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Study: Effect of Dietary Counseling for Weight Loss

— Dietary Counseling Results in Weight Loss of Approximately 6 Percent of Body Weight after One Year

PHILADELPHIA, July 3, 2007 -- A new study of published literature that reported the effect of dietary counseling for weight loss finds that, on average, dietary counseling has resulted in weight loss of approximately 6 percent of initial body weight (approximately 10-15 pounds) after one year, compared with people not involved in formal weight loss programs.

The authors analyzed 46 trials that included 6,386 people who were participating in dietary counseling-based weight loss programs and 5,467 people not involved in formal weight loss programs. Programs with more frequent meetings and greater calorie restrictions tended to produce greater weight losses over time.

Approximately half the weight loss remained at three years, but almost none of the weight loss remained at five years. Obesity-related problems are among the most serious health problems facing U.S. adults. Nearly two-thirds of U.S. adults are overweight (BMI over 25), and approximately half of overweight adults are obese (BMI over 30). Overweight and obesity are known risk factors for diabetes, coronary heart disease, high blood pressure, stroke, hypertension, degenerative joint disease of the knees and hips, and some forms of cancer, among other conditions.

Dietary and lifestyle modifications are the primary methods for treating and preventing obesity but the net effect of dietary counseling for weight loss had not been published until now.

"We did not know how much weight people lost on average through weight loss programs or how long it took them to gain it back," said Michael L. Dansinger, MD, MS, one of the study authors and a physician at Tufts-New England Medical Center's Division of Endocrinology, Diabetes and Metabolism and Assistant Professor of Medicine at Tufts University School of Medicine. "This study shows that lifestyle changes need to be for the long-term.

"Moderate weight loss -- 10 to 20 pounds -- has a dramatic effect on most of the medical problems caused by obesity. Diabetes, cholesterol, blood pressure, and stroke risk all appear to be nicely reduced by a moderate amount of weight loss. People don't have to lose 100 pounds to make a big difference in their health."

The study, "Meta-analysis: Effect of Dietary Counseling for Weight Loss," appears in the July 3, 2007, issue of Annals of Internal Medicine.

Overweight refers to an excess of body weight compared to set standards. The excess weight may come from muscle, bone, fat, and/or body water. Obesity refers specifically to having an abnormally high proportion of body fat. A person can be overweight without being obese, as in the example of an athlete who has a lot of muscle.

Body mass index (BMI) is a calculation based on height and weight, and it is not gender-specific in adults. BMI does not directly measure percent of body fat, but it is a more accurate indicator of overweight and obesity than relying on weight alone. BMI is calculated by dividing a person's weight in kilograms by height in meters squared.

Annals of Internal Medicine is one of the most widely cited peer-reviewed medical journals in the world. The journal has been published for 80 years and accepts only 7 percent of the original research studies submitted for publication. Annals of Internal Medicine is published by the American College of Physicians, the largest medical specialty organization and the second-largest physician group in the United States.

ACP members include 123,000 internal medicine physicians (internists), related subspecialists, and medical students. Internists specialize in the prevention, detection, and treatment of illness in adults.

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