SINAI HOSPITAL
"Normally, I would predict
that if a person lost 10 percent of
his or her weight, that he or she
would require about 10 percent
fewer calories to maintain that
reduced weight," said Dr.
Michaele Rosenbaum, one of the
study's co-authors.
"But we found that people re-
quired 20 to 25 percent fewer
calories to maintain their re-
duced body weight."
This means that obese people
trying to lose weight will have to
greatly reduce their caloric in-
take for a long time — probably
for life, said Dr. Rosenbaum.
Doctors said one important
lesson people should set "more
modest goals" in weight loss.
"It isn't fruitless to lose
weight," said Dr. Rosenbaum.
"There is clear benefit from even
modest weight reductions. Peo-
ple should shoot for a healthy bi-
ological weight, rather than a
cosmetic weight."
Dr. Rosenbaum added that
the team's study runs counter to
what most diet plans advertise
about rapid weight loss.
In any case, the set point
shouldn't be used as an excuse to
avoid sound weight-management
strategies, say health profes-
sionals.
"Our experience of several
thousand patients tells us that
psychological reasons are far
more likely to be relevant (than
the set-point theory)," said Dr.
Vincent Felitti, director of the
weight-control program at
Kaiser Permanente Medical;
Center in San Diego.
Lisa Zickert, coordinator of the
Kaiser program, added, "We see
a lot of psychological reasons for
why people put weight back on."
She cited stress eating as an ex-
ample — or losing control when
a relationship fails.
As for exercise, the Rockefeller
study found that the body can ad-
just its metabolism by making
muscles less efficient in burning
calories.
For example, a woman who
has lost 10 pounds, down to 140,
will burn about 10 percent to 15
percent fewer calories while ex-
ercising than a 140-pound
woman who has maintained that
weight while not dieting.
Discouraging? Not to Gen
Kessler, 62, who was working out
recently at a YMCA.
"I've dieted and exercised and
then quit the diet and have been
able to maintain my weight," she
said. "But quit exercising and the
weight comes right back, and the
energy goes."
Ms. Kessler's experience sup-
ports the views of Dr. Ken Fu-
jioka, medical director of the
Scripps Nutrition and Research
Center at Scripps Memorial Hos-
pital-San Diego.
Said Dr. Fujiolka: "Ninety per-
cent of people who lose weight
may be regaining it, but 10 per-
LOSING POUNDS page 68
SINAI HOSPITAL GUILD
SINAI HOSPITAL DEPARTMENT OF
OBSTETRICS AND GYNECOLOGY
AND
THE JEWISH NEWS
PRESENT
TAY SACHS SCREENING MONTH
APRIL 3 -APRIL 29
Tay Sachs is a rare genetic disease that a baby inherits from both
parents. It causes progressive destruction of the central nervous
system and death in early childhood. There is no cure for the disease.
Most carriers are Jews of Eastern European descent.
You should be tested if you are a male or female over age 17, of
Ashkenazi (Eastern European) descent and considering marriage or
pregnancy, or had been tested for the disease prior to 1980. Orthodox
Dor Yeshorim approach to screening is available.
For the month of April, Sinai Hospital will offer Tay Sachs screening
for a reduced fee of $20. The regular charge for this test is $90.
Call Sinai Hospital genetics counselor Robin Gold today at
313-493-6060 to schedule an appointment.
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