Weight loss, in the context of medicine or health or physical fitness, is a reduction of the total body weight, due to a mean loss of fluid, body fat or adipose tissue and/or lean mass, namely bone mineral deposits, muscle, tendon and other connective tissue.
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Weight
Watchers (NYSE: WTW) is an international company that offers
various dieting products and services to assist weight loss and
maintenance. Founded in 1963 by Brooklyn homemaker Jean Nidetch,
it now operates in about 30 countries around the world,
generally under names that are local translations of “Weight
Watchers”.
Weight Watchers has a minimum weight requirement (based on a
member’s height) to protect those who are not actually
overweight. In the United States, one must be at least 5 pounds
(2.3 kg) over this minimum weight in order to establish a lower
goal weight. Height and beginning weight are recorded before a
goal weight is set. Members may choose any weight that results
in a BMI generally accepted as healthy (25 to 20),[citation
needed] or a member may bring a note from his/her physician
stating what a healthy weight for the individual would be.
Once a member reaches his or her goal weight, he or she starts a
maintenance period. For the following six weeks, the member is
taught how to maintain the goal weight by not losing or gaining.
At this time they become “Lifetime” members. A Lifetime member
must weigh in at least once per calendar month. If the member
weighs more than 2 pounds (0.91 kg) over the goal weight at a
“weigh-in”, he/she will be charged the weekly fee, until he/she
again obtains a weight within the target range. If a Lifetime
member stays within that range, there is no fee for attending
weekly meetings, and they may attend for the rest of their life.
Weight Watchers’ eTools is a Web-based service for meetings
members which includes access to support materials and tracking
tools for a fee. Weight Watchers claims “Research shows that
people who attend Weight Watchers meetings lose three times more
weight than [those who diet on their own].” However, the results
of the study were that the mean weight loss of Weight Watchers
participants was 2.3 times more than (3.3 times as much as) the
self-help group at one year, and essentially undefined at two
years. Weight Watchers also claims that members who both use
Weight Watchers’ Web-based eTools and attend meetings lose half
again as much weight as those who only attend meetings, but it
fails to cite a study to back up this claim, instead only
referring to an unspecified “12 week study comparing people who
were instructed to attend Weight Watchers meetings and use
eTools to people who were instructed to attend Weight Watchers
meetings alone”.
Weight Watchers Online is a more independent approach for people
who prefer not to attend meetings. The support system for Weight
Watchers Online is a message board where members can post
support and share advice.
In some areas Weight Watchers meetings are operated by a
locally-franchised organization rather than by Weight Watchers
International.
Weight
loss plans
In the
United States
Varying by location, Weight Watchers generally offers two
programs:
The Core
Plan
In part as a response to the popularity of plans like Atkins and
South Beach, Weight Watchers has recently developed a separate
plan, known as the Core Plan. This plan classifies certain types
of food as “core”, and permits participants to eat core foods
with the restriction that they should only eat these foods until
satisfied, not full, to stay within their comfort zones. They do
not have to weigh, measure, or track the core foods they eat.
Core foods are healthy foods from all the “food
groups”,[citation needed] including fruits, vegetables, fat-free
dairy, lean meats, and whole grains. Participants in the Core
plan may also consume non-core foods, and these are assigned the
usual point values. Participants are allotted up to 35 points
per week for non-core foods. With exercise, participants can
also “earn” points to “spend” on non-core foods.
The Flex
Plan
Under this plan, participants are allotted a number of points
each day based on their gender, height, current weight, age and
physical activity. The number of points allotted may be
increased with sufficient exercise, as in the Core Plan.
Participants are allotted 35 “flex points” per week in addition
to their fixed daily allotments, and they may use these any time
during each weekly cycle.
The Flex plan is, in essence, a simple way to quantify and track
a participant’s energy intake and expenditure. Various servings
of foods are assigned specific numbers of points, and various
types and quantities of exercise are assigned negative numbers
of points; a program participant is allocated a certain number
of points per day, with that number based on the individual’s
current weight.
The effect of this is that the participant is not prevented from
eating any specific type of food, but he/she must consume foods
only with his/her allotment of points. This stands in marked
contrast to approaches such as the South Beach diet or the
Atkins diet, in which some foods are completely forbidden and
others are permitted in as great a quantity as the dieter likes.
The participant’s ability to factor exercise into Weight
Watchers’ plans increases their flexibility; the participant can
eat food of higher points values provided he offsets this with
exercise, or eat food of lower points value if he prefers not to
exercise.
Many Weight Watchers proponents enjoy the Flex Plan precisely
because no food is out of bounds as long as it is eaten in
moderation, and because exercise can be factored in.[citation
needed] (In the UK, Weight Watchers advertises under the slogan
“Where no food is a sin”; this is a reference to its chief
competitor Slimming World’s system of giving some food “sin”
values.) Others, however, dislike the record-keeping that the
plan requires of the participant, who must keep track of the
points values of everything they eat; they prefer Weight
Watchers’ Core Plan or other plans that place restrictions on
types of food rather than quantities.
TurnAround
In August 2004, Weight Watchers introduced the TurnAround®
program, incorporating parts of the Points and Core food plans,
but intended to assist people in developing an overall healthy
lifestyle. Aside from encouraging healthy eating and providing
member support, the program encourages participants to follow
eight “Good Health Guidelines”.[citation needed]
In the UK
and Australia
In the UK there are two plans, called “The Points Plan” and “The
Core Plan”. They essentially correspond to the Flex and Core
Plans in the US, except that the Points Plan omits the 35 “flex”
points per week allotted in the “Flex” plan, and the UK Core
Plan only allots 21 points per week outside of the Core diet. In
“The Points Plan”, one may eat fewer points daily than are
allotted based on sex, weight, age, height, pregnancy status,
and activity level and “spend” these points later within the
week.
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