, a physician should be able to advise you on the
need for weight loss, the appropriateness of the weight-loss program, and
a sensible goal of weight loss for you. If you plan to use a very-low-calorie
diet (a special liquid formula diet that replaces all food intake for I
to 4 months), you definitely should be examined and monitored by a doctor.
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Your program should include plans for weight maintenance after the weight
loss phase is over. It is of little benefit to lose a large amount of weight
only to regain it. Weight maintenance is the most difficult part of controlling
weight and is not consistently implemented in weight-loss programs. The
program you select should include help in permanently changing your dietary
habits and level of physical activity, to alter a lifestyle that may have
contributed to weight gain in the past. Your program should provide behavior
modification help, including education in healthy eating habits and long-term
plans to deal with weight problems. One of the most important factors in
maintaining weight loss appears to be increasing daily physical activity,
often by sensible increases in daily activity, as well as incorporating
an individually tailored exercise program.
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A commercial weight-loss program should provide a detailed statement of
fees and costs of additional items such as dietary supplements.
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Weight Control Must Be Considered a Life-Long
Effort
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Obesity is a chronic condition. Too often it
is viewed as a temporary problem that can be treated for a few months with
a strenuous diet. However, as most overweight people know, weight control
must be considered a life-long effort. To be safe and effective, any weight-loss
program must address the long-term approach or else the program is largely
a waste of money and effort.
Obesity affects about one in four adult Americans, and during
any one year, over half of Americans go on a weight-loss diet or are trying
to maintain their weight. For many people who try to lose weight, it is
difficult to lose more than a few pounds! and few succeed in remaining
at the reduced weight The difficulty in losing weight and keeping it off
leads many people to turn to a professional or commercial weight-loss program
for help. These programs are quite popular and are widely advertised in
newspapers and on television. What is the evidence that any of these programs
is worthwhile, that they will help you lose weight and keep it off and
that they will do it safely?
Endnote: This statement was developed with the advice of the
National Task Force on Prevention and Treatment of Obesity, a subcommittee
of the National Digestive Diseases Advisory Board.
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