Maintaining weight loss

Maintaining a lower weight was often a hard-won victory for those who were able to do so. Invariably, it involved long-term changes. For Maxine Mary, ‘it’s not a religion but it’s a definite lifestyle change where I will limit my consumption of alcohol and food’. Some of the people we spoke to found it very challenging to keep the weight off.

Although she knows what to do to maintain her lower weight, Maxine Mary finds it a constant battle, made harder by her arthritic problems.

Age at interview 63

Gender Female

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Jim has discussed with the nurse at the clinic that his medicines will work better if he loses weight; he doesn’t want to be miserable for weeks and weeks due to denying himself normal meals.

Age at interview 71

Gender Male

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However, some said it got easier as time passed, or even that they found it easier than expected. This was the case for Heather, who said, ‘It’s a challenge I failed at every time previously. So to maintain a healthy weight I think has surprised me that I’ve actually managed to and made me very pleased’.

Heather has maintained a healthy weight for the last six years on a modified 5:2 diet.

Age at interview 49

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Hilary has lost 100 lbs since her diagnosis of type 2 diabetes. The advice from her diabetes nurse has given her the confidence to control her diet.

Age at interview 62

Gender Female

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Some of those who were maintaining their weight spoke about how healthy eating had become a habit rather than a constant preoccupation. This did not happen overnight; as David commented, ‘the habit takes a long time to build up’. As well as changes in thought process, maintaining a healthy weight could also involve one’s body getting used to new eating habits, such as a reduction in – or abstinence from – sugar. Hilary felt that, ‘your taste buds change’ and things that she once liked that were sweet, were now no longer enjoyable.

Hilary started by using sugar substitute until her body got used to it and she could wean herself off sugar altogether.

Age at interview 62

Gender Female

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Sue X changed her eating habits to snack on fruit and vegetables instead of sweets.

Age at interview 49

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As well as dietary changes, some people had built exercise into their daily routine. Julie swims, walks and does strengthening exercises every day to keep her back muscles supple. She feels that exercise is as important as losing weight to ensure good health in old age and to manage her type 2 diabetes.

Paul Y started running with the help of an app on his phone and had maintained his weight through exercise for about eighteen months.

Age at interview 55

Gender Male

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Self-monitoring through counting calories, tracking activity and weighing oneself regularly helped people stick to their goals. Meeka said she always kept an eye on their diet, because both of her parents had died of heart disease: ‘I always count my calories. I can pretty much tell you, you know, what 120 grams of turkey is in calories and I know how much protein I should have. So, I’m very careful’. Angela said that on the occasions when she had lost and maintained weight, this was due to having set meals consisting of the same thing every day.

David used a NHS Choices diet, he monitors his calorie intake and weighs himself every day.

Age at interview 49

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The people we spoke to had adopted a range of strategies from portion control and cooking from scratch to making food plans and cooking tasty meals. Maxine Mary keeps high protein foods, like sliced chicken, available in the fridge so that she can snack on them to stem her hunger.

Kate describes the strategies she uses to maintain her weight, including food plans and distraction. She understands now that she mustn’t have sugar and describes it as her nemesis.

Age at interview 49

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Cooking from scratch, avoiding bland meals and portion control are all strategies Shirley has learned and applied to maintain a healthy weight.

Age at interview 49

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Some people mentioned that it was important to find a balance between eating healthily and enjoying treats. Being comfortable doing this represented a newfound confidence and sense of control. For example, Heather who uses the 5:2 approach: ‘I still feel confident that I can maintain it now as a lifestyle which I never have done before. I think it’s because you can eat normally one day and then the next day you can compensate’. Eating normally for Heather meant being able to enjoy cheese, which she was particularly fond of, and having bread rolls and butter on holiday.

Shirley is much happier now that she is slimmer. She has learned to accept that it’s OK to slip up every now and again.

Age at interview 49

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As well as feeling confident about managing slip-ups, some of those we spoke to described the importance of having rewards or positive feedback. For Angela, this was feeling comfortable in her clothes and being ‘rewarded by how good a dress felt on’; for Kate and Sue X, it was feeling good about not being overweight.

Sue X works hard to maintain her weight but is motivated by the prize at the end She is committed to maintaining her current weight.

Age at interview 49

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Stuart eats smaller portions to keep his weight about the same as before his heart surgery and drinks a pint of water every morning and again after his evening meal. Hilary wants to manage her condition well to avoid the complications associated with poor management of Type 2 diabetes. Heather wants to be able to ski and to slow down the progression of her knee arthritis. At the age of eighty-five, Tommy works to maintain a healthier life style.

Four years ago Stuart made the decision to cut down on portion sizes to try to maintain the weight he achieved before his heart surgery.

Age at interview 49

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Tommy has lost three and a half stone. Aged 85, his goal is to have a healthy lifestyle rather than to worry about the Body Mass Index (BMI) chart.

Age at interview 85

Gender Male

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Regaining weight after weight loss

I don't think an overweight person who loses the weight ever can afford to drop their guard.' (June) Maintaining weight loss can be difficult to...