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How is weight maintenance even defined?

Tuesday, March 16, 2010

...turns out there isn't a universal definition out there, even for the scientists studying it!

www.sparkpeople.com/mypage_pu
blic_journal_individual.asp?blog_id=43
23116


Next column: taking a look at the past Biggest Loser contestants to see how they've done on maintenance.

  
  Member Comments About This Blog Post:

GRACEFULIFE 3/17/2010 11:05AM

    I don't like the idea that NWCR loosened the standard. I mean, I'm all for even moderate losses that are significant in terms of health benefits, but lowering standards to meet what people achieve doesn't seem like a good answer. And as far as I'm concerned, losses have little to do with maintenance. But me, I'm not really a "yay let me celebrate what I've done so far" sort of person, I'm more of a "I'm getting to X by hook or by crook" person (even if it often takes longer than initially expected or hoped for).

I'm going to take the Hacker's Diet standpoint and say that maintenance should just be for stabilization. At that rate it's more useful to say "body weight varies by no more than 5%". If one exceeds 105% of goal weight (or goes below 95%) then one has not successfully maintained. If you exceed but then lose it again, then you failed at maintenance but successfully lost again. Yes, I just pulled a number from the air but I kind of like 5% because it gives the smallest people what feels like a reasonable margin to me (100lb person gets +/-5lb). Also, I don't especially like the "one year", I like the "forever". Obviously a study will have to be over a certain period of time, but a year of maintenance, while perhaps correlated in the aggregate to likelihood of longer-term success, is useless if in an individual case the weight is then immediately regained over, say, a 3-month period. That's not successful maintenance.

Defining goal weight is a bit of a trick, but then that's a discussion for elsewhere.

For me, though, maintenance may be measured with BF% rather than weight or BMI (since I hope to lose down to a BF%). However I could see a definition based on weight being useful in the future also, if at some point I become less able to maintain my fitness, or as I age. I could also see the lower sensitivity of BF% making this less useful, so we will see. Let's put it this way, if I could gain 5lb of muscle I wouldn't turn it down. I wrote a long rant here on BMI before but deleted it...

Academically, I think terms should be fairly precise, and "loss" should not be confused with "maintenance". The loss-maintenance confusion is automatic in any definition that includes "keeping off x% or Xlb of starting body weight", and that doesn't strike me as a useful universal measure. So a term like "weight loss maintenance" seems a bit unsure of its meaning to me.

I guess I don't really like any of the cited measures, though the "within 5 lbs of goal" one is close. That one does not include one of the two basic parameters "The amount of weight lost" - which is good since I think none should.


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LEELYNN2 3/17/2010 9:39AM

    wow good stuff! I've been working toward the "within 5 lbs" goal for the last year and will keep up that momentum, but I never even thought to ask how other people define it.

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DDOORN 3/16/2010 9:59PM

    I'm betting with all the props pulled out from under those Biggest Loser folks don't fare so well afterwards...their set up is so artificial and lacking in the reality of day-to-day life!

Looking forward to what you've dug up! :-)

Don

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RAYLINSTEPHENS 3/16/2010 4:32PM

    I take it One day at a time - the same way I lost the weight.

For me the defining is in how my jeans fit!

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JAY75REY 3/16/2010 4:07PM

    I liked your article on maintenance; very informative.

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1_AMAZING_WOMAN 3/16/2010 3:33PM

    I think what Rena says is very true. However I would like to elaborate on that. There are people who reach goal and APPEAR to remain thin, but aren't exercising to any great extent, and over the years actually lose muscle and gain fat. Their weight may stay the same on the scale, but their clothes get tighter. They are thin/fat. Looks ok, but as the years go by their metabolism gets slower and slower due to the muscle loss, and eventually they will gain weight on few calories - won't be able to stop the weight gain, unless and until they exercise and build muscle to boost their metabolism back up.

Amber

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RENA1965 3/16/2010 2:46PM

    Hi 4A,
I have a buffer zone I have a max high weight and low weight.. If my weight is to high in the morning when I weigh in no extra food I eat my basic food- if I am too low I eat more.. I am now up around the 2000 calories- we have to be active to do this.. I weight train 3 times a week and powerwalk my resthome circit of clients... I go for slow gentle swings on the scales..
I also watch which foods I can use as extras- fatty food makes the scales smack me in the chops.. I can better eat a little sweet now and again it burns off easier than heavy fatty food..
I eat to the high side the days I exercise hard and eat to the low end when not doing the exercise to warrant eating extra..
When on holiday I have to be careful I am out walking each day- or am down around 1500 calories in the lossing phase.. I have lost 176lbs and kept it off 3 years..
Good luck..

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The super-sized 43st (602 lb) mother who is determined to become the world's fattest woman

Monday, March 15, 2010

www.dailymail.co.uk/health/article-1
257850/Super-sized-mother-determined-w
orlds-fattest-woman-years.html


I'm not sure even where to start.

THIRTY medics were required for her Caesarean?!

She earns the money for food by running a website "where men pay her to watch her eat fast food"?!
www.supersizedbombshells.com/Treasur
e/index.html

Judging from what I briefly saw, it's more than eating on there. Adjectives fail me.

These are GOOD things?!

Oh honey, NO.

  
  Member Comments About This Blog Post:

LOGOULD 3/22/2010 4:22PM

    How VERY, VERY sad for her and her daughter! emoticon

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PRONTOPUP 3/22/2010 3:59PM

    Wow. That is sick. And sad. emoticon

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DARA52 3/22/2010 3:45PM

    What low self esteem she must have!

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STEVIECAT4 3/22/2010 3:38PM

    OMG, I shudder to think what her little daughter is going to look like too. What selfish arrogance to weigh 1,000 pounds and proclaim you are healthy.

It's completely mind blowing.

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THINWITHIN18 3/16/2010 10:08PM

    emoticon... emoticon... emoticon

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GR8CATSBY 3/16/2010 9:48PM

    That poor woman! How sad.

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KATZZABELLA 3/16/2010 7:15PM

    Speechless, I'm left speechless!

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SUNNIEDAES 3/16/2010 2:17PM

    So very sad. :(

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DANSAPPHI 3/16/2010 1:42PM

    I wonder if she gets SSI or something like that, beyond the website, if she does that would disgust me too, more than everything else already does.

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SPMOM2 3/16/2010 1:13PM

    I saw this on the news, this is sad and selfish, she will probably die before she reaches her goal, then who will take care of her daughter.

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MOONWILLOW1010 3/16/2010 1:10PM

    Wow...how sad is that?

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REDRUNNERMOM713 3/16/2010 12:55PM

    I can't even find the words for how wrong and sad this is. I'm just floored. Her poor daughter.

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RHEADANIELLE 3/16/2010 12:53PM

    wooooow, what can I say, I guess it works for her and until she sees where it is wrong to treat her body like that, we can only pray for her, that she realizes she needs to put her health first or die.

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LORIBEL1 3/16/2010 12:32PM

    I saw this yesterday, too, and couldn't believe it!

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SPRING1973 3/16/2010 10:52AM

    emoticon

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THENEWCINDY 3/16/2010 10:25AM

    That is horrible that she wants to get bigger!!! Her poor daughter is seeing this craziness...I hope when she gets older she seeks therapy!!!

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CREATINGAMANDA 3/16/2010 10:15AM

    I'm sorry ... she "insists she's healthy"??? It's one thing to have a weight problem ... it's another to purposely do something so unhealthy to yourself. She's risking her life, which is very irresponsible, especially considering she has a young daughter to think about.

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CRISPINI 3/16/2010 10:12AM

    Wow. Just wow.

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ROCKCHALKSPARK 3/16/2010 10:03AM

    Wow.
That's really all I can say.

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SATYAGRAHA 3/16/2010 9:57AM

    I don't even know what to say. I could say so many things about this, all horrible. All I'll say is she needs a serious intervention. Her poor child... HOW ARE PEOPLE ENCOURAGING THIS?!?!?!?!?!!?!?!?!?

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WILLOW49 3/16/2010 9:23AM

    How very, very sad. My heart goes out to her daughter...

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WANNABE751 3/16/2010 5:40AM

    Dedsperately sad...imagine the comments the poor child will get from her peers, it doesn't bear thinking about.

What a selfish woman!

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COLOURFULME 3/16/2010 2:03AM

    Disgusting!

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GRACEFULIFE 3/16/2010 1:02AM

    "Yet although she can only move 20ft before needing to sit down, she wants to be even bigger."

That is the part that offends me. Walking is one of the most basic of human activities, and people should be able to walk more or less continuously. Someone who can only walk 20ft is effectively non-functional.

I'll stop now before I go on some sort of neo-luddite rant.


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SHAUNTEMC 3/16/2010 12:29AM

    That is soooooooooo sad. I feel bad for her daughter because she will probably grow up without her. Shameful. She just motivated me to do 45 minutes of cardio tomorrow.

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KAYOTIC 3/15/2010 11:33PM

    This is so, so sad, especially for her daughter...

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DARKTHOR 3/15/2010 11:18PM

    That is sad and I am so offended that men are paying to watch her eat.

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SLENDERELLA61 3/15/2010 10:58PM

    I feel so blessed to have come to the point where I know that will never be me. How sad..... -Marsha

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FRECKS96 3/15/2010 10:49PM

    That truly makes me want to cry. Especially the pics with her daughter.

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BEVPRESLEY 3/15/2010 10:42PM

    That is just sad. There must be help somewhere for people like that.

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MAMAFISH1 3/15/2010 10:37PM

    Sad, is all I can say.

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MYLIFEROCKS 3/15/2010 10:37PM

    This is so sad and I feel really badly for her little daughter. She won't have a mother for very long if her mom keeps going like that.



Bev

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DDOORN 3/15/2010 10:35PM

    How perverted can the world get...?!?!

So mind-blowing and tragic...

Don

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One year on SparkPeople

Tuesday, March 09, 2010

Wow, has it really already been a year?

I joined on March 9, 2009 because a wellness program at work recommended the nutrition tracker for following our food intake.

It really did help to see what I was eating, because although I'd lost 40 lbs before I joined and started tracking my food, my body fat percentages hadn't really dropped much. Once I became aware of the macronutrient ratios, this changed in a hurry. You can see this, here. Notice the body fat is pretty high between December and March, and then all of a sudden starts going down...
physicsdiet.com/Chart.ashx?t=BodyFat
&s=0001-01-01&e=2010-03-09&u=4a-health
y-bmi


I didn't really start interacting with people here until the end of April when I lost a piece of my support network in real life. I'm not much of a "joiner" really, and neither is my Ithaca/Fingerlakes co-leader CARRIE1948 which is why it's so ironic that we ended up participating in and leading that team, LOL.

In the end, the support here has become very important in my loss and now my maintenance. I've met some really great people here, and even some in person and not just in NY.

I've learned so much over the past year and come so far:

March 9, 2009:

Ate 849 calories (19.6% protein, 66% carb, 14.4% fat, 11 g fiber)
Weighed 292 lbs
53.8 % body fat

March 9, 2010:

Ate 1679 calories (37% protein, 49% carb, 14% fat, 62 g fiber)
Weighed 152.6
18.5 % body fat

Thanks everyone!

  
  Member Comments About This Blog Post:

S318830 3/17/2010 3:22PM

    Congratulations on your anniversary. Your progress has been amazing. And it's been a pleasure getting to know you! Way to go!

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AMARAN 3/16/2010 7:57AM

    You are an amazing inspiration. Thanks for sharing your journey with us!
emoticon

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AMAZINGANN 3/15/2010 11:10PM

    Totally awesome! That is an incredible one-year story. emoticon

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KAREN_01 3/15/2010 1:28PM

    Whoohoo!! Congratulations on your remarkable journey!

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WALKWITME 3/13/2010 7:08AM

    Happy SparkVersary emoticon emoticon emoticon emoticon


What a Transformation too

emoticon Just emoticon

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GREENSCRAPCAT 3/10/2010 9:55PM

    WOW congrats on your anniversary and all you have accomplished! WOOT! Way to go!

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MOM5INFL 3/10/2010 7:29PM

    Congratulations! You are in it to win it! Keep going strong! Birdie.

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TELERIE 3/10/2010 4:52PM

    Happy Sparkiversary! I'm really glad I've "met" you here. Keep on maintaining and I'll join that particular challenge in a while! emoticon

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ALYFITN 3/10/2010 11:59AM

    emoticon emoticon Congratulations on all your success!

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RAYLINSTEPHENS 3/10/2010 11:22AM

    Happy emoticon! WTG on your progress! WooHoo!

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RAINBOWFALLS 3/10/2010 10:44AM

    emoticon on your Success.

I too was never a support type person, but a tragedy in my life changed that. I now find comfort in both giving an getting support. I think the giving is the best.

My first long term goal is my year anniversary and I look forward to my year post.

Best of Luck!

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KAYOTIC 3/10/2010 10:31AM

    Happy emoticon and congratulations on your success! What a great story, very inspirational!

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LALMEIDA 3/10/2010 10:17AM

  emoticon emoticon

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BUFFALOKAY 3/10/2010 10:11AM

    Congratulations and Happy SparkVersary!
emoticon emoticon

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LEELYNN2 3/10/2010 9:29AM

    Let's make it a two year anniversary next year, we've loved having you! Oh by the way the kayak roll film is really cool, thanks for sharing.

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DIAMONDFOOLER 3/10/2010 9:22AM

    Congrats on your one year anniversary! emoticon
And also on your weight loss!! A true success story! emoticon
Barbara

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GRACEFULIFE 3/10/2010 9:06AM

    I'm not much of a joiner either, but then we always have something to learn. I wish I'd joined Spark earlier, but it was still a pretty amazing ride watching you on PD last year. Great job, and keep it up! :)

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CARRIE1948 3/10/2010 8:22AM

    Way to go!!!!

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YARELL 3/10/2010 7:11AM

    that is awesome!!!!!!

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TDEMJANEC 3/10/2010 6:59AM

    Congratulations and Happy Anniversary! emoticon Wishing you continued success.
Best,
-Tanya
emoticon

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JAY75REY 3/10/2010 12:53AM

    Congratulations! emoticon

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LEEDZ09 3/10/2010 12:13AM

    Happy emoticon emoticon
emoticon emoticon

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DDOORN 3/9/2010 11:41PM

    Thx for bringing all your enthusiasm and energy to our SparkFamily!

Congrats on your 1st year! :-)

Don

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Kayaking burns calories, even in a pool, LOL

Monday, March 08, 2010


Continuing the kayak practice in pools in preparation for spring melt...

Total burn yesterday for two hours:
424 calories!
max HR 122
avg HR 93

I burned more while paddling around practicing my edging than I did in the rolling, but the rolling is more interesting - hence the choice of video, LOL

  
  Member Comments About This Blog Post:

RAINBOWFALLS 3/9/2010 3:16PM

    Very Interesting. I didn't know people practiced in a pool, but it sure makes sense.

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GEE-KNEE 3/9/2010 7:48AM

    That looks like fun.

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DDOORN 3/8/2010 9:29PM

    Bet this weather has you pumped up for getting back outside into the water...!

Can't believe all the long-term expeditions I'm hearing about on the IKC!

Don't know if I'd ever be up for something like that...all day maybe, but multiple days...? Whew! I'm saving THAT for working up my biking trips...lol!

Don

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SWEETPEA92 3/8/2010 2:40PM

    Cool, that looks like fun!! That is what I look for when I exercise the fun factor. Makes exercise less boring!!! Way to go, enjoy your Kayaking!! emoticon

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Maintenance Goals

Wednesday, March 03, 2010

I have been struggling with the transition to maintenance. My BMI dropped below 25 in December and my moving average BMI at physicsdiet.com dropped below 25 on January 9. While I've reached two goals (body fat less than 25% - in fact it's under 20% and BMI under 25), I still have one goal to go and that's to get my moving average weight to 150. That will give me a comfortable buffer between where I'm trying to stay and the boundary of a BMI under 25.

On the one hand I don't have my weight LOSS goals as hard in my mind anymore, and on the other hand I haven't started the maintenance clock yet. So I'm in a sort of limbo. This is a problem because I am highly goal-oriented and now that I'm off the hardcore weight-loss fast track, I'm not sure what to do with myself. I've been halfheartedly trying to get to 150 but have been experiencing episodes where I eat more than I need to, and sometimes don't even log it.

Today I decided to declare myself officially on maintenance for the purposes of keeping my BMI below 25 in order to give myself a pat on the back for keeping it there for two months. And in two days I will get a REWARD. I get to pick out TWO of the buffs I've been saving for the purpose.

That's 56 days, 8 weeks, 17% of a year, and 3 1/3 % to my goal of keeping it there for five years.

In other words, I have 58 months to go on my 60-month countdown clock.

Why five years?

Because according to the research studies
(McGuire 1999 psycnet.apa.org/index.cfm?fa=buy.opt
ionToBuy&id=1999-10771-002&CFID=680149
6&CFTOKEN=15833144
)
that's when I'll have the opportunity to be among a fortunate 70+% in the NWCR who are likely to stay within 5 lbs of goal for another year. Below 2 years of maintenance only 50% of NWCR subjects are likely to stay at goal weight.

Of people who have maintained their weight for 15-20 years, 80% are likely to stay at goal in the following year. So you see, the longer you stay at goal, the better you get at it, and the more likely you will be able to stay there. And despite the odds, I plan on being one of those that do.

I am not in maintenance yet for the purposes of lowering my average weight to 150 and will get a big ole' reward for that when I get there - probably a wetsuit and a brand new sea kayak.

Once I get my average weight to 150 my "scream weight" will be 153 for the average and 155 for the actual number on the scale. I will continue to weigh myself every day. If I go over either of those numbers under any circumstances it will be time to punch the numbers down by eating more carefully and exercising more diligently.

And the maintenance clock will continue to tick. Every month that I maintain I will get another reward. At the 2 year mark I will get something Really Nice. Maybe a trip, or something. I will start saving now.

At the 5 year mark I'm going to get something really really really nice. I don't know what, yet, but it's going to be Good.

EDIT:
3/5/10 - woo-hoo! I did it! 2 months down. 58 to go...
emoticon

  
  Member Comments About This Blog Post:

L3DESIGNS 3/16/2010 1:03PM

    Thanks for this! I am now reaching maintenance - although I`d like to lose another 10lbs, I`m definitely starting to thing about maintenance and what it means and how to achieve it.

Great work.

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PEGETSMALLER 3/7/2010 12:05AM

    Amazing thought process! Thank you for being a role model and sharing your thoughts.

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LKG9999 3/6/2010 10:58AM

    Thanks for posting this blog. Like you I am pretty close to my final goal weight and struggling with motivation for these last few pounds. Limbo is definitely a good way to describe it! Like you I want some "wiggle room" from the top of my BMI range, but I'm not aiming to go much more than 10 pounds below it. But I think you have a good point about maintenance starting when we crossed over into a healthy BMI.

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LAFTERSFREE 3/4/2010 9:56PM

    i really really like your strategy for the countdown for maintenance. it makes it very real that maintenance is CONTINUOUS hard work TOWARDS a goal. I'm a while away from maintenance, but I haven't heard anyone discuss it quite this way before. I've always thought of maintenance as the easy part when you don't have to work as hard, but as it turns out, maintaining weight loss can be the hardest part of the process. Being aware of those success percentages and viewing maintenance as a time-frame oriented goal definitely puts it into focus and makes it more concrete. Yes, yes, yes, u will certainly deserve something Really Really Good. Thanks for sharing this insightful post! emoticon

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GRACEFULIFE 3/4/2010 1:56PM

    I've a ways to go before maintenance but I suspect that there is a stronger (or at least more useful) correlation between commitment to monitoring than there is to time of maintenance, and the same with motivation. My feeling is that once you learn how to bring your weight / BF% down, you still need to track the output in order to know how much of those skills to apply and verify you aren't sliding. Higher time probably correlates well with those who are very committed to monitoring and to those who set up their lives to support their commitment and maintain their motivation.

Personally in the past, my weight slides down when I am watching it and usually though not always up when I am not. And I don't see how I could watch myself gain weight unless I'd lost all commitment and motivation - which has happened before. So I feel like my task now is to figure out how not to lose commitment and motivation, and to keep monitoring. The skills to support that are key of course, but should become pretty habitual by the time I get to maintenance.

Of course there is a huge discussion here somewhere about studies / numbers in the aggregate vs. individual cases, etc etc etc. That's a discussion for another place, but suffice it to say that when anyone says to me "oh that's normal" my answer is "my goal is NOT to be normal, my goal is to excel".

Thanks for posting the research, and great job on your loss, research, commitment, and all!

And might I say, hooray for the Oxford comma. *grin*


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FLYFIGHTER 3/4/2010 9:47AM

    thanks--i just learned something new!!!

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DAMOTIVATION 3/4/2010 8:09AM

    Hey, you have come such a long way! Fantastic achievement.

I share your desire to maintain for the long haul. I don't get too hung up on the failure statistics. Every person is different. I also like the "keep it in check" approach. It's so easy to let all that hard work slip away. Constant reminders of where I was are the best motivators for me.

I hope to waltz into my 50s right around where I am now (or even better!). Whatever works for you -- go for it.



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CARRIE1948 3/4/2010 8:02AM

    I love the fact that you're so focused. I need to start thinking about some of this and just can't bring myself to yet.

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MOM5INFL 3/4/2010 7:18AM

    Congratulations on reaching maintenance!!! I needed to stop the madness as well. Getting fixated on a number that is difficult to reach can lead to additional stress, which obviously not good for getting to your goal of 150. If 150 happens great, if not then it's ok because you are more than healthy!!! Again, congratulations!!! You ARE at maintenance!!! Yay! Birdie.

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BAGGYPANTS5 3/4/2010 3:41AM

    Wow! your before and after pics are fantastic! You should have a real sense of achievement. You look lovely now. You certainly deserve those wings!I look forward to being a maintainer. After all, we didn't do all this work for nothing.
Well done you!
emoticon

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TELERIE 3/4/2010 2:08AM

    I love it! So good to have you leading the way for the rest of us! I'm going to borrow some of your ideas when I get there.

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JAY75REY 3/4/2010 2:07AM

    Good strategy and thoughts. Thanks for sharing them.

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KAELIE 3/3/2010 11:28PM

  Thank you so much for posting this. I'm a newbie on my healthy lifestyle journey, but I have noticed that a lot of research numbers and percentages get thrown around about maintenance - even though I have a way to go - my mind had gone to that place and I knew that eventually I would need to address a plan for maintenance. I'm highly motivated by the numbers on the scale going down right now, and by just how much better I feel, but I'm no dummy - I know I will reach a point where I'll be wondering "what next". I'm goal-oriented, and was wondering how to adjust and what to do then - again, it is not something I need to address right now, but I do appreciate your insight. I applaud you for reaching your goals *and* for addressing how you are going to continue to monitor, adjust, and reward yourself. I also selfishly hope you will stick around Sparkpeople to pass on your knowledge and wisdom to those of us who are where you have already been :)

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DDOORN 3/3/2010 11:21PM

    Great to keep setting one's sights on bigger and better goals and rewards...!

Maintenance is surely THE MARATHON to end ALL marathons...!

We're all in this to WIN, for SURE! :-)

Don

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