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Weight loss through dieting fails in the long run

Heart of the Matter
Click here for this book 'Kakka Kakka Idhayam Kakka'

The number of books and articles available on dieting and the amount of money spent on advertising for dieting plans, even in an emerging economy like India, is significant. Especially now, with the prosperity level of the population increasing, changes in dietary habits that could lead to an epidemic of obesity is fast emerging. The increasing number of nuclear families with both the husband and wife as breadwinners leaves little time for cooking. Eating out is now transitioning from a ‘want’ to a ‘need’. As the affordability increases, ever increasing number of companies are entering the fast food business. Not a day goes by without a new branch opened by sweet shops. Youngsters, who are the most impressionable segment of the population, are inundated with advertising that appeals to their taste buds and not necessarily to a sense of health. 

It is in this context that a new research study conducted by the University of California, Los Angeles, becomes significant. Researchers in this facility looked at 31 different weight loss studies and found that long-term dieting alone is not sufficient to keep the weight off. Many of these diet plans are very effective in initiating the weight loss, but, none of them is able to effectively keep off the weight in the long run.

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While it would be a wonderful opportunity to have a ‘magic bullet’ to solve the issue of obesity, the answer still seems to lie with the common sense approach of combining calorie restriction with regular exercise. Eating is a deeply ingrained survival drive and it is extremely difficult for us to keep off the tasty but unhealthy food. Foods that are rich in saturated fats and carbohydrates tend to be extremely appealing to our taste buds. While fatty food is essential for healthy growth, excess amounts of fats can be devastating to our health. Diabetes, heart attack and stroke rates are significantly increased in people who are overweight. While reducing weight decreases risk from such diseases, the difficulty in losing and keeping off weight is still a significant fight against our basic survival instincts which persistently drives us to eat and store food.

As a person becomes obese, the fat cells in the body, called ‘adipocytes’, actually become bigger and also multiply to increase in number. The increased number of ‘adipocytes’ do not decrease even after one loses weight. If the dietary restrictions are not enforced on a long-term basis in combination with regular exercise, it is only a matter of time before the fat cells start storing the excess fat and lead to increase in weight.

In the past several decades, a multitude of dietary fads have come and gone. None have stood the test of time as a permanent solution to the weight issue. This does not mean that one should not attempt any dietary plans. But, one has to understand that the dietary intervention is only a temporary fix. Dietary plans have to be supported with regular exercise and long-term control over our taste buds.

Healthy dietary modifications like reducing the calories along with the fat content of food and balancing the carbohydrate, protein and fat proportion in the foods that we eat are to be encouraged. Healthy diet with reduced calories has not only been shown to decrease heart attacks, high blood pressure, high cholesterol and diabetes, but has also been shown to prolong life in research conducted on animals.

All this information reminds me of the advise that I received as a kid from my grandfather who just turned 94 – A meal should be 1/3 food, 1/3 water and 1/3 air. This profound statement is probably not far from the scientific truth.

Click here for this book 'Kakka Kakka Idhayam Kakka'

Dr G Balachander
Cardiologist
Illinois, USA

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Published on May 1st, 2007


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