Despite America's pre-occupation with losing weight and the pursuit of
thinness, recent data shows that something is just not working. According
to the American Association of Clinical Endocrinologists and The American
College of Endocrinology, we are getting fatter! And, according to the National
Health and Nutrition Examination Surveys, the prevalence of overweight and
obesity for age 20 years is 59.4% for men and 50.7% for women. This represents
more than 97 million adults in America. The treatment of obesity and its
associated medical problems cost more than $99 billion each year and consumers
also spend in excess of $33 billion annually on weight-reduction products
and services.
Even a weight loss of 5-10% can contribute to health benefits. However,
taking it off is not nearly as difficult as keeping it off. Studies
show that 2/3 of weight loss patients who participate in a program and lose
weight regain it all within one year. It is theorized that relapse results
because of a complex interaction of physical, mental, emotional, and biological
factors that influence energy balance. One of the main physical factors
involved in weight loss maintenance is the commitment (or lack thereof)
to an exercise program. Other factors in relapse occurrence have to do with
the body re-adjusting to a lower calorie intake, de-motivation, & lack of
family/environmental support.
Where should we go from here? To understand a new vision, we first
have to look historically at our past and what hasn't worked and why. This
is just as important as identifying what has worked and why.
We also need a new "toolbox", or plethora of strategies, to address the
variety of issues surrounding weight management. Once we understand these
historical stumbling blocks, we can more successfully achieve weight loss/maintenance
goals by utilizing effective weight management strategies.