The 7 Habits of Highly Effective Weight Loss Maintainers

by Carol Torgan, Ph.D. on January 16, 2012

Two women losing weight and trying to keep the weight off.

It’s easy to lose weight. The hard part is keeping the weight off.

About 1 in 5 overweight or obese Americans successfully loses weight and keeps the weight off. What if you could survey thousands of these successful losers to determine what habits they have in common — essentially crowdsourcing their top tips for weight loss success?

This is exactly what the National Weight Control Registry (NWCR) is doing. The NWCR is a database founded in 1994 by Rena Wing, Ph.D., of Brown University, and Jim Hill, Ph.D., of the University of Colorado. The NWCR was established to answer two key questions:

  • Are there people who have successfully maintained a substantial weight loss? (Yes!)
  • What common characteristics and strategies have helped these people achieve and maintain weight loss?

To be eligible for the NWCR, participants have to be 18 years of age or older, and have lost a minimum of 30 pounds and kept the weight off for at least 1 year. The registry now has more than 6,000 ‘losers’ who have lost an average of more than 60 pounds, and have kept off the weight for more than 5 years! (Almost 20% of NWCR participants have lost 100 pounds or more.)

These volunteers have answered questions about their eating behaviors, physical activity, and other habits. Thus most of the information is based on self-reports. About 90% had lost weight before, but had regained it (the average lifetime weight loss was 270 pounds over several previous attempts).

What’s different this time? The participants cite medical, emotional and/or social reasons or triggers for their successful loss and maintenance. They are committed to making — and keeping — behavioral changes that influence both the calories they consume and the calories they burn off.

7 Habits of Highly Successful Weight Loss Maintainers

1. Engage in regular physical activity. Biking More than half of the NWCR members burn more than 2,000 kcal week. This is about 200 minutes a week (30 minutes/day) of moderate-intensity exercise. Popular activities include walking, stationary and/or road cycling, aerobics, walking or running on a treadmill, jogging, and strength training.

200 minutes a week is not a lot, and is just a bit more than the 150 minutes a week recommended in the U.S. Physical Activity Guidelines for Americans.
How many minutes of physical activity do you engage in each day? Can you add in 5–10 minutes a few days a week?

2. Limit television watching. About 63% of NWCR members report watching less than 10 hours a week of television (less than 1.5 hours a day on average).

TV RemoteAccording to the Bureau of Labor Statistics, Americans watched TV ~19 hours/week (2.7 hours a day) on average in 2010, while Nielsen pegs the number at ~32 hours/week (more than 4.5 hours a day) across ages 2 and up. How many hours a day do you spend watching TV?

3. Eat a low-calorie, low-fat diet. NWCR members report consuming 1,380 kcal/day, with less than 30% of the calories coming from fat.  When shopping, they often reach for foods (such as salad dressings, dairy, and soft drinks) that have been modified to contain less sugar and fat.

A typical diet is assumed to be around 2,000 calories a day, but when it comes to calories, it’s definitely not ‘one size fits all.’ You can calculate the estimated calories you need each day, plus receive a daily food plan at Choose My Plate, from the USDA.

4. Eat a consistent diet and don’t splurge. NWCR members tend to eat the same foods regularly. They prepare most of their meals at home and typically have less than one fast food meal a week. They don’t splurge on high-calorie foods on weekends, holidays, or other special occasions.

Banana5. Eat breakfast. Almost 80% of NWCR members report eating breakfast every day. This habit may help control hunger and prevent them from overeating later in the day.

6. High dietary restraint and awareness. NWCR members maintain control over what they eat. They don’t eat something in response to their emotions, or just because it’s there.

7. Self-track. More than half of NWCR members weigh themselves at least weekly and track their daily food intake. They also tend to monitor their calories and/or fat grams.

Bathroom scale Do you track? What method do you use? Have you tried an app, or the online USDA SuperTracker?

The successful losers combine physical activity and diet. They use their leisure time wisely, engaging in physical activity instead of sedentary activities, such as TV watching. They exhibit restraint. And they stay on track with self-tracking.

What works (or doesn’t work) for you?
If you are a successful loser, you are invited to join the study:  http://www.nwcr.ws/

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Photos

Reference
Graham, T.J., Bond, D.S., Hill, J.O., Wing, Rena R. The National Weight Control Registry: A Study of “Successful Losers.” ACSM’S Health & Fitness Journal, 15 (2) pgs 8-12, 2011.
doi: 10.1249/FIT.0b013e31820b72b5

 

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A Light Shining in the Darkness: Kevin Ado's Jacket (Senegal).  Painted by Regina Holliday at the mHealth Summit, as part of The Walking Gallery.

A Light Shining in the Darkness: Kevin Ado's Jacket (Senegal). Painted by Regina Holliday at the mHealth Summit, as part of The Walking Gallery.

This year’s mHealth Summit was very, very large (more than 3,600 people from 50 countries), and very, very diverse (researchers, policy makers, health care providers, developers, entrepreneurs).  There was a bit of something for everyone, and numerous outstanding summaries have been written from several perspectives (see list below).  Here’s a quick snapshot of what stood out.

5 Great Quotes

  • “There’s 5.6 billion people using wireless today in the world. To put that in a health care context, that’s more people using cell phones than toothbrushes.” – Paul Jacobs, Ph.D., CEO, Qualcomm
  • “If you’re an entrepreneur or venture capitalist, I would look at how you begin to prepare for an infrastructure-independent health care world, and focus on basically three questions:  What problem am I solving? Who is going to pay for that? What is unique?” – Don Casey, CEO, West Wireless Health Institute
  • “My hospital parking garage has better technology than my hospital.” – Unknown panelist

5 Major Themes (or most overused words, depending on your perspective)

  • Ecosystem
  • Disruptive
  • Personalized
  • Dashboard
  • Immersive

5 User-Centric Companies / Projects to Watch

These five ‘Get’ the context angle. They understand their specific audience’s needs, wants, nightmares, and dreams. As a result, they are going to greatly impact their health and/or healthcare by harnessing the power of mobile technologies. (Summaries are abbreviated versions of what appears on the company sites.)

  • Asthmapolis Dedicated to improving the management of asthma for patients and healthcare professionals. Asthmapolis is using medication sensors, mobile applications, advanced analytics and feedback to help physicians identify those patients who need more help controlling the disease before they suffer a severe and costly exacerbation.
  • BodiMojo  Short for Body + Motivation + Journey, this research-based platform for teens, ages 13-18, offers a personalized, judgment-free zone that promotes healthy body image, fitness, nutrition and wellness through powerful, inspirational teen-driven content.*
  • Chronology.MD  A PHR application for patients with Crohn’s disease. This project, funded by the Robert Wood Johnson Foundation, seeks to help patients create and communicate an effective patient narrative that can be used to increase the quality of the patient’s life and health over time.
  • Eyenetra.com A combination of a mobile phone and a clip-on eyepiece that allows anyone to quickly measure their own eyes for glasses. Through mobile connectivity, the system allows users to easily access back end service providers and caregivers for consultation and treatment, enabling a complete solution from awareness to treatment.
  • Sotera Wireless A wireless platform for continuous vital signs monitoring that keeps clinicians connected to their patients, whether in transport, in the emergency room or in general inpatient units.

5 Great Resources

What words, quotes, or companies caught your attention at the 2011 mHealth Summit?

What others are saying about the 2011 mHealth Summit

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* Disclosure:  I’m a consultant on a grant to BodiMojo.

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