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Eat a little less, and more sensibly

No one diet is better than any other – eat food that you like as long as it is high in fiber and low in calories, saturated fat, fatty meat, “junk food”, and snacks and soft drinks. Take more time eating meals, and chew thoroughly. Increase vegetable intake to help in losing fat. Drink less sugary drinks and be more active.
Quote of the decade: “Weight-loss studies require participants to eat less.”
Comparison of Weight-Loss Diets with Different Compositions of Fat, Protein, and Carbohydrates N Engl J Med 2009;360:859-73.
Good food

Highlights:
  • The participants were eager to lose weight: at 6 months, participants assigned to any of the diets had lost an average of 6 kg.
  • The diets were equally successful in promoting clinically meaningful weight loss and the maintenance of weight loss over the course of 2 years.
  • Study participants who attended two thirds of the sessions over the course of 2 years lost about 9 kg of weight.
  • The goal for physical activity was 90 minutes of moderate exercise per week.
The volunteers were followed for two years, much longer than most diet studies. But even with close encouragement and monitoring, dieting is clearly not the answer to the obesity problem. We need to enjoy our food, and enjoy being more active.
Find a better way.
An editorial about this study, Weight-Loss Diets for the Prevention and Treatment of Obesity quotes “A little-noticed study in France”. It was “little noticed” because it was published in the Journal Public Health Nutrition that does not have open access, and that most libraries do not hold. Nevertheless, it showed that if everyone makes an effort to encourage children to eat better and move around more the prevalence of childhood obesity falls.
Downward trends in the prevalence of childhood overweight in the setting of 12-year school- and community-based programmes.
FLVS

Changes over time in overweight (including obesity) prevalence in boys () and girls () since the start of the Fleurbaix–Laventie Ville Sante´ (FLVS) study. Means with 95% confidence intervals. Adapted from Monique Romon, et al, as above.
“Everyone” included local government, schools, caterers, shops, restaurants, teachers, doctors, pharmacists, sports associations, the media, and so on. This suggests that if we choose to make our environment to encourage us to walk more, and eat more healthily, we will all benefit.
A pilot
Be Active Eat Well program in the Australian town of Colac showed that significantly lower increases in body weight and waist size occurred in comparison to a similar group of people. In brief it amounted to providing opportunities for healthy food choices and physical activity.
Reducing unhealthy weight gain in children through community capacity-building: results of a quasi-experimental intervention program, Be Active Eat Well.
The study targeted behavior changes - reducing television viewing, sugar drinks and energy dense snacks; increasing water consumption, fruit intake, active transport to school, and active play after school and at weekends. Two other objectives were a parent support and education program, and a project to improve the deep-frying practices in food outlets (healthier frying oils, wider chips).
Let’s follow the French EPODE and Australian BAEW examples that show that working together; we can prevent obesity in children. If we can do it for children, we can do it ourselves. Why are we waiting – if we don’t do it, who’s going to do it?
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