The issue of rapid weight loss vs. slow weight loss as a predictor of long term success has been debated for years. Every recent study found that there is absolutely no difference between rapid vs. slow weight loss regarding untoward health problems or how long the weight reduction is maintained. The important issue is to lose the the excess fat.
Recent reports compared participants in very low calorie diets(VLCD) with subsequent rapid weight reduction after 1 year with those involving more conventional low calorie diets(LCD). Very low calorie diets, providing 800 calories/day resulted in, as expected in greater initial loss (16% vs. 9% for standard low calorie diets). The long term losses of 6.3% in the VCLD groups were not significantly different than the 5% reduction among LCD participants. Adverse effects, attrition and weight related morbidity's did not differ between the two groups.
Given these results there appears to be no medical reason for VLCDs over LCDs in terms of end results. The results also show that rapid weight loss is not associated with increase morbidity or adverse effects. Maybe the choice should be left to the dieter in this case.
Many dieters I treat who have a lot of weight to lose do far better when they do it quickly. Family and friends provide great feedback. Also it is a great feeling to get into a dress or pants you have been unable to wear for a long time.
So let's not make rules, it's hard enough. Everyone attempting to lose weight should make their own decision since everything is equal in the.
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