Diets Do NOT Work: The Science Behind Why 97% of Dieters Regain Weight.
- Dr Linnette M. Johnson
- Mar 1
- 3 min read
Updated: Jun 4

For decades, the weight loss industry has profited from the idea that weight loss is simply a matter of discipline, willpower, and the right diet plan. Yet, despite the billions of dollars spent each year on weight loss programs, supplements, and gym memberships, obesity rates continue to rise.
So what’s going wrong?
In reality, diets do not work—at least not in the long term.
Long-term research indicates that 97% of intentional weight loss attempts result in weight regain and/or disordered eating behaviors within five years (Mann et al., 2007). Even worse, many people gain back more weight than they initially lost.
It’s time to break the cycle. In this article, we’ll explore the science behind why diets fail, the dangers of weight cycling, and what we should focus on instead to truly improve health and well-being.
Why Diets Fail: Key Factors
1. Biological Responses to Calorie Restriction. The body responds to dieting as a form of deprivation, triggering metabolic and hormonal changes that resist weight loss:
Decreased metabolism: The body burns fewer calories at rest.
Increased hunger hormones: Ghrelin levels rise, leading to increased appetite.
Reduced satiety signals: Lower levels of leptin make it harder to feel full.
These adaptations make it increasingly difficult to sustain weight loss over time.
2. The Health Risks of Weight Cycling. Most diets lead to weight regain, often exceeding the original weight lost. This cycle, known as weight cycling or "yo-yo dieting," is associated with:
Higher risk of cardiovascular disease
Elevated blood pressure
Increased insulin resistance
Greater systemic inflammation
Weight cycling may present more health risks than maintaining a stable, higher weight.
3. Dieting and Disordered Eating. Restrictive diets can result in a disordered relationship with food. Common consequences include:
Binge eating following restriction
Obsession with food and eating rules
Guilt or shame related to food choices
Over time, these behaviors can compromise both physical and mental health.
4. Weight Is Not a Sole Indicator of health. Focusing solely on body weight overlooks more reliable indicators of health, such as:
Blood pressure, glucose, and cholesterol levels
Physical activity, sleep quality, and stress management
Emotional and psychological well-being
Many individuals in higher weight categories experience favorable health outcomes when these factors are optimized.
What Should We Focus on Instead?
If diets don’t work, what’s the alternative? The answer lies in sustainable, non-restrictive approaches to well-being.
1. Intuitive Eating
Intuitive Eating is an evidence-based approach that focuses on listening to your body’s hunger and fullness cues rather than external food rules (Tribole & Resch, 2020).
Key principles include:
Rejecting diet culture and embracing body diversity.
Honoring your hunger and fullness cues instead of relying on calorie counts.
Make peace with food—no more labeling foods as “good” or “bad.”
Intuitive Eating leads to better psychological well-being, lower disordered eating behaviors, and improved metabolic health—without the stress of dieting.
2. Health at Every Size (HAES)
The Health at Every Size (HAES) approach promotes health behaviors over weight loss.
It emphasizes:
Enjoyable physical activity (not just for weight loss).
Body acceptance and respect (instead of shame and guilt).
Eating for nourishment and pleasure (rather than restriction).
HAES has demonstrated improved long-term outcomes for physical and emotional health compared to traditional dieting.
3. Mindful Movement
Rather than using exercise for weight control, mindful movement focuses on physical activity that supports well-being. Activities such as walking, yoga, and strength training can enhance cardiovascular health, mood, and mobility without emphasizing calorie burn.
The Bottom Line: It’s Time to Ditch Diet Culture
The diet industry thrives on making people feel like failures. But you are NOT the problem—diets are.
The science is precise:
Diets do not work. They fail 97% of the time, lead to weight regain, health risks, and disordered eating, and keep people trapped in a cycle of guilt and shame.
Instead of chasing weight loss, it’s time to embrace holistic well-being and root-cause healing through Intuitive Eating, Health at Every Size, and sustainable lifestyle habits.
Your body is not broken. The system is. This is why weight is not a disease or a pandemic....
References
Bacon, L., & Aphramor, L. (2011). Weight science: Evaluating the evidence for a paradigm shift. Nutrition Journal, 10(1), 9.
Fothergill, E., et al. (2016). Persistent metabolic adaptation 6 years after “The Biggest Loser” competition. Obesity, 24(8), 1612-1619.
Mann, T., et al. (2007). Medicare’s search for effective obesity treatments: Diets are not the answer. American Psychologist, 62(3), 220.
Sumithran, P., et al. (2011). Long-term persistence of hormonal adaptations to weight loss. New England Journal of Medicine, 365(17), 1597-1604.
Tribole, E., & Resch, E. (2020). Intuitive eating: A revolutionary anti-diet approach (4th ed.). St. Martin’s Essentials