What has worked when trying to lose weight: finding what works for you

There was no one way of successfully losing weight and many of the people we spoke to emphasised how important it had been to find what worked for them. Many times this involved trying out a series of diets, weight loss programmes and lifestyle approaches until they found the right way for them. As Lina commented, ‘there’s always many ways to skin a cat’. While some people advocated ‘everything in moderation’, others found it suited them better to cut food groups out completely. People also pointed out that it was helpful to monitor their weight to check the day-day effects of changes to their diet and activity of on their weight.

Below we look at the four main ways that people found helpful in losing weight:

1) Specific diets

For some of the people we spoke to, following a prescriptive diet such as the 5:2 diet, the Keto diet or Rosemary Conley system provided a helpful way to structure their weight loss plans. Shirley had been a yo-yo dieter but said she and her husband found the 5:2 diet quite successful: ‘if I was going to look at a diet again at the moment, 5:2 would probably be the one I’d go back to look at because it was very interesting having those two days quite restricted, but the rest of it was quite flexible, and I think that’s the way life is these days. You’ve got to have something that’s really flexible’. When she was working full time, Meeka found the Rosemary Conley system easy to follow because all the information came in one pocket size book: ‘It says what 1200 calories is for me, which I need, so I found that useful’.

Maxine Mary loved bread but had managed to get used to low-carbohydrate diet.

Age at interview 63

Gender Female

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Dieting wasn’t for everyone, however, and some of the people we spoke to said that diets had only ever been successful in the short-term and that they had gained weight again once they stopped. Meeka found out that a very low calorie diet (600 calories per day) didn’t suit her. She said she was ‘just too hungry and I find that me personally, if I get hungry I go into deprivation mode and then I start craving and the cravings are the worst things to deal with’.

Heather had usually re-gained weight after dieting but her modified version of the 5:2 diet worked well in preventing weight gain over the last 6 years.

Age at interview 49

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Rosemary has done every diet, over the years’ and feels that exclusion diets rather than limiting portion size work better for her.

Age at interview 55

Gender Female

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Liz has done many diets but says that the most successful, but the least sustainable, was the 600 calories a day meal replacement diet.

Age at interview 49

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2) Weight loss groups

Several people like Joan, June X, Hilary and Tommy were referred by their GPs to local NHS weight management services or other locally-run healthy living initiatives. These classes and programmes had been a good source of motivation and knowledge. For instance, Tommy participated in two community based health initiatives in his city and feels that he has been provided with (a) more information about food, including how to read the nutritional information on packaging (b) an ability to change what he eats, and (c) the confidence to try new methods of cooking. [see ‘Local and national NHS/charity support for weight management specifically for people with chronic conditions‘].

Slimming World and Weight Watchers are commercially run programmes which help people lose weight by providing face-face support meetings, weekly weigh-ins and diet plans. Those who found them successful talked about the benefits of face-face and online support, being made accountable to themselves and other people, and receiving tips and information about how to lose weight [see ‘Weight Management groups‘].

June finds slimming groups helpful for learning tips and strategies.

Age at interview 49

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3) Following a healthier lifestyle

Some people spoke of the success they had had by switching to a healthier lifestyle, rather than thinking of it as a diet. This could include cutting down on certain foods, increasing fruit and vegetable intake, decreasing portion sizes and exercising more.

Joan has been eating more healthily for two years and thinks of it as a lifestyle change rather than a diet.

Age at interview 57

Gender Female

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Colin used to have chips with everything but is now increasing the amount of fruit and veg he eats.

Age at interview 72

Gender Male

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Tommy has changed the way he cooks and switched to healthier culinary techniques: ‘the frying pan has gone out through the window. I don’t use the frying pan’. Eating more slowly and drinking more water were other things that had worked for some of the people we spoke with.

Hilary enjoys the challenge of finding healthier ways to cook.

Age at interview 62

Gender Female

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Health experts advise that the best way to lose weight is through a combination of diet and exercise. People emphasised that if exercise was enjoyable it wasn’t a chore to do. A whole variety of activities were mentioned, from traditional sports such as rugby, cycling and swimming to activities such as gardening, litter picking and even sex! Age was no barrier, although some chronic health conditions made it difficult to be active in the ways that people had enjoyed before [see ‘The vicious circles of chronic health conditions and being overweight‘].

On Christmas Day Tommy decided to swim a length for every year of his age. He swam 85 lengths.

Age at interview 85

Gender Male

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4) Medical intervention

Some of those we spoke to had experience of losing weight following a medical intervention. Having been unsuccessful in her attempts to lose weight through other means, at the age of 49, Janet had a gastric band fitted. Now aged 62, she has lost about 10 stone.

Janet’s gastric band has been a success.

Age at interview 49

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Surgery was not the only intervention that helped people lose weight. Interventions to improve sleep could also help break the vicious circles that occur when people are exhausted.

Carole found she no longer craved carbohydrates and lost a stone and a half after she started using a sleep apnoea mask at night.

Age at interview 49

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A change in medication could sometimes have a desired effect on weight. David, who has type 2 diabetes, uses a daily release exenatide to manage his condition rather than insulin. One of the reasons for giving people exenatide is that it helps with weight reduction. Steroids are among the medications that Lina needs to take to manage her co-morbidities and they led to a dramatic increase in weight. After she was put on anti-psychotic drugs she gained 4 stone. Her medication was eventually changed and she noticed a positive effect on her weight (see also ‘Ideas about why some long term health problems are associated with being overweight‘).

Lina takes steroids for her asthma which have given her a noticeable moon face. Reducing the dosage is enabling her to control her hunger pangs and reduce her weight.

Age at interview 49

Gender Female

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Having strategies

People who had successfully lost weight had usually developed strategies to help. Distraction techniques to cope with cravings worked well for Kate who said she could distract herself on her phone or computer until the craving passed.

Lina found snacking difficult but now drinks carbonated water, eats fruit or drinks tea so that she can hang on until mealtimes.

Age at interview 49

Gender Female

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Not having unhealthy foods in the house was another way to cope with temptation, and avoiding the supermarket – particularly at certain times of the year like Christmas and Easter, when there would be more temptations on the aisles – was also mentioned. Sue X said she would always make a list before she went shopping and have a plan of what she would be eating during the week, including lunches to take to work: ‘if I didn’t take my lunch in for work tomorrow it’s very easy to just nip to Subway or KFC’. Julie found it important not to run out of proper food in the house to avoid turning to unhealthy fixes. Shirley emphasised that it helped to tell the people she spends time with, who have been supportive.

Shirley is open with friends and family that she is dieting and this helps her stick to her plan. As she has grown older she has grown in confidence and is less embarrassed.

Age at interview 49

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Losing weight, as we said at the beginning, is not always easy and some people we spoke to said that one thing that has helped them to ‘stick to the rules’ is to ‘cheat a little’ and allow themselves to have the occasional treat like a small piece of chocolate or a more substantial one like a bacon sandwich. The commercial weight management programmes Weight Watchers and Slimming World both allow a limited number of these ‘treats’. David said that his ‘little treats’ helped him to stick to his healthy living plan and prevent him from binging. Sue Y said she has a treat ‘once in a while, like an ice cream’.

Also see ‘What hasn’t worked when trying to lose weight?