How to Sustain Weight Loss After Being Morbidly Obese: Insights from Personal Experiences and Scientific Studies

Weight loss among individuals who have been morbidly obese at some point in their lives is a complex and challenging endeavor. While bariatric surgeons often report that many patients regain their lost weight within two years, there are success stories as well. This article explores the factors that contribute to long-term weight maintenance for those who have faced significant obesity.

My Personal Journey

Like many others, I have experienced multiple failed diets, including successful ones. Over the years, I lost approximately 300 pounds. My last diet yielded a loss of 100 pounds in a single year, but the weight inevitably returned, and I eventually had to resort to bariatric surgery. This approach has proven effective for me, though it was a last resort.

A Successful Weight Loss Surgery Experience

Approximately 30 years ago, I lost 160 pounds following weight loss surgery. Since then, I have maintained a relatively stable lower weight. Age and a reduction in physical activity make it increasingly difficult to keep off the pounds, but determination and a fear of an early death have been significant motivators for me.

The Statistical Perspective

According to a study cited, about 1/200 of those diagnosed with obesity can successfully lose weight each year, and most do not maintain it. This figure is based on the obsolete BMI metric. More reliable studies using waist-to-hip ratio or body composition percentage are scarce. It is noteworthy that the US military no longer uses BMI and instead employs body fat estimation, which has been found to be more accurate.

Characteristics of Successful Weight Maintainers

A study by the National Weight Control Registry at Brown University highlights several key characteristics among individuals who lose substantial weight and maintain it. Ninety percent of these individuals exercise for at least an hour daily. Dietary approaches vary widely, with some using calorie restriction and others not. However, it remains unclear whether weight loss achieved through exercise and caloric deficit is more likely to be sustainable than weight loss achieved through calorie restriction alone and minimal exercise.

Challenges in Data Collection and Analysis

There is a lack of comprehensive data on the long-term outcomes of weight loss, particularly in terms of maintaining lean body mass during substantial weight loss. Many claims in this field are unsupported by substantial data. Scholars and researchers are increasingly turning to more sophisticated metrics, such as the Body Volume Index (BVI), used by the NHS in the UK, to conduct longitudinal studies that provide a clearer picture.

Final Thoughts

While the path to sustainable weight loss after being morbidly obese can be arduous, there are success stories. Factors such as consistent exercise, a variety of dietary approaches, and a robust support system play crucial roles. As more accurate and comprehensive studies emerge, the field of weight management is likely to become more nuanced and effective for individuals facing this challenge.