Yo-Yo Diets An Immune System Risk

Key points
- A new study has found that "yo-yo dieting" – repeatedly losing, then regaining weight – may harm a woman's immune system.
- The study by the Fred Hutchinson Cancer Research Center also found that maintaining the same weight over time appears to have a positive effect on a woman's immune system, according to one of the lead researchers.
- Researchers in the study, published Tuesday in the Journal of the American Dietetic Association, interviewed 114 overweight but otherwise healthy sedentary, older women about their weight-loss history during the past 20 years.
- The study, which found that long-term immune function decreases in proportion to how many times a woman has intentionally lost weight, measured natural killer cell activity in the women's blood.
A new study has found that "yo-yo dieting" – repeatedly losing, then regaining weight – may harm a woman's immune system.
The study by the Fred Hutchinson Cancer Research Center also found that maintaining the same weight over time appears to have a positive effect on a woman's immune system, according to one of the lead researchers.
Researchers in the study, published Tuesday in the Journal of the American Dietetic Association, interviewed 114 overweight but otherwise healthy sedentary, older women about their weight-loss history during the past 20 years. The women had to have maintained a stable weight for at least three months before joining the study, which was funded by the National Cancer Institute.
The study, which found that long-term immune function decreases in proportion to how many times a woman has intentionally lost weight, measured natural killer cell activity in the women's blood. Natural killer cells are an essential part of the immune system, killing viruses and leukemia cells, said Cornelia Ulrich, senior author and an assistant member of the Hutchinson Center's Public Health Sciences Division.
Low natural killer cell activity has been associated with increased cancer rates and "just a higher susceptibility toward any type of infection," she told CBS News Correspondent Barry Bagnato.
"While one weight-loss episode of 10 pounds or more in the previous 20 years was not associated with current natural killer cell activity, more frequent weight-loss episodes" were associated with a significant decrease in such activity, Ulrich said.
"Immune function was higher among women who had been fairly weight-stable," Ulrich said.
Those who reported losing weight more than five times had about a third lower natural killer cell function, the study found. Conversely, women who maintained the same weight for at least five years had 40 percent greater natural killer cell activity as compared to those who maintained their weight for fewer than two years.
Though no men participated in the study and further research is needed, Ulrich said the immune systems of male dieters would likely be affected the same way.
"It's really the first study to show potential long term effects of yo-yo-dieting on immune function," she said.
The findings, while intriguing, are preliminary, cautioned Ulrich, who is also a research assistant professor in epidemiology at the University of Washington School of Public Health and Community Medicine.
Researchers had to rely on the participants' own reports of their weight loss histories and the analysis was based on blood samples collected at a single point in time, representing a narrow sample.
A long-term study could provide more conclusive results, said Ulrich, who is planning to collaborate with Canadian researchers who have been working on a similar study.
Written and revised by
Andrey Nailor, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.
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