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How to Choose a Diet that Works

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Americans are giving up on diets.

While weight-loss programs and products are still an estimated $58 billion industry, the number of people dieting is dropping, according to market-research firm NPD Group. Among a group of 5,000 consumers, in 1990 39% of the women and 29% of the men claimed to be on a diet; today, the numbers are 26% and 16%, respectively.

Instead, these people appear more interested in eating whole grains, fiber and omega-3 fatty acids than following the latest diet craze. That may be a good thing, but new research has found that some diets are more effective than was previously realized. Important-perhaps as much as what diet you choose-is how you choose a program.

In Pictures:

How To Choose A Diet That Works

The study, published in the New England Journal of Medicine this summer, followed more than 300 moderately obese Israelis for two years, assigning them to one of three diets: a low-fat, calorie-restricted diet; a Mediterranean diet high in fiber; and a low-carb diet.

Although we've been conditioned to think that low-fat diets are the best way to lose weight, the results didn't bear that out. On average, those on the low-fat diet only lost 6.5 pounds, compared with 10 pounds on the Mediterranean diet and 10.3 pounds on the low-carb diet.

While the diets proved equal at helping inflammatory and liver function biomarkers, other results varied greatly. The low-carb diet increased levels of good cholesterol and cut levels of atherosclerosis-causing triglycerides the most. The low-fat diet increased fasting glucose, high levels of which are a sign of diabetes, while the Mediterranean diet caused a decrease.

"The importance of this study," says Iris Shai, the study's leader and a researcher at Ben-Gurion University of the Negev, "is that there is no one solution for everybody."

Sticking With the Program

In fact, experts say a wide variety of diets can work-if only people can choose programs that are sustainable for them and find ways to stick it out.

People commonly derail their diets from the get-go, says Heidi Skolnik, a certified nutritionist and health-fitness instructor at the Hospital for Special Surgery, by having unrealistic expectations about how much weight they'll lose-and how quickly they'll do so. They also want the process to be easy. When that doesn't happen, they give up and move on to the next thing, a process that isn't good for the body or mind. "Yo-yo dieting messes with your head," Skolnik says. "It's very demoralizing. Each new time, you're more reluctant to get your hopes up, and it becomes a self-fulfilling prophecy."

Skolnik recommends figuring out your ideal body, taking into account your height and frame, and then thinking about what's going to be realistic for you to achieve and maintain.

You've also got to consider your food preferences, goals and diet histories and consult your doctor before starting anything, says Shai. For instance, if a diet calls for you to cut back on your carbs drastically and you love bread and pasta, the likelihood of your success is low. As great as a diet may be, if you can't think about it as a long-term strategy, it's probably not worth trying. Likewise, if you want to lower your cholesterol levels or control your diabetes, you'll want to factor that into your decision. And if you've tried diets in the past and failed to see results-who hasn't?-examine what went wrong. Continue >>

 
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