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Depressed Women Also Successful in Weight Loss Program

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There is a prevailing assumption that depressed people have a more difficult time dropping pounds than their non-depressed counterparts.

While it seems logical enough, a recent study shows that this is not the case. Here are the details:

The study, conducted by Evette Ludman, PhD, included 190 female Group Health patients, aged 40 to 65, with a body mass index of 30 or more, 65 with major depressive disorder, and 125 without.

The women had not been seeking treatment, but they enrolled in a one-year behavioural weight loss intervention, involving 26 group sessions.

Results

The women had lost around the same amount of weight at 6 months (8 or 9 pounds), and 12 months (7 or 8 pounds), with no significant differences between the groups.

Dr. Ludman said:

We expected women with major depression to lose less weight, attend fewer sessions, eat more calories, and get less exercise than those without depression... We were surprised to find no significant differences between the women who had depression and those who did not have it.

What made a difference was just showing up.

Women who attended at least 12 sessions lost more weight (14 pounds at 6 months, and 11 pounds at 12 months) than those who attended fewer sessions (4 pounds at both 6 and 12 months), regardless of whether they had depression. Being depressed didn't lead them to attend fewer sessions, or lose less weight.

Take Home Points

This study really underscores the importance of accountability, and just "showing up". I'm sure people who do well at Weight Watchers attend more meetings, and in my own practice I see better results in those who just attend my personal training, or boot camp sessions.

For those who suffer with depression, exercise is a key intervention for improving outcomes, while good nutrition has also been shown to improve mood.

Source: Science Daily

Written By Mike Howard on Dec 19, 2009

6 Comments

Jody - Fit at 52
on 12/19/09

I think for some, group support can always help no matter what.

Reply
Dazzler on 12/19/09

I think also when you're depressed there's so little you feel like you can control. Your weight is one thing you can have control over.

Reply
Spectra
on 12/19/09

Sometimes, when you're depressed, the best thing to do is to not think about yourself so much and focus on something else entirely. Putting your energy into eating right and working out can give you an outlet that makes you feel better, even if it's just one little thing that you can do for yourself to make yourself feel a little better.

Reply
Melanie | Dietriffic
on 12/19/09

I definitely believe exercise is important, even if it's just getting out for a short walk each day.

In terms of diet, there are a number of important dietary components associated with good mental health and well-being, including polyunsaturated fatty acids, minerals such as zinc, magnesium, and iron, vitamins such as folate and B vits, and also tryptophan, an amino acid.

Reply
GremlinGirl on 12/20/09

The key here was that these depressed women were not seeking treatment. Once you are on anti-depressants, that's when it becomes difficult to lose weight.

Reply
Susan on 12/23/09

That's just a correlation, of course. I don't think showing up CAUSES weight loss. When I used to be on Weight Watchers, I would WANT to show up to meetings when I knew I'd done well, and I'd want to stay home when I hadn't. These women's weight loss could be "causing" their good attendance rates!

Reply

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Last Modified: December 17, 2009

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