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We'll Look Back and Laugh That We Went On Diets to Try to Lose Weight

Posted: 30/05/2012 17:22

I'm sitting here with my mouth hanging open in shock. Good shock. All because I've read the report from the Body Image Inquiry. I knew it was released this week but I wasn't expecting much as truth is more often than not bypassed when profits are involved. But Reflections on Body Image, co-authored by MPs and the Central YMCA, is incredibly enlightened and if the recommendations made in the document are taken seriously this will be the biggest step forward in public health since the smoking ban.

The report, published by the All Party Parliamentary Group (APPG) on Body Image after a three-month public inquiry, makes some powerful recommendations and the biggest stride forward lies in the report's acknowledgement that overeating is as much an eating disorder as anorexia and that eating too much and its effects , including obesity, are not a lifestyle choice and overeating can be the result of dieting.

The Body Image report concludes:

  • According to experts there is no evidence available that diets work in the long term.
  • Girls who diet are 12 times more likely to binge eat (a direct acknowledgement that dieting is a contributor to obesity not a solution to it).
  • More than 95% of dieters regain the weight they lost (a result of the binge eating I'd expect).
  • Getting rid of dieting could wipe out 70% of eating disorders (including the binge eating mentioned above, a side effect of which is often obesity.)


So here they're saying getting rid of dieting could largely reduce obesity. If this is the case, then wouldn't it be rational to conclude also that dieting has been a big contributor towards obesity?

Isn't this amazing? To have this even nodded to in an official report is great news. The damage done by dieting can no longer be totally ignored.

Yes, there will now be an enormous effort from the weight-loss industry to counteract this report (keep your eye out for the coming crowd of news stories on the dangers of obesity and the glamorous after shots of women who have lost half their body weight by sticking to 'not a diet but a lifestyle plan'), but there's no stopping the slow dawning on the public that dieting is likely to give them the opposite to what it promises.

During the inquiry the diet industry (a Weight Watchers representative to be precise) acknowledged the public had "unrealistic expectations" about weight loss. She added that consumers who buy their diet shouldn't expect to lose any more than 5 to 10% of their weight. We all know this is not what consumers go to Weight Watchers for - they set an ideal 'goal' weight and are encouraged to strive for it, leading of course to binge eating and weight gain (see above). But even this promise of a small weight loss is not true because dieting leads to binge eating (see above).

I know the media will put up a fight and attempt to discredit this Inquiry report and they will probably succeed to a great extent because a nation of people with poor body image makes a lot of money. Profit over public health is vividly illustrated by the media's recent treatment of Georgia Davis, dubbed Britain's Fattest Teen, who went into multiple organ failure two weeks ago. Georgia had to be winched from her house by the emergency services because of her inability to stop 'eating herself to death'. According to the Mirror Georgia's eating disorder was caused by bad parenting or cash from Press attention that has been used to 'feed her up'. The Mirror added the suggestion that Georgia is stupid and lazy and unable to keep her face out of the fridge. Blatant victimisation because of her weight in anyone's eyes. (The treatment supposed to 'help' Georgia was a very strict diet and she ended up binge eating (see above) and her organs failed.)

As well as pointing out that dieting leads to binge eating the Inquiry report says that, like Georgia, one in five people have been victimised because of their size and that weight stigma doesn't motivate people to lose weight (using what? Dieting? See above) but does the opposite and causes further overeating. A review of the efficacy and safety of dieting is recommended and so is a comparison between weight neutral programmes (such as HAES) and weight loss/management programmes, measuring their effect on health.

This new report kicks a dent in the weight-loss industry control. Until now we have been trying to scratch a slippery surface to bring the the truth to the public, but this has made a scab that we body image campaigners and few companies with a social conscience will keep on picking at. We've got a long way to go and a lot of picking but this is so obviously just the beginning of the end of the diet industry, eating disorders, airbrushing, the manufactured media ideal, weight stigma, body dissatisfaction and the resulting low self esteem.

Thank you Jo Swinson and the other MPs of the APPG on Body Image, Duncan Stephenson from the Central YMCA, Phillippa Diedrichs and Susie Orbach who advised and gave evidence and all the others who brought this enlightened report to the public with recommendations that have the potential to start a shift that will benefit us all. This will go down in history. In 10 years time we'll look back and laugh with disbelief about how we all went on diets to try to lose weight.

www.beautifulmagazine.co.uk

 
 
 

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HUFFPOST SUPER USER
Scott Weiner
A balanced diet is a cookie in each hand.
08:01 PM on 06/07/2012
Terrible article.

Yes, diets do not work. Changes in eating and lifestyle do.

Why only say diets don't work without saying what does?
12:02 PM on 06/06/2012
The Scientific Advisory Committee on Nutrition (SACN) http://www.sacn.gov.uk/
released a report in 2011, which gave what it called "a prescriptive approach" to a recommendation for daily requirements for a healthy weight:

"Using this approach, if overweight groups consume the amount of energy recommended for healthy weight groups, they are likely to lose weight, whereas underweight sections of the population should gain weight towards the healthy body weight range."

Estimated Average Requirement (EAR)
=============================
I've lifted this info, and "reinterpreted" it, from page 85 of the full report:

Adult Women of average height: Age 19-44; 2175 - 2103
Adult Men of average height: Age 19-44; 2772 - 2629

"It is important to note that DRVs should be used to assess the energy requirements for large groups of people and populations, but should not be applied to individuals due to the large variation in physical activity and energy expenditure observed between people."

The publication page - this gives a lot of (irrelevant to most) background to the history and technical aspects of the measurement of the Total Energy Expenditure (TEE), used to derive the Estimated Average Requirement (EAR).
However the bottom of the page tells you were to look in the report for values for, adults, infants, children and pregnant.
http://www.sacn.gov.uk/reports_position_statements/reports/sacn_dietary_reference_values_for_energy.html

The actual report pdf, nitty gritty:
http://www.sacn.gov.uk/pdfs/sacn_dietary_reference_values_for_energy.pdf
12:40 PM on 06/06/2012
That's calories, I should have said.
Adult Women of average height: Age 19-44; 2175 - 2103kcal
Adult Men of average height: Age 19-44; 2772 - 2629kcal
11:53 AM on 06/06/2012
I totally agree, I've been on a vicious cycle of diet, weight loss, weight gain, diet for the last 10 years (I am now 28.)

I'm not even overweight, and I'm certainly not obese (at least I wasn't when I started dieting) - but slowly, the pounds have crept on so that I am now 1.5 stone heavier than when I started "dieting."

Wish I'd never started and just felt happy with myself the way I was- now, I view food as "forbidden" which makes it all the more pleasurable / naughty.
02:45 PM on 06/06/2012
Until recently 'forbidden'' did not mean an opportunity to feel naughty by doing a forbidden thing. But there is no point in questioning that because mischief and self-harm are so deeply embedded in contemporary culture. And so closely related, one to the other. And the collective denial that mischief and self-harm are central to the psyche of the young makes it waste of time and effort.

Piercings are not self-mutilation. They make you look fabulous. Get more.
08:51 PM on 06/04/2012
I'm surprised that an article as ill-informed as this was even published. The author assumes that dieters regain lost weight through binge eating, but that is very simplistic. There are two main reasons why dieters regain lost weight.

Firstly, a weight-reduced person burns up 15-20% fewer calories through exercise than a never overweight person of the same weight. In other words, to maintain weight loss you have to eat 15-20% fewer calories and/or exercise more - and that adds up to a lot of exercise!

Secondly, weight loss screws up the hormones that govern appetite and satiety, so a weight-reduced person is likely to feel more hungry. Couple that with the need to continually exercise more while eating less, and it's hardly surprising that dieters regain lost weight - even if they don't binge eat.
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HUFFPOST BLOGGER
Sue Thomason
09:05 AM on 06/05/2012
Hi Red Panda, You're absolutely right. There are many reasons why dieting doesn't work and I've even written a book about it. I know all about metabolism and dieting's effects on grehlin and leptin. Not to mention the psychological effects of dieting and how it impacts the brain. I can assure you one thing my article is not is ill-informed. To make my point and to give it enough clarity I had to stick with just one reason for diets not working - the one given in the Government report. If I had tried to get into the complex reasons why dieting fails us this article would have had no impact and the message of it would have been lost. We are on the same side, you and I, and I have enough trials fighting people who aren't! So give me a break and try to see what I tried to do here. If this article hadn't been published, in the face of the rest of the media who ignored or covered up the point of this report, what would have been achieved?
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HUFFPOST BLOGGER
Sue Thomason
10:09 AM on 06/05/2012
Hi RedPanda, the article is not ill-informed, it's simplified for the sake of clarity. I have a full understanding of all the environmental, psychological and biological reasons why dieting causes weight gain. If I'd tried to explain them, though, I'd have had to go off point. So I used the one reason mentioned in the Government report to make my point - binge eating.
10:38 AM on 06/05/2012
OK, but I think you have done your readers a disservice by repeatedly referring to binge eating as the reason why dieters regain. You could have referred to the fact that the report mentions binge eating, then added that there are more complex physiological factors at play in weight regain.

I managed to explain these factors in lay terms in two paragraphs - you could have done the same. As it is, your article is inaccurate.
02:01 PM on 06/04/2012
So once you gain weight for whatever reason, you should expect (or accept?) that you will never return to your previous weight? I don't think I buy it. I understand what the research indicates, but what I don't understand is why the research that indicates that heavier people with health problems can improve their health by losing weight (associated with healthy behaviors) are dismissed as just being "correlations", while research that indicates that dieting is unsuccessful is considered "proof". I get that it has a lot to do with how we define health, because there plenty of unhealthy people that are thin, and plenty of healthy people that are overweight. But almost everyone can surely get healthier, can't they? Regardless of the weight they're starting at? I don't really know that I'm healthier than anyone I meet, overweight or underweight or normal weight. I know I am generally healthy, but could be doing better in some areas. I know someone who is considered super obese who thinks he is healthy because he is stronger and more flexible than almost anyone he knows. I don't think that being strong and flexible prove you are healthy any more than body size proves you're unhealthy. Am I healthier than him because I can run a marathon? Is he healthier than me because he can squat 600 lbs? I think we need to stop being comparative with health, and just be concerned solely with the status of our own.
11:41 PM on 06/04/2012
Your first question has an answer: no. It's just as hard to deliberately gain weight and retain it as it is to deliberately lose it and keep it off, so it depends on what caused your gain.

"Associated with healthy behaviours" is the key to your second question. There's plenty of evidence that healthy behaviours (especially daily exercise) improve health. But because we focus so much on thinness, we attribute all the gains to weight loss that may come as a side effect of the habits that do the actual work. This also causes people to give up healthy habits as "not working" if the number on the scale doesn't shift, which is the sad and dangerous part of making weight the measure of progress. The evidence is also trickling in that obesity may be a *symptom* of several disorders and not the *cause* of them. Fixing the underlying condition may then cause weight loss as the body returns to normal, but it still won't be the weight loss that fixed the problem.

As for your friend -- if he's strong and flexible and his metabolic indicators are good -- fasting glucose, blood pressure, heart rate, triglycerides, HDL cholesterol levels -- he's healthy. Almost everyone *can* get healthier -- what they *can't* generally do is *weigh less* long-term.
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HUFFPOST BLOGGER
Sue Thomason
09:24 AM on 06/05/2012
Weight gain is, in most cases, caused by dieting undertaken in an effort to lose weight. So it's a trap. You don't have to accept that you will never return to your previous weight, no, not at all. But what you have to do is get out of the dieting trap and get back to being the normal eater you were before you went on the diet - and of course that means before you ever tried to lose weight! So, therefore, any attempt to lose weight will lead to weight gain. So Huskygal, the only way to lose weight is to stop trying to lose weight and relax around food. This will end the drive towards overeating, regulate your hunger hormones and bring your metabolism back to normal. The only problem with this is it's really hard to do once you're in the diet trap because even if you manage it with HAES or intuitive eating, as soon as you start to lose weight you start calculating how much you've eaten, think: "If I stick to what I ate last week when I lost three pounds, then I'll lose another three this week." So there you are right back in the dieting trap and you end up eating more, feeling hungry and stressed all the time.

I agree with everything you've said after your first sentence. Weight loss can be a simple side effect of healthy behaviour, as weight gain can be a side effect of unhealthy behaviour.
11:00 AM on 06/03/2012
huh, that's funny, I changed my diet and lost 45lb in 3 months, stopped getting sick all the time, got rid of my acid reflux, and increased my athletic ability tremendously. Clearly it wasn't from dieting, it was magic! Ms. Thomason, this article is full of dangerous lies and you should be ashamed of yourself. Changing your diet works, provided that change is PERMANENT.
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HUFFPOST BLOGGER
Sue Thomason
08:52 AM on 06/05/2012
I'm not ashamed of myself LemmyxCaution as I have a very full understanding of overeating and its causes. Everything I've said here, while simplified because the subject is complex, is 100% true for the vast majority of people who diet. For you to use your own weight loss as an argument against my assertions, you'd have had to maintain the loss for five years. As it is, you're more likely to regain all your weight and more. If you're in the tiny minority of 'successful' weight losses through dieting, then you might well maintain the loss for more than five years but you'll still be in a tiny minority and won't be a good case against the truth that dieting causes weight gain in the majority of people who try it. It's a bit like when people try to argue against the dangers of smoking by saying they have a 96 year old uncle who smoked his whole life and never had a day's illness. Making permanent change (dieting for ever) is impossible for the majority of people. I can tell you exactly why that is but I don't have room here.
04:18 AM on 06/03/2012
I do agree that the fascination with being stick thin is less than desirable, and certainly should not be suggested by the media; it seems far more logical to place strong, athletic men and women as the ideal than suggest that it's best to be unable to move your couch if the need occurs.

That said, I strongly suspect that the failure rate of dieting has more to do with the dieters in question not making lifestyle changes in order to keep the fat off, than the efficacy of reducing calories. It's far easier to blame genetics than it is to accept that you're consuming more than your body needs.
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HUFFPOST BLOGGER
Sue Thomason
09:42 AM on 06/05/2012
Dear Jeremy, to replace the stick thin ideal with a strong and athletic ideal would be just as damaging. We are all naturally different shapes and sizes and some of us will go to work in laboratories discovering cures for diseases, rather than spend our days in the gym. Some of us will write great literature rather than use our brain's to work out how many calories are in our lunch, and some of us will invent new technology that will advance the human race, rather than put our energies into fighting our natural body shape to sculpt it into something that will make us aesthetically acceptable. To provide any ideal at all causes so much damage on so many levels and, of course, not forgetting that trying to strive for an ideal usually leads to the opposite so we end up with a population of looks obsessed people with eating disorders desperately seeking a solution to the exclusion of all else who would, had they been left alone, used their minds and their time for satisfying external pursuits.

As for your second paragraph, it's a mainstream view that is totally incorrect. So many people have zero understanding of the subject yet claim to be experts. The weight loss-industry has been so successful in stirring up public emotion with its propaganda efforts, this is is the only scientific subject that it takes study and research to understand yet everyone has an 'informed' opinion.
11:19 PM on 06/02/2012
I am a diet survivor. For 25 years I tried to "eat less and exercise more" thinking if I just got this part right, I would at long last be thin--- or at least, less fat. It was a painful lesson to learn after making such a huge emotional investment that dieting does NOT work--- not just for me, but for nearly everyone who engages in the behavior. And it's been clear to me all along that binge and compulsive eating are caused by diet behaviors; once you stop dieting, the need to eat compulsively/binge generally stops, too. I'm so glad to see this in print from a knowledgeable resource. Let's get rid of dieting/food obsession, that will be a huge step toward a healthier, happier, weight stable America.
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HUFFPOST BLOGGER
Sue Thomason
09:46 AM on 06/05/2012
Thank you for your support jportnick. I'm sorry you had to go through this. You're not alone!
09:23 PM on 06/02/2012
Thank you for this great article - it's been known for a long time that not only does dieting not work, but it's harmful to your health (both physical and emotional.) As a therapist, I spend most of my time helping people break the diet/binge cycle and develop a healthy relationship with food. I refer to anyone who can quit dieting as a Diet Survivor and hope that with this new report, more people will be encouraged to quit dieting once and for all!
Judith Matz, LCSW
www.dietsurvivors.com
09:35 AM on 06/02/2012
The release of this body image report has been a long time coming! I am so pleased that governments are finally waking up to the dangers of weight profiling and the terrible effects weight stigma has on mental health. I can't wait for the day when these stereotypes of overweight people constantly overeating and being lazy are another one of society's embarrassing memory. As a UK citizen I rarely have the reason to say this, but today I am really proud of my government.
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HUFFPOST BLOGGER
Sue Thomason
09:46 AM on 06/05/2012
Me too, Sarah. :-)
08:43 AM on 06/02/2012
Binge eating is not required to gain weight from a diet state. The body's metabolic processes shift to be more efficient in a time of reduced food (caloric restriction from dieting) so people will often start gaining weight even while following the strict diet limits. If they go back to eating a normal amount, their body is still in efficient mode and so they gain even MORE weight.

This report is good to see, and yes, dieting is as reasonable for health as blood letting was, but please be aware of your assumptions about the health and habits of "overweight" people.
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HUFFPOST BLOGGER
Sue Thomason
09:52 AM on 06/05/2012
Hi Amber, please see my reply to RedPanda42 above. I don't hold any assumptions about people with regard to their weight or eating. You're exactly right about the metabolic process shift and this is just one of the many reasons why dieting causes weight gain. I just had to stick to a simplified and relevant cause for my article. Sue
05:18 AM on 06/02/2012
a world where the numbers on a scale have nothing to do with a person's perceived value sure would be awesome and scientific data like that in this report getting out to the general public is a good start towards that.
04:41 AM on 06/02/2012
I look forward to the day when we can accept that human bodies (like human hands, feet, noses and heights) come in a variety of sizes, that there are healthy and unhealthy people of every shape and size, and that the only thing you can tell by looking at someone is what size they are and what your prejudices about people that size are.

Then maybe we can be successful role models for helping people be healthy rather than failed role models for making everyone thin. I think that this report is an excellent start. I'm also reminded of one of my favorite quotes - if you're going to look back and laugh, you might as well laugh now.

Ragen Chastain
www.danceswithfat.org
02:26 AM on 06/02/2012
They said likely to binge eat, not that they will. I'm ecstatic about this news, and now shall dance like Snoopy from the Peanuts comics and cartoons!
09:29 PM on 06/01/2012
I know a lot of fat people who have never binged in their lives. The parameters for what constitutes "overweight" now are ridiculous. Yea, I think dieting makes people fatter, but binge eating may have NOTHING to do with it. You're making a lot of assumptions.
11:09 PM on 06/01/2012
Agreed. I'm "overweight" and I have never binged.
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HUFFPOST BLOGGER
Sue Thomason
09:55 AM on 06/05/2012
Again Korry, see my reply to RedPanda above. I'm not making any assumptions. Absolutely true about the parameters for what constitutes overweight. What is 'over' weight anyway? Sue