How to choose a diet program

By Susan Burke March, RD, LD/N, MS, CDE

(NDG Wire) Dieting is an extremely personal activity, and the one-size-fits-all approach rarely produces successful results. To help health seekers choose the best diet program to meet their unique needs, registered and licensed dietitian Susan Burke March, author of Making Weight Control Second Nature: Living Thin Naturally, offers these tips on how to select a plan based on individual lifestyle and food preferences, also citing imperative program components:

Food Preferences: Choose a program that features the foods you enjoy. If you feel deprived, you will not stick with it over the long haul. It is all about modification. If you love cereal and grains, a low carb approach is not the best way to get started on your weight loss program. Portion control is the secret to weight loss and maintenance.

Adequate Calories: Most women need a minimum of 1,300-1,400 calories and men approximately 1,600 just to cover basic metabolic functions, and more when you incorporate more activity and muscle building exercises. Avoid very low calorie diets, because although you may experience quick weight loss, experts say that the quicker you lose it, the quicker you put it back on. Slow, gradual weight reduction – about one to two pounds a week – is more likely to be permanent.

Fads: Avoid programs that require eating certain foods with other foods, such as: only eat fruit after meals, never with protein or other such unscientific recommendations. Very low carb diets produce quick and dramatic weight loss, but are not intended to be sustained over the long term. If you choose a branded diet, be sure to follow the instructions and not set your own rules.

Meal Patterns and Mealtimes: How do you like to eat? Respect your personal preferences, and your internal clock. Some people do fine with the traditional three meals daily, but I find that eating smaller meals more frequently helps dieters maintain energy and avoid the highs that follow big meals and lows from too many hours in between. A good strategy is to take something from each meal to eat a couple of hours later, such as a cup of nonfat yogurt or a turkey rollup (a slice of turkey breast rolled up with tomato and lettuce).

Preparation: Dieting is hard enough. Do not choose a recipe-based plan if you do not have time to cook. The right plan suits your lifestyle. Meal replacements are ideal for portion control, and many successful weight maintainers use them consistently. Use quick cereals, individual portions of yogurt and frozen entrees. They are balanced and nutritious and do not require too much planning or prep.

Balanced Nutrition: Choose a program that includes a variety of foods so you do not become bored and lose your motivation to continue. High fiber vegetables, whole grains, lean protein and healthy, monounsaturated fat (from olive oil and fatty fish) are the ingredients of a healthy diet that you can maintain permanently.

Budget: An important consideration is cost, because some plans are very economical and others are more expensive to maintain. The most flexible and frugal is the recipe-type plan. Learn all you can about nutrition and replace any item in your menu with one that is on sale. Economize by purchasing large-sized portions of fish, vegetables, chicken or fruit. Pre-portioned prepared foods are more expensive, but for some, it is worth the price to enjoy the convenience and portion control.

Support: Support helps keep you on track and motivates you to reach your weight goal. Commit to meeting with an expert, a coach, a group or a friend, especially at the beginning of your behavioral change. Support may be face-to-face, or sign up for a free or fee-based online program. It is BEST to commit to a scheduled meeting time, or, better yet, a program that lasts at least 12 weeks with a continuing maintenance program. A face-to-face consultation with a registered dietitian who will stay in touch by phone or email is the best game plan.

Maintenance: Once you reach your goal, it is ideal to stay with the program you used for a year, modifying it to add variety so you may fully adopt your new healthy behaviors. The best program transitions to a maintenance program once you reach your weight goal.

Diet Program Components Should Include:
Self Monitoring: The act of writing down or logging your diet, activities and thoughts about your progress helps you stay aware and pinpoint any areas where you may be having difficulties to plan for change. You can share your logs with your diet coach, either face-to-face or online. Learn about calories in food and how your activities burn calories by logging on to a web-based program.

Cognitive Restructuring: Dump negative self-talk. Instead of striving for skinny or a certain number on the scale, strive for following the program and improving your weight and fitness. Replace with positive affirmations, such as I will walk every day for 30 minutes and stretch afterwards, or when I go out to eat I will order grilled, baked or broiled, and not fried food. Abandon the all or nothing attitude that gets in the way of healthy lifestyles, and refocus from weight to living well.

Stimulus Control: So, do you find yourself in front of the vending machine when you get hungry in the afternoon? Bring a healthy snack with you, and put the change in a jar on your desk where you can see it fill up – evidence of your new behaviors. Do you put off exercise until after work, but never seem to get to it? Schedule activity earlier in the day, and log it.

Stress Management and Problem Solving: Do you dread going to barbeques because you always overeat? Or do you have a big presentation due, and you have to work overtime and always overeat when you are tired? What really works is to plan in advance what you are going to eat and have a healthy snack before you go. Being prepared to stay fueled over that long workday keeps you motivated. Controlling stress can help control weight, especially when overeating is used to assuage a stressful situation.

Physical Activity: It is important to start slowly, and enjoy your activities – that is what will keep you on track to permanent weight control. Choose activities you enjoy! Exercise means doing anything that gets your heart rate up, including dancing, biking or just walking briskly.

Relapse Prevention: Have strategies in place to prevent weight gain if you regain a few pounds. Return to a structured menu and increase your activities. Online may be a good solution for those who find the gold standard face-to-face programs out of reach financially and/or geographically.

About the AuthorSusan is a registered and licensed dietitian and certified diabetes educator who has influenced the dietary health and well being of consumers worldwide, due in large part to her multi-year and faceted tenure with e-Health leader eDiets.com. As Vice President of Nutrition Services and Chief Nutritionist, she managed the creation and administration of the technology-enabled nutritional and wellness components of eDiets’ products, programs and services. Susan is the author of “Making Weight Control Second Nature: Living Thin Naturally” (Paperback, $26.95, ISBN 9781932421194), eDiets Pocket Guide of Dieting & Weight Loss, eDiets Dining Out Guide, as well a contributing author for the eDiets Weight Loss Solutions magazine and more than 400 nutrition and diet-related articles that have appeared in leading media outlets worldwide.

With advanced certificates in adult and adolescent and pediatric obesity, Susan has also served as Chief Clinical Nutrition Manager at Mt. Sinai Hospital of Queens, New York. She is a media spokesperson for the Florida Dietetic Association and has recently completed a two-year elected position as secretary for the Weight Management Dietetic Practice Group, a professional practice group of the American Dietetic Association, and serves as External Relations Assistant Director.

Susan now devotes her efforts to public speaking, counseling individuals and writing motivational and informative books and articles dedicated to helping people learn how to improve their health and accomplish their weight goals.