Pagei UnderstandingWeightLossPrograms ATeenEatingDisorderPreventionBook JudyMonroe TheRosenPublishingGroup,Inc./NewYork Pageii Publishedin1999byTheRosenPublishingGroup,Inc. 29East21stStreet,NewYork,NY10010 Copyright©1999byJudyMonroe Allrightsreserved.Nopartofthisbookmaybereproducedinanyformwithoutpermissioninwritingfromthepublisher,exceptbyareviewer. LibraryofCongressCatalogingin PublicationData Monroe,Judy. UnderstandingWeightLossPrograms/JudyMonroe. p.cm.—(Ateeneatingdisorderpreventionbook) Includesbibliographicalreferencesandindex. Summary:Discussestheweightlossindustryincluding whythisbusinessisthriving,themanyproductsandser vicesoffered,andtheprosandconsofvariousweightloss methods. ISBN0823928667 1.Weightloss—Juvenileliterature.2.Reducingdiets— Juvenileliterature.3.Eatingdisorders—Juvenileliterature. 4.Eatingdisordersinadolescence—Juvenileliterature.[1. Weightloss.2.Reducingdiets.3.Eatingdisorders.]1. Title.II.Title:Understandingweightlossprograms.III. Series. RM222.2M5631999 613.7—dc21 9923313 CIP ManufacturedintheUnitedStatesofAmerica Pageiii AboutTheAuthor JudyMonroe,M.A.,M.P.H.,haswrittennumerousbooksandmagazinearticlesforteensonhealthissues. Pagev Contents Introduction 1 1 TheWeightLossIndustry 6 2 TheQuesttoLoseWeight 21 3 CommercialWeightLossPrograms 31 4 BogusWeightLossProducts 49 5 WhyDietPlansandProgramsDon'tWork 80 6 Consequences 95 7 What'sRightforMe? 114 Glossary 134 WheretoGoforHelp 136 ForFurtherReading 141 Index 143 Page1 Introduction Moremoneygonetowaste,"Maidasighed,tossingthebookshewasreadingontothefloor."Youknow,I'vereadatleasteightdifferentdietbooksand triedjustabouteveryoneoftheirdiets—andnotoneofthemhasworked.Andlookatyou!Imean,you'reskinnyasarail!Whatexactlyareyoudoing?" Jennylaughed."Well,ittookmeafewtriestofindsomething.RememberthatrubbersuitIhadforawhile?" "Yeah,"Maidasmiled."Thatwasthecraziestthing!" "Itwassupposedto'meltawaythepounds,'"Jennysaid."ButallIgotoutofitwasanastyrash.HowwasItoknowIwasallergictowhateverwasinthat thing?" "Butyoufoundsomething?"Maidaasked. Jennypulledasmallboxoutofherjeanspocket."Here'swhatIfound.Thesepillsdothetrickforme.Igetthematthedrugstore. Page2 Idon'tevenneedaprescriptionforthem." "Whatarethose?Dietpills?"Maidaasked. "Yes,"Jennyreplied. "Butdon'ttheycauseproblems?Iheardthey'renotgood." "C'mon,Maida.Howbadcouldtheybe?Besides,wouldyouratherbefat?" Maidalookedatthepillsandshruggedhershoulders.Shepickedupacolorfulbrochurefromthefloornexttoherandwaveditintheair."Hey,Jen!Listen tothis!"Maidaexclaimed."YouknowwhatI'mgonnatrynext?There'sthisweightlosscenterdownatthestripmall.I'vebeenreadingtheirad.It'sgot simplyeverything!Theirweightlossprogramsounds fabulous!" ConfusingWeightLossClaims MaidaandJennyarelookingforaquickandeasywaytoloseweight.Soareanestimated65millionotherAmericans.Theyhavetriedmanydifferentwaystoreach theirgoal.Some,likeMaida,optforcommercialweightlossprograms,books,tapes,orvideos.Jennyhastriedweightlossgadgetsandgizmos.Dietpills,powders, orliquidsappealtoothers. Tryingtosortthroughalltheweightlossclaimscanbeconfusingandcostly.Manyareoftenmisleading,unproven,orjustplainfalse.Butmostpeopleareseldom armedwithfactsaboutweightlossclaims.Theywouldfindithardtoanswerthesequestions: Howdoyoudeterminewhichweightlossprogramorplanisbestforyou? Page3 Doanyofthemwork?Newdietsseemtopopupeveryweek. Doanyoftheweightlosspills,liquids,gadgets,andcreamsreallywork? Arethereanysafewaystoloseweightandkeepitoffpermanently? Promises,Promises Whilemanyweight lossprograms,diets,andgizmoslurepeoplewiththepromiseofaslim,attractivebody,theresultsseldommeasureup.Mostarenotsuccessful.In fact,theFederalTradeCommission(FTC)saysthis:Whilesomepeoplewilltakeoffweightbyusingweightlossprogramsandproducts,few—perhaps5percent— willmanagetokeepallofitoffinthelongrun. Accordingtomedicalresearch,ninetypercentofalldietersregainsomeoralloftheweightoriginallylost.Atleastonethirdgainmore.Anincreasingamountof researchhasconfirmedthesefailurerates.Researchalsohasfoundthatgeneticandphysiologicalfactorsplayimportantrolesindeterminingbodysize. SomepeoplelikeMaidaandJennydonotneedtoloseweight.Bothteensareatahealthyweightfortheirheightandbodyshape.Yet,likemanyAmericanteens,they thinktheyneedtobethin.Theyobsessaboutbeingthinbecausethinnessseemstoequalsuccess,popularity,andhappiness. Theirbeautyidealsareeverywhere:ultrathinfashionmodels,beautypageantwinners,andTVand Page4 moviestars.However,thesewomengenerallydonothavetypicalorevenhealthyfemalefigures.Nomatterhowhardtheytry,thevastmajorityoffemaleswillnever beabletomoldtheirbodiestoamodel'sdimensions. DietingHarm AccordingtoFrancesM.Berg,editorofHealthyWeightJournal,weightissueshavebecomeanobsessionintheUnitedStates.Inherbook,AfraidtoEat,she givessomealarmingstatisticsaboutthisobsession: Morethantwothirdsofhighschoolgirlsaredieting. Twentyfivepercentofhighschoolboysaredieting. Twentypercentofhighschoolgirlstakedietpills. Morethan50percentofteengirlsareundernourished. Manyfemaleandmaleteensareusinglaxatives,diuretics,fasting,andvomitingtoslimdown. Thequesttobethincansometimesleadtoseriousphysicalandpsychologicalconsequencesandproblems.About10percentofteensintheUnitedStates,mostly females,sufferfromharmfuleatingdisorders.Someonewhosuffersfromaneatingdisorderconstantlythinksaboutfood,weight,and Page5 dieting.Family,friends,hobbies,andhealthyactivitiesfadeinimportance.Aneatingdisordercanleadtoseriousphysicalandmentalhealthproblemsandcaneven causedeath. WhatYouWillFindinThisBook Thisbookwillexploretheweightlossindustry,including: Whythishugebusinessisbooming Itsmanyproductsandservices Theprosandconsofvariousweightlossmethods Itwillprovideyouwiththefactsbehindtheappealingweightlossclaimssothatyoucanmakewisechoices.Inaddition,youwilllearnhowtospotandavoidoutright scamsandfakeproductsandservices. Youwilllearnabouttheunhealthyaspectsofdietingandwillbeencouragedtoconsiderthoroughlythecostsandconsequencesofthedietingdecisionsyoumake.You willfindoutthatthereisnosetweightforeachperson,butthatthereareguidelinesonlookinggoodandfeelinggoodaboutyourself.Thisbookexploreswhata healthyweightis,andwhatahealthyweightmeansforyou. [...]... work can be advertised and sold Every year Americans waste huge amounts of money on bogus weight loss products and services. Most weight loss advertising is aimed at people's fear of being unattractive. Misleading ads for weight loss products and services can be found in magazines, newspapers, and mailorder catalogs, on television and radio, or via telemarketing and the Internet. They also appear in drugstores, supermarkets, and health food stores. You may have seen weight loss ads tacked to telephone polls or ... another. According to medical studies, weight recycling increases the chance of mental and physical health problems. In addition, weight recycling can make weight management tougher. Repeatedly losing and gaining weight can lead to a slower metabolic rate, which means that the body burns calories more slowly. It can also lead to eating disorders; poor selfesteem; feelings of failure and frustration, and an increased risk of heart disease and some forms of cancer... started to spend more time and energy on shrinking their bodies. Magazines and newspapers printed a variety of weight reducing diets, including the apple and barley diet, tea and toast diet, rice and date diet, and the grapefruit diet Fasting also become fashionable as a quick way to drop weight. Other popular weight loss methods of the time were electrotherapy, ingesting mineral salts, wearing rubber garments, and taking pills and laxatives. Some thought that drinking sour milk was a surefire way to lose weight. Others believed that three hot baths a day ... After 1900 a thin body quickly became the American ideal, especially for females. Many factors were driving this new trend. Women's colleges were established, offering graduates an array of new career choices such as social work, journalism, law, and medicine. The idea of a "professional" appearance— one that was more like a man's—began to shape women's selfimages. Exercise and athletics began taking hold of the American imagination too. Both women and men began to enjoy ... Runs a small monitoring operation to catch and stop misleading or fake ads for foods, nonprescription drugs, cosmetics, and services. Has a very effective law, but can handle only a small percentage of the fake ads it finds U.S. Postal Service Has an active program to detect and stop the sale of bogus health products through the mail. Pursues cases that might generate a large amount of mail or that could cause physical harm to the public... toward eating, which can lead to depression, anxiety, and other mental health problems. And it doesn't give you what you want a permanently thin body A Big Business Each day, approximately 65 million Americans are dieting. That means one out of every two adults is on a diet at any given time. Although most dieters are female teens and adults, more and more teen and adult males are trying to lose weight Many dieters think that they need to buy something—diet products, plans, or membership in a program—to lose weight. They have many options from which to ... rubber garments, and taking pills and laxatives. Some thought that drinking sour milk was a surefire way to lose weight. Others believed that three hot baths a day would melt off fat Thin Becomes In During the 1920s, when the first large wave of diet mania had rolled across America, many people tried various weight loss capsules and pills. Many also became sick, because capsules sometimes contained tapeworm eggs. Another early synthetic, or manmade, prescription weight loss pill contained the substance ... EighteenDay Diet. The dieter could only eat 585 calories or less each day and was restricted to grapefruits, oranges, melba toast, green vegetables, and hardboiled eggs. The diet was promoted by citrus growers. The American Medical Association (AMA) approved a bananaandskimmilk diet, developed by a Johns Hopkins University medical doctor These crash diets proved disastrous for some because they lost weight too fast. Also, many people were never meant to be thin. Several Hollywood stars actually died ... Mademoiselle, a young women's magazine widely read by teens, ran an article on eating disorders among young women and teens. A few months later, Seventeen followed suit. The following year, six other women's magazines published articles on eating disorders Where Are We Today? "My butt is way fat," Sharlene said, looking at her backside in the mirror Page 29 Her friend Kendra just rolled her eyes. "Are you crazy? I'm the one with the fat butt! Just look at this big ol' buffalo butt!"... Gastric bypass, liposuction, tummy tuck, jaw wiring, gastric balloon Page 11 by their peers. Many think that they have to be thin to be attractive and popular. Not only that, but teens are constantly getting pummeled with messages to be thin from the media Karen, fifteen, says that teen magazines are a big thing with her and her friends. "There are always articles on how to become thinner and sexier and how to be attractive to boys," she says. "Every issue has something—the latest makeup, the coolest clothing, the hottest shoes, and lots of other stuff. It's like . Pagei Understanding Weight Loss Programs A Teen Eating Disorder Prevention Book JudyMonroe TheRosenPublishingGroup,Inc./NewYork Pageii Publishedin1999byTheRosenPublishingGroup,Inc. 29East21stStreet,NewYork,NY10010 Copyright©1999byJudyMonroe Allrightsreserved.Nopartofthis book maybereproducedinanyformwithoutpermissioninwritingfromthepublisher,exceptby a reviewer. LibraryofCongressCatalogingin PublicationData Monroe,Judy. Understanding Weight Loss Programs/JudyMonroe. p.cm.— (A teen eating disorder prevention book) Includesbibliographicalreferencesandindex. Summary:Discussesthe weight loss industryincluding whythisbusinessisthriving,themanyproductsandser vicesoffered,andtheprosandconsofvarious weight loss methods. ISBN0823928667 1. Weight loss Juvenileliterature.2.Reducingdiets— Juvenileliterature.3. Eating disorders—Juvenileliterature. 4. Eating disordersinadolescence—Juvenileliterature.[1. Weight loss. 2.Reducingdiets.3. Eating disorders.]1. Title.II.Title: Understanding weight loss programs.III. Series. RM222.2M5631999 613.7—dc21 9923313 CIP ManufacturedintheUnitedStatesofAmerica Pageiii AboutTheAuthor JudyMonroe,M .A. ,M.P.H.,haswrittennumerousbooksandmagazinearticlesforteensonhealthissues. Pagev Contents Introduction 1 1 The Weight Loss Industry 6 2 TheQuesttoLose Weight 21 3 Commercial Weight Loss Programs 31 4 Bogus Weight Loss Products 49 5 WhyDietPlansandProgramsDon'tWork 80 6 Consequences 95 7 What'sRightforMe? 114 Glossary 134 WheretoGoforHelp 136 ForFurtherReading 141 Index 143 Page1 Introduction Moremoneygonetowaste,"Maidasighed,tossingthe book shewasreadingontothefloor."Youknow,I'vereadatleasteightdifferentdietbooksand triedjustabouteveryoneoftheirdiets—andnotoneofthemhasworked.Andlookatyou!Imean,you'reskinnyas a rail!Whatexactlyareyoudoing?" Jennylaughed."Well,ittookme a fewtriestofindsomething.RememberthatrubbersuitIhadfor a while?" "Yeah,"Maidasmiled."Thatwasthecraziestthing!" "Itwassupposedto'meltawaythepounds,'"Jennysaid."ButallIgotoutofitwas a nastyrash.HowwasItoknowIwasallergictowhateverwasinthat thing?" "Butyoufoundsomething?"Maidaasked. Jennypulled a smallboxoutofherjeanspocket."Here'swhatIfound.Thesepillsdothetrickforme.Igetthematthedrugstore. Page2 Idon'tevenneed a prescriptionforthem." "Whatarethose?Dietpills?"Maidaasked. "Yes,"Jennyreplied. "Butdon'ttheycauseproblems?Iheardthey'renotgood." "C'mon,Maida.Howbadcouldtheybe?Besides,wouldyouratherbefat?" Maidalookedatthepillsandshruggedhershoulders.Shepickedup a colorfulbrochurefromthefloornexttoherandwaveditintheair."Hey,Jen!Listen tothis!"Maidaexclaimed."YouknowwhatI'mgonnatrynext?There'sthis weight loss centerdownatthestripmall.I'vebeenreadingtheirad.It'sgot simplyeverything!Their weight loss programsounds fabulous!" Confusing Weight Loss Claims MaidaandJennyarelookingfor a quickandeasywaytolose weight. Soareanestimated65millionotherAmericans.Theyhavetriedmanydifferentwaystoreach theirgoal.Some,likeMaida,optforcommercial weight loss programs,books,tapes,orvideos.Jennyhastried weight loss gadgetsandgizmos.Dietpills,powders, orliquidsappealtoothers. Tryingtosortthroughallthe weight loss claimscanbeconfusingandcostly.Manyareoftenmisleading,unproven,orjustplainfalse.Butmostpeopleareseldom armedwithfactsabout weight loss claims.Theywouldfindithardtoanswerthesequestions: Howdoyoudeterminewhich weight loss programorplanisbestforyou? Page3 Doanyofthemwork?Newdietsseemtopopupeveryweek. Doanyofthe weight loss pills,liquids,gadgets,andcreamsreallywork? Arethereanysafewaystolose weight andkeepitoffpermanently? Promises,Promises Whilemany weight loss programs,diets,andgizmoslurepeoplewiththepromiseof a slim,attractivebody,theresultsseldommeasureup.Mostarenotsuccessful.In fact,theFederalTradeCommission(FTC)saysthis:Whilesomepeoplewilltakeoff weight byusing weight loss programsandproducts,few—perhaps5percent— willmanagetokeepallofitoffinthelongrun. Accordingtomedicalresearch,ninetypercentofalldietersregainsomeorallofthe weight originallylost.Atleastonethirdgainmore.Anincreasingamountof researchhasconfirmedthesefailurerates.Researchalsohasfoundthatgeneticandphysiologicalfactorsplayimportantrolesindeterminingbodysize. SomepeoplelikeMaidaandJennydonotneedtolose weight. Bothteensareat a healthy weight fortheirheightandbodyshape.Yet,likemanyAmericanteens,they thinktheyneedtobethin.Theyobsessaboutbeingthinbecausethinnessseemstoequalsuccess,popularity,andhappiness. Theirbeautyidealsareeverywhere:ultrathinfashionmodels,beautypageantwinners,andTVand Page4 moviestars.However,thesewomengenerallydonothavetypicalorevenhealthyfemalefigures.Nomatterhowhardtheytry,thevastmajorityoffemaleswillnever beabletomoldtheirbodiesto a model'sdimensions. DietingHarm AccordingtoFrancesM.Berg,editorofHealthy Weight Journal, weight issueshavebecomeanobsessionintheUnitedStates.Inher book, AfraidtoEat,she givessomealarmingstatisticsaboutthisobsession: Morethantwothirdsofhighschoolgirlsaredieting. Twentyfivepercentofhighschoolboysaredieting. Twentypercentofhighschoolgirlstakedietpills. Morethan50percentof teen girlsareundernourished. Manyfemaleandmaleteensareusinglaxatives,diuretics,fasting,andvomitingtoslimdown. Thequesttobethincansometimesleadtoseriousphysicalandpsychologicalconsequencesandproblems.About10percentofteensintheUnitedStates,mostly females,sufferfromharmful eating disorders.Someonewhosuffersfroman eating disorder constantlythinksaboutfood, weight, and Page5 dieting.Family,friends,hobbies,andhealthyactivitiesfadeinimportance.An eating disorder canleadtoseriousphysicalandmentalhealthproblemsandcaneven causedeath. WhatYouWillFindinThis Book This book willexplorethe weight loss industry,including: Whythishugebusinessisbooming Itsmanyproductsandservices Theprosandconsofvarious weight loss methods Itwillprovideyouwiththefactsbehindtheappealing weight loss claimssothatyoucanmakewisechoices.Inaddition,youwilllearnhowtospotandavoidoutright scamsandfakeproductsandservices. Youwilllearnabouttheunhealthyaspectsofdietingandwillbeencouragedtoconsiderthoroughlythecostsandconsequencesofthedietingdecisionsyoumake.You willfindoutthatthereisnoset weight foreachperson,butthatthereareguidelinesonlookinggoodandfeelinggoodaboutyourself.This book exploreswhat a healthy weight is,andwhat a healthy weight meansforyou. Page6 1 The Weight Loss Industry Maihastrieddozensofdiets.Shesays,''OnceIwenton a 400calorie a dayliquiddiet.Oneofmyfriendshadreadaboutitin a magazine,sowetriedit.I wassohungryaftertwodaysthatIstartedshovelingeverythingIcouldintomymouthuntilIthoughtI'dexplode.'' Mai'smostpainfuldietwasanall fruitprogram."IateorangesandgrapefruitsuntilIhadsoresinmymouth,"sherecalled.Overtheyears,she'scollected twoshelvesofdietbooks.Eachonepromises a surefireplanforsheddingextrapounds.ButnothingMaihastriedhaseverledtopermanent weight loss. Everyyear,millionsofteenslikeMaigoondietstomeetsomegoalofbeingthin.Somediettobemorepopularwithpeersortheoppositesex.Somedoittoimprove theirathleticabilitiesortomeet weight requirementsfor a sport.Othersdiettoprovethattheyareincontroloftheirownlife. Page7 Dietingwillhelpsometeenslose,butnotinthewaythattheyhope.Mostteensdon'tneedtodietinthefirstplace,becausetheyarenotoverweight.Eveniftheydiet, mostwon'tlosethe weight theywantto—atleastnotforthelongrun.Dietinghasproventobeoneoftheworstwaystogetyourbodyinshape.Itcanleadtoan endlesscycleofdieting,losing weight, ending a diet,gaining weight back,feelingfrustratedandangry—anddietingagain. Thispatternproducesmanynegativeresults.Dietinginterfereswithnormalmetabolism,ortherateatwhichthebodyburnsfood.Itsetsupanunhealthyattitude toward eating, whichcanleadtodepression,anxiety,andothermentalhealthproblems.Anditdoesn'tgiveyouwhatyouwant a permanentlythinbody. A BigBusiness Eachday,approximately65millionAmericansaredieting.Thatmeansoneoutofeverytwoadultsison a dietatanygiventime.Althoughmostdietersarefemale teensandadults,moreandmore teen andadultmalesaretryingtolose weight. Manydietersthinkthattheyneedtobuysomething—dietproducts,plans,ormembershipin a program—tolose weight. Theyhavemanyoptionsfromwhichto choose.Theserangefromselfhelpbooks,tocompaniesthatcombinenutritionalcounselingwiththesaleoftheirownlowcaloriefoodproducts,tomedicalproviders whooffer a comprehensiveapproachto weight reduction. Over17,000dietplans,programs,andproducts Page8 existtoday.Newonespopupallthetime.Everhopeful,dietersarewillingtospendmoneyoverandoveragainonseeminglynew,slicklymarketeddietproductsand programs. Losing weight ishardformostpeople.That'swhytheyoftenturntovarious weight loss methodstohelpthemshedsomepounds.Withsomanypeopletryingtolose weight, the weight loss industrypullsinbigmoney.AccordingtoMarketdata, a marketresearchfirminTampa,Florida,theAmerican weight loss industrygenerates salesof$35billioneachyear.The weight loss businessoutsidetheUnitedStatesmaybejustasprofitable. TheLureofThin Whyaresomanyteensbuyingintothepromiseofquick,easy weight loss? Andwhytheemphasisonthinness?InAmericabeingthiniswhat'sin.Healthexperts reportthatfromonehalftotwothirdsofall teen girlsandnearlyonequarterofall teen boysseethemselvesasoverweight.As a result,manyaretryingtolose weight byusingvariousineffectiveandpossiblyunsafemethods. Pressuretolose weight andbethinisincreasing.Andtherearesomanycontributingfactors—pressurefrompeers,fromparents,andfromthemedia.Butthetruthis thatmostteensarenotoverweight.Noraretheyfat.Medicaldoctorsfindthatlessthanoneinfive teen girlsisactuallyoverweight.Instead,manyteenshaveunrealistic ideasabout a healthy weight thatworksfortheirheightandbodytype. Thepressuretobethinisoftenlinkedwithpeerpressure.Mostteenswanttofitinandbeaccepted Page9 Weight Loss Method Description Weight loss centersor commercialdiet servicesorprograms Includes Weight Watchers,JennyCraig,Nutri/System,andmanyothers. Mostcentersprovidediets.Somealsoprovidevariousproductsand servicessuchasexerciseplans, weight loss drugs,dietarysupplements, books,videos,counseling,andsoon. Dietplans. Pagei Understanding Weight Loss Programs A Teen Eating Disorder Prevention Book JudyMonroe TheRosenPublishingGroup,Inc./NewYork Pageii Publishedin1999byTheRosenPublishingGroup,Inc. 29East21stStreet,NewYork,NY10010 Copyright©1999byJudyMonroe Allrightsreserved.Nopartofthis book maybereproducedinanyformwithoutpermissioninwritingfromthepublisher,exceptby a reviewer. LibraryofCongressCatalogingin PublicationData Monroe,Judy. Understanding Weight Loss Programs/JudyMonroe. p.cm.— (A teen eating disorder prevention book) Includesbibliographicalreferencesandindex. Summary:Discussesthe weight loss industryincluding whythisbusinessisthriving,themanyproductsandser vicesoffered,andtheprosandconsofvarious weight loss methods. ISBN0823928667 1. Weight loss Juvenileliterature.2.Reducingdiets— Juvenileliterature.3. Eating disorders—Juvenileliterature. 4. Eating disordersinadolescence—Juvenileliterature.[1. Weight loss. 2.Reducingdiets.3. Eating disorders.]1. Title.II.Title: Understanding weight loss programs.III. Series. RM222.2M5631999 613.7—dc21 9923313 CIP ManufacturedintheUnitedStatesofAmerica Pageiii AboutTheAuthor JudyMonroe,M .A. ,M.P.H.,haswrittennumerousbooksandmagazinearticlesforteensonhealthissues. Pagev Contents Introduction 1 1 The Weight Loss Industry 6 2 TheQuesttoLose Weight 21 3 Commercial Weight Loss Programs 31 4 Bogus Weight Loss Products 49 5 WhyDietPlansandProgramsDon'tWork 80 6 Consequences 95 7 What'sRightforMe? 114 Glossary 134 WheretoGoforHelp 136 ForFurtherReading 141 Index 143 Page1 Introduction Moremoneygonetowaste,"Maidasighed,tossingthe book shewasreadingontothefloor."Youknow,I'vereadatleasteightdifferentdietbooksand triedjustabouteveryoneoftheirdiets—andnotoneofthemhasworked.Andlookatyou!Imean,you'reskinnyas a rail!Whatexactlyareyoudoing?" Jennylaughed."Well,ittookme a fewtriestofindsomething.RememberthatrubbersuitIhadfor a while?" "Yeah,"Maidasmiled."Thatwasthecraziestthing!" "Itwassupposedto'meltawaythepounds,'"Jennysaid."ButallIgotoutofitwas a nastyrash.HowwasItoknowIwasallergictowhateverwasinthat thing?" "Butyoufoundsomething?"Maidaasked. Jennypulled a smallboxoutofherjeanspocket."Here'swhatIfound.Thesepillsdothetrickforme.Igetthematthedrugstore. Page2 Idon'tevenneed a prescriptionforthem." "Whatarethose?Dietpills?"Maidaasked. "Yes,"Jennyreplied. "Butdon'ttheycauseproblems?Iheardthey'renotgood." "C'mon,Maida.Howbadcouldtheybe?Besides,wouldyouratherbefat?" Maidalookedatthepillsandshruggedhershoulders.Shepickedup a colorfulbrochurefromthefloornexttoherandwaveditintheair."Hey,Jen!Listen tothis!"Maidaexclaimed."YouknowwhatI'mgonnatrynext?There'sthis weight loss centerdownatthestripmall.I'vebeenreadingtheirad.It'sgot simplyeverything!Their weight loss programsounds fabulous!" Confusing Weight Loss Claims MaidaandJennyarelookingfor a quickandeasywaytolose weight. Soareanestimated65millionotherAmericans.Theyhavetriedmanydifferentwaystoreach theirgoal.Some,likeMaida,optforcommercial weight loss programs,books,tapes,orvideos.Jennyhastried weight loss gadgetsandgizmos.Dietpills,powders, orliquidsappealtoothers. Tryingtosortthroughallthe weight loss claimscanbeconfusingandcostly.Manyareoftenmisleading,unproven,orjustplainfalse.Butmostpeopleareseldom armedwithfactsabout weight loss claims.Theywouldfindithardtoanswerthesequestions: Howdoyoudeterminewhich weight loss programorplanisbestforyou? Page3 Doanyofthemwork?Newdietsseemtopopupeveryweek. Doanyofthe weight loss pills,liquids,gadgets,andcreamsreallywork? Arethereanysafewaystolose weight andkeepitoffpermanently? Promises,Promises Whilemany weight loss programs,diets,andgizmoslurepeoplewiththepromiseof a slim,attractivebody,theresultsseldommeasureup.Mostarenotsuccessful.In fact,theFederalTradeCommission(FTC)saysthis:Whilesomepeoplewilltakeoff weight byusing weight loss programsandproducts,few—perhaps5percent— willmanagetokeepallofitoffinthelongrun. Accordingtomedicalresearch,ninetypercentofalldietersregainsomeorallofthe weight originallylost.Atleastonethirdgainmore.Anincreasingamountof researchhasconfirmedthesefailurerates.Researchalsohasfoundthatgeneticandphysiologicalfactorsplayimportantrolesindeterminingbodysize. SomepeoplelikeMaidaandJennydonotneedtolose weight. Bothteensareat a healthy weight fortheirheightandbodyshape.Yet,likemanyAmericanteens,they thinktheyneedtobethin.Theyobsessaboutbeingthinbecausethinnessseemstoequalsuccess,popularity,andhappiness. Theirbeautyidealsareeverywhere:ultrathinfashionmodels,beautypageantwinners,andTVand Page4 moviestars.However,thesewomengenerallydonothavetypicalorevenhealthyfemalefigures.Nomatterhowhardtheytry,thevastmajorityoffemaleswillnever beabletomoldtheirbodiesto a model'sdimensions. DietingHarm AccordingtoFrancesM.Berg,editorofHealthy Weight Journal, weight issueshavebecomeanobsessionintheUnitedStates.Inher book, AfraidtoEat,she givessomealarmingstatisticsaboutthisobsession: Morethantwothirdsofhighschoolgirlsaredieting. Twentyfivepercentofhighschoolboysaredieting. Twentypercentofhighschoolgirlstakedietpills. Morethan50percentof teen girlsareundernourished. Manyfemaleandmaleteensareusinglaxatives,diuretics,fasting,andvomitingtoslimdown. Thequesttobethincansometimesleadtoseriousphysicalandpsychologicalconsequencesandproblems.About10percentofteensintheUnitedStates,mostly females,sufferfromharmful eating disorders.Someonewhosuffersfroman eating disorder constantlythinksaboutfood, weight, and Page5 dieting.Family,friends,hobbies,andhealthyactivitiesfadeinimportance.An eating disorder canleadtoseriousphysicalandmentalhealthproblemsandcaneven causedeath. WhatYouWillFindinThis Book This book willexplorethe weight loss industry,including: Whythishugebusinessisbooming Itsmanyproductsandservices Theprosandconsofvarious weight loss methods Itwillprovideyouwiththefactsbehindtheappealing weight loss claimssothatyoucanmakewisechoices.Inaddition,youwilllearnhowtospotandavoidoutright scamsandfakeproductsandservices. Youwilllearnabouttheunhealthyaspectsofdietingandwillbeencouragedtoconsiderthoroughlythecostsandconsequencesofthedietingdecisionsyoumake.You willfindoutthatthereisnoset weight foreachperson,butthatthereareguidelinesonlookinggoodandfeelinggoodaboutyourself.This book exploreswhat a healthy weight is,andwhat a healthy weight meansforyou. Page6 1 The Weight Loss Industry Maihastrieddozensofdiets.Shesays,''OnceIwenton a 400calorie a dayliquiddiet.Oneofmyfriendshadreadaboutitin a magazine,sowetriedit.I wassohungryaftertwodaysthatIstartedshovelingeverythingIcouldintomymouthuntilIthoughtI'dexplode.'' Mai'smostpainfuldietwasanall fruitprogram."IateorangesandgrapefruitsuntilIhadsoresinmymouth,"sherecalled.Overtheyears,she'scollected twoshelvesofdietbooks.Eachonepromises a surefireplanforsheddingextrapounds.ButnothingMaihastriedhaseverledtopermanent weight loss. Everyyear,millionsofteenslikeMaigoondietstomeetsomegoalofbeingthin.Somediettobemorepopularwithpeersortheoppositesex.Somedoittoimprove theirathleticabilitiesortomeet weight requirementsfor a sport.Othersdiettoprovethattheyareincontroloftheirownlife. Page7 Dietingwillhelpsometeenslose,butnotinthewaythattheyhope.Mostteensdon'tneedtodietinthefirstplace,becausetheyarenotoverweight.Eveniftheydiet, mostwon'tlosethe weight theywantto—atleastnotforthelongrun.Dietinghasproventobeoneoftheworstwaystogetyourbodyinshape.Itcanleadtoan endlesscycleofdieting,losing weight, ending a diet,gaining weight back,feelingfrustratedandangry—anddietingagain. Thispatternproducesmanynegativeresults.Dietinginterfereswithnormalmetabolism,ortherateatwhichthebodyburnsfood.Itsetsupanunhealthyattitude toward eating, whichcanleadtodepression,anxiety,andothermentalhealthproblems.Anditdoesn'tgiveyouwhatyouwant a permanentlythinbody. A BigBusiness Eachday,approximately65millionAmericansaredieting.Thatmeansoneoutofeverytwoadultsison a dietatanygiventime.Althoughmostdietersarefemale teensandadults,moreandmore teen andadultmalesaretryingtolose weight. Manydietersthinkthattheyneedtobuysomething—dietproducts,plans,ormembershipin a program—tolose weight. Theyhavemanyoptionsfromwhichto choose.Theserangefromselfhelpbooks,tocompaniesthatcombinenutritionalcounselingwiththesaleoftheirownlowcaloriefoodproducts,tomedicalproviders whooffer a comprehensiveapproachto weight reduction. Over17,000dietplans,programs,andproducts Page8 existtoday.Newonespopupallthetime.Everhopeful,dietersarewillingtospendmoneyoverandoveragainonseeminglynew,slicklymarketeddietproductsand programs. Losing weight ishardformostpeople.That'swhytheyoftenturntovarious weight loss methodstohelpthemshedsomepounds.Withsomanypeopletryingtolose weight, the weight loss industrypullsinbigmoney.AccordingtoMarketdata, a marketresearchfirminTampa,Florida,theAmerican weight loss industrygenerates salesof$35billioneachyear.The weight loss businessoutsidetheUnitedStatesmaybejustasprofitable. TheLureofThin Whyaresomanyteensbuyingintothepromiseofquick,easy weight loss? Andwhytheemphasisonthinness?InAmericabeingthiniswhat'sin.Healthexperts reportthatfromonehalftotwothirdsofall teen girlsandnearlyonequarterofall teen boysseethemselvesasoverweight.As a result,manyaretryingtolose weight byusingvariousineffectiveandpossiblyunsafemethods. Pressuretolose weight andbethinisincreasing.Andtherearesomanycontributingfactors—pressurefrompeers,fromparents,andfromthemedia.Butthetruthis thatmostteensarenotoverweight.Noraretheyfat.Medicaldoctorsfindthatlessthanoneinfive teen girlsisactuallyoverweight.Instead,manyteenshaveunrealistic ideasabout a healthy weight thatworksfortheirheightandbodytype. Thepressuretobethinisoftenlinkedwithpeerpressure.Mostteenswanttofitinandbeaccepted Page9 Weight Loss Method Description Weight loss centersor commercialdiet servicesorprograms Includes Weight Watchers,JennyCraig,Nutri/System,andmanyothers. Mostcentersprovidediets.Somealsoprovidevariousproductsand servicessuchasexerciseplans, weight loss drugs,dietarysupplements, books,videos,counseling,andsoon. Dietplans