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Flexibility and early success are key, but mental health considerations and medication risks highlight challenges
Tailored diets rich in protein and fiber are key to long-term weight loss, but mental health and medication risks pose challenges, according to a recent study conducted by researchers at the University of Illinois at Urbana-Champaign.
According to the findings, participants who achieved the most significant weight loss over a 25-month period were those who consumed higher amounts of protein and fiber while adhering to a calorie-restricted diet. Flexibility and personalization in dietary plans were also critical in maintaining adherence, which is often a challenge in weight management programs.
Study Highlights
The study, published in Obesity Science and Practice , evaluated the effectiveness of the Individualized Diet Improvement Program (iDip), a self-directed dietary education initiative that leverages data visualization tools and intensive education sessions. The program was designed to empower participants to create personalized, nutritionally balanced weight-loss plans that they could sustain over time.
Participants who succeeded in the program (41% of the cohort) lost an average of 12.9% of their body weight after one year. In contrast, those who did not adhere as well to the program only lost about 2% of their starting weight. The key differentiators for successful participants were their ability to increase daily protein intake to approximately 80 grams and fiber intake to about 20 grams while keeping their daily calorie intake under 1,500.
The research team, led by Professor Manabu T. Nakamura emphasized that sustainable weight loss is highly individual and requires flexibility.
“Sustainable dietary change, which varies from person to person, must be achieved to maintain a healthy weight,” Nakamura said. The iDip program allowed participants to experiment with different dietary approaches, equipping them with the knowledge and skills needed for long-term weight maintenance.
However, the study also highlighted several limitations and challenges, particularly for fitness professionals working with clients who have comorbidities. For example, participants diagnosed with depression lost significantly less weight compared to those without depression, indicating that mental health plays a crucial role in weight management and may require additional support and intervention.
Moreover, the study’s sample size was relatively small, with only 22 participants completing the program. The findings, while promising, may not be broadly applicable without further research involving larger and more diverse populations.
For fitness professionals and health coaches, these findings underscore the importance of incorporating flexibility and personalization into dietary plans, particularly for clients with specific health conditions (note: always keep scope of practice in mind). The study also suggests that early success in dietary changes is critical to long-term adherence, which means that initial stages of a weight-loss program should be carefully managed to ensure clients can achieve and maintain early wins.
Additionally, the research pointed out the potential risks associated with the increasing popularity of weight-loss medications, particularly those that severely restrict food intake. Without adequate protein consumption, clients may face serious side effects, including muscle and bone loss. Fitness professionals should consider these factors when advising clients on weight loss strategies, particularly those using or considering weight-loss drugs.
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