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Weight cycling is the repeated loss and regain of body weight.
When weight cycling is the result of dieting, it is often called
"yo-yo" dieting. A weight cycle can range from small weight
losses and gains (5-10 lbs. per cycle) to large changes in
weight (50 lbs. or more per cycle) .
You may have heard stories in the press claiming that weight
cycling may be harmful to your health. You also may have heard
that staying at one weight is better for you than weight
cycling, even if you are obese. However, no convincing evidence
supports these claims, and most obesity researchers believe that
obese individuals should continue to try to control their body
weight.
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People who repeatedly lose and regain weight should not
experience more difficulty losing weight each time they diet.
Most studies have shown that weight cycling does not affect
one's metabolic rate. Metabolic rate is the rate at which food
is burned for energy. Based on these findings, weight cycling
should not affect the success of future weight loss efforts.
However, everyone, whether they have dieted or not, experiences
a slowing of the metabolism as they age. In addition, older
people are often less physically active then when they were
younger. Therefore, people often find it more difficult to lose
weight as they get older.
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Weight cycling has not been proven to increase the amount of fat
tissue in people who lose and regain weight. Researchers have
found that after a weight cycle people have the same amount of
fat and lean tissue as they did prior to weight cycling.
Some people are concerned that weight cycling can cause more
fat to collect in the abdominal area. People who tend to carry
their excess fat in the abdominal area (apple-shaped), instead
of in the hips and buttocks (pear-shaped), are more likely to
develop the health problems associated with obesity. However,
studies have not found that after a weight cycle people have
more abdominal fat than they did before weight cycling.
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A number of studies have suggested that weight cycling (and
weight loss) may be associated with an increase in mortality.
Unfortunately, these studies were not designed to answer the
question of how intentional weight loss by an obese person
affects health. Most of the studies did not distinguish between
those who lost and regained weight through dieting from those
whose change in weight may have been due to other reasons, such
as unsuspected illness or stress. In addition, most of the
people followed in these studies were not obese. In fact, some
evidence shows that if weight cycling does have any negative
effects on health, they are seen mostly in people of low or
normal weight. Some studies have looked at the relationship
between weight cycling and risk factors for illness, such as
high blood pressure, high blood cholesterol, or high blood
sugar. Most of these studies have not found an association
between weight cycling and harmful changes in risk factors.
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At this time, no conclusive studies have shown that weight
cycling is harmful to the health of an obese person. On the
other hand, the health risks of obesity are well known. The
costs of obesity-related illnesses are more than $39 billion
each year. Obesity is linked to serious medical conditions such
as:
- High blood pressure
- Heart disease
- Stroke
- Diabetes
- Certain types of cancer
- Gout, and
- Gallbladder disease.
Not everyone who is obese has the same risk for these
conditions--a person's sex, amount of fat, location of fat, and
family history of disease all play a role in determining an
individual's risk of obesity-related problems. However, experts
agree that even a modest weight loss can improve the health of
an obese person.
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Further research on the effects of weight cycling is needed. In
the meantime, if you are obese, don't let fear of weight cycling
stop you from achieving a modest weight loss. Although health
problems associated with weight cycling have not been proven,
the health-related problems of obesity are well known.
If you are not obese and have no risk factors for
obesity-related illness, focus on preventing further weight gain
by increasing your exercise and eating healthy foods, rather
than trying to lose weight. If you do need to lose weight, you
should be ready to commit to lifelong changes in your eating
behaviors, diet, and physical activity.
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Weight Cycling. By the National Task Force on the
Prevention and Treatment of Obesity, this article reprint from
the October 19, 1994, issue of JAMA addresses concerns
about the effects of weight cycling and provides guidance on the
risk-to-benefit ratio of attempts at weight loss, given current
scientific knowledge.
Dietary Guidelines for Americans. Third Edition,
1990. Home and Garden Bulletin No. 232. This pamphlet, issued
by the U.S. Agriculture and Health and Human Services
Departments, contains information about maintaining a healthy
weight, as well as dietary and nutrition
recommendations.
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Bethesda, MD 20892-3665
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The Weight-control Information Network (WIN) is a service of the
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under the U.S. Public Health Service. Authorized by Congress
(Public Law 103-43), WIN assembles and disseminates to health
professionals and the public information on weight control,
obesity, and nutritional disorders. WIN responds to requests
for information; develops, reviews, and distributes
publications; and
develops communications strategies to encourage individuals to
achieve and maintain a healthy weight.
Publications produced by the clearinghouse are reviewed
carefully for scientific accuracy, content, and readability.
This e-text is not copyrighted. The clearinghouse encourages
users of this e-pub to duplicate and distribute as many copies
as desired.
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NIH Publication No. 95-3901
March 1995
e-text posted: 20 February 1998
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