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    Secrets of Success from Folks Who Removed Weight and Kept it Off
    Pamela Peeke, MD, MPH, FACP posted:
    The National Weight Control Registry is an ongoing study (17 years old thus far) of over 6000 adults who've dropped an average of 66 pounds and kept it off an average of 5.5 years. The researchers have discovered great nuggest of information based on the stories of these folks and here's a page summarizing some of their findings. For instance, everyone's different. Some people drop weight faster than others, with some taking up to 14 years to get the job done. Hey, who cares, so long as it stays off! Here's more: 78% eat a healthy breakfast every day, 75% weigh themselves at least once a week, 62% watch less than 10 hours of TV per week, and 90% exercise on average one hour per day.
    Dr Peeke
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    Jis4Judy responded:
    Hi Dr Peeke that diet study is missing my stats
    because they send out this big questionaire that I didn;t want to fill out if they had an online info gathering they may have had better info a lot of small print on that info gathering package made it hard for me to enter my info ..
    they did that info gathering the old fashioned way thru snail mail.
    Hugs Judy:)
    Pamela Peeke, MD, MPH, FACP replied to Jis4Judy's response:
    Hi Judy! Glad to know you've learned how to navigate the new board! You're absolutely correct. Drs. Hill and Wing are friends and colleagues of mine. I was amazed to find that so much of the original paperwork was handled by hand and snail mail. But then remember that this study began 17 years ago. They just haven't had the funding to computerize everything yet.

    Great data from the study. The number one predictor for people shedding and keeping off the weight is having a healthy breakfast in the morning. Also, these folks average 400 cals of exercise almost every day of the week, or 2800 cals per week. These are key elements in the formula for removing weight and sustaining it for life.

    You know that! You live it Judy!

    Dr Peeke
    redwingfan replied to Pamela Peeke, MD, MPH, FACP's response:
    I joined this study a few months ago! It was a ton of questions but I was more then willing to answer them all if it helps researchers understand how we keep the weight off. My hope is that it will help those that are struggling with their weight.
    Pamela Peeke, MD, MPH, FACP replied to jambajuice's response:
    Hi there and thanks for taking the time to look at the registry site. You have great questions so I'll try to hit'em all.

    The registry is primarily women because men rarely ever take the time to participate in these kinds of studies. Historically, women like to take the time to share facts and insights. Men tend to drop the weight and move on without need to share.

    Regarding the mental and emotional components, the original objectives of the investigators was to pinpoint measureable outcomes and metrics they could use in their published reports. Calories consumed and expended, hours watching TV, etc are examples. There are studies derived from the registry that indicate that men are more likely to be motivated to drop weight if it's related to something that a doctor or loved one has said, or if there is a number awry (cholesterol or blood pressure or sugar). Women, on the other hand, are more likely to launch their journey based upon some emotional event or experience (hating they way they look, how they're living). The investigators are still mining data and may be delving more into the emotional components some time in the future.

    The average number of pounds shed in the current registry cohort is 60lbs which means that there are plenty of folks who dropped over 100 pounds. We don't yet have exact numbers, but it can be said that there were significant decreases in medications involved with diabetes and heart disease.

    This registry is the most unique ongoing study of its kind in the world. It now have over 6000 participants, which also include bariatric surgery folks. More men are joining but nowhere near as much as the women. The study is over 17 yrs old.

    We need so much more information on the issue of maintenance. What we do know is that without daily vigilance and compliance with mental, nutritional and activity elements, it's very easy to slip backwards. The key is practice. My patients who have kept significant weight off for years, have noted that the more they practice and maintain a living and working environment conducive to compliance, the easier their lives have become as they strive to continue their maintenance.

    Dr. Peeke
    bike2burn responded:
    Thanks for posting the link to this study. The ongoing work at the NWCR is fantastic and enlightening for all of us. Another interesting study was done by the folks at Kaiser Permanente Center for Health Research. .

    "One of the largest and longest weight maintenance trials ever conducted..." What did they find? "Those who kept daily food records lost twice as much weight as those who kept no records. It seems that the simple act of writing down what you eat encourages people to consume fewer calories."

    What did I learn from both studies?
    1. [a name=NewsFullStory7> Eat breakfast every day
    2. [a name=NewsFullStory8> Weight myself weekly (at least 3x for me)
    3. [a name=NewsFullStory9> Record (track) what I eat
    4. [a name=NewsFullStory10> Exercise at least 1 hour per day
    I would also throw in a bullet point for knowing my daily calorie requirement (2250 for me) and a bullet for making healthy eating choices.

    Weight loss isn't rocket science as both of these studies have shown. More importantly for me, these studies prove that weight maintenance is about making these habits a part of every day living. That's the real trick.
    bike2burn replied to Jis4Judy's response:
    That an interesting question. I spend a lot of time researching and reviewing weight loss and fitness-related web sites like TDP, Sparkpeople, etc... I certainly don't have concrete numbers, but forum/discussion participation seems to be 75% more female. I don't know what percentage is on this board, but quickly looking over a few discussions, it's probably the same. I have <not> noticed similar imbalances on social media platforms like Facebook, LinkedIn, Twitter. You may be right. It may have to do with the personal nature of weight loss. It would be great to hear other perspectives on this subject.

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