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Felitti was baffled. Why, invariably, did so many patients quit just as they approached their healthy goal weight? Ella, for instance, a middle-aged woman who entered the program in the mid-1980s morbidly obese at 295 lb., had managed to whittle her frame by 150 lb. over six months. "Instead of being happy, she was having anxiety attacks and was terrified," Felitti says. (See "The Year in Health 2009: From...

Author: /time Magazine | Title: How Childhood Trauma Can Cause Adult Obesity | 1/5/2010 | See Source »

...reasons, disbursements to charities are made in lump sums at the end of the year.) Karlan knows there are cheaters among the site's 50,000 users, and Sisson admits that she is one of them. She says she lied in 2008 about achieving her goal of losing 25 lb. in three months so she wouldn't have to cough up the $200 she had pledged to an anti-charity. Because there's such an easy out, Karlan encourages people to assign an independent referee such as a friend or co-worker to monitor their progress. Next year, the site...

Author: /time Magazine | Title: A New Weight-Loss Plan: Getting Paid to Shed Pounds | 1/4/2010 | See Source »

After her flameout on stickK, Sisson is working hard to make good on her goal on HealthyWage. With a steady weight loss of 4 lb. in four weeks, she may win the prize money in 2010. But the even greater challenge, Volpp says, will be keeping the weight off. Little is known about the link between financial incentives and long-term weight loss. Maybe by 2011 a website will start offering cash bonuses to users who maintain a healthy weight...

Author: /time Magazine | Title: A New Weight-Loss Plan: Getting Paid to Shed Pounds | 1/4/2010 | See Source »

...other hopefuls have signed up for the site, which gets corporate sponsors to give a cash reward to obese users who during a specified time period move from an unhealthy to a healthy body mass index (BMI). (This typically translates into a weight loss of between 30 and 80 lb.) Members can either sign up for free - according to a company rep, the final deadline to enter the next 12-month challenge is Jan. 20 - and win $100 or "super-size" their weight-loss incentives by putting as much as $300 of their own money on the line in order...

Author: /time Magazine | Title: A New Weight-Loss Plan: Getting Paid to Shed Pounds | 1/4/2010 | See Source »

HealthyWage, which makes money through advertising and sponsorships, claims it can save the health care system $1,150 in obesity-related costs for each person who slims down to a healthy BMI. But the challenge is hardly an easy payout. Sisson, who tips the scales at just over 200 lb., will have to lose 50 lb. in a year and check in with the site about her food intake and physical activity every week. She also has to get her physician to call HealthyWage to verify her weight at the beginning and end of the challenge...

Author: /time Magazine | Title: A New Weight-Loss Plan: Getting Paid to Shed Pounds | 1/4/2010 | See Source »

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