Many people are astonished by how fit Chinese people are. At the individual level, some very good research on what works for weight loss comes from the National Weight Control Registry , a study that has parsed the traits, habits, and behaviors of adults who have lost at least 30 pounds and kept it off for a minimum of one year. They currently have more than 10,000 members enrolled in the study, and these folks respond to annual questionnaires about how they've managed to keep their weight down.

Obesity greatly increases the risk of chronic diseases such as diabetes, heart disease and some cancers, and the increase in obesity places considerable strain on health care resources. Referral to a commercial group-based weight management programme can help people lose weight, but it is not clear what the optimal duration of the programmes is, and how cost effective they are in the long term.
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