If you want to lose weight, doing something as
simple as recording what you eat might make the biggest difference.
Writing down what you eat can double your weight loss, according to a study
that the American Journal of Preventative Medicine will publish next month.
This
finding comes from an analysis of the first phase of one of the largest
weight loss maintenance trials every conducted. After about six
months, the nearly 1,700 participants lost an average of 13 pounds.
Kaiser Permanente's Center
for Health Research in Portland, Oregon, which ran the study, asked journalists not to write about it until today. But Kaiser Permanente sent me a copy of the forthcoming report, "Weight Loss During the Intensive Intervention Phase of the Weight-Loss Maintenance Trial." And last week one of the study's researchers spoke with me for an hour. The Kaiser Permanente investigators wanted to help a large
proportion of people to lose weight and to keep that weight off
long-term. The primary purpose of the study was to look at different
strategies for long-term weight loss.
Senior Investigator and co-author of the study, Victor J. Stevens, Ph.D., told me that they found that the more food records that the people in the study kept the more weight they lost. The study focused on reducing calories and didn't address the advantages of a low-carbohydrate diet, he said.
"We
asked them to write
down everything that they ate and drank that had any calories in it,"
he told me. Dr. Stevens and his staff provided calorie guides and asked
the participants to show their records to the investigators and talk
about them in regular group meetings.
"Just
writing everything down tends to change what people do," he says. "And
other people looking at the food diaries tends to make that effect even
stronger."
More than
two-thirds of all Americans and 85 percent of those of us with diabetes
are overweight or obese. "If we all lost as much as the people in this
study did, our nation
would see vast decreases in diabetes, hypertension, high cholesterol,
heart disease, and stroke," Dr. Stevens says.
"One of the myths in common knowledge is that
most people can't lose weight," he told me. "That's not been my experience doing weight
loss work with many people, and it was not our experience in this study. I
see people all the time who are discouraged and don't want to try because
they've been told that there's nothing you can do about it. But that's
just not the case."
I
asked Dr. Stevens to share the food diary form that they developed for
the people in their study, and I got it yesterday. While I'm not trying
to lose any more weight, keeping it off for the rest of my life is
important to me.
So I have started to use
this form to record everything I eat. In addition to counting my
calories, I am using it limit my carbs, rather than record the fruits
and vegetables, low-fat dairy, and sodium that they asked people in the
study to track.
You can also use the form
to help yourself count your calories while making those adjustments to
the form that are important to you. Dr. Stevens gave me permission to
make it available to you on my website. It's online at http://www.mendosa.com/kaiser_diary.pdf

