Friday, June 17, 2011

Weightwatchers

Weight Watchers is an international company that offers various dieting products and services to assist weight loss and maintenance. Founded in 1963 by Brooklyn homemaker Jean Nidetch, it now operates in about 30 countries around the world, generally under names that are local translations of “Weight Watchers”. The core philosophy behind Weight Watchers programs is to use a science-driven approach to help participants lose weight by forming helpful habits, eating smarter, getting more exercise and providing support.

The term weight-watcher, in the same sense, had circulated publicly for several years before the company was formed.

Weight loss plans

The primary, current plan offered in the US starting in November 2010 is called "PointsPlus". Touted by Weight Watchers as incorporating a decade of science compared to the prior Points-based plans, the focus remains on assisting members in creating a calorie deficit to lose weight using a reformulated calculation approach for computing target daily points (e.g. approximately how many calories per day should be eaten) and the costs of food.

The calculation of the daily points targets is based on creating a 1,000 calorie/day deficit. This in turn means that members are assigned a daily point target in the range of 29-71 PointsPlus to consume each day. Additionally, members are allowed 49 PointsPlus each week, or weekly points, that they can spend how they wish throughout the week. Physical activity earns activity points that, like weekly points, can be used to supplement the daily points allowance.

As compared to prior Points-based plans, the main change is the direct computation of PointsPlus-values from macronutrients (fat, protein, carbohydrates) vs. calories and fat. Both formulas used dietary fiber information when it was available. The formulas are country specific based on the information on nutrition labels in a given country. The patent provides equations for different country labeling techniques.

This change allowed Weight Watchers to change the relative cost of the different macronutrients. Specifically, the relative weight of fat appears to be unchanged vs. the Momentum calculation; however, carbohydrates are "more expensive" and fiber is "less beneficial" and protein is only modestly changed. This increases the PointsPlus cost vs. the Point cost of a number of foods that were specially designed to take advantage of the old formula, e.g. muffins loaded with fiber to stay at 1 Point. 

The range of calories for one PointsPlus point is approximately in the range of 35-45 calories, in contrast one Point had a broader range of approximately 25-80 calories. However, because the approach for computing the daily points target has been refined and accompanying equations 16 (male) and 17 (female)), most people have significantly more PointsPlus available as part of their daily points target than on the prior Momentum plan. For example, under the Momentum plan 18 was the minimum number of points, now 29 is the minimum number of points. Additionally, irrespective of the underlying nutritional information, on the PointsPlus plan, fruits and most vegetables are considered to have a PointsPlus value of 0.

As an alternative to the PointsPlus plan, participants can use the Simply Filling Technique. On the Simply Filling Technique, participants are intended to eat from a designated list of foods without the requirement to track. Categories of foods on the list include: most fruits and vegetables, whole grains, non-fat dairy and dairy substitutes, lean proteins,and a handful of other items. For items that a person eats that are not on the list, a weekly points allowance of PointsPlus points is available to be used and the value of that item must be tracked. Because the plan does not require tracking, participants must be mindful to "[e]at portions that feel right for them. Not so much that feel too full, and not too little that still feel hungry."

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