Rapid weight-loss diets

A very low-calorie diet (less than 1,000 calories a day) that causes rapid weight loss negatively affects your body in several ways:

  • Your metabolism slows to conserve energy because the body thinks it is starving.
  • Certain tissues, such as the brain and nervous system, need carbohydrate (as blood sugar or glucose) for much of their fuel. When not available from the diet, the body gets this blood sugar by breaking down proteins. This causes a loss of protein tissue, or lean body mass.
  • You lose lean body tissues (muscle and organ tissue). During starvation or when eating a very low-calorie diet, about half the weight you lose is fat and the other half is lean tissue, such as muscle. On a more moderate diet, the loss is about 75% fat and 25% lean tissue. It is important to preserve lean tissue, since it increases your resting metabolic rate. Losing too much lean tissue increases the percentage of fat in your body. The result is a reduced metabolism. This is one reason it is so easy to regain weight when you lose weight quickly.
  • You may develop mineral and electrolyte imbalances, which can be life-threatening. This is the reason very low-calorie diets must be used under a doctor's supervision.
  • You lose bone mass. This is more risky for women, because they are the ones who diet the most often, and they are also at higher risk for developing osteoporosis.
  • Finally, regaining weight is almost certain on these very low-calorie diets. This is damaging both physically and psychologically.

Rapid weight-loss diets can be harmful to your health. Don't use such a diet without talking with your doctor first. If you need to lose weight, it is better to lose weight slowly. You will be more likely to lose the weight safely and keep it off.



Author: Brenda Vanden Beld, RN, MSN, MBA
Christine Wendt, R.D., L.D.
Last Updated: May 27, 2008
Medical Review: Anne C. Poinier, MD - Internal Medicine
Ruth Schneider, MPH, RD - Diet and Nutrition
Heather Chambliss, PhD - Exercise Science/Weight Management
Andrew Swan, MD, CCFP, FCFP - Family Medicine

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