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Weight Loss and Weight Maintenance Long Term
Obesity is Chronic Condition Needing Lifelong Treatment by Diet and Exercise
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Long Term Weight Maintenance

Weight Regain & Weight Loss Maintenance
Clinical trials with long term follow up indicate that most lost weight is regained within 5 years, which has contributed to the perception that long term reduction in body weight is difficult, if not impossible, to achieve. Physicians and patients must recognize and accept that obesity is a chronic condition that, just as with conditions such as hypertension, requires lifelong treatment. Limited evidence suggests that continued professional contact and strategies such as self-help groups can help to sustain weight loss over time.

Weight Loss Maintenance & National Weight Control Registry
The United States based National Weight Control Registry studies strategies used by people who have successfully maintained their weight loss (maintenance of at least a 30 lb (13.5 kg) intentional weight loss for over a year). Over 3000 people are registered, with an average reported weight loss of 30 kg sustained over an average of 5.5 years. Most participants (90%) report previous unsuccessful attempts at weight loss.

Weight Loss Maintenance & Low Fat Diet
Common strategies used by the participants to maintain their weight loss include eating a diet low in fat and high in carbohydrates, frequent self-monitoring, and regular physical activity. On average, participants report expending 2500-3300 calories a week, which is comparable to about 1 hour of moderate intensity physical activity a day. This level of energy expenditure is higher than the amount typically recommended for the general public.

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