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Yo-Yo
Weight Loss May Impair Immunity
Frequent intentional weight loss may
have significant long-term detrimental effects on the immune system,
study results show, while maintaining a healthy weight benefits
immune function.
"There are clear health benefits
to reducing body weight among those who are overweight or obese,"
Dr. Cornelia M. Ulrich stated. "Our main concern is the pattern
of weight cycling or yo-yo dieting that many go through."
Ulrich, from the Fred Hutchinson
Cancer Research Center in Seattle Washington, and her colleagues
studied 114 healthy, overweight sedentary postmenopausal women.
The team found that the immune function of so-called natural killer
(NK) cells was significantly lower in those who had ever intentionally
lost 10 pounds or more compared with those without this history.
Moreover, the cell-killing ability
(or "cytotoxicity") of NK cells was "increasingly lower" with
the number of times a woman reported shedding 10 pounds or more,
the investigators report in the Journal of the American Dietetic
Association.
"Two or more episodes were associated
with substantially decreased NK cytotoxicity, with the lowest
NK cytotoxicity seen in those reporting the highest frequency
of weight loss," they say. According to the team, frequent intentional
weight loss reduced both the proportion and absolute number of
NK cells.
Maintaining a stable weight over
several years, on the other hand, was associated with significantly
greater NK cell numbers and cytotoxicity.
The public health implications
are "potentially substantial in that intentional weight loss is
common and may become even more common if the prevalence of obesity
continues to increase," Ulrich and her colleagues write.
"Lower NK cytotoxicity could contribute
to an increased incidence of viral infections, and thus, to lost
productivity or decreased quality of life," they warn.
Ullrich concluded, "We suggest
a sensible approach to weight loss that combines dietary changes
with regular exercise. Exercise may be key, in that it helps to
keep weight off and also may boost the immune system."
SOURCE: Journal of the American
Dietetic Association, June 2004.
Reference
Source 89
July
12, 2004
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