Obese people regain weight after dieting due to hormones

Obese people may regain weight after dieting due to hormonal changes, a University of Melbourne and Austin Health study has shown.

The study was published in the New England Journal of Medicine.

Worldwide, there are more than 1.5 billion overweight adults, including 400 million who are obese. In Australia, it is estimated more than 50 per cent of women and 60 per cent of men are either overweight or obese.

Although restriction of diet often results in initial weight loss, more than 80 per cent of obese dieters fail to maintain their reduced weight.

The study involved 50 overweight or obese adults, with a BMI of between 27 and 40, and an average weight of 95kg, who enrolled in a 10-week weight loss program using a very low energy diet.  Levels of appetite-regulating hormones were measured at baseline, at the end of the program and one year after initial weight loss.

Results showed that following initial weight loss of about 13 kgs, the levels of hormones that influence hunger changed in a way which would be expected to increase appetite. These changes were sustained for at least one year. Participants regained around 5kgs during the one-year period of study.

Professor Joseph Proietto from the University of Melbourne and Austin Health said the study revealed the important roles that hormones play in regulating body weight, making dietary and behavioral change less likely to work in the long-term.

“Our study has provided clues as to why obese people who have lost weight often relapse. The relapse has a strong physiological basis and is not simply the result of the voluntary resumption of old habits,” he said.

Dr Proietto said although health promotion campaigns recommended obese people adopt lifestyle changes such as to be more active, they were unlikely to lead to reversal of the obesity epidemic.

“Ultimately it would be more effective to focus public health efforts in preventing children from becoming obese.”

“The study also suggests that hunger following weight loss needs to be addressed. This may be possible with long-term pharmacotherapy or hormone manipulation but these options need to be investigated,” he said.

The study was done in collaboration with La Trobe University.

2 COMMENTS

  1. What we need to know here is the calorie count of the “Very low energy diet” consumed by the participants. One press account I read said that it was 500 calories a day — not too far from a prison camp diet. If that’s all you’re getting for 10 weeks, of course your appetite is going toi bounce back with a vengeance when you’;re released from the study. The conventional wisdom here (that provided by Weight Watchers, for example, which I’m on) is to reduce your diet to a reasonable levelm (1500 calories a day, maybe even 2000) and take the weight off over a period of months, accustoming yourself to this as your normal diet–one you can live with. Had that been the parameters of this study, the results would be useful. Of course that would have taken more time and cash. I also wonder about the suggestion that pharrmacological help is needed in effective weight loss. I smell a rat here. Tell me that a drug company didn’t have a hand in this study.

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