Originally Posted by bbbean
If they're not sustainable, they weren't long term changes. While some people do have medical issues that make weight loss more difficult, it stil comes down to calories in vs calories out. If you find a way to balance that equation that you can live with, you have a sustainable long term solution.
What I suspect specifically ISN'T a sustainable long term solution is a starvation diet combined with an over the top exercise schedule. Most of the people I know who've lost large amounts of weight in short periods of time manage to put a lot of it back on once they reach their goal. The people who lose more slowly with less drastic plans tend to maintain the weight better, perhaps because maintaining the plan over a multi-year period ingrains it into their lifestyle and it no longer seems like a diet or exercise plan - it's just how they live.
What you say is inconsistent with what we know from scientific research. You assume that people who lose more slowly keep off their weight better than those who do a rapid weight loss diet. Well, there isn't research to support that. People just assume it is the case because it seems reasonable.
Of course, it does come down to calories in, calories out. But that omits the big issue of why we overeat. Do you know that appetite hormones go way out of whack when you lose weight? Do you know all the factors that drive appetite? Do you know the effect of depression or other life events on eating behaviors? Do you know how your brain responds to the sight of certain foods? Do you know the impact of genetics on susceptibility to weight gain and on eating behaviors?
All it would take is a hundred extra calories a day, hardly anything. And you end up with 11-12 extra pounds a year.
Now tell me about a sustainable long term solution that is a Solution.
I have difficulty explaining to people why lifestyle changes sometimes just are not sustainable and the extent of lifestyle changes that might be necessary. You equate not-sustainable to simply not sticking with changes. Sure, it is true that people do not stick with all the changes they made, after all, they do start of overeat. The question is why. The answer is not a simple answer but the important point is that desire alone is clearly not sufficient to keep off weight. And people find that hard to handle because people do love the illusion of control. We want to be in control of our lives and what happens to us. I do as well. After all, I lost weight despite the poor odds of keeping it off. But, given I know the odds are bad I try to find as many tools as I can to help my desire overcome my biology and my psychology and hope that the longer I keep off the weight the better my odds become of continuing to keep it off.
By way of example: I lost a lot of weight. I lost it at the rate of a pound a week. I got down to low to mid normal weight a couple of years ago. The desire I have to keep off that weight is boundless. I do not want to be obese ever again. I do not want lie in bed feeling the weight of myself and the pain in my back. I do not want to look at those pictures of obese me. I do not want to face my friends with a new fat self. I do not want to seem a loser, a failure. I want to ride my bike mile after mile. I want to hike. I want to sleep well. I want to feel good. I want to live a long and healthy life. My whole life I have been a highly competitive person. Gaining weight is totally inconsistent with how I view myself and how I want to be.
Yet, in the past few months I increased my body weight by 10%
I am addressing it with a rigid set of rules regarding eating and other behavior modification techniques. I do not do well without that rigidity. YMMV. Either way, I am yo-yoing.
Originally Posted by genejockey
My sister-in-law has a tendency to weight issues. When she was younger, she yo-yoed quite a bit. But the last 20 years, she's been pretty rigorous about both her diet and taking a 2-4 mile walk every day, and as a result she's kept the weight off. And when I say rigorous, I mean rigorous, as in often bringing/making her own meals at family gatherings to avoid bingeing.
A taste of what it may require.
Hopefully, compliance got easier for her overtime as her body adapted.