Download Susan Peirce Thompson, Ph.D.

The Science of Sustainable
Weight Loss
Past, Present, & Future
Bright Line Eating Book Launch Live Event
New York City
March 21, 2017
Susan Peirce Thompson, Ph.D.
Gratitude
• Middle Collegiate Church
• Hay House: Christa Gabler, Mollie Langer,
Lindsay McGinty, & Richelle Fredson
• Arianna Hillis
• Nancy Wolf
• Nat Denkin
• Jon Iuzzini
• Lynn Coulston
• Linden Morris Delrio
1
More Gratitude
• Ashley Bernardi
• Lucinda Blumenfeld
• Nicola Kraus
• Patty Gift & Reid Tracy
• John Robbins
• Boot Campers & Bright Lifers
• BLE Research Participants
2
Yet More Gratitude
• Sharon Bially
• Jeff Walker, Sage Lavine, Ryan Eliason,
Justin Livingston
• Ocean Robbins
• The Bright Line Eating Team
• Mariah Perkins and Joseph Fleischman
• David Thompson
• Zoe, Alexis, and Maya
3
Outline of Tonight’s Talk
• The Problem: A Reformulation
• The Past: Traditional Approaches
• The Present: Bright Line Eating 2014 – 2017
✦ Research Findings – The Dawn of a New Day
✦ Goal Weight Gallery – Because It’s Fun ☺
• The Future: Where We Go from Here
4
Before We Begin
http://BrightLineEating.com/BookLaunchReferences
5
The Problem
6
The Problem
We’re
getting
fatter
(Galka, M., 2016)
7
The Problem
We’re
getting
fatter
(Galka, M., 2016)
8
The Problem
Where
this
goes…
(Galka, M., 2016)
9
So what?
Susan Peirce Thompson, Ph.D.
Should We Care?
• Generally speaking,
“With more
overweight
people
around,
there's a new
norm.
Everyone's
more
comfortable
with
themselves”
people don’t like being
heavy
• But perhaps we can fix
that…
(NPR, 2017)
11
The Fat Acceptance Movement
• The bell curve argument
12
The Fat Acceptance Movement
•
•
•
•
The bell curve argument
Our genetic distribution has stayed the same
Our environment has changed
The average BMI for a woman long ago was
20.6 – a “right-sized body"
✦
Overweight was rare and obesity was unknown
• The average BMI for a woman today is about
28
✦
✦
A BMI of 28 is in the middle of the “Overweight” range
35% of adult women are Obese
13
But Science Says:
Weight Loss is a Losing Game
“The real problem is not in losing the weight, but in keeping it off
for any meaningful length of time. Numerous sources show that
almost every lifestyle intervention works for the first 3-6 months,
but then the weight comes rolling back.”
(Lustig, 2012)
14
Weight Loss is a Losing Game
"Declines in energy expenditure favoring the regain of lost weight
persist well beyond the period of dynamic weight loss."
(Rosenbaum, et al, 2008)
“You can’t lose weight on a diet. The problem isn’t willpower, it’s
neuroscience. You can’t—and shouldn’t—fight back.”
(Aamodt, 2016)
15
Today’s Foods are Addictive
16
The Toughest Drug to Quit
• You need to eat
• 80% of the calories in the supermarket have added sugar
• The cues are everywhere
• The social pressure is ridiculous
• Eating is synonymous with fun, celebration, recreation,
leisure, and comfort
• It’s not an addiction that society takes seriously… yet
17
The Costs of Staying Heavy
Research shows that obesity is associated with…
• Emotional issues
✦
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✦
obese children are viewed as the least desirable friend
obese children victims of repeated group aggression
obese adolescents less often accepted into high-ranking colleges
obesity is linked with depression
being made less visible (business)
denied choice assignments in the workplace
size discrimination
loss of self esteem
negative body image
negative assumptions & nasty comments
being ignored
being stared at
18
Additional Challenges
Research shows that obesity is associated with…
✦
Chronic disease: Elevated risks for
➢
diabetes
➢
cardiovascular disease
➢
osteoarthritis
➢
inflammation
➢
leptin resistance
➢
insulin resistance and dysregulation
19
More Issues
Research shows that obesity is associated with…
• Musculoskeletal problems
✦
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✦
✦
✦
✦
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mobility challenges: difficulty with standing, bending, walking,
and climbing
skeletal and Joint deterioration
reduced postural control
reduced stability & loss of balance
increased pain
increased risk of knee osteoarthritis
lower back pain, reduced bone density in children
challenges living and navigating in the world
20
The Brain Suffers
Research shows that obesity is associated with…
• Poorer mental performance
✦
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visuospatial organization
global executive functioning
planning
mental flexibility
reduced cerebellar function
increased cognitive decline
poorer memory function
• Physical changes (premature aging)
✦
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✦
greater degree of atrophy
increased risk of neurodegeneration
oxidative stress
decreased white matter
dementia, Alzheimer’s
21
We Can’t Afford to Keep Going
• The World Economic Forum estimates that by
2030 we’ll spend $47 trillion on illnesses
linked to obesity
• We can’t afford it personally, either
✦
An obese man spends $6,518 extra per year
✦
An obese woman spends $8,365 extra per year
22
The Pickle We’re In
• There is not a single peer-reviewed, scientific study
showing any intervention, surgery, or weight-loss
program successfully helping a cohort of overweight or
obese people to get down to goal weight and remain
there
• Not one
• And by 2030, 50% of us will be obese
23
24
The Science of
Sustainable Weight Loss
PAST
25
What’s been
done about all
this so far?
Susan Peirce Thompson, Ph.D.
Commercial Diets
• There are lots of
studies comparing
commercial diets
• This graph is from just
one meta analysis
• The numbers on the
lines represent the
number of studies
comparing those two
diets
27
Johnston BC, Kanters S, Bandayrel K, et al. (2014). Comparison of weight loss
among named diet programs in overweight and obese adults: a network
meta-analysis. JAMA doi:10.1001/jama.2014.10397
Traditional Weight Loss Programs
Here’s a summary of what’s been shown
between the literature so far:
• All diets work equally well – weight loss
differences are small to non-existent
• The diet that works is any diet that a patient will
adhere to
• Weight loss takes place in the first 6 months
• From 6-12 months plateau, then regain
28
Other
options?
Susan Peirce Thompson, Ph.D.
12-Step Programs
• 1939 – Alcoholics Anonymous (AA)
• 1960 – Overeaters Anonymous (OA)
Food Addicts Anonymous (FAA) (1987)
✦ Anorexics and Bulimics Anonymous (ABA) (1993)
✦ Compulsive Eaters Anonymous-HOW (CEA-HOW) (1996)
✦ Food Addicts in Recovery Anonymous (FA) (1998)
✦ Eating Disorders Anonymous (EDA) (2000)
✦ GreySheeters Anonymous (GSA)
✦ Recovery From Food Addiction, Inc. (RFA)
✦ Food Compulsions Anonymous (FCA)
✦
30
12-Step Programs Pros and Cons
• Pros
Significant, sustained weight loss in a subset of people
✦ Helpful for those high on the Susceptibility Scale
✦ Free (mostly)
✦ Benefits other than weight loss
✦
• Cons
Difficult to study scientifically
✦ Trade-off in effectiveness among groups/programs mixed results
✦ Not scientifically grounded
✦ Slow-growing, not for everyone
✦
31
Anything
else?
Bariatric Surgery
• Hugely popular – about 200,000 per year
Bariatric Surgeries
60%
• Types of programs
✦
✦
✦
Gastric Sleeve (currently most popular)
Roux-En-Y Gastric Bypass
Gastric Band
Biliopancreatic Diversion with Duodenal Switch
•
Reduce stomach volume and reduce digestion
•
Generally prescribed when BMI > 40 or > 35 with
comorbidity
40%
Percentage of Total Surgeries
✦
50%
30%
20%
10%
•
Success is defined as keeping off half the excess weight
needed to have a BMI of 25.
0%
2011
2012
2013
2014
Year
RNY
33
Band
Sleeve
BPD/DS
Revisions
Other
2015
Bariatric Surgery
• Results 1, 3, and 5 years after surgery:
✦
13.3% failure by the end of one year
✦
20.6% failure by the end of three years
✦
38.5% failure by the end of five years
• Before surgery, the average BMI was 43.9
• 5 years after surgery, the average BMI was 32.3
34
Bariatric Surgery
• What about diabetes?
• Bariatric surgery severs neurons in the gut
✦
51% complete remission of Type 2 Diabetes after one year
✦
38% after three years
✦
20% after five years
• Reminds me of my sense of smell
35
Why so
much weight
regain?
Susan Peirce Thompson, Ph.D.
The Biggest Loser
• The Biggest Loser is an eat less, exercise more reality TV
show…to the extreme
✦
Rapid Weight Loss (330 to 200 lbs in five months)
• A recent article garnered huge attention by publishing a “where
are they now?” piece, 6 years after the end of the season
• 13/14 gained back most or all of the weight
✦
Not shocking, typical
• The shock was what happened to their resting metabolic rate
37
6 Years After “The Biggest Loser”
• The Biggest Loser contestants were burning
500 calories a day fewer than would be
expected for someone their age, gender, and
size
• 6 years later
• After they had already regained some or all of
their weight
•  the body remembers
38
But that’s not
the only
sustained
physiological
change
Susan Peirce Thompson, Ph.D.
Hormonal Adaptations
• Hormones affect our
feelings of hunger and
our desire for food
• Their levels are
affected by weight
loss
Hormone
Where released
Leptin
Fat cells
Ghrelin
gastric inhibitory
polypeptide
peptide YY
GLP-1
cholecystokinin
pancreatic
polypeptide
amylin
Sumithran, P., et al. (2011).
40
gastrointestinal
tract and pancreas
gastrointestinal
tract and pancreas
gastrointestinal
tract and pancreas
What is does
acts in the hypothalamus to
reduce food intake and
increase energy expenditure.
stimulates hunger
may promote energy storage
inhibit intake
Hormonal Adaptations to Weight Loss
• Researchers gave overweight and obese patients
a 500 cal/day diet of Optifast shakes plus nonstarchy vegetables for 10 weeks
• After losing an average of 30 pounds, people are
hungrier following meals and have a greater
desire to eat than before the weight loss
• This change persists at least one year after the
weight loss
Sumithran, P., et al. (2011).
41
Hormonal Adaptations to Weight Loss
• Why?
• Hormone levels
changed during
weight loss; a
portion of that
change persists
even a year later
Sumithran, P., et al. (2011).
42
Isn’t
ANYONE
successful?
Susan Peirce Thompson, Ph.D.
National Weight Control
Registry
• Established 1994 (23 years ago)
✦
Rena Wing, Ph.D. Brown Medical School
✦
James Hill, Ph.D. University of Colorado
• Tracking 10,000 people who have succeeded in
sustaining their weight loss
✦
What’s 10,000 / 108,000,000 ?
✦
.0000925
44
But Here’s the Thing:
• To Register
✦
Lose at least 30 pounds
✦
Keep it off for at least one year
• Studies of the NWCR population (2012—2016)
✦
Average BMI is 25.1
➢
38% are Overweight
➢
13% are Obese
45
NWCR Key Takeaway
• There is no "one size fits all strategy" for
successful weight loss maintenance, but longterm weight-loss maintenance is possible and
requires sustained behavior change
46
Big Picture Milestones
Susan Peirce Thompson, Ph.D.
An Emerging Understanding
• 1991: Garner & Wooley conclude: “It is only the rate of weight regain, not the fact of
weight regain, that appears open to debate”
• 2007: Mann, et al. conclude: “It appears that dieters who manage to sustain a weight
loss are the rare exception, rather than the rule. Dieters who gain back more weight
than they lost may very well be the norm, rather than an unlucky minority”
• 2008: Weight regain continues 1, 2, and 5 years later
• 2010: Providing special diet food for free slows, but does not halt regaining weight
• 2014: Greatly lowering the bar for significance (11—15 pounds lost at the end of one
year), Johnston et al. conclude that “Significant weight loss” can result from any diet.
Basically, the best diet is whatever a patient will adhere to.
• 2015: In each year, fewer than 1 in 300 obese people reach a BMI <25
48
The Science of
Sustainable Weight Loss
PRESENT
49
Birth of Bright Line Eating
th
January 26
2014
50
History of BLE Boot Camps (BC)
• First BC – Oct 2014
• 10 BC between Oct 2014 – Dec 2016
• Home Study / Self-Starter Pack – June & Oct 2016
• 15,000+ participants – Since Oct 2014
• In 75+ countries
51
Other BLE Programs
• Bright Lifers
✦
December 2015
✦
~2,000 Active members
• Bright Line Healing – June 2016
• Bright Healers – September 2016
52
Changes Since January 2017
• 14 Day Challenge – 8,691 participants
• Evergreen Boot Camp – 3,012 participants
53
BLE Research (Oct 2015)
• 55% of Boot Campers join our research program
• 63% fill out at least 1 survey (including Exit Survey)
• Surveys track:
✦
Demographics & personal stats
✦
Weekly weight & daily Bright Lines
✦
Habits & tool usage
✦
Changes in cravings, hunger, and medications
✦
Celebrations & struggles
✦
Attitudes & effort
54
A Hole in the Research Funnel
• 62% of Boot Campers who sign up for the research
program complete the required surveys
•
•
•
Self-selected
Presumably most of the rest aren’t successful, but we can’t be sure
Time and life demands
• 36% of Boot Campers who don’t sign up for the
research program complete an Exit Survey
•
•
•
The rest are presumably not interested in research
Presumably most of the rest aren’t successful, but we can’t be sure
Time and life demands
55
Boot Camp Research
• Here is what we’ve learned
from the Boot Camp
Research program
56
Boot Camp Research
• 8,412 Total participants (BC & SSP)
• Participants lose an average of 8% of their weight
during the boot camp (17 pounds)
• 1,997 participants (24%) become
Bright Lifers
57
Boot Camp Weight Loss
58
Weight Loss & Dietary Preferences
Dietary
preferences
before BLE
compared with
weight loss during
the Boot Camp
59
Weight Loss & Frequency of Exercise
Amount of
exercise
compared with
weight loss
during the Boot
Camp
60
Changes in Cravings, Hunger, and Distress
61
Confidence in Reaching
& Maintaining Goals
62
Peace & Serenity with Food
63
Medical Changes
64
Follow-Up Research
• Began June 2016
• Open to all past Boot Campers
• About 1,500 participants thus far
• Monthly surveys, ongoing
65
Key Takeaways
1. Bright Lines matter
2. Being a Bright Lifer matters
3. “Goal weight” can be renegotiated
downward
66
The Impact of the Bright
Lines
• For each Bright Line:
✦
✦
Scale: 1=daily breaks & 4=total abstinence,
Perfect adherence to all 4 BL would score 16
• Brightness & Weight Loss Over 8
Months
Score of 15 – 16 = 25.3 lb loss
✦ Score of 13 – 14 = 16.1 lb loss
✦ Score of 11 – 12 = 3.1 lb loss
✦ Score of 10 or less = 16.5 lb gain
✦
67
The Impact of Bright Lifers
• Non-Bright Lifers
Score of 15 – 16 = 16 lb loss (fewer)
✦ Score of 13 – 14 = 9 lb loss
✦ Score of 11 – 12 = 2.3 lb loss
✦ Score of 10 or less = 13.9 lb gain
✦
• 8 pound difference
68
Follow-Up Research
• Many Bright Lifers on the
Maintenance Plan adjust their goal
weight downward
✦ Scores of 15 – 16 =13.8 lb loss
✦ Scores of 13 – 14 = 7.9 lb loss
✦ Scores of 12 or less = no net change of
weight
• On average, over the 8-month
follow-up period, there was no
regained weight while following the
Maintenance Plan!
69
Follow-Up Research
• Non-Bright Lifers on the Maintenance
Plan stayed at original goal weight
70
To Date
• After the Boot Camp ends, 87% of people
maintain their weight loss or continue to lose
• Within one year, 28% have made it down to
goal weight and many more are still losing
• Of those who get to goal weight, 84% are
maintaining it
71
To Date
• On average, of those who still need to lose
weight after the Boot Camp ends, those who
choose to become Bright Lifers continue to
lose, and those who don’t, stall out
• As a group, they stall out because 40% of them
aren’t following the Bright Lines anymore
72
The Bright Line Eating
Goal Weight Gallery
73
Goal Weight Gallery
• Started Goal Weight Gallery in 2016
• Added new people for Bright Line Eating book
• Next section:
✦
17 new people at goal weight
✦
3 people, while not at goal weight, who have lost over 100 lbs
✦
16 check-ins with people in the original GW Gallery or in the book
74
Goal Weight Gallery
Caroline Altimani
• Paris, France
• 155 to 137 lbs
• Weight Loss: 3 months
• Maintenance: 2 months
75
Goal Weight Gallery
Caroline Altimani
• “This is the first time in 37 years I don’t
feel uncomfortable in my body”
• Caroline has MS
✦
76
No more episodes
Goal Weight Gallery
Lisa Phillips
• 4’ 11”
• 125 to 97 lbs
• Doing BLE for 1 year 5 months
• Weight Loss: 6 months
• Maintenance: 11 months
77
Goal Weight Gallery
Alyx Coble-Frakes
• Age 25
• 186 to 146 lbs
• Doing BLE for 1 year 5 months
• Weight Loss: 6 months
• Maintenance: 11 months
78
Goal Weight Gallery
Alyx Coble-Frakes
• “The fact that I have maintained [my
weight] for coming up on a year is
amazing to me and has never
happened before. It gives me so much
hope for the future.”
• Is back on weight loss plan to aim for
130 lbs
79
Goal Weight Gallery
Josie Colicchia
• Melbourne, Australia
• 5’ 6”
• 196 to 134 lbs
• Weight Loss: 12 months
• Maintenance: 6 weeks
80
Goal Weight Gallery
Josie Colicchia
• My health has had a 360 degree change. I had suffered
leaky gut/food intolerances, atrophic gastritis, and 5-day
migraines for 16 years or more. …Today with BLE, I no
longer have food intolerances, my gut flora corrected itself
without supplements, and my migraines have almost
entirely gone away.
• 400+ days without eating outside the Bright Lines
81
Goal Weight Gallery
Susan Cook
• 5’ 0”
• 189 to 121 lbs
• Weight Loss: 10 months
• Maintenance: 7 months
82
Goal Weight Gallery
Susan Cook
• Off all supplements and prescriptions, including
high cholesterol drugs of over 20 years.
• I love weighing the same I did as a high school
athlete.
83
Goal Weight Gallery
Riva Danzig
• Bronx, New York, USA
• Age 68
• 5’ 7”
• 202 to 133 lbs
• Weight Loss: 6 months
• Maintenance: 7 months
84
Goal Weight Gallery
Khosi Ferris
• South Africa & Thailand
• 141 to 119 lbs
• Weight Loss: 7 months
• Maintenance: 7 months
85
Goal Weight Gallery
Khosi Ferris
• “I am so in love with my right size body. I did not
believe it was possible to organically loose weight
and reach my ideal goal weight but today I can
attest that it’s so possible…!”
• “BRIGHT LINE EATING ROCKS MY WORLD!!!”
86
Goal Weight Gallery
Chloe Ginther
• Alberta, Canada
• 213 to 120 lbs
• Weight Loss: 10 months
• Maintenance: 5 months
87
Goal Weight Gallery
Chloe Ginther
• I was relegated to the sidelines and missed out
on my own life.
• It was difficult to fit into a bathroom stall.
• Now my zest for life has returned, I’m no longer
depressed, I’m active, productive, full of joy.
88
Goal Weight Gallery
Ed Rafferty
• 6’
• 210 to 164 lbs
• Weight Loss: 6 months
• Maintenance: 18 months
89
Goal Weight Gallery
Ed Rafferty
• “In 35 years of recovery in another 12
step fellowship, I could arrest other
symptoms of my addiction, but I stayed
fat no matter what I did.”
• Completely off all heart medication and
insulin
90
Goal Weight Gallery
Irina Lee
• Oslo, Norway
• 5’ 7”
• 176 to 136 lbs
• Weight Loss: 200 days
• Maintenance: 11 months
91
Goal Weight Gallery
Irina Lee
• “[Because of BLE,] I've …decided to change the
direction of my career. I recently bought the
Norwegian rights for the Bright Line Eating book
…to spread this message to a broader audience
• I have finally found peace. Nothing beats the
feeling of waking up with integrity and selfworth.
92
Goal Weight Gallery
Deb Leeson
• 4’ 11”
• 135 to 101 lbs
• Weight Loss: 9 months
• Maintenance: 3 months
93
Goal Weight Gallery
Deb Leeson
• “I have had health challenges in the past related to
fibromyalgia and chronic fatigue. Since beginning BLE
my energy levels have risen, my thinking is a lot
clearer and physically I am stronger and more active.”
94
Goal Weight Gallery
Sherry Balthazor
• 5’ 4”
• 210+ to 137 lbs
• Weight Loss: 1 year, 11 days
• Maintenance: 1 month
95
Goal Weight Gallery
Sherry Balthazor
• I was so sick from depression, anemia, vitamin
deficiency, diabetes, high blood pressure,
fibromyalgia, IBS, migraines, neuropathy,
osteoarthritis, osteopenia, acid reflux, chronic pain,
asthma, sleep apnea, and insomnia…and I was taking
medication for all of it.
• Now I am only taking a small dose of blood pressure
medication and I’m about to complete wean off of it.
• Has NEVER broken her Bright Lines.
96
Goal Weight Gallery
Patricia Smith
• San Miguel, Mexico
• Age 65
• 5’ 3.5”
• 225 to 135 lbs
• Weight Loss: 14 months
• Maintenance: 7 months
97
Goal Weight Gallery
Patricia Smith
• “I do not use food for entertainment, for
emotional reasons, for boredom or as a
reward. Food has become nourishment for my
body.”
• Off all medications for high blood pressure,
cholesterol, and Type 2 Diabetes.
98
Goal Weight Gallery
Jackie Stapleton
• Jerusalem, Israel
• Age 80
• 5’ 7”
• 176 to 136 lbs
• Weight Loss: 5 months
• Maintenance: 11 months
99
Goal Weight Gallery
Jackie Stapleton
• “I love my body and feel alive and better
physically than I have in years. And I
reached goal weight before age 80.”
100
Inspiration
Gallery
101
Inspiration Gallery
Tammy Palmer
• Age 58
• 5’ 3”
• 329 to 224 lbs
• Lost 105 pounds in 9 months
• Goal Weight: 129 lbs
102
Inspiration Gallery
Tammy Palmer
• “When I started Bright Line Eating, I was on two
different blood pressure medications and was
having trouble keeping my blood pressure at
140/90. I am now off all blood pressure
medication and my blood pressure is staying
around 120/78.”
• Before I was constantly thinking about food. Now
I plan my meals and don’t think about them again
until mealtime.
103
Inspiration Gallery
Tara Bogdon
• Age 41
• 5’ 5”
• 381 to 190 lbs
• Lost 191 pounds in 9 months
• Goal Weight: 125 lbs
104
Inspiration Gallery
Tara Bogdon
• “I couldn’t sit in a booth because I didn’t fit. I always
worried about whether chairs would have arms or
not, because if they had arms I wouldn’t fit. When I
got my haircut I always apologized and hoped my
weight wouldn’t break the chair. I had the seat in my
car pushed back all the way and still my stomach
brushed the steering wheel and made driving
difficult. …I would never walk up the bleachers [to sit
with my students] because I was afraid I’d break
them, or shake them too badly.”
105
Inspiration Gallery
Chuck Meadors
• Age 59
• 5’ 10”
• 412 to 303 lbs
• Lost 109 pounds in 6 months
• Goal Weight: 165 lbs
106
Inspiration Gallery
Chuck Meadors
• “I was achy and in pain all the
time. When I would get up from sitting
or out of bed, I had to take a moment for
the pain to subside before I could start
walking. …Now I can bound upstairs with
no problem.”
• A1C was pre-diabetic and now it is
normal.
107
Check-In from Gallery & Book
Julia Carol
Released 81 lbs
Weight Loss: 8 months
Maintenance: 7 months
Valerie Conner
Released 40 lbs
Weight Loss: 130 days
Maintenance: 14 months
Nathan Denkin
Released 40 lbs
Weight Loss: 5.5 months
Maintenance: 20 months
Check-In from Gallery & Book
Jan Deutsch
Released 145 before & 47 lbs on BLE
Weight Loss: 9 months on BLE
Maintenance: 16 months
109
Linden Morris Delrio
Released 64 lbs
Weight Loss: 6 months
Maintenance: 22 months
Check-In from Gallery & Book
Colleen Egan
Released 30 lbs
Weight Loss: 5 months
Maintenance: 20 months
Linda Hahn
Released 115 lbs
Weight Loss: 10 months
Maintenance: 15 months
110
Corina Flora
Released 70 lbs
Weight Loss: 8 months
Maintenance: 18 months
Check-In from Gallery & Book
Jenny Hazelton
Released 54 lbs
Weight Loss: 14 months
Maintenance: 1 month
Beth Kerrick
Released 38 lbs
Weight Loss: 7 months
Maintenance:
10
months
111
Donna Montgomery
Released 62 lbs
Weight Loss: 8 months
Maintenance: 14 months
Check-In from Gallery & Book
Jody Platt
Released 25 lbs
Weight Loss: 6 months
Maintenance: 14 months
Scott Steinhorst
Released 15 lbs
Weight Loss: 5 weeks
Maintenance: 16 months
112
Meg Queior
Released 137 lbs
Weight Loss: 2 years
Maintenance: 7 months
Check-In from Gallery & Book
Ellen Weinman
Released 38 lbs
Weight Loss: 5.5 months
Maintenance: 10 months
113
Tami Oren
Released 64 lbs
Weight Loss: 13 months
Maintenance: 1 month
The Science of
Sustainable Weight Loss
FUTURE
114
• We’re standing at the
cusp of something
HUGE
115
Never before, in all of human history,
has there been a scientifically verified
process by which someone who is
overweight or obese can get down into
a right-sized body and stay there.
116
Now there is.
117
• And voila!
• The real work begins.
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The Job Ahead
• We need to continue collecting data
• We need to analyze, write up, and publish the data
• Write grants
• Collaborate
• Start some new, very important projects
119
Questions:
• Can the weight loss be sustained?
✦
Five years, ten years, twenty, thirty?
• What factors drive success?
✦
Can we tweak the program to improve it further?
• How do the brain and body change?
✦
And what are the individual differences?
120
University of Rochester
• 2016 – Adjunct Associate Professor
of Brain and Cognitive Sciences
• Opportunities for research
partnerships
121
Reversing Dopamine Downregulation
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Study #2
• Metabolic and hormonal changes accompanying
achievement and maintenance of goal weight after
significant weight loss
• Leptin, ghrelin, gastric inhibitory polypeptide, peptide
YY, GLP-1, cholecystokinin, pancreatic polypeptide,
amylin
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And It’s Begun
• Earlier this year, Andrew Kurt Thaw, Ph.D. and Sabrina
Grondhuis, Ph.D. from Millsaps College submitted the first
paper on Bright Line Eating for publication
✦
Bright Line Eating: A Novel Web-Based Program
• In April, Dr. Thaw will travel to Chicago for the Experimental
Biology conference and will be presenting research findings on
Bright Line Eating at the session on Energy Balance,
Macronutrients, and Weight Management
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Partnership #2
• A few weeks ago, Kathryn Lively, Ph.D.,
Professor at Dartmouth College, reached out
to start a partnership
• Identity changes in sustained weight loss
125
Daily Companion – Big Data
Tracks:
• Weight
• Food journal
• Bright Lines
• Meditation
• And much more!
• And more to come!
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The Missing Pieces
• Scientific grounding
• Abundance of whole foods, with large quantities of
produce
✦
Soothing to brain & body
• Deep understanding of addiction
✦
Bright lines
127
The Missing Pieces
• Focus on habits & automaticity
✦
Exercise later, not now
• Ongoing community & support
• Focus on being unstoppable—not necessarily
perfect
✦
Simply Rezoom
128
There is hope.
Happy, Thin, & Free!
129
Here’s That URL Again
http://BrightLineEating.com/BookLaunchReferences
130
Any questions?
Susan Peirce Thompson, Ph.D.