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Weight Watchers, Jenny Craig most reliable for weight loss, study says. Dieters looking to maximize their chances for long- term weight loss should consider trying Jenny Craig or Weight Watchers, according to a new review of clinical trials. People who used the Jenny Craig program lost 4. Jenny Craig clients work with a consultant to choose three prepared meals a day, plus a snack or dessert. In the clinical trials, clients lost weight regardless of whether they selected low- carb meals or items from the regular menu. They also succeeded whether they met with their consultant in person or over the phone. In another set of clinical trials, people who used Weight Watchers dropped 2. Weight Watchers, the most popular commercial program in the U. S. However, it trains them to cut back on calories by using a “points” system that favors foods like watermelon and celery and leaves little room for indulgences. Dieters attend meetings or use an online program to keep track of their progress. Although Jenny Craig users had the best outcomes, the program’s comparatively high cost may be prohibitive to some people, researchers wrote Monday in Annals of Internal Medicine. That’s why they also endorsed Weight Watchers as “the most cost- effective” option. Of the roughly $2. Americans spend on weight- loss services each year, about 4. Weight Watchers, according to the market research firm IBISWorld. Another 1. 3% is spent on Jenny Craig and 1. Nutrisystem, which also involves premade, low- calorie meals. The researchers could not find any solid clinical trials that tracked Nutrisystem customers for a full year. Over a three- month period, dieters on Nutrisystem lost 3. Those results were promising, the researchers wrote, but not definitive enough to recommend alongside Jenny Craig and Weight Watchers, the study authors concluded. Altogether, the researchers combed through more than 3,5. But only 1. 1 of the programs had been tested in rigorous clinical trials that lasted at least 1. Three of the programs relied on diets that delivered a mere 8. Among these, the Health Management Resources plan recorded the most weight loss – 1. More than half of the HMR dieters experienced constipation, and 6% needed to have their gallbladders removed to treat painful gallstones. The other two programs produced short- term results that weren't sustained. Dieters using Medifast lost 5. Similarly, dieters on Optifast lost 4. Another five weight- loss programs were described as “self- directed,” including three Internet- based plans. Among them, only the Biggest Loser Club was found to have any success – after three months, users lost 2. Another trial found that people who tried Lose It! A third trial tracked users of e. Diets for a year and found they fared no better than people who got counseling. The results of four clinical trials involving Slim. Fast were mixed, the researchers found. The researchers also found eight clinical trials involving Atkins. Seven of them compared the low- carb diet with behavioral counseling. In those studies, Atkins followers lost 0. Another trial compared a group of Atkins dieters with a control group that got only education. After six months, the Atkins adherents lost 6. Although Atkins seems promising, we interpret these findings cautiously,” the study authors wrote. That’s because the experience of real- world dieters may differ from that of clinical trial participants, they said. The results of this comprehensive review – the first since 2. Americans who say they are on a diet. But the researchers who conducted the analysis hope their findings will also be useful to doctors. The Patient Protection and Affordable Care Act advises physicians to screen for obesity and make sure patients in need get appropriate counseling and treatment. In addition, the American Heart Assn., the American College of Cardiology and The Obesity Society recommend similar interventions for patients who are either overweight or obese. The medical costs associated with obesity add up to about $1. Despite the need, most doctors aren’t equipped to provide weight- loss services themselves.“Because the ACA is likely to increase obesity screening, having an actionable plan that addresses weight management is critical,” the study authors wrote. Christina Wee, director of the Health Services and Behavioral Research Program in Obesity at Beth Israel Deaconess Medical Center in Boston. However, this assumption “would need to be confirmed in future studies,” she added. For more medical news, follow me on Twitter @LATkarenkaplan and.
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