What is the Best Approach for Weight Loss?

best way to lose weight

Despite an abundance of weight loss plans, diet books and various theories on ways to live healthfully, Americans continue to get increasingly overweight. While people who are genetically predisposed to be overweight are remaining that way, many people who were lean in their younger years are putting on unhealthy fat mass as they get into their 40s and 50s and beyond.

You have heard the conventional advice a million times: “eat less and exercise more”. This doesn't always work when we’re constantly hungry and grabbing for the nearest donut as a result.

Perhaps a newer and more realistic approach to weight loss and weight maintenance comes from the Nurses’ Health Study I and II at Harvard University and The New England Journal of Medicine. Researchers set out to find out exactly what foods people who need to lose weight should eat more often and what foods should be eaten less often.

This detailed 20 year long-term study analyzed 120,877 well-educated men and women (nurses, doctors, dentists and veterinarians) to identify the factors that influence weight gain. They were healthy and at normal weights at the start of the study. Every two years, participants filled out a very detailed questionnaire which asked about many health factors, including eating habits, amount of exercise, smoking habits, alcohol intake, sleeping habits, and amount of time spent in front of a TV.

On average, every study participant gained 3.35 pounds every four years, resulting in a total gain of 16.8 pounds in 20 years.

“This study shows that conventional wisdom — to eat everything in moderation, eat fewer calories and avoid fatty foods — isn’t the best approach,” wrote Dr. Dariush Mozaffarian, study author and Harvard University Cardiologist and epidemiologist. “What you eat makes quite a difference. Just counting calories won’t matter much unless you look at the kinds of calories you’re eating.”

Harvard School of Public Health Nutrition Expert, and co-author of this study, Dr. Frank B. Hu said, “In the past, too much emphasis has been put on single factors in the diet. But looking for a magic bullet hasn’t solved the problem of obesity.”

They also believe that the food industry’s claim that there’s no such thing as a bad food is a false one.

“There are good foods and bad foods, and the advice should be to eat the good foods more and the bad foods less,” says Mozaffarian. “The notion that it’s O.K. to eat everything in moderation is just an excuse to eat whatever you want.”

Participants who exercised more over the course of the study gained 1.76 fewer pounds than the rest of the participants who exercised less during each 4-year period. They realized that physical activity had the expected benefits for weight control.

The most interesting results revealed that the kinds of foods people ate had a larger effect overall than changes in physical activity did.

“If you are fairly active and ignore diet, you can still gain weight,” said Dr. Walter Willett, Harvard School of Public Health Nutrition Department Chairman and co-author of this study.

So the takeaway message for the rest of us is that it’s the little things that contribute a lot to weight control. None of us become overweight overnight. But it seems that way because, one day, we wake up and nothing in our closets fits anymore! Small increments of weight gain creep up on us and can actually harm our health. Weight gain increases the risk of heart disease, diabetes, stroke and breast cancer for women and the risk of heart disease, diabetes and colon cancer for men.

If we look at this study, we see an average of 20 pound gained in 20 years. If we take small steps and gradually adopt healthy lifestyle habits, we can avoid that gain and either maintain weight over time or lose weight if needed.

Food that provide greatest risk of weight gain:

  • French Fries
  • Potato Chips
  • Sugar Sweetened Drinks
  • Red Meat
  • Processed Meats
  • Sweets and Desserts
  • Refined Grains
  • Fried Foods
  • Fruit Juice
  • Butter

Foods that assisted in weigh maintenance and weight loss:

  • Vegetables (3 or more servings per day)
  • Whole Grains
  • Fruits
  • Yogurt*
  • Nuts
  • Peanut Butter

*Participants who consumed plain yogurt regularly lost on average 0.8 pounds every four years.

Neutral Foods (found not to contribute to weight loss but not to weight gain either)

  • Full-Fat Dairy
  • Low-Fat Dairy

Other habits can influence weight. The study found that participants who slept less than 6 hours a night gained more weight than those who slept more than 6 hours a night. It should also be no surprise to anyone that the more time participants spent watching TV, the more weight they gained. Interestingly enough, light to moderate alcohol consumption (e.g. one glass of wine) had no effect on weight. However, researchers theorized that more alcohol and alcohol in other forms would likely add unwanted pounds. Smokers who quit gained weight during the first 4-year time frame but it then leveled off afterwards.

Based on the Harvard study, the best approach to weight loss extends beyond eating less and exercising more. The key to long-term weight loss and weight management is maintaining healthy lifestyle habits such as watching what you eat, staying physically active, and getting adequate sleep. So if you’re struggling to lose weight or stay at your normal weight, making these small changes can make all the difference.

Registered Dietitian, Certified Specialist in Sports Dietetics, Triathlon Coach

Comment by fitlumf77104
January 05, 2019
Eating a high-protein breakfast has been shown to reduce cravings and calorie intake throughout the day (16, 17). Avoid sugary drinks and fruit juice. These are the most fattening things you can put into your body, and avoiding them can help you lose weight (18, 19). Drink water a half hour before meals.
Comment by Mariomom57
October 03, 2017
So true. I recently lost 26 lbs. I thought 1200 calories would do the trick. When that didn't work, I realized certain foods I was eating had to be removed & replaced with vegetables. I thought I could sneak in a muffin or extra bread, even though I was still 1200 calories but it is the type of food you eat like the article says. Thank goodness I had my NutriBullet smoothie each day to make sure I was getting all my nutrients.
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