What hasn’t worked when trying to lose weight

People often try a variety of ways to lose weight with varying levels of success. In this section, we explore what people said had not worked for them, or had only worked in the short term. We recommend reading ‘What has worked when trying to lose weight? – Motivations and mind-sets‘ and ‘What has worked when trying to lose weight? Finding what works for you‘ alongside this summary.

Dieting

The people we spoke to mentioned many different diets they had tried, from the well-known to the ‘outlandish’. Sue X had tried the Dukan diet, which she described as eating only lean meat, vegetables and oat bran. As she said, ‘you’re probably talking six, nine, twelve months to get, you know, to get a lot of weight off. Now I couldn’t last on just meats and vegetables for that amount of time. There’s no fruit in it’. David found he would stick to a diet for a few weeks, but then slip back into old habits. Alan had given up many of the things he had enjoyed (salt, fat, alcohol, smoking) because of his diabetes and heart condition and found it hard to stick to a restricted diet long-term.

For Alan, maintaining weight loss after coming off a diet was a problem.

Age at interview 49

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Tref had lost weight on diets, but being ‘a big lover of food’ would become bored and give up. Rosemary said that diets didn’t only restrict what you could eat but also affected your social life: ‘if you’re on a liquid diet or a cabbage soup diet, you know, it is so restrictive, not just because it’s restrictive for you, but you can’t go out and you know go to somebody’s house and, ‘Oh, I can’t have coffee”. Being sociable in general was mentioned as a hindrance to losing weight, if eating out or with others involved rich or calorific food and drink.

Shirley found it difficult to socialise when she was trying to lose weight.

Age at interview 49

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Trying new recipes may help Tref to beat boredom and stick to an eating plan but having friends to dinner does not help because they eat (and drink) more when being sociable.

Age at interview 77

Gender Male

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Some of the people we spoke to had experienced a yo-yo effect, where their weight would go up and down as they started and ended diets. This was Zaida’s experience: ‘I would do starting some little diets but I would lose and gain again, lose and gain again. And that is the end, you know, the story of my life’.

Kate says that in the past she always set herself up to fail all the diets she started. Once she broke the diet’ she lost interest and started eating as before.

Age at interview 49

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Other reasons why trying to lose weight through diets hasn’t worked include choosing the wrong time to start (e.g. when there is illness in the family) unpleasant side-effects (e.g. feeling bloated, bad odour, bad breath) and lack of support. While some had lost faith in the whole idea of dieting as a route to sustainable weight control, others suspected that they just hadn’t found the ‘right diet’ yet.

So-called ‘diet pills’ can refer to prescription medications to treat obesity, such as orlistat (Xenical) as well as non-prescription products which are available over the counter or advertised on the internet, or herbal and other supplements. Shirley said she had resorted to buying tablets which ‘did nothing. I didn’t even understand what they were meant to do, but they didn’t do anything’. Maxine Mary found that even though orlistat ‘shifted the fat’ she did not like the smell of her skin when she was taking it.

Maxine Mary describes the many ways she tried to lose weight, including orlistat (Xenical). The diets worked but only in the short term.

Age at interview 63

Gender Female

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Angela’s GP would not prescribe orlistat (Xenical) for her so she bought it online.

Age at interview 49

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Meal replacements often take the form of a drink or bar with controlled quantities of nutrients and calories. They may be medically prescribed or can be bought in a shop. Myra had tried meal replacement biscuits a long time ago, but said that she still wanted to have her lunch after eating one, so did not find them successful. Rosemary had tried meal replacement shakes: ‘after about a week, I just felt so sick every time I looked at a milkshake and I won’t touch milkshakes now because of that experience’.

Weight management groups

People talked about their experiences of programmes which help people lose weight by providing face-to-face support meetings, weigh-ins and diet plans.

‘You can’t do it on your own most people I think would find going to some sort of group helpful because you get a huge amount of support and, not only from the leaders but from other people who are going through the same thing as you’. Myra

‘I personally am more compliant if there’s somebody weighing me’. Rosemary

While some people find the weekly weigh in motivating, others do not like this approach. Maxine Mary found it humiliating to be weighed in public. She and Angela described ways to ‘trick the scales’. Liz had never managed to achieve a target weight and felt that ‘slimming clubs just want to take your money’. Tommy said he had learned a lot from Slimming World but had stopped going because the sessions became repetitive. Once he stopped going, he put the weight back on again. [See ‘Weight management groups‘.]

Maxine Mary did not like being weighed in public as part of weight management programmes.

Age at interview 63

Gender Female

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Angela managed to get within 4 lbs of her target weight with a weight management programme but still felt like she had failed.

Age at interview 51

Gender Female

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Angela ate a lot before her first weigh in at Rosemary Conley so that she could trick the scales’ on week two. She then tried Slimming World and lost two stone but then the novelty wore off.

Age at interview 49

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Trying to lose weight while unwell or on medication

Lesley has a heart condition which is managed with beta blockers, ACE inhibitors and statins. She wonders whether her inability to lose weight may be because of her medications: ‘you think, ‘I work, I go to the gym, I eat as healthy as anybody. I think that shows because the nurse said to me I’ve actually got no sign of pre-diabetes. I’ve got no blood pressure. Got very good glucose levels. Everything was sort of in line with perfect. But I just can’t seem to, to shift this weight which I think I’ve put another, the ten, the ten kilos back as my medications has got, had increased over the last year, up to last year increased steadily.’

Janet found it impossible to lose weight with Slimming World and wondered if this was because of the high dose of insulin she was taking.

Age at interview 49

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Paul X explains that losing weight is hard bloody work’ when you live with heart disease, asthma and other co-morbidities.

Age at interview 57

Gender Male

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(For more see ‘Ideas about why some long term health problems are associated with being overweight‘ and ‘The vicious circles of chronic health conditions and being overweight‘).

Unrealistic expectations

Some of the people we spoke with said they had had unrealistic expectations about how much weight they needed to lose and the speed with which they could lose it. Angela successfully lost weight at a weight management programme but could not lose the final 4lbs to meet her target, which left her feeling she had failed. As part of her participation in a weight management intervention, June X has become more aware that she had unrealistic expectations about the speed of weight loss, followed by ‘extreme frustration’.

June feels she has had unrealistic expectations about weight loss and the time is going to take.

Age at interview 70

Gender Female

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Illness also affected people’s efforts to lose weight (see ‘The vicious circles of chronic health conditions and being overweight‘). For example, Tref used to enjoy going to the gym, but after breaking his ankle and having a knee replacement, he stopped going.

Heidi’s weight has been affected by taking anti-psychotics and anti-depressants and steroids.

Age at interview 50

Gender Female

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In spite of their best efforts, some of the people we spoke to found they were unable to lose weight or to lose as much as they wanted to. Liz sees managing her weight as a ‘constant battle’ and says she does not understand why she is overweight.

Liz has found it hard to lose weight, in spite of trying diets, weight management programmes and leading a healthy lifestyle.

Age at interview 49

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Maintaining weight loss

Maintaining a lower weight was often a hard-won victory for those who were able to do so. Invariably, it involved long-term changes. For Maxine Mary,...