In addition to dieting, exercising is one of the most commonly employed weight loss strategies among those trying to shed extra pounds. Here are the 8…. You don't have to have access to a fancy gym to get into cardio. Try these 19 moves that you can do at home, whether you're a fitness newbie or a…. Focusing on body fat percentage instead of weight is much more useful to track fat loss progress. Here are the 10 best ways to measure your body fat…. Severe under-eating can be just as harmful as overeating.
Here are 9 signs that you're not eating enough. Getting good quality sleep is an important part of weight loss. Here are a few ways sleep can help you lose weight. Health Conditions Discover Plan Connect. Warwick, R. Focus on fat loss, not weight loss. How to lose fat and maintain or gain muscle. The bottom line. Through weight management, we approach your weight from every angle, including:. We show you how to still enjoy your family day while practicing restraint at the picnic buffet.
The emotional and habitual attachment to poor eating habits can be strong, and we provide you with the tools you need to remain steadfast in your goal of keeping the dangerous weight off. Ultimately, through weight management, we show you how to enjoy your life without suffering through miserable diets by teaching you a new way to live happily.
By establishing healthier patterns, you reap the benefits of your weight loss and come to realize that this new way of living is far better than the old one.
To learn more about our weight management services, please call one of our six clinics , or you can use the online scheduling tool to request a consultation. Participants who successfully maintain weight loss report using behavioral strategies to control dietary calorie and fat intake, are physically active, and weigh themselves frequently [ 12 , 13 , 14 , 15 ].
Additionally, people who are able to maintain weight loss longer use fewer strategies and less effort to lose and maintain weight loss [ 18 ]. The need for effective weight loss and weight loss maintenance strategies is particularly important in South Texas where the burden of obesity is higher than other parts of the U.
Hispanic adults in the United States have documented higher rates of obesity compared to average rates in the United States This area also has high rates of type 2 diabetes and poor metabolic health [ 21 ]. Understanding characteristics of individuals who participate in weight loss and maintenance of weight loss in South Texas may lead to important improvements in health status in that region and provide insight to other regions with Hispanic populations. There were two objectives for this study.
Operational terms used in this paper are defined as follows: weight loss — a participant having less weight at the conclusion of one annual Challenge compared to the start; weight gain — a participant having more weight at the conclusion of one annual Challenge compared to the start; weight maintenance — a participant having the same or less weight at the start of their second annual Challenge compared to the completion of their first Challenge; weight regain — a participant having more weight at the start of their second annual Challenge compared to the completion of their first Challenge.
This study provides insight into weight loss and weight loss maintenance associated with a community-based weight loss program. A free community-based weight loss program has provided support for many people in the South Texas area to improve their physical activity and dietary habits.
Since , a week community weight loss program called The Challenge has been offered every January and held annually in this region with the number of adult participants aged 18 and older with overweight or obesity growing from participants during the first year to over participants each year for the last several years.
Participants were allowed to enroll every year regardless of prior participation in The Challenge during a previous year. Unlike clinically-based weight loss programs, there was no diet or exercise routine specifically prescribed for the participants but rather broad guidelines were given along with free programs and resources to pick and choose which would directly support these lifestyle changes. During all years during which The Challenge has been offered, there was an active community wide campaign to promote physical activity and healthful food choices in the region.
The messages of this campaign and The Challenge were purposefully aligned around meeting physical activity guidelines and the importance of fruit, vegetable, and water consumption [ 22 , 23 , 24 , 25 ]. Participants could choose to enroll as individuals or as a small self-selected group to provide social support. This community-based program may provide greater opportunity for population-level impact on obesity compared to a clinic-based program [ 26 ].
The Challenge was open to anyone living in or around the city where measurements were taken and were completely voluntary. Participants were only tracked through their registration at the beginning and end of each annual Challenge and therefore information regarding the status of participants who failed to complete a Challenge or who did not return to a second Challenge was unknown. At the beginning of each Challenge, participants arrived at a predetermined location library, park, or workplace to complete sign-up information and obtain baseline measures.
All measures and consent forms were taken by trained staff members. Participants were connected to free programs and information throughout The Challenge which may have been slightly modified each year based on participant feedback and available resources.
During each round of The Challenge participants were initially made aware of and then provided reminders of opportunities to support their weight loss journey depending on the resources available in the community at that time. For example, in the early years of The Challenge there were less than 30 free exercise classes available for participants to attend, but in the later years there were nearly free exercise classes.
Nutritional classes and on-line resources, including options for recording food and physical activity were promoted, but not required. Weight and blood pressure assessments were offered at many but not all classes. Text message reminders of these resources and motivational tips were provided three times per week. Participants were not required to attend, but encouraged. As well, prizes were given to individuals and groups with the greatest percentage of weight loss along with raffles and prizes for participation.
Anthropometrics were collected by a staff team of two people. One team member operated the measurement apparatus while the other person recorded findings. Waist measurements were taken at the circumference around the umbilicus and hip measurements were measured at the largest part of the hips. Weight change was defined in aim 1 as percent weight change during one Challenge. Additional participant characteristics were collected on a registration form which was subsequently checked by a staff member: gender, ethnicity Hispanic or white , language preference Spanish or English , and participating category individual, small group or large group.
Participants who registered for at least two offerings of The Challenge could be non-consecutive years with complete data for at least one Challenge, both weigh-ins, were included in aim 1. To be included into the analysis for aim 2, participants had to have a final weigh-in for a first Challenge and initial weigh-in for a second Challenge.
Multivariable linear mixed effects models were conducted for both aims 1 and 2. Linear mixed effect models account for intra-participant correlations inherent in repeated measure study designs.
Participant characteristics possibly associated with weight change including, gender, age at registration, language, participating category, initial weight, year gaps between Challenges and total number of Challenges, were examined.
Potential interaction effects were also evaluated while developing the final multivariable models. Regardless of its significance, an interaction effect between intervention time i. In aim 1, adjusted mean difference of percent weight change was estimated where the positive difference signifies weight loss and in aim 2, a positive adjusted mean difference of percent weight change indicates weight gain.
Weight loss maintenance or additional weight loss was defined as participants either maintaining weight loss obtained during their first Challenge or losing additional weight by the initial weigh-in of their second Challenge. Some weight regain was defined as participants having gained back a portion, but not all of the weight they lost during their first Challenge by the time of the initial weigh-in of their second Challenge. Total weight regain was defined as participants having gained back all of the lost weight during their first Challenge by the initial weigh-in for their second Challenge.
All analyses were performed using SAS 9. Among the participants who enrolled in at least two Challenges between and , participants were included in the analysis for aim 1 and participants were included in the analysis for aim 2 see Fig. Among the participants who did not have any missing data, Of the who lost weight at the first Challenge, returned to at least one additional Challenge.
Frequencies for weight loss maintenance, some weight regain, and total weight regain from the conclusion of the first Challenge to the initiation of a second Challenge are also reported in Fig. Among the participants who lost weight, 97 Presented in Table 1 are descriptive statistics of the study populations for each aim.
Six hundred sixty-nine participants were included in this analysis because they completed initial and final weigh-ins for at least one Challenge they participated in from to As shown in Fig. Percent weight loss significantly decreased every time participants returned to each additional Challenge for both men and women.
There was no significant association of weight loss with language preference, participating category, or age in multivariable mixed effect models. Five hundred seventy-five participants were included in this analysis because they had weight data available for at least a final weigh-in for one Challenge and initial weigh-in data for a following Challenge. Weight loss enables them to do the things they want to do — walk, hike, get out of a chair, enjoy life.
Feeling better and doing more stuff is a permanent motivator. Patients with a permanent motivator are more likely to continue treatment long-term.
Continuing office visits, anti-obesity medications, meal replacements, behavioral changes, self-monitoring, self-weighing, structured food plans… It all works better when the goal is chronic weight management vs. Do you want to lose weight, or do you want to change your weight permanently? If you want to change your weight permanently, think about why weight loss is important to you. Pick a real, enduring reason. Then you can remain motivated to make your change permanent. To learn more about the differences between weight loss and chronic weight management, consider attending one of the free classes Dr.
Learn about the best tools to make your weight loss success endure for the rest of your life and avoid the pitfalls of short-term goals. I still didnt get a straight answer.
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