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In the U.S., more than 7 out of 10 adults (73.6%) age 20 and over are categorized as having overweight or obesity, according to thelatest data from the U.S. Centers for Disease Control and Prevention. (Those categorizations rely on thebody mass index system.Body mass index(BMI) is a measure that’s often used in healthcare to determine a person’s body weight category such as overweight or obese, and therefore, chronic disease risk. However, it has limitations and does not account for individual factors that influence one’s health status, such as body composition, ethnicity, race, sex and age. This is why it shouldn’t be used as a comprehensive measure of someone’s health andcan be a source of body size stigma and bias.)
Manyleading causes of death, includingheart disease, are tied to an individual’s weight. Recently, several researchers have been trying to determine to what extent this correlation is true—especially since nearly three-quarters of American adults are at risk.
Glenn Gaesser, Ph.D., a professor of exercise science at Arizona State University, describes the six stages of what he calls the “Weight Loss Futile Cycle” as (1) Desire to weigh less, (2) Weight loss attempts, (3) Failure to reach weight-loss goal or maintain weight loss, (4) Frustration and reduced adherence to weight-loss program, (5) Weight regain/overshoot, and (6) Obesity prevalence.
And then there you are back at square one. Sound familiar?
“The weight-loss message is not, and has not been, working,” Gaesser toldWebMDin December. “The health benefits of exercise and diet are largely independent of weight loss.”
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In Gaesser’s paper, “Obesity treatment: Weight loss versus increasing fitness and physical activity for reducing health risks,” published in September 2021 in the journaliScience, he finds that “shifting the focus from weight loss to increasing physical activity and improving cardiorespiratory fitness” lowers the risk for death. Gaesser and his team believe that it’s the healthier lifestyle choices many people make when attempting to lose weight, such aseating more fruits and vegetablesand getting more exercise, that deliver a longevity boost—not necessarily carrying around less weight.
But, the benefits only stick around as long as the fitness routine stays in place.
“Adherence to exercise is just as challenging as adherence to diets. I think one of the reasons is that exercise has been promoted primarily as a means to lose weight,” Gaesser said in the WebMD interview.
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Being aware of the gap between anticipated and actual weight loss is important, according to Gaesser. Seeing a lower number on a scale is not a healthy goal; gaining fitness through an exercise regime suited to the individual is. Staring down at a scale can be discouraging. Eliminating that from a fitness routine may help those tempted to throw in the towel.
Gaesser’s encouraging bottom line, according to his study: “Emphasizing the intrinsic value of [physical activity] and [cardiorespiratory fitness]—as primary outcomes—may avoid repeating ‘failures’ associated with a weight-centric approach.”
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