Weight cycling

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Yo-yo cycle Weight cycle.jpg
Yo-yo cycle

Weight cycling, also known as yo-yo dieting, is the repeated loss and gain of weight, resembling the up-down motion of a yo-yo. The purpose of the temporary weight loss the yo-yo diet delivers is to lure the dieting into the illusion of success, but due to the nature of the diet, they are impossible to sustain, therefore the dieter gives up, often due to hunger or discomfort, and gains the weight back. The dieter then seeks to lose the regained weight, and the cycle begins again. Other individuals cycle weight deliberately in service of bodybuilding or athletic goals. Weight cycling contributes to increased risk of later obesity, due to repeated signals being sent to the body signalling that it's in starvation mode; therefore it learns to be better and better at storing fat, and increases the strain on vital organs, likely promoting cardiometabolic disease. [1] [2] [3]

Contents

Causes

Dieting

The reasons for yo-yo dieting are varied but often include embarking upon a hypocaloric diet too extreme to maintain. At first the dieter may experience elation at the thought of weight loss and pride in their self-control for resisting certain foods, e.g. junk food, desserts, and sweets. Over time, however, the limits imposed by such extreme diets cause effects such as depression or fatigue that make the diet impossible to sustain. Ultimately, the dieter reverts to their old eating habits, now with the added emotional effects of failing to lose weight by the restrictive diet. Such an emotional state leads many people to eating more than they would have before dieting, especially the 'forbidden' foods e.g. junk food, desserts, and sweets, causing them to rapidly regain weight. [4]

Sports

In some sports where an athlete's weight is important, such as those that use weight classes or aesthetics, it is common for athletes to engage in weight cycling. [1] Weight cycling is common among competitive combat sports athletes, [5] including minors. [6] In bodybuilding and strength sports, weight cycling is often used as a way to take advantage of the increased ability to gain muscle while in a caloric surplus [7] by cyclically going through periods of intentional weight gain, followed by a period of weight loss to prevent excessive body fat accumulation.

Mechanism

The process of regaining weight and especially body fat is further promoted by the high metabolic plasticity of skeletal muscle. The Summermatter cycle [8] explains how skeletal muscle persistently reduces energy expenditure during dieting. In addition, food restriction increases physical activity which further supports body weight loss initially. Such weight regain in the form of preferential catch-up-fat is well documented after weight loss due to malnutrition, cancer, septic shock or AIDS and thus constitutes a general phenomenon related to weight loss. [8]

Health effects

Weight cycling certainly has negative health effects from repeated strain on the body, confusing the metabolism, and stress on vital organs. [1]

A 2019 systematic review and meta-analysis found that "Body-weight fluctuation was associated with higher mortality due to all causes and CVD and a higher morbidity of CVD and hypertension." [9]

A 2019 review found that self-reported weight cycling was correlated with an increased risk of endometrial cancer. [10] Weight cycling is also correlated with kidney cancer, independently of whether the person is overweight. [11]

A 2021 systematic review and meta-analysis found that "weight cycling was a strong independent predictor of new-onset diabetes". [12]

Weight cycling is also associated with poorer mental health. [13]

See also

Related Research Articles

Dieting is the practice of eating food in a regulated way to decrease, maintain, or increase body weight, or to prevent and treat diseases such as diabetes and obesity. As weight loss depends on calorie intake, different kinds of calorie-reduced diets, such as those emphasising particular macronutrients, have been shown to be no more effective than one another. As weight regain is common, diet success is best predicted by long-term adherence. Regardless, the outcome of a diet can vary widely depending on the individual.

<span class="mw-page-title-main">Obesity</span> Medical condition in which excess body fat harms health

Obesity is a medical condition, sometimes considered a disease, in which excess body fat has accumulated to such an extent that it can potentially have negative effects on health. People are classified as obese when their body mass index (BMI)—a person's weight divided by the square of the person's height—is over 30 kg/m2; the range 25–30 kg/m2 is defined as overweight. Some East Asian countries use lower values to calculate obesity. Obesity is a major cause of disability and is correlated with various diseases and conditions, particularly cardiovascular diseases, type 2 diabetes, obstructive sleep apnea, certain types of cancer, and osteoarthritis.

<span class="mw-page-title-main">Weight loss</span> Reduction of the total body mass

Weight loss, in the context of medicine, health, or physical fitness, refers to a reduction of the total body mass, by a mean loss of fluid, body fat, or lean mass. Weight loss can either occur unintentionally because of malnourishment or an underlying disease, or from a conscious effort to improve an actual or perceived overweight or obese state. "Unexplained" weight loss that is not caused by reduction in calorific intake or increase in exercise is called cachexia and may be a symptom of a serious medical condition.

<span class="mw-page-title-main">Low-carbohydrate diet</span> Diets restricting carbohydrate consumption

Low-carbohydrate diets restrict carbohydrate consumption relative to the average diet. Foods high in carbohydrates are limited, and replaced with foods containing a higher percentage of fat and protein, as well as low carbohydrate foods.

<span class="mw-page-title-main">Mediterranean diet</span> Diet inspired by the Mediterranean region

The Mediterranean diet is a diet inspired by the eating habits and traditional food typical of southern Spain, southern Italy, and Crete, and formulated in the early 1960s. It is distinct from Mediterranean cuisine, which covers the actual cuisines of the Mediterranean countries. While inspired by a specific time and place, the "Mediterranean diet" was later refined based on the results of multiple scientific studies.

<span class="mw-page-title-main">Plant-based diet</span> Diet consisting mostly or entirely of plant-based foods

A plant-based diet is a diet consisting mostly or entirely of plant-based foods. Plant-based diets encompass a wide range of dietary patterns that contain low amounts of animal products and high amounts of fiber-rich plant products such as vegetables, fruits, whole grains, legumes, nuts and seeds. They do not need to be vegan or vegetarian but are defined in terms of low frequency of animal food consumption.

<span class="mw-page-title-main">Strength training</span> Performance of physical exercises designed to improve strength

Strength training, also known as weight training or resistance training, involves the performance of physical exercises that are designed to improve strength and endurance. It is often associated with the lifting of weights. It can also incorporate a variety of training techniques such as bodyweight exercises, isometrics, and plyometrics.

<span class="mw-page-title-main">High-protein diet</span> A diet high in protein

A high-protein diet is a diet in which 20% or more of the total daily calories comes from protein. Many high protein diets are high in saturated fat and restrict intake of carbohydrates.

<span class="mw-page-title-main">Very-low-calorie diet</span> Diet with very or extremely low daily food energy consumption

A very-low-calorie diet (VLCD), also known as semistarvation diet and crash diet, is a type of diet with very or extremely low daily food energy consumption. VLCDs are defined as a diet of 800 kilocalories (3,300 kJ) per day or less. Modern medically supervised VLCDs use total meal replacements, with regulated formulations in Europe and Canada which contain the recommended daily requirements for vitamins, minerals, trace elements, fatty acids, protein and electrolyte balance. Carbohydrates may be entirely absent, or substituted for a portion of the protein; this choice has important metabolic effects. Medically supervised VLCDs have specific therapeutic applications for rapid weight loss, such as in morbid obesity or before a bariatric surgery, using formulated, nutritionally complete liquid meals containing 800 kilocalories or less per day for a maximum of 12 weeks.

Bariatric surgery is a medical term for surgical procedures used to manage obesity and obesity-related conditions. Long term weight loss with bariatric surgery may be achieved through alteration of gut hormones, physical reduction of stomach size, reduction of nutrient absorption, or a combination of these. Standard of care procedures include Roux en-Y bypass, sleeve gastrectomy, and biliopancreatic diversion with duodenal switch, from which weight loss is largely achieved by altering gut hormone levels responsible for hunger and satiety, leading to a new hormonal weight set point.

The obesity paradox is the finding in some studies of a lower mortality rate for overweight or obese people within certain subpopulations. The paradox has been observed in people with cardiovascular disease and cancer. Explanations for the paradox range from excess weight being protective to the statistical association being caused by methodological flaws such as confounding, detection bias, reverse causality, or selection bias.

Intermittent fasting is any of various meal timing schedules that cycle between voluntary fasting and non-fasting over a given period. Methods of intermittent fasting include alternate-day fasting, periodic fasting, such as the 5:2 diet, and daily time-restricted eating.

<span class="mw-page-title-main">Obesity-associated morbidity</span> Medical condition

Obesity is a risk factor for many chronic physical and mental illnesses.

Management of obesity can include lifestyle changes, medications, or surgery. Although many studies have sought effective interventions, there is currently no evidence-based, well-defined, and efficient intervention to prevent obesity.

A person's waist-to-height ratio (WHtR), occasionally written WtHR or called waist-to-stature ratio (WSR), is defined as their waist circumference divided by their height, both measured in the same units. It is used as a predictor of obesity-related cardiovascular disease. The WHtR is a measure of the distribution of body fat. Higher values of WHtR indicate higher risk of obesity-related cardiovascular diseases; it is correlated with abdominal obesity.

Metabolically healthy obesity or metabolically-healthy obesity (MHO) is a disputed medical condition characterized by obesity which does not produce metabolic complications.

Normal weight obesity is the condition of having normal body weight, but with a high body fat percentage, leading to some of the same health risks as obesity.

The association between obesity, as defined by a body mass index of 30 or higher, and risk of a variety of types of cancer has received a considerable amount of attention in recent years. Obesity has been associated with an increased risk of esophageal cancer, pancreatic cancer, colorectal cancer, breast cancer, endometrial cancer, kidney cancer, thyroid cancer, liver cancer and gallbladder cancer. Obesity may also lead to increased cancer-related mortality. Obesity has also been described as the fat tissue disease version of cancer, where common features between the two diseases were suggested for the first time.

The Summermatter cycle is a physiological concept describing the complex relationship between physical activity/inactivity and energy expenditure/conservation.

<span class="mw-page-title-main">Intuitive eating</span> Approach to food

Intuitive eating is an approach to eating that focuses on the body's response to cues of hunger and satisfaction. It aims to foster a positive relationship with food as opposed to pursuing "weight control". Additionally, intuitive eating aims to change users' views about dieting, health, and wellness, instilling a more holistic approach. It also helps to create a positive attitude and relationship towards food, physical activity, and the body.

References

  1. 1 2 3 Miles‐Chan, Jennifer L.; Isacco, Laurie (2021). "Weight cycling practices in sport: A risk factor for later obesity?". Obesity Reviews. 22 (S2): e13188. doi: 10.1111/obr.13188 . PMID   33372395. S2CID   229715170.
  2. Montani, Jean-Pierre; Schutz, Yves; Dulloo, Abdul G. (2015). "Dieting and weight cycling as risk factors for cardiometabolic diseases: who is really at risk?: Weight cycling and cardiometabolic risks". Obesity Reviews. 16: 7–18. doi:10.1111/obr.12251. PMID   25614199. S2CID   30821753.
  3. Mehta, Tapan; Smith, Daniel L.; Muhammad, Josh; Casazza, Krista (2014). "Impact of weight cycling on risk of morbidity and mortality: Weight cycling and mortality risk". Obesity Reviews. 15 (11): 870–881. doi:10.1111/obr.12222. PMC   4205264 . PMID   25263568.
  4. Amigo, I.; Fernandez, C. (2007). "Effects of diets and their role in weight control". Psychology, Health & Medicine. 12 (3): 312–327. doi:10.1080/13548500600621545. PMID   17510902. S2CID   19290926.
  5. Matthews, Joseph J.; Stanhope, Edward N.; Godwin, Mark S.; Holmes, Matthew E.J.; Artioli, Guilherme G. (2019). "The Magnitude of Rapid Weight Loss and Rapid Weight Gain in Combat Sport Athletes Preparing for Competition: A Systematic Review" (PDF). International Journal of Sport Nutrition and Exercise Metabolism. 29 (4): 441–452. doi:10.1123/ijsnem.2018-0165. PMID   30299200. S2CID   52943060.
  6. Lakicevic, Nemanja; Matthews, Joseph J.; Artioli, Guilherme G.; Paoli, Antonio; Roklicer, Roberto; Trivic, Tatjana; Bianco, Antonino; Drid, Patrik (2022). "Patterns of weight cycling in youth Olympic combat sports: a systematic review". Journal of Eating Disorders. 10 (1): 75. doi: 10.1186/s40337-022-00595-w . PMC   9131524 . PMID   35614520. S2CID   249049707.
  7. Aragorn, Alan A.; Schoenfeld, Brad. (2020). "Magnitude and Composition of the Energy Surplus for Maximizing Muscle Hypertrophy: Implications for Bodybuilding and Physique Athletes". Strength and Conditioning Journal. 42 (5): 79–86. doi:10.1519/SSC.0000000000000539. S2CID   213376888.
  8. 1 2 Summermatter, Serge; C. Handschin (November 2012). "PGC-1α and exercise in the control of body weight". International Journal of Obesity . 36 (11): 1428–1435. doi: 10.1038/ijo.2012.12 . PMID   22290535.
  9. Zou, Huajie; Yin, Ping; Liu, Liegang; Liu, Wenhua; Zhang, Zeqing; Yang, Yan; Li, Wenjun; Zong, Qunchuan; Yu, Xuefeng (2019). "Body-Weight Fluctuation Was Associated With Increased Risk for Cardiovascular Disease, All-Cause and Cardiovascular Mortality: A Systematic Review and Meta-Analysis". Frontiers in Endocrinology. 10: 728. doi: 10.3389/fendo.2019.00728 . PMC   6856014 . PMID   31787929.
  10. Zhang, Xiaochen; Rhoades, Jennifer; Caan, Bette J; Cohn, David E; Salani, Ritu; Noria, Sabrena; Suarez, Adrian A; Paskett, Electra D; Felix, Ashley S (2019). "Intentional weight loss, weight cycling, and endometrial cancer risk: a systematic review and meta-analysis". International Journal of Gynecologic Cancer. 29 (9): 1361–1371. doi:10.1136/ijgc-2019-000728. PMC   6832748 . PMID   31451560.
  11. Lee, Dong Hoon; Keum, NaNa; Rezende, Leandro F. M.; Tabung, Fred K.; Hong, SungEun; Giovannucci, Edward L. (2021). "Association between weight cycling and risk of kidney cancer: a prospective cohort study and meta-analysis of observational studies". Cancer Causes & Control. 32 (9): 1029–1038. doi:10.1007/s10552-021-01455-9. PMID   34089471. S2CID   235346460.
  12. Zou, Huajie; Yin, Ping; Liu, Liegang; Duan, Wu; Li, Pu; Yang, Yan; Li, Wenjun; Zong, Qunchuan; Yu, Xuefeng (2021). "Association between weight cycling and risk of developing diabetes in adults: A systematic review and meta‐analysis". Journal of Diabetes Investigation. 12 (4): 625–632. doi: 10.1111/jdi.13380 . PMC   8015818 . PMID   32745374. S2CID   225509897.
  13. Hankey, Catherine (2022). "Weight Loss Maintenance and Weight Cycling". Clinical Obesity in Adults and Children (1 ed.). Wiley. pp. 306–313. ISBN   978-1-119-69527-1.