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Thread: 'The Biggest Loser' has big problems, health experts say

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    Elite Member celeb_2006's Avatar
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    Default 'The Biggest Loser' has big problems, health experts say

    'The Biggest Loser' Has Big Problems, Health Experts Say - Yahoo! News

    NBC's "The Biggest Loser" is all about records. In the past seasons, the weight-loss reality show has repeatedly set new benchmarks for heaviest contestant (454, 476 and 526 pounds), fastest 100-pound weight loss (seven weeks), and most weight lost in one week (34 pounds).

    The show, which takes obese Americans and pits them against each other in a battle to lose the most weight and win $250,000, thrives on extreme numbers. But physicians and nutritionists worry the show's focus on competitive weight loss is, at best, counterproductive and, at worst, dangerous.

    "They're taking people who have been inactive and are not in good shape and boom, automatically subjecting them to this stress," Carol Wolin-Riklin, the bariatric nutrition coordinator for the University of Texas Medical School at Houston, told LiveScience. "Things are going to happen."

    And indeed, things have. Two patients were hospitalized after collapsing during a one-mile (1.6 km) foot race for the season 8 premiere. This year's season 9 opened with another strenuous challenge in which contestants raced 26.2 miles (42 km) on stationary bikes. Show medical consultant and UCLA professor Rob Huizenga had to drag one protesting contestant off her bike when she was stricken with severe cramps. A second contestant, 526-pound Michael Ventrella, was treated for exhaustion.

    Health risks of obesity

    The show's producers point out that contestants are under medical supervision and say the extreme nature of the competition is inspirational for viewers.

    And of course, there are serious health risks to being as obese as the Biggest Loser contestants. According to the Centers for Disease Control and Prevention (CDC), obesity can increase the risk of heart disease, diabetes, high blood pressure and certain types of cancer. The risks become more pronounced as the obesity becomes more severe, and losing weight is a very good idea, said Wolin-Riklin - if done right.

    "The way I go about encouraging healthful weight loss is by working on changes one at a time," she said. "By making these changes bit-by-bit I think you have a better shot at having long-lasting lifestyle changes."

    Real-life weight loss?

    But weight loss on "The Biggest Loser" is far removed from weight loss in the real world.

    For one thing, contestants start out in worse shape than most. Seventeen of the 22 contestants have a body mass index (BMI) over 40, meaning they are severely obese. In the "real world," more than one-third of U.S. adults, or 72 million people, are considered obese with a BMI of 30 or higher, according to the CDC. But research published last month in the Journal of the American Medical Association found that the number of Americans with a BMI over 40 is just under 6 percent. In other words, the show's claim that the contestants are the "epitome" of American obesity is a bit like saying that VH1's "Rock of Love with Bret Michaels" epitomizes the American dating scene.

    And then there's the exercise program. Contestants work out five to six hours a day, eating strictly supervised diets. They routinely drop double-digit pounds each week. The contestant who loses the smallest percentage of body weight can be sent home.

    In reality, said physician Robert Kushner, the clinical director of the Northwestern University Comprehensive Center on Obesity, a safe rate of weight loss is about one to two pounds per week.

    "I think a lot of people can feel quite defeated that they're losing weight in what we would call a recommended amount, but they would have been voted off the show immediately," Kushner told LiveScience. "So the message, to me, is just all wrong."

    So is the science. Losing weight rapidly can be risky, according to Virginia Tech professor of human nutrition, foods and exercise Janet Walberg Rankin. Patients who lose weight quickly run the risk of gallstones, mineral deficiencies, loss of muscle tissue and reduced bone density.

    Beginning strenuous exercise suddenly can cause problems with hydration, electrolyte balance and cardiac function. High impact workouts can put an extra load on already-stressed bones. At least two contestants in Biggest Loser history have struggled with stress fractures.

    Regaining the weight

    Risks aside, weight-loss experts say that the biggest problem with the Biggest Loser is that extreme methods of dropping pounds are less likely to work in the long run. Several former Biggest Loser contestants have regained some or all of the weight, which doesn't surprise Kushner.
    "They're not working with a trainer every day, they're not on national TV every day, they're back to life," he said. "It's very difficult to sustain."
    While researchers aren't sure if repeated cycles of weight lost and weight gained are more dangerous than staying overweight or obese, the psychological toll of failing to keep weight off can be grim, said Kushner. People often feel like failures and become hopeless about their health.
    Those looking for a safe way to lose weight or get healthier permanently should make small changes, Kushner said, like gradually increasing exercise or substituting healthy foods for unhealthy ones. In the real world, slow, steady and committed wins the race.
    "We're not looking for extreme makeovers in someone's lifestyle," Kushner said. "We're looking for changes that they can sustain long-term."

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    Elite Member McJag's Avatar
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    Despite all of this, those people seem to peal off the pounds and feel much better. Far as I can see, their system works-brutal or not.
    I didn't start out to collect diamonds, but somehow they just kept piling up.-Mae West

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    Elite Member KristiB's Avatar
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    Yeah it's unrealistic in the real world but most of the contestants do keep quite a bit of the weight off. I've only seen a few eps of the show but as I recall they do get nutrition lessons and "what to do at home" lessons. Like any program it's up to them to eat right and exercise. They profiled one guy who gained it all back and he blamed it on not being on TV anymore. Wah wah wah stop putting food in you mouth and take a walk dumbass.

    I wouldn't mind spending a week at the ranch getting my ass kicked.

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    Gold Member eboni's Avatar
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    I watch the show regularly and have seen it through all its seasons. I have concerns also. For one, they recommend products that really are unhealthful and can do as much harm as pigging out on greasy hamburgers. Two, the show is played like Survivor and people who really need to be there are often sent home. Frankly, I do not think anyone should be sent home the first week or two. Playing with the contestants health to get drama which produces higher ratings is just not right. But as KristiB says, I wouldn't mind spending a week at the ranch myself.
    ...Stopped smoking on March 8, 2011. Was trying to put a fancy ticker in my signature but it didn't work...

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    Elite Member sprynkles's Avatar
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    I totally agree with all said above. I can't believe no one has been seriously injured on this show or worse.

    Meryl doesn't even try anymore. She just calls Lanvin and asks for curtains with a belt.~Bitter
    Can we interest you in Leann Rimes? She has a nice little cadre of fans you'd probably enjoy.~ Pecan Pie

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    Elite Member KristiB's Avatar
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    Fat man keeling over=ratings gold.

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    Elite Member LynnieD's Avatar
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    I was just flipping around channels late a few nights ago and ran across a show titled something like ' I am a reality loser' or something similar. So, of course, I had to tune into that! And it was an hour show devoted to one of the Biggest Loser WINNERS, I believe Season 3 (Eric?) and his huge transformation into a slim, confident man. How his life changed, he had money, people looked up to him, he had never felt better!

    And he gained it ALL BACK.

    Fell asleep unfortunately during the show, but it was pretty interesting the parts I saw!

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    Elite Member sprynkles's Avatar
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    OMG, how sad. ^

    Meryl doesn't even try anymore. She just calls Lanvin and asks for curtains with a belt.~Bitter
    Can we interest you in Leann Rimes? She has a nice little cadre of fans you'd probably enjoy.~ Pecan Pie

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    Friend of Gossip Rocks! buttmunch's Avatar
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    34 pounds in one week? How the hell does that happen?
    'Those who sacrifice liberty for security deserve neither.' Ben Franklin

    "When fascism comes to America, it will be wrapped in the flag and carrying the cross."
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    Gold Member eboni's Avatar
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    ^water and waste loss probably.
    On another note, I read that our bodies expect to receive the same amount of calories each day and if it doesn't get it, it starts to store. If it starts to store then loss slows down. Interesting...
    ...Stopped smoking on March 8, 2011. Was trying to put a fancy ticker in my signature but it didn't work...

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    Elite Member dolem's Avatar
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    34lbs in one week because you start out at 500+ lbs. I mean, all he had to do was eat a normal portion and his body probably freaked out. At one point in the show that guy, Michael, said that he probably ate 8000 calories in one sitting.

    I love this show. But, I do think the type of exercise and the intensity level isn't something that most people can do at home. That being said, most of the contestants do seem to lose a significant amount and continue to keep it off. Of course, not all of them do.

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