Individuals with type 2 diabetes who maintain weight loss after an intensive lifestyle intervention have sustained improvements in cardiometabolic risk factors, and those who regain weight not only miss out on the benefits but may have a worsening of their metabolic profile, say US researchers.

In a new analysis of data from the Look AHEAD (Action for Health in Diabetes) trial, Samantha E. Berger, PhD, of Tufts University, Boston, Massachusetts, and colleagues studied almost 1600 individuals who followed an intensive lifestyle intervention.

Particularly among participants who initially lost at least 10% of their body weight, maintaining the weight loss over 4 years led to significant improvements in cholesterol levels, blood glucose, and blood pressure, among other parameters, compared with those who regained weight.

The research, published October 9 in the Journal of the American Heart Association, also suggests that people who regain weight could still experience cardiometabolic benefits, as long as they regain no more than 25% of the original weight loss.

Hence, "maintaining 75% of weight loss was generally beneficial," the researchers conclude.

"These findings emphasize the dual importance of not only achieving a heathy body weight but maintaining a healthy body weight," said senior author Alice H. Lichtenstein, DSc, director of the Cardiovascular Nutrition Laboratory at the Human Nutrition Research Center on Aging at Tufts University, in a press release by the AHA.

And although she acknowledged that keeping off the pounds can be "challenging," she cautioned: "If you lose weight and don't maintain it, the benefits are diminished or disappear."

Lichtenstein told Medscape Medical News that, in general, "People understand that they need to lose weight."

However, they "frequently go on extreme diets and are successful in losing the weight, but we don't seem to be putting as much emphasis on how crucial it is to keep the weight off," she asserted.

"It may feel terrific" when people lose weight quickly, but "you don't get the metabolic benefits unless you make sustainable changes to daily food intake or the way you moderate your energy intake."

This means maintaining lifestyle changes "essentially over a lifetime" for individuals to be able to "get back in balance."

Weight loss programs, Lichtenstein added, will therefore "have to put a lot more emphasis on what happens after someone successfully loses weight and not just celebrate that point."

In the new article, researchers say few studies have directly compared individuals with successful weight loss maintenance (maintainers) and individuals who regained weight (regainers).

In addition, the impact of weight regain after weight loss on cardiometabolic risk factors "is not well established."

In part of the Look AHEAD randomized controlled trial, individuals diagnosed with type 2 diabetes who had a body mass index (BMI) of over 25 kg/m2, or 27 kg/m2 if taking insulin, were assigned to an intensive weight loss lifestyle intervention or standard care.

The intervention lasted for 1 year and involved group support sessions, calorie and fat gram restrictions, and meal replacement and physical activity recommendations, with the aim of losing approximately 7% of body weight.

The participants, who were recruited from 16 sites across the United States, then entered a 3-year maintenance phase.

For the current analysis, researchers focused on 1561 individuals from the trial who were assigned to the intervention group, had initially lost at least 3% of body weight, and had follow-up data to the end of year four.

Within these groups, participants were classified based on how much weight they regained after the initial weight loss.

Those who gained none (0%) were termed "maintainers" and the rest were termed "regainers." The degree of weight regained was divided into four increments: 25%, 50%, 75%, and 100% of percentage weight-loss regained (weight change from years 1 to 4 as a percentage of the first year of weight loss).

Change in cardiometabolic risk factors after initial weight loss was compared in maintainers and regainers, after controlling for demographics, medications, and baseline and year 1 change in BMI.

The effect was also assessed separately in participants with < 10% weight loss and 10% initial weight loss.

As expected, individuals who lost more weight initially were significantly more likely to have improvements in cardiometabolic risk factors at year one than other participants. And those who initially lost more weight were significantly less likely to have started on diabetes and antihypertensive medications, and were significantly more likely to have stopped them during follow-up.

Among those who lost 10% initial weight, the results across most risk factors indicated maximal risk factor reduction among maintainers who successfully maintained 100% of the lost weight.

Successfully maintaining most ( 75%) of the weight loss (25% regain cut-point) was also associated with significant maintenance of improved risk factors.

In contrast, regainers showed significant deterioration in some cardiometabolic risk factors from years one to four.

Meanwhile, "For those who lost < 10% initial weight, keeping it off is better than regaining, but it appears the degree of maintaining the weight loss has little impact on cardiometabolic risk factors," the researchers say.

Overall, the findings emphasize the importance of intervention programs focusing not only on weight loss but weight loss maintenance, "given the adverse consequences of the latter," the authors reiterate.

"The important thing is, once you successfully lose weight, to really put a lot of emphasis on keeping it off," Lichtenstein told Medscape Medical News.

Finally, the researchers also say more work in this area is sorely needed.

"The findings from this study emphasize the need to further investigate long-term impact of partial weight regain after a weight loss intervention given the challenge of keeping off all of weight lost," they write.

The Look AHEAD trial was conducted by the Look AHEAD Research Group and supported by the National Institute of Diabetes and Digestive and Kidney Diseases; National Heart, Lung, and Blood Institute; National Institute of Nursing Research; National Institute of Minority Health and Health Disparities; Office of Research on Women's Health; and Centers for Disease Control and Prevention.

The authors have reported no relevant financial relationships.

J Am Heart Assoc. 2019;8: e010951. Full text

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Maintaining Weight Loss in Diabetes Is Key to Keeping Benefits - Medscape

When looking for a weight loss diet plan, looking to those who have recently slimmed down can be a good way to get inspired. One woman has used social media to share snaps of her impressive weight loss transformation. As well as sharing pictures of her slim frame, the Reddit user guesstalt posted her diet and fitness tips. She combined intermittent fasting with exercise to make the huge transformation.

In the post, the slimmer revealed she had slimmed down from 19st 4lb to a trim 12st 7lb.

Speaking of her incredible change, guesstalt revealed she followed an intermittent fasting plan.

On this diet, slimmers will restrict when they eat to certain times of the day and fast for the remaining hours.

Some will choose to do this by eating within a four or eight hour window during each day, such as between 12pm and 8pm.

Others will choose to eat all their daily calories in one meal of the day, also referred to as OMAD.

The slimmer said: I started doing 16:8 - six days a week, one free day - about two years ago, and Ive been doing OMAD five days a week with weekends only 16:8 for all of 2019.

gesstal told other Reddit users she would eat one meal a day an give herself a one hour window to do so.

She posted: My meal Mon-Fri is dinner. I usually break my fast around 6pm to 7pm and give myself an hour or so to eat what I need.

I try to eat lots of vegetables and get my protein, but other than that, I eat what I want within my calorie goal. IF has been a game changer for sure.

The dieter explained she continued the diet plan through the entire duration of her weight loss journey.

Whats more, she sped up her results by adding in exercise and has focused on combining weight training with cardio.

I lift or do circuit training five days a week Mon-Fri in the morning and 20 to 30 minutes of cardio several days a week in the afternoon, she added.

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Weight loss: One woman lost a remarkable seven stone with this diet plan - what is it? - Express

FacebookHolly Hager's episode of the hit reality series "My 600 Lb. Life," will be airing once again tonight at 8/7c on TLC. Click here for details on her life today.

Holly Hager, star of TLCs hit reality seriesMy 600 Lb. Life,featured on season 7 of the show, and fans can catch a rerun of her episode on TLC again tonight. For those who need a recap, Holly was raped when she was just 16-years-old, and the PTSD she suffered from the incident significantly influenced her weight gain later in life.

In a clip from her previous episode, Holly told the cameras that her weight got up to 600 pounds by the time she was 30. At that point, I finally decided that my life was getting so bad that I had to do something or I just wasnt going to last much longer.

By the end of Hollys firstMy 600 Lb Life episode, she had lost an impressive 240 pounds and was down from 658 pounds to 418.

So whats going on with Holly today? Since TLC is re-airing Hollys episode tonight, fans might be wondering where she is now, and if she managed to keep the weight off since she last appeared on the show. Heres what we know about Hollys life today:

Although Holly eventually found success with Dr. Younan Nowzaradans strict dietary restrictions and weight loss program, she struggled for the first five months in Houston. She started his program at 658 pounds, and she was determined to lose enough weight to get her weight loss surgery, but she quickly started to have issues with Dr. Nows diet, and admitted she was having a hard time both following his diet and not lying about it afterward. Holly only ended up losing 47 pounds in the first five months of Dr. Nows program, and was starting to feel discouraged.

Fortunately, things started to look up for Holly a little while later, and she ended up losing another 47 pounds over the next two months, which allowed her to get approval for her surgery. By the end of Hollys first My 600 Lb Life episode, she was down to 418 pounds. Her total loss of 240 pounds comes out to 36.4% of her peak weight, according to Starcasm.

According to Starcasm, shortly after her weight loss journey with Dr. Now began, Holly joined an organization calledDefined With Purpose, which helps survivors of sexual abuse. Per the DWP site, the group is a faith based non-profit organization that mentors those who have experienced child molestation and sexual abuse in understanding their value, worth, and purpose. Starcasm reports that Holly was an intern with the organization earlier this year, and helped run weekly group meetings.

Holly doesnt have much of a social media presence online; her Instagram page is private, and her Facebook page hasnt been updated since 2016, so its unclear at this time just how much weight the reality star has lost, and if she has continued to stay on track with Dr. Nows program.

Fans will just have to tune in tonight at 8/7c on TLC to catch Holly Hagers journey on My 600 Lb. Lifeto see where the beauty consultant is today.

READ NEXT: My 600 Lb. Life Deaths: Remembering the Cast Members Who Have Passed Away

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Holly Hager Update on My 600 Lb. Life - Heavy.com

Susanna Reid, 48, has admitted she was furious and upset when she discovered the involvement of her image in a diet scam. The Good Morning Britain presenter, who credits cutting alcohol and snacking from her diet as the key reasons behind her recent weight loss, explained she would never flog diet pills. However, the diet scandal which used her image, was promoting keto diet pills. Opening up about the issue, Susanna recalled in her Daily Mail column: Six months ago, I received a message on social media from a follower, complaining she hadnt received the keto diet pills shed ordered after I allegedly claimed theyd helped me shed almost two stone.

Other messages followed: one woman said her mother paid 100 after seeing me advertise the pills, but theyd never arrived.

Detailing her shock over the scam, she continued: I was furious and upset.

"I dont credit diet pills for my weight loss. I would never flog any weight-loss supplement.

It was all a con by scammers whod used my photo. Still, I was devastated that people were out of pocket because of an ad falsely bearing my name.

Susanna went on to reveal how stunned she was by how quickly the scam spread, as it even reached some of her friends.

She added: I also faced inquiries from friends concerned I had packed in my job to go into the weight-loss industry.

A woman got in touch with me asking when she can expect to receive her diet pills and I literally don't know anything about it.

I just can't understand how they're not taken down straight away."

Clarifying how she really lost weight, Susanna divulged to Prima Magazine: Ive lost a stone-and-a-half and I feel fantastic."

Explaining her decision to lose weight, the star added: "This time last year, I went to the doctor with a skin problem and he told me I could do with losing some weight.

"It turned out I was at the upper end of my BMI and, I have to admit, Id been feeling a little heavy for a while."

Susanna added: The good feeling of doing exercise is unbeatable.

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Nowadays, more and more people are overweight. Overweight has become a serious problem for both kids and adults. It can cause heart disease, diabetes, even cancers. Are you dealing with losing weight? Would you like to know how to lose weight fast and effectively?

Sure, there are many perfect ways for you. Lets take a look at 10 tips for successful weight loss.

In order to lose weigh you need to:

1. Eat much protein and vegetables

To lose weight fast and effectively, you should eat high-protein food and vegetable. Because green vegetables are rich in nutrients, vitamins, and minerals while providing fewer calories for your body. Broccoli, spinach, tomatoes, kale, cabbage, cucumber are perfect for your daily meal.

Also, protein can help you lose weight and belly fat. Many researchers show that high-quality protein diets can help reduce cravings and obsessive thoughts about food.

Many foods contain protein such as salmon, eggs, tuna, trout, shrimp, beef, chicken, and more. For example, you can eat eggs for breakfast because breakfast with eggs can help you eat fewer calories for the next 36 hours.

2. Do regular exercise

When you want to lose weight, you need to burn more calories than consume. So it is vital to do exercise daily. Do regular exercise also improves your physical and mental health. You can improve mood, stronger bones, and a reduced risk of many chronic diseases. Moreover, you can also reduce stress. So every day you should spend time doing exercise.

Doing aerobic exercise is an effective way to burn calories. Besides, there is another exercise for weight loss, including walking, running, cycling, swimming, yoga, and more.

3. Drink a lot of water, especially before meals

Are you know? Drink water, especially before meals helps lose weight. According to the studies, every day we have to drink enough two liters of water. Drink water promotes metabolism, curb cravings and reduce the amount of fluid in the body.

Especially, when you drink water before meals, the feeling of fullness will help you eat less and consume fewer calories. Moreover, when you lose weight, your skin also undergoes a lot of changes and it will certainly need a lot of water to stay balanced.

4. Get a good nights sleep

Sleep plays an important role in physical health. Good sleep can help you eat less, exercise better and be healthier. Sleep deprivation or poor sleep can cause obesity.

Moreover, a poor-quality sleep slows down metabolism. When metabolism is less effective, the body may store unused energy as fat. One of the ways to get a good nights sleep is to comply with sleeping exactly 8 hours a day.

5. Avoid sugary drinks

If you want to lose weight, cut back on add sugar. Sugary drinks are the most fattening things you can put into your body. So make sure that limits consume them.

When you drink sugary drinks like soda, you consume a lot of calories. Remember protein in sugary drinks doesnt help to lose weight. The better way is that you drink water every day.

6. Eat plenty of fiber

Fiber is one of the effective weight loss ingredients. When you eat more fiber, you can increase satiety for a longer period of time and help you eat less. In addition, fiber foods are low in calories.

Fiber-rich foods include fruit and vegetables, peas, beans, and pulses, nuts and seeds, whole-grain breakfast cereals, pasta, bread, oats, barley, rye, and more. However, you should get enough fiber to lose weight effectively and healthier.

7. Choose the best diets to lose weight

As you know, healthy diets help improve your health and keep your heart healthy. Today there are a lot of diet options to choose from. Especially, to lose weight, you have to choose suitable diets.

You should eat diets that have fewer calories and carbs. Besides, choose a variety of foods for each group.

8. Eat more slowly

If you are trying to lose weight, eat slowly and concentrate to eat less. Recent research proves that the brain needs time to recognize that the body is no longer hungry. When you digest food quickly, your brain will not be able to keep track of the amount of food eaten and as a result, you will eat more than you need.

Many studies also show that eating slowly can help you eat less and increase the production of hormones linked to weight loss. Instead of focusing on food, engage in conversations with friends and relatives to slow down your food intake.

9. Dont eat much fast food

Eating fast food is the reason why you are overweight. When you eat fast food, you eat a lot more food than your body really needs.

Fast foods are rich in calories but wont fill you up for long. Over time, excess calorie intake can lead to weight gain. Besides, fast food contains bad cholesterol that increases your risk of diabetes and heart disease.

So to lose weight fast and effectively, you shouldnt eat much fast food such as fried pies, pastries, crackers, cookies, and more.

10. Drink green tea

Green tea is very good for weight loss. Green tea is loaded with powerful antioxidants called catechins, which are believed to work synergistically with caffeine to enhance fat burning.

Green tea also helps you control hunger, create a feeling of fullness and not crave snacks. Besides, a green tea extract supplement can help you lose weight.

In addition to healthy diets, 3- 4 cups of green tea per day will help you shorten your fat loss process. Green tea can help your body burn 100 calories a day. Drink 1-2 small cups before or after a meal from 30-45 minutes to promote the maximum benefits of green tea.

To sum up, with the above useful tips, we hope that you can lose weight successfully.

Sarah is a travel enthusiast and writer who likes to express her opinions and share her experience in all aspects of life, particularly self-improvement. She has a bachelors degree in International Relations. And most importantly, her dream is to travel the world, meet new people and give love to all the beautiful souls she meets on her journey. Also, she is working at couponupto.comwhich is a website for saving shopping online.

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Top 10 tips to lose weight fast and effectively - Best in Australia

Ketogenic diets are popular for a reason: They get great results. After a few weeks on this plan, my patients usually feel great and lose weight. Their mental clarity improves, they lower inflammation levels, and they reduce their risk for disease.

But getting into and staying in ketosis can be hard work. Maybe high-fat foods don't work well for you. Perhaps you travel a lot or otherwise find maintaining keto difficult. Or you're an athlete who wants to eat carbs on training days.

With a ketogenic diet, your body converts fatty acids into ketones. You're always making ketones. But when you eat a ketogenic dietwhich is high-fat, moderate-protein, and low in carbohydratesthose ketones replace glucose as your body's dominant fuel source. You're literally burning fat for fuel.

Shifting from glucose to ketones as your dominant fuel could take days or weeks, and sustaining it can be equally challenging. "Maintaining ketosis can be difficult, as consumption of even a small quantity of carbohydrates or excess protein can rapidly inhibit ketogenesis," researchers have noted.

That's where exogenous ketones come in. These supplements promise to sidestep the tediousness of rigorously sticking with a high-fat diet.But do they work? Let's look at the science.

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Do Exogenous Ketones Actually Speed Up Ketosis? Here's What Science Says - mindbodygreen.com

Atkins Diet in the early stages rose to importance it was welcomed by people as a revolution in a way to lose weight. After more researches done on the low-carb diet over the years, doctors now strictly warn against eating regimes of people. Atkins Diet has changed a lot of times over years, however, the strict rules have changed slightly providing more flexibility after the first few weeks of the regime. So to decide whether Atkins Diet is a better way to lose weight, or does it causes some problems too. Here are some pros and cons to help you decide whether this diet plan is safe for you.

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People on the Atkins diet are not allowed to eat refined carbohydrates such as bread and pasta, as they include simple sugars that break downs the body quickly. This will help you with good carbs and avoid others. Once you come off the Atkins Diet, these practices can be constant forever.

Counting on calories continuously while eating anything can be monotonous and frustrating. Getting obsessed due to calories gain can harm you otherwise also. Hence this diet plan allows you to eat certain foods to your hearts content.

ALSO READ | Ways To Resist Food Cravings While On A Strict Diet

Atkins Diet has been able to lower the levels of bad cholesterol in their blood. This will help you remove the processed sugar and bad carbohydrates from the diet.

The first stage of the Atkins Diet is recognized as induction. This stage often results in quick weight loss, which is great for motivation and assurance.

In case you are a meat lover, you will be in your element during the early stages of the Atkins Diet. Burgers, steaks and fried bacon are always on the menu, for the first few days, it might be a lot of fun.

Atkins is a mostly a low-carb diet that strictly forbids potato, bread, pasta, fruit and certain types of vegetable. If you aresomeone who likes to eat a lot of junk food, looking for something on the menu that complies with the Atkins Diet could be impossible.

For people who are not used to dieting, the Atkins Diet is just too strict. Because many food groups including fruit and bread are off-limits. And unlike other diets, the Atkins begins with an unexpected and severe change in eating habits.

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If you are completely removing certain foods from your diet, you are bound to crave for them. Many people stop following the Atkin Diet because they end up indulging sugar, fruits and bread

The majority of people who achieve major weight loss through the Atkins Diet ultimately regain their weight once they have gone back to carbohydrates. In fact, many people essentially end up heavier than before they started.

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Atkins Diet: Here are the pros and cons of this diet for your health - Republic World - Republic World