Weight cycling

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Yo-yo cycle

Weight cycling, also known as yo-yo dieting, is the repeated loss and gain of weight, resembling the up-down motion of a yo-yo. The purpose of the temporary weight loss the yo-yo diet delivers is to lure the dieting into the illusion of success, but due to the nature of the diet, they are impossible to sustain, therefore the dieter gives up, often due to hunger or discomfort, and gains the weight back. The dieter then seeks to lose the regained weight, and the cycle begins again. Other individuals cycle weight deliberately in service of bodybuilding or athletic goals. Weight cycling contributes to increased risk of later obesity, due to repeated signals being sent to the body signalling that it's in starvation mode; therefore it learns to be better and better at storing fat, and increases the strain on vital organs, likely promoting cardiometabolic disease.[1][2][3]

Causes

Dieting

The reasons for yo-yo dieting are varied but often include embarking upon a hypocaloric diet too extreme to maintain. At first the dieter may experience elation at the thought of

fatigue that make the diet impossible to sustain. Ultimately, the dieter reverts to their old eating habits, now with the added emotional effects of failing to lose weight by the restrictive diet. Such an emotional state leads many people to eating more than they would have before dieting, especially the 'forbidden' foods e.g. junk food, desserts, and sweets, causing them to rapidly regain weight.[4]

Sports

In some sports where an athlete's weight is important, such as those that use

combat sports athletes,[5] including minors.[6] In bodybuilding and strength sports, weight cycling is often used as a way to take advantage of the increased ability to gain muscle while in a caloric surplus [7]
by cyclically going through periods of intentional weight gain, followed by a period of weight loss to prevent excessive body fat accumulation.

Mechanism

The process of regaining weight and especially body fat is further promoted by the high metabolic plasticity of skeletal muscle. The Summermatter cycle[8] explains how skeletal muscle persistently reduces energy expenditure during dieting. In addition, food restriction increases physical activity which further supports body weight loss initially. Such weight regain in the form of preferential catch-up-fat is well documented after weight loss due to malnutrition, cancer, septic shock or AIDS and thus constitutes a general phenomenon related to weight loss.[8]

Health effects

Weight cycling certainly has negative health effects from repeated strain on the body, confusing the metabolism, and stress on vital organs.[1]

A 2019 systematic review and meta-analysis found that "Body-weight fluctuation was associated with higher mortality due to all causes and CVD and a higher morbidity of CVD and hypertension."[9]

A 2019 review found that self-reported weight cycling was correlated with an increased risk of endometrial cancer.[10] Weight cycling is also correlated with kidney cancer, independently of whether the person is overweight.[11]

A 2021 systematic review and meta-analysis found that "weight cycling was a strong independent predictor of new-onset diabetes".[12]

Weight cycling is also associated with poorer mental health.[13]

See also

References

  1. ^
    S2CID 229715170
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  2. S2CID 30821753
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  3. PMID 25263568
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  4. ^ Amigo, I.; Fernandez, C. (2007). "Effects of diets and their role in weight control". Psychology, Health & Medicine. 12 (3): 312–327.
    S2CID 19290926
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  5. S2CID 52943060
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  6. S2CID 249049707
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  7. S2CID 213376888
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  8. ^
    PMID 22290535
    .
  9. PMID 31787929
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  10. PMID 31451560
    .
  11. S2CID 235346460
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  12. S2CID 225509897
    .
  13. ISBN 978-1-119-69527-1
    .
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