Just a few bad habits -- watching TV, eating potato chips, having a sugary cooldrink at lunch or staying up too late at night -- can add up to a steady creep of pounds over the years.
While most studies on diet focus on changes needed to help obese people lose weight, a study by the Harvard team showed tiny changes in diet and lifestyle can make a big impact.
The study focuses on specific lifestyle choices -- foods, activity, sleep habits -- that slowly pack on the pounds. The researchers stressed that the quality of food choices, and not just calories, are key to maintaining a healthy weight.
"These small choices add up," said Dr. Dariush Mozaffarian of the Harvard School of Public Health and Brigham and Women's Hospital, whose study appears in the New England Journal of Medicine.
"Because the weight gain is so gradual and occurs over many years, it has been difficult for scientists and for individuals themselves to understand the specific factors that may be responsible," Mozaffarian, who led the effort, said in a statement.
To get at this, the team analyzed data on 120,877 U.S. women and men from three large studies of health professionals that tracked changes in lifestyle factors and weight every four years over a 20-year period.
All study participants were normal-weight and healthy when they started. Over time, they gained an average of 3.35 pounds (1.59 kg) during each 4-year period for a total average weight gain of 16.8 pounds (7.6 kg) at the end of the 20-year study.
Foods that added most to weight gain over a four-year period included daily consumption of potato chips (1.69 lbs or 0.76 kg), potatoes (1.28 lbs or 0.58 kg), sugar-sweetened beverages (1 lb or 0.45 kg), unprocessed red meats (0.95 lbs or 0.43 kg) and processed meats (0.93 lbs or 0.42 kg).
More than a third of adults and nearly 17 percent of children in the United States are obese, increasing their chances of developing health problems including type 2 diabetes, heart disease, high blood pressure, fatty liver disease and some cancers.
Obesity-related diseases account for nearly 10 percent of U.S. medical spending, or an estimated $147 billion a year.
FOOD THAT SHOULD BE CALLED BAD
Mozaffarian said understanding ways to keep people from becoming obese may be more effective than getting people to lose weight as U.S. policymakers attempt to turn the tide.
Those in the study who lost or maintained their weight over time tended to eat minimally processed foods.
"Fruits, vegetables, whole grains and nuts -- if you increase their intake, you had relative weight loss, presumably because you are replacing other foods in the diet," Mozaffarian said.
The study contradicts the notion that all foods are good for you in moderation.
"The idea that there are no 'good' or 'bad' foods is a myth that needs to be debunked," said Frank Hu of Harvard, who worked on the research.
Mozaffarian said different foods have a different effect on the body. "You can't just say a calorie is a calorie. It doesn't address your feelings of fullness, your blood glucose levels, your blood insulin levels and the other biological responses in your body," he said.
In the study, dietary changes appeared to have the biggest impact on weight gain over time, but other lifestyle changes also were a factor.
For example, watching one hour of TV per day added 0.31 pounds (0.14 kg) over a four-year period.
Sleep also played a role. People in the study who got between six and eight hours of sleep were less likely to gain weight over the study period. But people who got less than six hours or more than eight hours tended to gain weight.
And when people increased their physical activity, they tended to gain less weight during the study period.

Comments
Princess2Adora
Good morning Bloggerzxoxoxoxoxo
Stop eating McDonalds nd heavy smoking...........................I mean u Americans hv all da resources bt cnt use em!!!!!!!! B like me njoy ur food nd live a healthy lifestyle,lol!!!!!
xoxoxoxoxo
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SUSHIking
Shooo i luv my body....mara mokhaba o a nkare o nyako tla ka mawaza but adawise i love it. People eat too much..Relax too much....Watch Tv too much....Make lazy love too much.....make too much children......Booze too much....Have too much affairs.....Everything is too much.Whats the use of living the healthy lifestyle whereas we're all gonna die........
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CHALA
Not too much... They over,over,over do all their habits thats the problem.Have a few/little & stop don't finish the hole pack/bowl/bottle.Report Abuse
Ziyangifisa-Izintombi!
Wht! they r indirectly saying people must b vegetarians.Report Abuse
qalost
do to the extra mile we leave one's healthy wont make death leave you alone you will die at the end. do everything ex ex ex largementReport Abuse
PureAfrican
who said if u have a slim body you not gonna die, there way this guy, he was bouncer ko Hatfied, going to gym 4 times a day, now he is gone, they shot him , with his six pack...mxm.Report Abuse
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