The nasty reality is that humans are efficient biological machines. "We have evolved not to lose weight."
Photo Credit: Reuters

Weight loss very hard to maintain, science shows

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One in four Canadians is obese and many of them are trying to lose weight, but scientific research indicates that if they do lose weight it is extremely difficult for them to keep it off. “Actually, the data is pretty darn grim unfortunately,” says Timothy Caulfield a professor of law and public health at the University of Alberta.

Only five per cent succeed

Evidence is mounting that only a small minority manage to not put back on the weight they lost or gain back even more. Most recently, a study out of the University of Minnesota found that only five per cent who try to lose weight succeed in the long run.

“The people that succeed make long-term meaningful lifestyle changes and you have to maintain it forever,” says Caulfield. “So we need to find a way to promote long-term lifestyle change and not short-term dieting.”

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People with an active, healthy lifestyle are more likely to be able to keep the weight they lost off. © CBC

‘Biology…conspiring against us’

Psychological and physiological factors lead people to regain the weight they have lost. People have survived through the centuries because they like and seek food, and because their bodies have many mechanisms to prevent weight loss. There is some evidence, though it has been disputed, that people may have a “set-point” for body weight that the body strives to keep stable through altering metabolism, tastes, appetite  and even activity levels. “Biology is conspiring against us in this regard,” says Caulfield.

We only want to look good

Psychological and cultural factors that help us keep weight on include our obsession with food and a food industry that aggressively pushes its products. Caulfield also notes that people work out so they will look good and, when they don’t lose as much weight as they thought they would, or they gain it back, research suggests they lose their motivation. He adds, this could be why health workers are reluctant to talk about the fact that people are mostly unsuccessful in maintaining weight loss.

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People are biologically driven to eat and the billion-dollar food industry plays on that, says Prof. Timothy Caulfield. © Chris Young/Canadian Press

It’s about healthy living

The problem of obesity is so complex that it is very difficult for countries around the world to tackle, says Caulfield. He thinks there are two strategies that could work. First and foremost, it would be best to prevent weight gain, since once it is gained it is very difficult to get off in a permanent way.

Secondly, he says people must somehow be convinced to embrace healthy living for the long term. That means healthy eating and physical activity forever–a tough sell.

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