Dieting: proxy or cause of future weight gain?

Obes Rev. 2015 Feb:16 Suppl 1:19-24. doi: 10.1111/obr.12252.

Abstract

The relationship between dieting and body mass has a long and controversial history. This paper aims to help resolve this issue by making two key distinctions. The first is between dieting as a cause of weight gain/regain and as a proxy risk factor for identifying non-obese individuals prone to weight gain for reasons other than dieting. The second is between the body mass that is attained following one or more weight loss/regain cycles and the body mass that might have been reached had dieting never been undertaken. Evidence is reviewed on the relation between recent diet-induced weight loss and sustained weight loss (weight suppression), on the one hand, and weight regain, on the other hand. Furthermore, the reason that a history of dieting in non-obese individuals reflects a susceptibility to future weight gain is explained. It is concluded that (i) diet-induced weight loss hastens weight regain but a history of weight loss diets does not cause weight gain beyond that which would occur in the absence of dieting, and (ii) weight loss dieting in non-obese individuals does not cause future weight gain but is simply a proxy risk factor reflecting a personal vulnerability to weight gain and living in an obesogenic environment.

Keywords: Dieting; obesity; weight gain; weight regain.

Publication types

  • Review

MeSH terms

  • Behavior, Addictive
  • Body Image / psychology*
  • Body Mass Index
  • Diet, Reducing / psychology*
  • Feeding Behavior / psychology*
  • Humans
  • Mass Media
  • Obesity / prevention & control*
  • Obesity / psychology
  • Recurrence
  • Weight Gain*
  • Weight Loss*