Let’s play a game: imagine that you were going to join a research study, and were allowed to join one of two groups:
- Group #1 was going to go on a conventional diet.
- Group #2 was going to learn how to trust themselves around food and like their bodies.
Which one would you choose? And what would you expect your outcome to be, two years from now?
Lucky for us, this peer-reviewed academic study was actually conducted, and its results were published in the Journal of the American Dietary Association.
Seventy-eight women, who were at least a size 16, were assigned randomly to either the conventional dieting or the non-dieting group.
The dieting group received education about nutrition and learned “how to count fat grams, understand food labels, and shop for food.” They were encouraged to moderately restrict their intake, keep a food diary, and lose weight slowly. They were also encouraged to exercise.
The non-dieting group learned what was called the Health At Every Size (HAES) curriculum, which is very similar to many of the things I write about here. They were encouraged to befriend their bodies, to move their bodies because it feels good, and to eat for health and for pleasure, without worrying about weight loss. Dr. Linda Bacon writes more about the HAES in her wonderful book, which is definitely worth the read.
And what happened?
Weight Loss. At the end of the study, the women in the dieting group lost weight, while the women in the non-dieting group did not—or at least not enough to be statistically significant. However, two years after the study had ended, the women in the dieting group had gained all of the weight back, while the women in the non-dieting group had maintained their weight.
Health. The non-dieters showed significant declines in “so-called ‘bad’ LDL cholesterol and blood pressure. They also significantly increased their activity level. At the end of year two, these same metrics stayed the same or worsened in the dieting group.
Happiness. Women in the non-dieting group had significant decreases in depression and increases in self-esteem, while the opposite was true in the dieting group.
Showing Up. It’s also worth noting that almost half of the dieters dropped out of the study, compared to only 8% of the non-dieting group. Which makes sense—I mean, how long do you want to stay on a diet?
Let’s just summarize here:
- The non-dieters had better health (as measured by cholesterol and blood pressure). The dieters didn’t.
- The non-dieters felt happier and better about their bodies and their lives. The dieters didn’t.
- The non-dieters kept going. More than half of the dieters just stopped showing up – and based on my own life experience, I’d guess that they were at home having some ice cream and wanting to scream at themselves because they “messed up” some part of the diet and couldn’t do it anymore.
- The non-dieters got to eat what they liked and didn’t need to obsess. The dieters got to keep “food diaries” to count their calories and fat grams.
- Oh, and no one really lost weight in the long term. (which is consistent with other research suggesting that no diet really works in the long term).
One more thing:
I know that it can be frustrating to read this kind of research—messages from “research studies” can be confusing and seem to support everything. So I wanted to share a bit more about the researchers on this study.
Linda Bacon, Ph.D., one of the researchers who conducted the study and the author of Health at Every Size, is definitely a diet skeptic, but it’s worth noting that not all of the researchers on the study shared her opinion.
In fact, Bacon teamed up with Dr. Judith Stern, a distinguished professor in the departments of nutrition and internal medicine at UC Davis, who has an impressive resume and, as Bacon writes in her book, “I knew she believed strongly in dieting and weight loss and would supervise the study carefully to ensure fair testing of the conventional model.”
In fact, Dr. Stern believed so strongly in the dieting and weight loss model that she was afraid that even conducting this study might be unethical: Dr. Stern was concerned that “if we didn’t encourage the women in our study to lose weight, we might be harming them.”
Dr. Stern was so skeptical of the non-dieting program that she required that the researcher’s test the women’s progress after three months, including surveys, blood samples, and weight. If they saw that in any way the women’s information was getting worse, they had to stop the study immediately.
So you can certainly say that the study was balanced.
Obviously, everyone needs to choose her own path. Though I have found setting aside dieting “rules” to be useful, I don’t think that it is a requirement for a happy life.
Here’s the question I have for you, no matter what path you are considering going down in terms of eating, weight, and happiness: Where do you want to be, two years from now? And what is going to help you get there?
I’d love to hear the answers from you, in the comments below. Or shoot me an email -- I love hearing from all of you :)