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The Ups and Downs of Dieting

Shedding excess pounds is associated with substantial health benefits, and experts agree that the fear of regaining lost pounds is no reason not to lose them in the first place. (See Daily Health News, July 19, 2004.)

However, while losing weight is a good idea, repeatedly losing and regaining it places strain on the body -- including on a woman’s immune system, as was found in a recent study at Fred Hutchinson Cancer Research Center in Seattle, Washington.

About the Study

According to Cornelia M. Ulrich, PhD, senior author and assistant member of the Hutchinson Center’s Public Health Sciences Division, weight cycling (the medical term for yo-yo dieting) leads to reduced activity of natural killer cells, which normally destroy viruses and also may have a role in fighting cancer. The more often a woman loses and regains weight, the lower her natural killer cell function becomes and the higher the risk of disease.

In the study, researchers interviewed 114 overweight but otherwise healthy women over age 50 and recorded their weight histories for the past 20 years. Nearly three-quarters of the women had lost more than 10 pounds at least once during that period through dieting. Next, Dr. Ulrich and her colleagues measured the number of the women’s natural killer cells via blood tests.

They discovered that..

Women who lost and regained weight most often -- five or more times during the 20-year period -- had the lowest level of natural killer cells.

Women who maintained the same weight for five or more years had 40% greater natural killer cell activity than those whose weight remained stable for fewer than two years.

Although the study included only women and further research is needed, Dr. Ulrich believes that the immune systems of men would most likely respond to weight cycling in the same way.

Choose a Balanced Approach

Is this a free pass to stay overweight? Not at all, says Dr. Ulrich. She says that among those who are obese or overweight, reduced weight has indisputable health benefits.

Dr. Ulrich recommends a balanced approach to losing weight. Don’t try fad diet after fad diet -- that behavior is doomed to failure. Lifestyle change is the cornerstone of weight control. The secret to taking pounds off and keeping them off is to make gradual changes in diet and exercise that you can live with for the long term. For more on healthy dieting strategies, see Daily Health News, January 22, 2004.

Sources...

Cornelia M. Ulrich, PhD, assistant member of the Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.