Good News for “Yo-Yo” Dieters

By Dr. Madelyn Fernstrom

If you’ve lost and gained the same 20 (or 30, 40, 50+ pounds) for years and believe that you’ve “wrecked” your metabolism and can’t maintain successful long term weight loss, there’s very good news for you!

A recent article in the scientific journal Metabolism followed more than 400 women for one year. About 40% of the participants classified themselves as “weight cyclers,” defined as losing (and regaining) at least 10 to 20 pounds at least three times. Participants were assigned to one of four treatment groups: (1) reduced calorie diet only; (2) reduced calorie diet plus exercise plan; (3) exercise plan alone; (4) no intervention, served as the comparison group. 

Now here’s the good news! There was no significant difference for the total amount of weight lost between women who were yo-yo dieters and those who weren’t. That’s a reassuring message for the millions of women (and men) who feel their efforts are sabotaged by their past weight cycling history.

If you’re trying to avoid the problem of yo-yo dieting altogether, start with setting modest, realistic goals for yourself. Slow and steady wins the weight loss race. Small short-term goals add up to long-term success. 

The 5 Ds of Dieting

By Dr. Madelyn Fernstrom

Do you struggle with food cravings? 

This is a giant barrier to weight loss success. It sets up a negative cycle of initially “battling” the craving, giving in, overindulging, feeling like a failure, and giving up. Sound familiar? 

I’d like you to try my easy “5 Ds” to help manage your food cravings. They really work! 

DELAY – DISTRACT – DISTANCE – DETERMINE – DECIDE.

Delay: Postpone eating for 10-15 minutes when you feel an urge. You’re not saying “no” – just stopping to think before you eat. You’re not ignoring the thought but dealing with it. While you’re delaying your decision, the next D makes it easier…

Distract: Try a non-food activity to give you something to do (so you don’t watch the clock for 10 minutes!). Often the wave of desire to eat disappears in a few minutes when you keep your hands busy without food. Clean out a drawer, call a friend, brush your teeth, surf the web, or even learn to knit!

Distance: It’s important to keep your eating environment at arm’s length – maintaining a distance. Keep food out of sight, not on counters; “out of sight, out of mind” can help. Stay out of the kitchen when a craving strikes. And use the kitchen only for food preparation and meal consumption. Avoid it as a place to hang out.

Determine: After waiting 10-15 minutes, determine whether you are physically hungry or just thirsty; these two are often confused. Also consider whether you might have emotional/boredom hunger, what I call “head hunger.” And avoid getting over-hungry, a main consequence of meal skipping. All of these situations can be helped with a structured eating schedule and pre-planned meals and snacks.

Decide: If you’ve made it through the first 4 Ds, it’s time to make a smart choice. Think before you eat and pre-plan what you are really looking for – sweet, creamy, salty, chewy – before you make a choice. Look for single-serving packaged items for built-in portion control. You also get the satisfaction of “eating the whole thing.” Aim for a snack between 100-200 calories.

How do you manage your own food cravings? Please share your thoughts!