For some frequent dieters, weight loss is a vicious cycle.
They're gung-ho in the beginning, and the pounds melt away,
but not for long. Once they stray from their diet, all the weight
that was lost makes a comeback.
This weight cycling, also known as "yo-yo" dieting,
has been vilified over the years. Studies have linked it to
everything from high blood pressure and high cholesterol to
diabetes and depression.
In fact, a 2006 review in theInternational Journal of Obesityby
Swiss researchers of the scientific evidence noted an association
between weight fluctuations and cardiovascular disease and
death.
"I agree that data on weight cycling are mixed, particularly
on weight regain, decreased energy expenditure, etcetera,"
said lead author Dr. Jean-Pierre Montani, professor and chair
of physiology at the University of Fribourg.
"However, there is increasing evidence that weight cycling
may lead to cardiovascular and metabolic disorders," such
as hypertension and diabetes, he added. "And the risk of complications
of weight cycling seems greater in people with normal weight
or slightly overweight than in obese people."
But other experts say the news on weight cycling may not
be as bad as it seems, and it shouldn't discourage people
from trying to lose weight.
"From my perspective, it's so worth it to try (losing weight),
even if it's the sixth time," said Dr. Michael L. Dansinger,
an assistant professor of medicine and obesity researcher
at Tufts-New England Medical Center in Boston. "It's the people
who never give up trying who are eventually going to succeed."
Weight cycling can refer to a small weight loss and regain
of 5 to 10 pounds, or a large cycle of 50 pounds or more,
according to the Weight-control Information Network, a service
of the U.S. National Institute of Diabetes and Digestive and
Kidney Diseases.
And at least some of the studies suggesting that repeatedly
losing and gaining weight poses health risks fail to separate
intentional weight loss from unintentional weight loss, one
expert maintained.
"People who lose weight unintentionally may be losing weight
due to a disease, such as cancer, or depression," explained
Alison E. Field, associate professor of pediatrics in the
Division of Adolescent Medicine at Children's Hospital Boston.
"Those weight losses one would expect to look bad for your
health, because they are the result, not the cause, of disease."
Field, who studies intentional weight loss, added, "In our
ongoing work, weight cyclers do not appear to be more likely
to die."
The U.S. National Task Force on the Prevention and Treatment
of Obesity found that, while conclusive data regarding the
long-term health effects of weight cycling are lacking, the
potential risks do not outweigh the potential benefits of
weight loss in significantly obese patients.