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Weight Loss Programs Weight Watchers, Jenny Craig, Nutrisystem 2 Comparing Weight Loss Diets: The truth behind the hype Jim Painter, PhD, RD Americans spend $40 billion a year on weight-loss programs and products. http://www.businessweek.com/debateroom/archives/2008/03/the_diet_industry_a_big_fat_lie.html Todays plan 1. Weight loss programs Weight watchers, Jenny Craig, Nutrisystem 2. Low carb Atkins, Zone, South Beach, Paleo 3. Low fat Ornish 4. How well do they work? 5. What works Why people follow a diet • Appearance/weight loss • Health • Dr.’s orders • Disease/health conditions Dieting Trends Commercial dieters were less likely to include a physical activity regime while dieting compared to those following the dietary guidelines Men Women • Typically older • More likely to • Former smokers select commercial • Overweight/obese programs • Infrequent dieters • Follow multiple diet programs Julia, C., Peneau, S., Andreeva, V., Mejean, C., Fezeu, L., Galan, P., & Hercberg, S. (2014). Weight-loss strategies used by the general population: How are they perceived? Plos One, 9(5), e97834. Consumers Perceived Importance of Diet Information Scientific publications Government websites Online support groups Very important Private health organizations Somewhat important Manufacturers websites Not important TV or other media Popular books 0 20 40 60 80 Feinman R, Vernon M, and Westman E. 2006. Truth #1 Consider the source of your info. Motives and scope of knowledge Celebrity Endorsements Weight watchers homepage. Web site. Last accessed: 12/10/13 http://www.weightwatchers.com/index.aspx. Nutrisystem homepage. Web site. Last accessed: 12/10/13 http://www.nutrisystem.com/jsps_hmr/home/index.jsp. Jenny craig homepage. Web site. Last accessed: 12/10/13 http://www.jennycraig.comMedifast homepage. Web site. Last accessed: 12/10/13 http://www.medifast1.com/index.jsp. Collins, C., Morgan, P., Jones, P., et al. Evaluation of a commercial web-based…. BMC Public Health. 2010;10: 669-676., Freedhoff, Y., & Sharma, A. "Lose 40 pounds in 4 weeks”....Can Med Assoc J. 2009;180(4):367., Koche, L. Obesity and its treatments: An overview. Your Weight Matters Magazine. n.d.;, Franz, M., VanWormer, J., Crain, A., et al. Weight-loss outcomes: A systematic review… J Am Diet Assoc. 2007;107(10):1755-1767., Weight watchers homepage. Web site., Nutrisystem homepage. Web site., Jenny craig homepage. Web site., Leske, S., Strodl, E., & Hou, X. A qualitative study of the determinants of dieting….BMC Public Health. 2012; 12(1): 1086-1098., Moisio, R., & Beruchashvili, M. Questing for well-being at weight watchers…. J Consum Res. 2010;36(5):857-875.,Pinto, A., Fava, J., Hoffmann, D., & Wing, R. Combining behavioral weight loss treatment….. Obesity (Silver Spring). 2013;21(4): 673-680., Lowe, M., Kral, T., & Miller-Kovach, K. Weight-loss maintenance 1,2, and 5 years…Br J Nutr. 2008;99(4):925-930., References cont, in Notes. Weight loss Programs Program Weight Loss Length of Best for Entry Requirements Credentials of leaders Claim program Patient who Jenny Craig 1-2lbs per Until weight-loss Is looking for Medical History -Internally trained consultants week is met structured program background (former clients who were with flexibility built questionnaire successful in the program) and in program directors -Attend 48-hour training session with ongoing monthly continuing education classes Nutrisystem 1-2lbs per 28-day cycles Looking for a more Internally trained internet and week until weight loss private weight loss phone consultants is complete experience that None includes a MR diet No requirements to go to a clinic, weigh in, or classes Weight 1-2lbs per Forever – Looking for weekly Lifetime members (successful Watchers week behaviors are meetings, group None members who reach their goal taught to keep a support, weigh ins weight and complete 6-week portioned diet maintenance phase, who then must stay within 2lbs of goal) who receive leadership training Weight watchers homepage. Web site., Nutrisystem homepage. Web site., Shuman, J. Weight-loss programs: Is one right for you?. Am J Nurs.1993;93(5):70-73. Hubbard, B. Commercial program and product review: Meal replacement-based weight-loss programs. Obes Manag. 2007;292-295. Leavell, A. Commercial program and product review. Obes Manag. 2008;250-256. Medifast homepage. Web site. Coleman, C., Kiel, J., Hanlon-Mitola, A., et al. Use of the medifast meal replacement programs for weight loss in overweight and obese clients: A retrospective chart review of three medifast weight control centers (mwcc). Food Nutr Sci. 2012;3:1433-1444. Koche, L. Obesity and its treatments: An overview. Your Weight Matters Magazine. n.d.; Pre-made meals Get a personal consultant At home or In-Center option Pick a program • Pros Weight is lost when following program, having a counselor holds people accountable, little planning and food preparation • Cons Does not teach healthy lifestyle habits, hard to eat out • Has been around for 40 years. • Gourmet, fresh-frozen cuisine entrees created by Chefs. • Has a separate plan for both males and females. • My Daily 3 Fitness Program • Nutrisystem D is for those with type 2 diabetes Nutrisystem PCD VS DSE 8.2 9 8 7 6 PCD 5 DSE 4 Weight lost in kg lost Weight 3 0.6 2 1 0 0-3 Months Foster GD, Borradaile KE, Vander SS, Shantz KL, Dilks RJ, Goldbacher EM, Oliver TL, LaGrotte CA, Homoko C, Satz W. The effects of a commercially available weight loss program among obese patients with type 2 diabetes: a randomized study. Postgraduate Medicine. 2009; 121(5). Nutrisystem PCD VS DSE 9.7 10 9 8 5.3 7 PCD 6 DSE 5 4 3 Weight lost in kg lost Weight 2 1 0 3-6 Months Foster GD, Borradaile KE, Vander SS, Shantz KL, Dilks RJ, Goldbacher EM, Oliver TL, LaGrotte CA, Homoko C, Satz W. The effects of a commercially available weight loss program among obese patients with type 2 diabetes: a randomized study. Postgraduate Medicine. 2009; 121(5). Truth #2 Sustainable Portion control is key! • Pros • When meals are eaten weight is lost, study shows it is good for Type 2 Diabetics • Cons • Does not teach healthy eating habits, gain weight once you go off of it, hard to eat out Four Pillar approach Healthy weight loss Fits into your life Informed choices A holistic view PointsPlus Value Each person has a PointsPlus Target Encourages Weight Watchers Power foods. Weekly PointsPlus Allowance WW Good Health Guidelines • Include at least 5 servings of fruits and vegetables (9 if you weight more than 350 pounds). • Have at least 2 servings of milk; 3 if you are a nursing mom, a teenager, are over 50 or weigh more than 250 pounds. • Drink at least 6 glasses of nonalcoholic drinks. • Eat a serving or two of a protein-rich food. • Take a multiple vitamin-mineral supplement. • Limit added sugars, sodium and alcohol. • Have 2 teaspoons of healthy oil, including olive, canola, sunflower, safflower, or flaxseed. • Choose whole-grain foods whenever possible. • Aim to get at least 30 minutes of moderate-intensity activity. “Diet Trials” Study 7 6 5 4 Weight 3 Watchers Control Group 2 Weight lost in kg lost Weight 1 0 -1 0-2 Months 2-6 Months 0-6 Months Truby H, Baic S, deLooy A, Fox KR, Livingston MBE, Logan CM, Macdonald IA, Morgan LM, Taylor MA, Millward J. Randomised controlled trial of four commercial weight loss programmes in the UK: initial finding from the BBC “diet trials.” BMJ. 2006. Weight Watchers VS Self-Help Program Heshka S, Anderson JW, Atkinson RL, Freenway FL, Hill JO, Phinney SD, Kolotkin RL, Miller-Kovach K, Pi-Sunyer FX. Weight loss with self- help compared with a structured commercial program a randomized trial. JAMA. 2003;289(14):1792-1798. Truth #3 General information doesn’t work! A specific sustainable plan is needed! • Pros • Promotes healthy lifestyle changes, support group, encourages physical activity, provides maintenance program, online tools for members • Cons • Public weigh in, set meetings may be difficult to fit into schedule Low-Carb Diets Program Weight Loss Claim Length of Best for Entry Credentials of leaders program Patient who Requireme nts The Zone Diet “The Zone Diet, including our Lifetime Struggle with None PhD (website along with his high-quality Omega-3 fish oil illnesses CV and biography do not say supplement, is the fastest way to caused by what his PhD is in) reduce the inflammation in your inflammation body that comes from what you eat.” South Beach 8-13lbs in phase 1 Phase 1- 2 weeks Anyone None Doctor 1-2lbs per week in phase 2 Phase 2- until goal weight is reached Phase 3- forever Paleo Diet -Reduce your risk of heart disease, type 2 Forever or until Need None - Ph.D. in Health diabetes, and most chronic degenerative health goals are straightforward - M.S. in physical diseases that affect people in the western education world reached. Diet instructions on was designed to what they can - B.S. in exercise science •Lose weight if you are overweight - M.S. in Human Nutrition •Improve your athletic performance follow indefinitely and cannot eat •Slow or reverse progression of an and Food Quality, autoimmune disease nutrition consultant •Improve or eliminate acne - Ph.D. in Physiology •Sleep better and have more energy - Ph.D., in Nutritional throughout the day Biochemistry and •Enjoy an increased libido Physiology •Improve your mental outlook and clarity •Enjoy a longer, healthier, more active life Atkins Diet You’ll see results quickly. Even after just a few Permanent Wants meals None - PhD, RD, M.S. days, your clothes will fit better! You’re never hungry. In fact, you’re eating lifestyle change mailed to them - Physician in Obesity every two to three hours. and counts Management You don’t have to exercise. While it’s a good carbs - Professor in the idea to exercise for other reasons, on Atkins you can still lose weight without exercise.
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