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A Diet That Asks You Not to Lose Weight (at First)

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By Rita Rubin
WebMD Health News

Oct. 30, 2012 -- Perhaps the best time to learn how to avoid regaining lost pounds is before you shed a single one, according to a new study.

As anyone who’s ever been on a diet knows, losing weight is easier than keeping it off. “Long-term maintenance remains elusive,” the researchers write.

The problem, they say, is that people tend to abandon the changes they’ve made during a weight loss program, such as healthy eating, physical activity, and keeping a record of everything they eat. Typically, people regain 30% to 50% of the weight lost in the first year after stopping the program.

The researchers wondered what would happen if overweight or obese women got a chance to practice the skills needed to keep weight off without having to worry about slimming down first. They enrolled 267 overweight or obese women ages 21 and older.

Capitalizing on Motivation

“People come in really motivated,” researcher Michaela Kiernan, PhD, says of those about to start a weight loss program. The premise of her study, Kiernan says, was to “get them to channel that good energy on maintenance.”

So Kiernan, a senior research scientist at the Stanford Prevention Research Center, and her collaborators assigned the women to two groups: One was “maintenance first,” and the other “weight loss first.”

Both groups met for 28 weeks, but the maintenance-first group spent the first eight weeks learning maintenance skills, while the weight loss-first group spent the last eight weeks learning how to keep the weight off by learning problem-solving skills.

The weight loss method was identical for both groups.

The maintenance-first group was told not to lose weight during the first eight weeks of the study. During this time they learned a set of skills designed to optimize day-to-day satisfaction with lifestyle and self-regulatory habits.

The maintenance-first group also took part in experiments -- one week they pretended they were on vacation and ate five high-calorie meals -- designed to help them master skills used to maintain their weight, such as tweaking their diet or activity levels without keeping records, an approach Kiernan calls “relaxed awareness.”

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