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This is a blog about the scientific basis of medicine. A judo therapist reads research papers for study and writes about them.

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Dieting is more difficult after losing weight, psychological study shows

Thursday, May 6, 2021

psychology

Maintaining the weight you lost

Gaining back the weight lost is a common problem after weight loss interventions, and although bariatric surgery almost always results in weight loss, few people are able to continue with the subsequent behavioral changes to maintain their weight.

Because improving current weight maintenance strategies requires identifying factors that predict which patients will successfully maintain weight loss or are at risk of regaining weight after a weight loss intervention, this study aimed to identify factors associated with successful weight loss maintenance by overweight or obese women who completed group cognitive behavioral therapy (CBT) for weight loss.

Obese women,

The study analyzed data from 86 obese women, 90 of whom completed a weight loss intervention and were followed up at 12 and 24 months after completing treatment. Depression, anxiety, bulimia, food addiction, and eating behaviors were assessed before and after the weight loss intervention, and participants who lost 10% of their initial weight during the weight loss intervention and maintained their weight loss at 24 months follow-up were defined as successful.

Results.

The intervention was successful in 27 participants and unsuccessful in 59. Multiple logistic regression analysis showed that greater weight loss during the weight loss intervention, lower decontrol scores, and lower food addiction scores at the end of the weight loss intervention were associated with success.

In conclusion, we found that those who were able to maintain their weight were associated with lower food dependency and other scores.

Details of the intervention

Under the guidance of a nutritionist and a professional who can provide psychotherapy

Keeping a diary of what they eat.

Reduce daily calorie intake by 500 kcal.

Ask the patient to walk 8,000 to 10,000 steps a day.

Understand the nutritional needs of the patient and the role of each nutrient.

When exercising, have them adjust to their "appropriate level of exercise.

If they do exercise, they should adjust their exercise level to "their appropriate level.

Sawamoto, R., Nozaki, T., Nishihara, T. et al. Predictors of successful long-term weight loss maintenance: a two-year follow-up. BioPsychoSocial Med 11, 14 (2017). Available at: https://doi.org/10.1186/s13030-017-0099-3

Summary 

The results showed that those who were able to resolve the psychological aspects were able to maintain their weight after the diet. The results showed that those who were able to resolve the psychological aspects of the diet were able to maintain their weight after the diet. Although it may seem difficult to resolve depression and food addiction, a small number of people were able to maintain their weight as a result of the cognitive behavioral therapy described above.

The fact that it is so difficult to maintain weight after dieting may not be understood by people who are thin from the start or who do not gain weight even if they eat, and the same goes for those who say that they should just maintain the behavior they did in the diet. For those who find it difficult to maintain, it is not a matter of weak will, etc. If you consider the psychological aspects of the disorder, such as low self-esteem, attention deficit/hyperactivity disorder, and emotional dysregulation, you may have some idea of how difficult this can be.

For those of us who are trying to start or maintain a diet, the first step may be to better understand what we eat, rather than what we eat or what we do to lose weight.

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