Moggsy, I'm not sure what your problem is with the NWLR. You do understand, since you can see this from their website, that they do produce studies. The advantage is that they have longitudinal diet studies which others have not been able to afford to do.
I'm not a mathematician. I like mathematics, I keep active with math activities, and I haven't even gotten far into fat fu's blog - which will be math - I'm simply stunned that she thinks there isn't long-term data out there about weight loss maintenance. Did you understand that?
WW also has data. Because they computerize their member's information.
What you think are just records are input to someone's study. Without the records (data) to use, it's impossible to produce a longitudinal study. The NWLR did look at the relatively few Atkins dieters who lost and maintained. The good news, and the bad news, is that there was little difference in their success. For people who claim low-carb is a superior method of weight loss, this doesn't sound as good as they would like. For people who think that low-carb is a poor risk for long-term maintenance of weight loss, this refutes that assumption. Since low-carbers identified themselves as such to the NWLR, and the studies were produced from years of data, this is actually a good opportunity to see what poses great difficulty for other researchers.
The Consumer Reports assessments came from examining the studies. If low-carb is effective, short-term, according to them, all the better for people who think that low-carbing is bound to fail. But, if it's not effective, long-term, people may rightly be discouraged about that kind of diet. The NWLR data came from people who were motivated and committed to the low-carb diet but more importantly, they were committed to the longitudinal tracking by the NWLR.
What is NWCR? You refer to that several times. What is it?
You also write:
'The nutritional rating is not based in any scientific evidence.'
Can you tell me where you got that information?
You wrote (here comes a quote):
'Where they got the determination may be less about evidence and more about "conventional wisdom":'
I take this to mean that you ACTUALLY think they didn't look at studies. They read a booklet from health class and came up with the 'conventional wisdom' and spit it out as results. I really hope that isn't what you meant but you clearly think that other people don't know what evidence is. That's too bad.
Yes, I've had positive experiences with WW. I've had bad experiences in the past, as when I tried to stay in a group whose leader's style did not appeal to me - for some reason, that group was diabetic-heavy, too, and all they wanted to talk about was their problems with sugar. The flexibility of WW allows me to go to the group I choose - and change if I want, without notice, anytime. And if I don't want to go to group, I can do WW online (their website).
So how is my explanation of the current WW environment and style any different from anyone else reporting a positive experience with their diet here? To start with, I'm not saying WW is great and your diet sucks. That's the attitude I'm getting if I say that WW is flexible - or anything else positive. Someone will tell me that it is not. YOU will tell me that because I go to WW and say that, doesn't mean it's true. First hand experience as of every Thursday for the past 12+ months doesn't mean anything to you. To me, it means I can comment on various criticisms of the program, especially when they come from people reciting their experience from memory.
Reading that the NLWR may require you to actually specify more than just 'I low-carb and I lost this much weight' makes perfect sense to me.
You say, 'most people who do low carb don't have a clinical record of their weight loss or any proof that they used that plan to lose weight. Of course now more people might be more open with their health care providers about the weight loss method they are using.;
Well, duh - let's get scientific here. Not having a record of weight loss and any proof, such as food diaries, etc. - at the very least - makes for crap science, don't you think? I can get 10 people I know to SAY they've lost weight low-carbing. Access the WW computer data from members and you'll actually see weight that changed and can be counted. Since WW doesn't tie you to a tree and make you spit out your point values, you could lose weight any way you want to, conceivably, at WW, and have it count. Because WW is that flexible.
You write:
'That isn't a study of success rate of dieting. It's a record of successful dieters and their methods. It's not even a study of successful dieters. It's a record. I am not sure why I have to explain this to a mathematician.'
(Drop the condescending tone, please. Or don't. Something tells me you can't.)
Go back and look at NWLR again. I've already read one book about the result of their weight loss studies. It was, as diet books go, very good.
Since I provided a link to their site, you probably already read this, but here goes:
'The National Weight Control Registry
The National Weight Control Registry (NWCR), established in 1994 by
Rena Wing, Ph.D. from Brown Medical School, and James O. Hill, Ph.D. from the University of Colorado, is the largest prospective investigation of long-term successful weight loss maintenance. Given the prevailing belief that few individuals succeed at long-term weight loss, the NWCR was developed to identify and investigate the characteristics of individuals who have succeeded at long-term weight loss. The NWCR is tracking over 5,000 individuals who have lost significant amounts of weight and kept it off for long periods of time. Detailed questionnaires and annual follow-up surveys are used to examine the behavioral and psychological characteristics of weight maintainers, as well as the strategies they use to maintaining their weight losses.
Research findings from the National Weight Control Registry have been featured in many national newspapers, magazines, and television broadcasts, including USA Today, Oprah magazine, The Washington Post, and Good Morning America.'
Since I'm sure you visited the website, you have looked at these 30 studies from their data?
http://www.nwcr.ws/Research/published%20research.htm
Because the weight loss participants share certain habits that allow them to lose and maintain, the diets are not as important - since they all end up being 'energy-balance.' I'm sorry. It is what it is. You lose weight when you take in fewer calories and you expend more calories. NWLR isn't going to tell you any different. But it will identify diet plans because NWLR does produce studies. And they will tell you that successful dieters have certain things in common. It's not magic. It's not smoke and mirrors.
You write:
'Not everyone who thinks that WW is the be all and end all in dieting have ever been on a diet, let alone WW.'
Go back and read again what you used the quote button for. My impression that people at WW have done Atkins before is from anecdotes told by the dieters themselves, that I have heard in a group. When they don't like that diet and they don't feel that they lose weight on that diet - or for whatever reason, they don't feel well eating the food, they are not going to do it. True of all diets.
Rightnow wrote: 'Yeah that survey was notoriously slanted against LC -- there should be some old threads here about that.' Since NWLR is not a survey, it's a database that produces studies, I'd like to see the thread. It's not like NLWR didn't solicit Atkins people from the Atkins website - I guess that's the third time I've mentioned THAT. I'd also like to see how 'notorious' the bias was. If it was a bunch of bloggers whining, then Fuggedaboutit.
Moggsy, you write:
'Just because they've tried other diets and failed doesn't mean that is why they think WW is a superior diet. There is nothing in the evidence that shows that WW is more effective than other diets so they're likely to fail at WW also. Yet WW remains to retain a positive reputation with most people despite it not working for most people.'
No, they think WW is a superior diet when and if it works for them - just like you seem to be motivated to makes claims about low-carbing for the same reasons.
Also, I don't think they always think it's a superior diet. They think it's effective. I think they know the common element here is calorie reduction and WW tells them 'eat less and move more' and doesn't pretend to have a magic power. I've never heard WW brag about weight loss. I've only heard people say, 'How did you lose that weight?' and congratulate them. This is a refreshing truth about the WW dieter - the several hundred that have been in my groups - that only strikes me now as being distinctive.
Is this that same old 'It's so UNFAIR that WW is so successful because it is SO undeserved!' song you've been singing? Aren't you tired of that? I know I'M getting there. You actually think that motives are whatever you'd like them to be - and it STILL remains that WW is successful. I think that what you are looking for is something more along the lines of a business study, not anything to do with nutrition.
(WW not being the first dieting experience)'this bears no relevance on whether or not WW has earned its reputation.'
No, it doesn't. It's one way that WW benefits from other diets. I mentioned it in the context of talking about how WW does get people who have tried other diets and failed to lose weight with them (or enough weight, or consistently, or maintained the loss). WW was my daughter's first dieting experience because I took her. I told her she didnt have to lose weight but she did have to know how to deal with food when she was away from home at school. It was one thing I'm very happy to have her - because I went with her and lost 12 pounds. (Yeah. Thanks.)
'The information they got from the NWCR was on the habits of weight loss maintainers, not where they lost the weight, but again, NWCR wouldn't be representative of the population as a whole, but for those who register and have their stats accepted.'
I'm guessing you don't realize you're not typing NWLR. Condescension alert.
You don't think NWLR would be representative of the population as a whole, but only represent those who register and have their stats accepted. Since these are longitudinal studies that come out of years of data, and there are new participants joining and being tracked, at some point, it's could be a lot more representative than the smaller studies that begin and end in a shorter time frame. For example, as time passes, people do develop diabetes, heart disease, gall bladder disease, kidney disease. If you wanted a representative population available to provide data over a long time, you will end up having it. You couldn't hand pick that kind of mix, with a large number of participants, to stay committed to a longitudinal study. You might not even get that mixture of health concerns and various ages if you tried to find a good random sample. Pre-menopausal, post-menopausal, pre-diabetic, etc. I don't see a problem.
'Your experiences with WW do not prove or disprove WW's overall effectiveness. Your experiences in meetings don't even mean that people are more likely to encounter what you experience than the other meeting experiences described in this thread.'
Since WW continues to draw people to meetings and they go and PAY to be there, I'm guessing that the meetings 'work.' And pretty much as I've described my positive feelings there, that is what keeps people going. Success is the people who go to the meetings.
If no one goes, they can't have a meeting. As a business, that would be like not having customers buy your product. A few years ago, they made a rule that you had to have a quorum to have a regular WW meeting. Our devoted little band at the time begged them to make an exception because we were 5 people short. WW holds meetings at companies and they have no problem making the relatively small quorum but in our case, we were meeting during our kids' activities at the Y. We just couldn't find more people for 1 hour between gym activities. We had no dropouts - it was just a new WW rule about meeting size. It was really upsetting! When we all dispersed to the well-attended meetings held around our town and neighboring towns, it wasn't bad but we missed our leader at the time, the convenience at the Y, and each other.
Moggsy, you write:
'Your "evidence" is much more important to you than anyone else.'
I'm sorry you found that nasty tone. I'm not exactly sure what 'evidence' you're referring to except my recounting positive experiences that have also been experienced by many, many others. WW is successful. And its success rests on the success of its members. WW is never unclear about that and the members know it.
'The theories behind the nutritional evidence has changed. In judging the quality of the nutritional advice and the ability of people to stick to the program, you need to assess the quality of the advice given today. '
They do assess. And re-assess. You may have an opinion about the results that they use to modify some things, but really, most stays the same. Calories (or 'points') are important, that hasn't changed. I really like how they are paying more attention to the value of exercise, which is something I've noticed in the past couple of years.
'Best of the Atkins structure? It seems you don't understand Atkins very well. It's interesting to see your thought process spelt out in black and white in your forum post though. It will be entertaining to see how you're going to equate Atkins with the Twinkie diet.'
I did the Atkins diet, remember? Several times. I do understand the Atkins diet. It's as structured as any other diet that has phases. But it doesn't count anything and you can forget calories. If Atkins - or any other low-carb diet - tells you that you should stay within a certain limit and you should count what you put in your mouth, I'd be very surprised. 'Eat fewer than X amount of carbs is a limit' However, eat as much of protein and fat is not. WW does give you free foods - so you'd rightly say that WW does tell you that you can eat freely of certain foods. They just tend to be foods that probably wouldn't impact your weight if you ate a lot of them. Example: a piece of deli turkey meat wrapped around a pickle is zero points. I don't think anyone is going to overeat that. If you don't eat a whole lot of protein and fat on Atkins, it's probably because you're sick to death of meat. You will eat less of it. But you won't fill up on the carbs you've been missing, either - they are still off-limits. Skip that pasta.
And the Twinkie Diet? Works great! Did you see those HDL and triglycerides? I'll bet that guy was really tired of eating Twinkies. He did eat fewer calories. How did that happen!
No magic. He got sick of a narrow range of food. But don't you think he could LIVE with that narrow range of food? Think how skinny he would get. All he has to do is turn down the other stuff (it's off-limits) and yummm,. Twinkies do taste good.
I think I understand the Twinkie diet really well.
'As for being "shown to work", one guy without any follow up to what happened to his blood serum after he stopped losing weight does not a safe diet trial make. You know that most weight loss correlates with improved lipid profiles in most people, right?'
You do know that people stop losing weight on Atkins, too, right? And you know that there are plenty of studies about how and why people plateau on diets. But that's nothing compared to the failure to adhere to a diet. I'm guessing that the Twinkie diet may find people who want to adhere to it. Or just get into their wedding dress for the big day. More power to them.
'But here you are pretty much saying what I (and others) have been saying all along. WW as a diet is nothing special. '
Maybe you missed my remarks that Atkins is nothing special. I think it tastes good, sometimes, but I have a low tolerance for such a monotonous diet. It does beat the Cabbage Soup Diet (I have seen other people succeed with that - the old 'gotta get into that wedding dress' drive). WW leaders will tell you that the diet's success is purely your efforts, not magic, not great combinations of anything that did it for you. Hence all the pats on the back and applause.
You wrote: (about the WW success not being hidden)
'Sure it is or you'd not have to go through this really convoluted argument to prove me wrong or bow out gracefully.'
Actually, I'm getting a perverse pleasure when I talk about the success of WW. You know, it's so fricking UNDESERVED. MWAHHHHHAAAHHHAHHHA! LOL! What a hoot to see a large company so vilified. I'm not trying to 'prove you wrong,' Moggsy. You can't be. You wouldn't know it if you were. It makes you condescending, it makes all of your griping just sound like sour grapes. It's the world that's so damned wrong to give this UNDESERVED success to this big bad organization. MWAHHHHHAHAHA!
You wrote:
'I wouldn't be able to ignore the man behind the curtain '
There's a certain kind of person who needs to think there's a man behind the curtain.
(I said that word of mouth brings people to WW.)
'And advertisements...and web presence...and products/presence in grocery shops...and spokesmodels...and media fawning over it...and on and on...'
That 'big business stinks' song again, huh?
(about dramatic successes in WW
'This could be said about any diet.'
Absolutely true. Couldn't agree more. Is very true with WW.
(About WW performance in studies
'It sometimes performs adequately in clinical trials. It doesn't perform incredibly well, and nothing in its clinical trial performance indicates that it deserves a recommendation over other diets.'
It always performs well. People in studies tend to perform well on a diet, better than in real life. The controls even lose weight sometimes - and they don't diet. They just become conscious of their eating. Atkins doesn't perform incredibly well - it performs in a way that surprises people who expect otherwise. Doctors feel confident recommending WW because it has a very long track record. When Atkins becomes so accepted and patients succeed on it and maintain on it for years, doctors will probably recommend it, too. My doctor has no problem telling me that low-carbing is fine to lose the weight, short-term - but then, he knows I know how many calories I eat, that I go to WW, and with the carbs I eat, I'm fine. Whatever works, he says. He thinks it's more dangerous to be obese. He also believes that in our lifetime, dieting will be prescribed for the individual based on genetic tests. WW can handle that!
'Doctors aren't always the best judge of nutritional advice.'
Yeah, I'm starting to appreciate how very much smarter they are. I'd take nutritional advice from a blogger or anyone piecing together scientific facts on the internet if I had a death wish.
'...with some people who went to med school explaining the brief education they get full of unsubstantiated low fat crap.'
I don't know these people. My doctor might have gotten a sketchy introduction to nutrition when he was in med school but most doctors continue their educations with conferences and seminars and just sharpen their skills by seeing tons of patients. This 'I didn't learn much in med school about nutrition' is a cliche and it makes me lose respect for the person - I don't care if he or she is a doctor (if in fact, they are). By the time you've been in the working world for a decade or so, you should have grown out of that habit of saying, 'No one taught me right!'
'But between the word of mouth and doctors, you have to ask yourself why WW needs such a aggressive marketing'
Answer: Because they're a huge international organization now and they employ a lot of people. And they understand a balance sheet. And they borrow money from banks and fund pensions. And because they're 'KING OF THE WORLD' (MWAHHHAHHAHHHHA!) Take a class about business and bring a notebook. Take notes.
'You're in no position to know or guess this.'
I don't have to prove every single statement. But - hey, nice try. Next time I say, 'But WW has sold products to members who appreciate the convenience of getting them on sale at meetings,' you can tell me, 'You're in no position to know or guess this.' I think you'd make your point better if you shouted it, 'YOU'RE IN NO POSITION TO KNOW OR GUESS THIS.' It would be more effective than just repeating it when you're at a loss.
(About my gynecologist going to WW
'More misleading vividness, but good for him.'
I don't think his going to WW is 'vivid' but I'll pass on your good wishes.
Moggsy, you do realize that I gave you link that explains why any diet advertisement or commercial has come to include 'results not typical' caveat came from legal cases - I believe it was a Jenny Craig lawsuit. And weight loss not being typical: I think I'd have to see the data - which WW has. There is no 'typical' for diet organizations that don't maintain records.
(About assuming your gripe with WW is that it's a corporation
'Maybe you should stop assuming things,'
Definitely, in that case - assuming wasn't necessary because you claimed it outright!)
(About your not liking things about corporations...)
You didn't read this.
Actually, I read something you wrote that was a pretty good description of the unethical evil corporation and some specific practices and how that is what is bad about corporations - it was eerily scary. Kinda generalizing, too.
'And I don't dislike WW because it's a corporation (oh, sorry, or part of a large multi-national).'
I am sure I read those words, posted by you. Go back and look. You are a poor judge of corporations if you're going to take WW's business practices and try to evaluate them. You are way out of your league, then, I'm afraid. I knew that when I read AGAIN how WW advertises and has spokespeople.... blah, blah, blah ... and you challenged me to explain why that was necessary. Business is not your forte.
(Your description of how companies 'unethically', making me label them the Evil Empire for you
Do you even realise the context of that quote?
If you describe how companies that are large and successful do something that you think is 'not nice', that is:
'If they can do that in a way that means they actually don't need to provide cars (or as many or as high of quality) and could likely never have any liability if it were found out they were ineffective as a car manufacturer, they sure would do that if it meant increased profits'
And you'd like to make an analogy to a Weight Loss company - good luck. As I said, take a business class. And take a notebook with you. You do realize the context of that suggestion....
'Some of these practices probably wouldn't be a part of WW if they weren't a corporation, but that doesn't mean I dislike WW because it is a corporation.'
Well, since you SAID you don't like WW because it's a corporation, that ship has sailed.... But really, give us the skinny on the unethical practices of WW and the proof. Not your interpretation of their motives and not something you've read in BigBusinessIsEvil.com.
WW is a well-run organization. As I've said before, if this were a discussion about business, it would not be THIS discussion, this thread.
You wrote (about criticism of the WW diet
'Sure I did. I am not sure why you missed it, but of course this is about WW and not Atkins.'
Actually, when you said the reason you didn't like WW because it is a big business, that kind of eclipsed all the criticism about how they aren't as knowledgeable about nutrition and all the other niggling little digs at what you don't like about the diet. Which just all ends up being hot air, when the ultimate question is: 'Does this help me lose weight or not?' Enough people answer yes to that to keep the reputation (SO UNDESERVED!) good and the business thriving.
(About criticizing the diet because it's not a low-carb diet
'point of what I said was that if it were low carb, I'd still have most of the same criticisms.' No, actually, you said, if it were low-carb, then you'd revisit - for just another look to reconsider - the meaning of 'revisit.' This would have to take into consideration that absolutely nothing changed but the diet rules. Which you're not happy with, I guess. So, revisiting because it would be low-carb. That's enough to suck you in - jeeze, you're easy. Now, you have to redefine 'revisit' - so just do it. 'Reconsider' isn't going to work anymore in your dictionary.
You wrote:
'Not that I was condemning WW for selling products. JUST LIKE WHEN ATKINS NUTRITIONALS DOES IT, branded product sales is about making a buck, not the well being of the consumer.'
I'm not impressed that you'll shove Atkins Nutritional in front of the train to make a point. Your ideas about business and motives and what the consumer wants are just silly beyond belief. I think I last thought that way before I got my first bra.
(I have a sneaking suspicion that you'd like to tell the consumer what to want but that's beside the point.)
(About WW being a big business and that is bad
Of course you said that. It was given as the reason you don't like WW. And that weird stuff about all the bad things that business can do - scary. Caveat Emptor - that always works for me.
(About your bringing up the fact that you once went to WW
'it wouldn't change the tendency for people to oversell this program.'
Gah! It's the tainted business person 'overselling' that's got you by the throat, now? Business... fooey.
You wrote:
'It doesn't matter how you see my comments or where you think the comments are coming from. I've asked you not to try to tell me why or what I feel, but since you are ignoring that, I will just point out that whether or not I am angry at WW doesn't have any bearing on whether I am right or wrong.'
Well, your tone belies these words and I'm pointing it out to you. You're welcome.
'The diet fails most of the time, yet people go. Exactly what success rate is the tipping point?'
I don't know - you tell me. In the land of the blind, the one-eyed man is king. Does it really surprise you that WW is so damned successful (IT'S SO UNDESERVED!!) because, trying to do something difficult, like lose weight in this case, all you need is for the competition to be weak. There are some lame diets out there and yet they work anyway. The Twinkie Diet rules! So if a company is well-run, enjoys a good reputation, has a long track-record, offers flexibility, and makes some things very convenient (frozen dinners), yay for WW!
Whew. That was lot of stuff to respond to.