Fad Diets: Characteristics, Risks, and Sustainable Alternatives

Successful weight loss is defined as losing weight and keeping it off for at least five years. This can be accomplished by making positive changes to both eating habits and physical activity patterns. However, the quest for rapid weight loss has led to the proliferation of fad diets, which often promise quick results but may not be sustainable or healthy in the long run. This article explores the characteristics of fad diets, their potential risks, and evidence-based alternatives for achieving and maintaining a healthy weight.

What is a Fad Diet?

Fad diets are eating plans that are often promoted as the "best" or "fastest" approach to losing weight. They can sound like a newly discovered "hack" that promises a better, healthier you. A fad diet is a popular dietary pattern known to be a quick fix for obesity. These diets are quite appealing due to the proposed claims, but the lack of scientific evidence is a big question mark.

The word "diet" comes from the Greek diaita, which described a whole lifestyle, including mental and physical well-being, rather than a narrow weight-loss regimen. The key to healthy eating is the same advice you hear all the time. Eat a variety of whole, natural foods. Take in plenty of plant-based products. Keep your intake of packaged and processed foods to a minimum.

Identifying Fad Diets: Key Characteristics

Spotting a fad diet requires a critical eye. Here are some clues that scream "fad diet":

  1. Promises a Quick Fix: Recommendations that promise a quick fix, rapid weight loss, or dramatic results in a short time frame should be viewed with skepticism. Weight loss is often a lengthy process that requires time and commitment. Diets that advertise losing “20 pounds in one month” are most likely resorting to unhealthy nutritional techniques to lose weight so quickly which often doesn’t promote lasting weight loss or a healthy body. If a plan promises losses of more than 2 pounds a week, proceed with caution.
  2. Claims That Sound Too Good to Be True: If a diet's claims seem unrealistic or exaggerated, they likely are.
  3. Simplistic Conclusions Drawn From a Complex Study: Fad diets often misinterpret or oversimplify scientific research to support their claims. Oftentimes, fad diets will be based on some bit of information learned in research but will exploit it to such an extreme that it’s no longer scientifically sound,” Smith explains. For example, sure, fruit is healthy for you. No one will argue that. But does that mean it’s healthy to go full-on fruitarian and fill up entirely on strawberries and citrus? No.
  4. Recommendations Based on a Single Study: Sound scientific advice is based on a body of evidence, not just one study.
  5. Dramatic Statements Refuted by Reputable Scientific Organizations: Be wary of diets that contradict established scientific consensus.
  6. Lists of “Good” and “Bad” Foods: Diets that categorize foods as strictly "good" or "bad" are often overly restrictive and unsustainable.
  7. Recommendations Made to Help Sell a Book or Product: Be cautious of diets that require you to purchase specific products or supplements. Fad dieting is now a multibillion-dollar industry. Many of them have their own line of food products, diet pills, bars, or special powders and are more concerned with the money you can bring rather than your health.
  8. Recommendations Based on Studies Published Without Peer Review: Peer review is an essential part of the scientific process, ensuring that research is rigorous and reliable.
  9. Recommendations From Studies That Ignore Differences Among Individuals or Groups: A one-size-fits-all approach to dieting is unlikely to be effective or safe.
  10. Elimination of One or More of the Five Food Groups: Diets that eliminate entire food groups (fruits, vegetables, grains, protein foods, or dairy) can lead to nutrient deficiencies. This is perhaps one of the most crucial distinctions between a fad diet and a nutritional, effective one. Fad diets will often tell you to cut out a specific group of food, like meat or carbs. Sometimes they can even eliminate specific foods. However, each food group provides the body with different nutritional benefits that are sometimes difficult to receive from another group. You can’t get the vital nutrients, antioxidants, or fiber from a piece of meat that you get from fruit.
  11. Diets That Include Testimonials: Relying on personal testimonials rather than scientific evidence is a red flag. Offers testimonial evidence instead of scientific. Fad diets will often offer testimonial evidence of the diet’s success in place of facts and studies. Testimonial evidence, like before and after pictures, is extremely persuasive, but it can often hide the actual results of a diet. Some people will try a diet for a few weeks, lose weight, finish the diet, and then gain back the weight they lost and more. An “after” picture the day after you finish a fad diet could look very different than an “after” picture taken a month after you finish the diet.

Examples of Fad Diets

Weight-loss advice comes in literally hundreds of disguises. Most often the "new" and "revolutionary" diets are really old fad diets making an encore appearance. Fad diets are popular non-standard diets that often promise dramatic weight loss. Being nutritionally imbalanced, or highly restrictive, forbidding entire food groups, or even allowing one food or food type. Several claims have been made in the print and visual media about losing weight fast and maintaining a low weight with the help of a specific diet. These are called fad diets. Examples include:

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  • Food-Specific Diets: Food-specific fad diets rely on the myth that some foods have special properties that can cause weight loss or gain - but no food can. Examples include The Grapefruit Diet, also called the Magic Mayo Diet or Mayo Clinic Diet.
  • High-Protein, Low-Carbohydrate Diets: The popular high-protein, low-carbohydrate diets are based on the idea that carbohydrates are bad, that many people are "allergic" to them or are insulin-resistant, and therefore gain weight when they eat them. This includes diets like The South Beach Diet, The Complete Scarsdale Medical Diet, The Dr. Atkins Diet Revolution, Dr. The Atkins Diet advocates high protein, high fat diet with low carbohydrates. One of the major problems with this diet, apart from the dangers of high protein diets, is that it places no limit on the amount of saturated-fat-laden products. This raises risk of heart disease.
  • Low-Calorie Diets: These claim to supply all nutrients needed at a controlled calorie level of around 400 calories. Examples include diets like the Pritikin Diet Plan, Save-Your-Life Diet etc.
  • Miscellaneous Diets: Other miscellaneous varieties of diets include Cider Vinegar, Lecithin, Vitamin B6 Diet, Kelp, Zen Macrobiotic Diet etc.

Why Fad Diets Are Harmful

Fad diets can be detrimental to your health. Fad diets can affect your relationship with food, encouraging fear of foods and distorted view of what healthy eating really looks like. This mindset can lead to eating disorders or other unhealthy behaviors. They often do not provide all the nutrients essential for survival. They tend to be low in calcium and fiber, as well as healthy phytochemicals (plant chemicals). Some authors of these fad diets advise taking vitamin-mineral supplements to replace lost nutrients.

  1. Nutrient Deficiencies: The trouble with fad diets is that they often promote eliminating foods that contain necessary nutrients to maintain good health,” Smith says.Fad diets may lack major nutrients, such as dietary fiber or carbohydrates, as well as certain vitamins, minerals and protective phytochemicals. Cutting nutrients can leave you at risk of developing serious health issues.
  2. Overemphasis on Specific Foods: On the flip side, fad diets may overemphasize specific foods, which can also be problematic. When fad diets suggest that foods like grapefruit or acai berries are the new “it” food, they often encourage eating them in amounts well above what’s recommended by major health organizations like the American Heart Association or the Academy of Nutrition and Dietetics.
  3. Short-Lived Benefits (If Any): All fad diets have one thing in common: They propose a temporary solution to what for many people is a lifelong challenge. Namely, weight loss.Once the diet is stopped, any benefit is usually lost. Fad diets that emphasize weight loss may help you shed a few pounds for a little while. But the lost weight is usually regained quickly,” Smith notes. “That’s because fad diets don’t focus on lifestyle modification, which is necessary to keep weight off, and these diets aren’t sustainable throughout life.”Smith explains that highly restrictive diets are extremely difficult to keep up. Cutting out entire food can leave you feeling deprived and lead to cravings. And most fad diets don’t allow for much in the way of flexibility. So, you “cheat” on your diet. You eventually give it up because it’s just too much to manage.
  4. Unrealistic and Unsustainable: These diets don't teach healthful eating habits; therefore, you won't stick with them for very long.
  5. Ketosis: Also, the authors of high-protein, low-carbohydrate diets advocate taking advantage of ketosis to accelerate weight loss. Ketosis is an abnormal body process that occurs during starvation due to lack of carbohydrate. Ketosis can cause fatigue, constipation, nausea, and vomiting. Further rapid weight loss of over 3 pounds a week after the first few weeks increases risk of complications like gall stones and ketosis. Carbohydrates are the body’s main source of fuel and energy. Low carb high protein diets are thus particularly harmful. There are basically two types of carbohydrates - simple comprising of sugars and complex, comprising of starches and fibres. Foods that are high in complex carbohydrates like fruits, whole grains, vegetables etc.

Safe and Sustainable Weight Loss Strategies

Rather than jumping into the latest trend in dieting, stick with tried-and-true (and evidence-based) weight loss and healthy living advice. These include:

  1. Focus on Whole, Unprocessed Foods: Eat a variety of unprocessed or minimally processed foods. A healthy diet includes fruits and vegetables, whole grains, low-fat dairy products, lean protein, nuts and seeds, and even a sweet treat once in a while. To ensure you're getting the right amount of nutrients to nourish your body, choose a plan that includes all of the food groups.
  2. Prioritize Fruits and Vegetables: Fresh fruits and veggies should take up about half your plate at every meal.
  3. Practice Portion Control: Stick to moderate portion sizes.
  4. Engage in Regular Physical Activity: Exercise regularly. Routine exercise is good for your body and your weight loss goals. Exercise looks different from person to person. For some, it might mean heading to the gym. For others, it might mean a walk around a local park or a bike ride through the neighborhood. It doesn’t matter where or how you get your daily physical activity, just make sure you are matching your work dieting with your exercise plan. Achieving a healthy weight is easier when you are eating healthfully and exercising. Look for a plan that recognizes the importance of movement.
  5. Manage Stress: Keep your stress levels manageable.
  6. Prioritize Sleep: Get plenty of sleep.
  7. Stay Hydrated: Drink enough water.

Many healthcare professionals consider the Mediterranean diet the gold standard for healthy eating. It emphasizes whole, natural foods, healthy fats and lean proteins.

Weight loss is never easy and, although fad diets can seem like a faster, effortless option, they can lead you towards unhealthy nutrition. Diet success in weight loss and health benefits is most predicted by adherence and negative energy balance, regardless of the diet type.

The Importance of Professional Guidance

If you’re unsure whether the diet and eating advice you’re getting is healthy, talk with a healthcare provider, like a primary care doctor or a registered dietitian. Improving dietary habits is a societal issue that should be considered when preparing national policies, according to the World Health Organization.

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The Allure and History of Fad Diets

So, those fad diets that celebrities and social media influencers rave about? The ones that promise to “rid belly fat fast” or “lose 10 pounds in a week”? Not going to cut it. So why, then, have fad diets become so pervasive in our culture?

In the classical world, what foods were eaten, and how much, played an important role in ethical, philosophical, and political teachings and thinking, centered on the ideas of luxury and corruption. This modern cult of healthy eating is made up of innumerable sub-cults that are constantly vying for superiority. Like consumer products in commercial markets, each of these diets has a brand name and is advertised as being better than competing brands. The recruiting programs of the healthy-diet cults consist almost entirely of efforts to convince prospective followers that their diet is the One True Way to eat for maximum physical health.

Lord Byron was obsessed with his appearance, as he had a "morbid propensity to fatten". He tried several diets, such as his favorite meal of biscuits and soda water, and others which he devised, such as the "vinegar and water diet" in the 1820s, which was very popular at the time, and involved drinking water with apple cider vinegar. He would cycle perpetually between self starvation, measurements, and binge eating. His influence was such that he was accused of encouraging melancholia and emotional volatility on Romantic youth, making girls "sicken and waste away".

In 1825, Jean Brillat-Savarin wrote about a low carbohydrate diet and focusing on chewing and swallowing to better taste food and supposedly eat less. This idea would later reappear in 1903 under the name of "Fletcherizing", derived from its author's name Horace Fletcher, "a self-taught nutritionist". "Banting" or "to bant" became a highly popular synonym of dieting in 1863, when William Banting published "A Letter on Corpulence", which detailed the first known low-carbohydrate diet, which he followed from Dr. William Harvey, a surgeon known for a starch- and sugar-free diet treatment for diabetes. He immediately lost weight, from 202 to 156 pounds eventually. Banting is credited for writing the first diet book, which at his death in 1878 sold more than 58,000 copies over a total of 12 editions published between 1863 and 1902.

Around the same time, Sylvester Graham, of Graham cracker fame, is often given credit for creating the first fad diet in the 1830s and is considered the father of all modern diets. The diet recognized the importance of whole grains food. Designed from a religious motivation, Graham promoted a raw-food vegetarian diet that was lower in salt and fat, emphasizing an anti-industrial, anti-medical "simpler" or "natural" lifestyle, opposing the meat and other rich, calorie-dense foods produced in great quantities in the industrial era, declaring them "sinful". In 1830, he was appointed a general agent of the Pennsylvanian Temperance Society. During his time there, and due to his history, and inspired by the French vitalist school of medicine, he thought nutrition had moral as well as physical qualities, and viewed any desire for food or drink not due to necessity (stark hunger or thirst) to be depravation. Consequently, he viewed gluttony as the debilitating consequence of an unhealthy urge. He was determined to fight against what he perceived as nutritional "debauchery" and gluttony. He became a controversial figure, an evangelical New England preacher and speaker, with his spartan views on nutrition at a time where Americans' diets were primarily made of meat and white bread, by advocating adamantly in favor of raw vegetarian food and whole-grain food, authorizing but limiting meat, and forbidding highly refined or commercially baked white bread. He also described the use of corsets as "disfiguring" and advocated loose, comfortable clothing, which further attracted women to his precepts. After his death in 1851, his followers, dubbed "Grahamites", most of them being women but also including famous men such as John Harvey Kellogg of cornflakes fame, continued to advocate vegetarianism, temperance, and bran bread.

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The 19th century also saw the first and one of the most dangerous fad diet pills, with the marketing of arsenic pills for weight loss, which not only did not work, but which dieters often consumed more quantity than the prescribed dosage.

Other fad diets appeared in the 1930s. The grapefruit diet was a low-calorie plan, which became popular and known as the "Hollywood diet", and involved eating grapefruit or its juice with other items such as toast or eggs, totaling about 500 calories per day. Such liquid diets, cleanses and detox diets would prove popular over the following decades with the Master Cleanse or Lemonade Diet in 1941 and Last Chance Diet in 1976. Around the same time, in 1925, Lucky Strike launched the "cigarette diet", relying on the appetite-suppressing effect of nicotine, with the famous marketing slogan "Reach for a Lucky instead of a sweet". The use of amphetamines, initially designed to treat narcolepsy, skyrocketed when doctors began prescribing them for appetite suppression and the treatment of depression, becoming a high success in the diet industry. Despite the American Medical Association opposing this use of amphetamines as early as 1943 due to problems of addiction, doctors continued to prescribe them, in addition to barbiturates to reduce the addiction cravings. The first liquid protein diet appeared also in the 1930s with the marketing of the "Dr.

Bernarr Macfadden was another major figure of dieting in the 20th century, taking the legacy of Graham. Macfadden relentlessly promoted a dieting philosophy named "physical culture", the idea that nearly all diseases were caused by toxins in the blood from poor diet and lack of exercise, and that nearly all diseases could be cured through fasting, eating the correct foods, and physical exercise. Macfadden was one of the most effective promoter of diets in history, as he is believed by historians to be largely at the root of 20th- and 21st-century health and fitness practices in America. He became convinced that all health issues were due to nutrition. He advocated a diet similar to that avocated by Graham, plus regular fasting. Other notable food faddists of this era include Paul Bragg, Adelle Davis, and J. I. In 1961, Jean Nidetch founded the Weight Watchers. In 1970, the "sleeping beauty diet", using sedative pills to avoid eating, became popular. Slim Fast appeared in 1977, claimed as a "super diet" by having shakes for breakfast and lunch. In 1985, Fit for Life promotes a diet forbidding complex carbohydrates and proteins in the same meal.

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