891 Northern Boulevard
Great Neck, New York 11021

BIGGEST LOSER – a misleading report
The grim message from the recent New York Times article is that dieting is futile and re-gain is all but pre-ordained. The authors of the original research didn’t interpret their results that we are doomed to battle our biology or remain fat, which is certainly what the New York Times article implies. The researchers stated that in this subgroup we need to explore other approaches

The artificial environment of “The Biggest Loser” – being followed with cameras 24/7, exercising 9 hours daily and watched by millions for seven months – resulted in extreme weight loss: 8 pounds/week for 34 weeks. By comparison, weight loss after bariatric surgery averages 3 pounds/week which is still considered a rapid rate of loss. The goal rate for a healthy and sustainable loss is an average of ¾ pound /week.
When comparisons were made between contestants and gastric by-pass (RYBP) patient’s, they found considerably more muscle mass was sustained by the contestants, yet their RMR was slower. An anomaly occurred that is not customarily seen in the normal dieting population. The findings, in fact, are consistent with current data that show the response to starvation. This is in contrast to data about the RYGB that shows no slowing of the metabolic rate. Also with the RYBP hunger goes away whereas the lower leptin levels in the Biggest Loser Contestants (BLC) probably leads to more hunger or at least less satiation. What must be considered is that extreme, massive weight loss in so short a time may have created an aberrant metabolism. Changes that occurred in these individuals (e.g. hormonal, metabolic), cannot be extrapolated to individuals losing weight at a slower rate.

The article implied that the decrease in the metabolic rate is the primary cause of contestants weight gain. The drop in metabolic rate (using the numbers they gave us) is not enough to account for the regain, nor is it the only issue, nor does it seem to happen in everyone to the same extent or even at all. In reference to the contestants’ calorie intake, food consumption was not measured. Hunger, cravings, and disordered eating can quickly return. These effects were unquantified.
The study in Obesity that prompted the article in the Times measured contestants RMR 6 years after the end of the competition. They concluded that calorie restriction along with vigorous exercise in the BLC participants resulted in the preservation of fat-free mass (FFM) and greater metabolic adaption compared to RYGB subjects despite comparable weight loss. Metabolic adaptation was related to the degree of energy imbalance and the changes in circulating leptin
Dr. Hall used a mathematical computer model of human metabolism – currently intended for research conducted by scientists and health professionals – to calculate the diet and exercise changes underlying the observed body weight loss. The computer model simulated the results of diet alone and exercise alone to estimate their relative contributions. These simulations suggest that the participants could sustain their weight loss and avoid weight regain by adopting more moderate lifestyle changes – like 20 minutes of daily vigorous exercise and a 20% calorie restriction – than those demonstrated on the television program.
“Dieters are not at the mercy of their bodies, and this is not a subset of the most successful dieters”, stated Dr. David Ludwig, director of the New Balance Foundation Obesity Prevention Center at Boston’s Children’s Hospital. They are abnormal dieters who abused their bodies and minds with restrictive programs that are consistent with deprivation. Food problems remained unresolved and accurate education elusive.
In all my years of practice, I have never worked with an individual who could not lose weight and sustain their optimal weight if they were willing to invest the time and effort needed. The National Weight Control Registry reaffirms that obese individuals can lose weight and sustain the weight loss for many years (average loss of 73 lbs. maintained for more than 5 years). Furthermore, individuals who have undergone bariatric surgery often maintain an optimal weight. Is the regain that is often seen a result of a metabolic abnormality that follows a diet or a significant increase in calories that is a backlash to restriction or a return to customary intake and behaviors? If people continued to eat healthy and exercise, they wouldn’t regain 100 to 200 lbs.
There is no situation where an optimal weight is maintained without effort. With weight loss, reduced caloric need, often coupled with a reduced metabolic rate (previously elevated) is to be expected. The body is smaller so requirements are reduced for feeding and moving. We need to understand that as all of us age, in this obesogenic environment, selectivity with respect to what to eat, when to eat and how much to eat is needed. We all live in a very toxic food environment, and maintaining weight loss is not easy.
As stated by Dr. Griffin Rodgers, the NIDDK Director, “This study reinforces the need for a healthy diet and exercise in our daily lives”. The take home message should have been that you cannot abuse your body with extreme dieting without severe repercussions. It’s time to Stop Dieting. Overweight individuals need to learn how to eat in a healthy, enjoyable and sustainable manner with the goal of attaining and maintaining an optimal weight.


The importance of good nutrition continues to be acknowledged as one of the key components of an individual’s well-being. Though maintaining an optimal weight is as important as the nutrients selected, it is considerably more difficult to achieve. What has become evident is that “diets” compound the problem rather than resolve it. As the dieting population implements restrictive and unsustainable plans, their weight ultimately continues to soar. The concept of dieting must be replaced with a comprehensive program that incorporates strategies to resolve food problems, nutrition education, meal planning, behavior change and physical activity if Americans are going to succeed in long-term weight management.

A Medical Nutrition Consultant can help you implement the necessary changes it takes to lose weight as well as maintaining. Residents of New York can look to Nancy Mazarin for assistance with your new lifestyle. Contact our office at (516)466-9087.

The holiday season, along with holiday weight gain, sneaks upon us every year. With all the yummy food, it is hard to say no to the delectable treats found in stores, at the office, and at home. You may be thinking that eating a cookie and gaining a few pounds during the holiday season is not a big deal but studies have shown that people do not lose the weight they gained during this time. Here are a few ways you can prevent seasonal weight gain.

Holiday parties are one of the main reasons for weight gain since there is food galore. Mingling plus eating can lead to overeating quite quickly. Avoid this by not arriving hungry to a party. If it is a potluck or hors d’oeuvre format, you can eat a light meal beforehand so you can sample some food but not eat too much and you will not appear rude. If it is a holiday dinner, eat a healthy snack beforehand to manage your hunger.

Focus on other things than food when you are at a holiday event. Use the time to catch up with friends and family members you have not seen in a while. You might even play with the children for a bit, running around with them is a good way to burn calories. Limit your alcohol consumption as well. It is not just because of the calories drinks contain but also to maintain control. Drinking can cause you to lose your resolve and lead to more eating. If you feel out of place without a drink in your hand, sip on water (flat or sparkling) from an attractive glass.

Take your own delicious but healthy dish or treats with you when you go. That way you can be sure the food you eat is what you want and is good for you. Your host and other guests will certainly appreciate it. For additional tips and tricks to maintaining your healthy lifestyle during the holiday season, seek the help of a professional dietitian nutritionist.

Are you ready to become the best you possible? Nutritional Consultant Nancy Mazarin can help! Whether you are facing a medical challenge, weight management issues or just want to improve your healthy, eating right and completing proper, regular exercise will result in overall better health. Here are some reasons why you should find a physical activity you enjoy today:

It Makes You Happy

Studies confirm there is a direct relationship between exercise and an increased release of feel-good hormones. In fact, people who exercise regularly also have a lower risk of depression. Although our culture tends to emphasize medical interventions for almost every problem, exercise is a behavioral treatment that can naturally improve your health over time.

Improve Life in Bed

Regular exercise can boost your active activity in bed – keeping your muscles active promotes hormone production, and more muscle mass means more stimulation and hormone production, which helps both men and women maintain their sexual functioning. Additionally, exercise can help with your not so active bed activity – sleep.

Boost Your Brain, Fight Dementia

Both your intellectual skills and your memory benefit from regular physical activity. Free flowing, increased oxygen to the brain boosts intelligence and your ability to carry out everyday activities. Although we don’t know for certain that exercise can slow or prevent Alzheimer’s, signs point to that it helps, and regular activity helps preserve the neurons in your brain which is an advantage should you ever develop the disease.