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VTRICIA's Photo VTRICIA Posts: 2,035
9/17/13 10:58 A

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Like on the Batman TV show or Super Mario 2. That is funny. My daughter is interested in boxing, so maybe I'll work with that.

Edited by: VTRICIA at: 9/17/2013 (10:59)
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SHERRYLHBB's Photo SHERRYLHBB Posts: 345
9/16/13 7:34 P

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VTRICIA, I haven't read any of Barbara Berkeley's stuff, but when I read "POW" in your post, for some reason I didn't read it as P.O.W., but as POW!!! Like a knockout punch. Silly, but perhaps more empowering?

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VTRICIA's Photo VTRICIA Posts: 2,035
9/15/13 11:38 P

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There's an article about maintenance as a tightrope walk, it was "grounded theory" which meant they did in depth interviews of a small group and came up with a system of generalizations from it. It was a public health study, which I guess is kind of a blend of sociology and medicine.

I had been pretty excited about it first, but I'd misunderstood the sample size it was based on. I thought it was over 100 people who had maintained for over 10 years, but it was not nearly that many, and a good number of them had never been obese. Still it was thought provoking. Here's a blog including a link to the article.

www.sparkpeople.com/mypage_public_jo
ur
nal_individual.asp?blog_id=5293149


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PEGGYT3's Photo PEGGYT3 Posts: 2,749
9/15/13 3:39 P

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Maybe we could think of maintenance as "walking the tight rope." That takes lots of balance.
I posted a blog some time ago about maintenance is a balancing act. Calories in must equal calories out or "regain" occurs. I've been walking that tight rope for over six years now with the help of Sparkpeople and it hasn't been boring at all. No two days are the same but it's exciting!

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VTRICIA's Photo VTRICIA Posts: 2,035
9/15/13 8:36 A

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Another word that I ran into this week that I feel needs further understanding is "Regain". I was re reading Wing and Phelan 2005, "Long Term Weight Loss Maintenance", and made a connection I had missed before about the apparently retreating standards of regain. One standard is more than 2 kg, another is more than 3%, while yet another is anything up to 10% off the baseline (highest) weight.

4A-HEALTHY-BMI has discussed this in her blogs on defining maintenance and I had thought the 10% weight lost was a thing the NWCR used to access greater numbers. But I realize it's probably based on the numbers for regain 10 years out for bariatric surgery. It's also based around studies about how much weight lost will realize some benefit to health. But I'm betting that comes back to the bariatric surgery numbers, which I blogged about in June:

http://www.sparkpeople.com/mypage_public
_journal_individual.asp?blog_id=5382846

To summarize, gastric bypass has a 10 year weight maintenance of -25% off baseline, and lap band is -13% (also lap band has a higher rate of *repeat* procedures.

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VTRICIA's Photo VTRICIA Posts: 2,035
9/15/13 8:06 A

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I was re reading an interview with Barbara Berkeley from wekeepitoff.com and the part about a vocabulary for maintenance really came across to me.

"There is no language for maintenance, and I think it’s important that there’s a vocabulary... the language surrounding weight maintenance is lacking and it needs to be created.”

“The word ‘maintain’ means that nothing changes and it’s pretty hard to get excited about just keeping things the same,” she says. “I don’t think that “maintenance” conveys what successful maintainers do. What’s actually happening is that they are creating an interesting new life that they prefer."

I don't actually like a lot of Berkely's verbiage (POW for previously overweight, and her book's stance on "moderation") but I think the message of this interview is spot on. Maybe my thoughts on POW could change though. Initially it meant someone currently interred in a prison camp, but I guess there's another idea, of one of those people who goes to the protests to remind folks that there are people who always get left behind. I'm not sure that idea is a lot more inspiring, but it's something different.

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