JAMA January 2005 PMID 15632335

Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomized trial.

Michael L Dansinger, Joi Augustin Gleason, John L Griffith, Harry P Selker, Ernst J Schaefer

Mentions

79
Peak: 20 in Oct 2024
across 4 sources since Mar 2015

Extended reach

452,572
potential audience

Total likes

274

Video views

1,278

Mentions per month

Mar 2015 – Sep 2025

Where it's discussed

  • X / Twitter58 posts
  • News16 articles
  • Facebook3 posts
  • YouTube2 videos

AI synopsis

What people are saying

The group discusses the significance of diet adherence rather than specific diet types, with examples like '@MichaelAlbertMD' questioning why diet compliance wanes over time due to processed foods, and mentions of research showing all diets produce similar results when followed. The tone and choice of words reflect a combination of scientific references and practical considerations, emphasizing that the success of diet depends largely on personal consistency and behavior.

AgreementModerate agreement

Most discussions agree that adherence is key and that all diets can be effective if followed properly, showing general consensus without strong disagreement.

InterestHigh interest

The discussions show high interest through references to multiple studies, diet types, and debates about adherence, indicating active engagement.

EngagementHigh engagement

Posts demonstrate deep engagement by citing research, challenging ideas, and discussing factors like food convenience and individualization in dieting.

ImpactModerate impact

There is moderate impact, as users highlight the importance of diet adherence and the social and behavioral factors influencing diet success, which could influence future dietary approaches.

Abstract in brief

  • The study compared four popular diets (Atkins, Ornish, Weight Watchers, and Zone) to evaluate their effectiveness in weight loss and reducing cardiac risk factors over one year, involving overweight or obese adults with existing health issues like hypertension and dyslipidemia.
  • Results showed all diets led to significant weight loss and improved HDL cholesterol ratios, with Atkins and Ornish diets showing slightly greater average weight reductions; however, only about 50% of participants completed the one-year program.
  • The findings suggest that while these diets can be effective for weight loss and improving some heart disease risk factors, adherence varies, and effects are more pronounced among those who stick with the diets throughout the study period.

Top posts

Most liked on X and Bluesky
Michael Albert, MD
@MichaelAlbertMD · X

Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed food options are generally more convenient and appealing, which is an almost irresistible combination for our primitive brains. https://t.co/WjIYep0y4j

Feb 3, 2022 · 132 likes · 20 shares · 16,240 followers View post →
Michael Weintraub, MD
@MWeintraubMD · X

What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in amount of weight loss, however ability to adhere to the meal plan predicted successful weight loss. Source: https://t.co/V4ZSNqLvm4 https://t.co/XtoAM5J7M1

Oct 23, 2024 · 58 likes · 20 shares · 4,819 followers View post →
Herman Pontzer
@HermanPontzer · X

@AKA_Sadrien @freethinkCDN Assign people whatever diets you like. If you stick to it, you lose weight. If you lose weight, all your blood markers etc improve. It’s not magic it’s calories. The best diet is the one you stick to - for many that may be keto, but it’s not magic https://t.co/8yU2lev6u0

May 1, 2021 · 22 likes · 2 shares · 12,116 followers View post →
Michael Albert, MD
@MichaelAlbertMD · X

Obesity Medicine physician, here. — Fact Check: this statement is not supported by evidence. No best diet for weight loss. Lots of room for individualization. ⤵️ @nutrition_facts =>https://t.co/IJ3M6gFnMk => https://t.co/WjIYep0y4j https://t.co/AsNaBtSNYe

Jan 24, 2022 · 13 likes · 4 shares · 16,240 followers View post →
Herman Pontzer
@HermanPontzer · X

@DoctorTro All diets work if you adhere to them, a and all have similar beneficial effects from wt loss, whether the diet is meaty or vegetarian. And ability to stick to them is also similar. https://t.co/8yU2lev6u0

May 1, 2021 · 7 likes · 1 share · 12,116 followers View post →
Michael Albert, MD
@MichaelAlbertMD · X

10/ Summary: LC diets are one tool to assist (not replace) in the tx of chronic dz, notably obesity. But as we know, adherence is the greatest predictor of WL and improvement in RFs (https://t.co/WjIYeoIWFJ). Most ppl will not respond to diet changes alone given the nature of OB.

Nov 15, 2020 · 6 likes · 16,240 followers View post →

All mentions

Luq
@Luqtai · X

@_strongfan_ Did you read the study? More perspectives offer better decision making. Calorie counting has helped many people. Kenapa nak kata benda tu salah? Several studies that support the calorie hypothesis: https://t.co/iqFi3MPM5V https://t.co/rIrqM6OBg1 https://t.co/lijyAsfMbg

Nov 11, 2024 · 1 like · 376 followers View post →
Guillermo Guzman
@guilloeguz · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 30, 2024 · 20 shares · 129 followers View post →
Luisa Werner
@drluisawerner · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 26, 2024 · 20 shares · 10 followers View post →
Dr Alo, DO, FACC
@MohammedAlo · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 26, 2024 · 20 shares · 13,036 followers View post →
Hugo
@HugMtz · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 25, 2024 · 20 shares · 807 followers View post →
Simon Hill MSc, BSc
@theproof · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 25, 2024 · 20 shares · 34,591 followers View post →
Viet Le DMSc PA-C FACC FAHA HF-Cert
@VietHeartPA · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 25, 2024 · 20 shares · 9,785 followers View post →
Zack
@keychupkicap · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 25, 2024 · 20 shares · 381 followers View post →
Dr. Vanishri Ganakumar MD DM (Endo)
@DrVanishriG · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 24, 2024 · 20 shares · 353 followers View post →
SMahashur
@SMahashur · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 23, 2024 · 20 shares · 1,393 followers View post →
Vignesh Radhakrishnan
@VigneshJourno · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 23, 2024 · 20 shares · 4,533 followers View post →
Ash Paul
@pash22 · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 23, 2024 · 20 shares · 32,278 followers View post →
Jennifer McGregor
@Jennife54528098 · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 23, 2024 · 20 shares · 49 followers View post →
Nakul Karandikar
@NakulKarandikar · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 23, 2024 · 20 shares · 297 followers View post →
Sharifa Al-Fajri
@SharifaAlFajri · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 23, 2024 · 20 shares · 459 followers View post →
William Amaral
@_sempreguica · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 23, 2024 · 20 shares · 118 followers View post →
Abdulmohsen bakhsh د .عبدالمحسن بخش
@amohsenbakhsh · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 23, 2024 · 20 shares · 2,029 followers View post →
Mitchell Sammut
@SammutMitchell · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 23, 2024 · 20 shares · 205 followers View post →
Matt L
@LLl41622309 · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 23, 2024 · 20 shares · 26 followers View post →
andres
@palacioendocrin · X

RT @MWeintraubMD: What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in…

Oct 23, 2024 · 20 shares · 332 followers View post →
Michael Weintraub, MD
@MWeintraubMD · X

What diet is most associated with successful weight loss? It's the diet you stick to. Meal plan type did not differ in amount of weight loss, however ability to adhere to the meal plan predicted successful weight loss. Source: https://t.co/V4ZSNqLvm4 https://t.co/XtoAM5J7M1

Oct 23, 2024 · 58 likes · 20 shares · 4,819 followers View post →
Obesidades México
@Obesidades_mx · X

Fuente:   Dansinger ML, et al. Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomized trial. JAMA. 2005 Jan 5;293(1):43-53.

Jun 28, 2023 · 1,338 followers View post →
Andrew Koutnik, Ph.D.
@AKoutnik · X

@TheAlanAragon @TheAlanAragon to my understanding, carbohydrate restriction adherence is similar to ANY dietary modification, not uniquely hard/difficult. https://t.co/mkJ0DcAhJ9 https://t.co/Bq89SboglZ https://t.co/zKzowpWcF1 Are you aware of data that does demonstrate it is uniquely hard?

Oct 4, 2022 · 1 like · 7,870 followers View post →
Michael Ryan Ph.D.
@kinesigen · X

For exercise and nutrition interventions with gen pop, adherence is the key to success. Lose the dogma. Comparison of the Atkins, Ornish, Weight Watchers, and Zone Diets for Weight Loss and Heart Disease Risk... https://t.co/sl87jSKF25 via @JAMA_current part of @JAMANetwork

Sep 2, 2022 · 124 followers View post →
Jacob Gudiol
@JacobGudiol · X

@nordkost Här har du en rättvis jämförelse i samma studie. Ornish inte ett dugg bättre https://t.co/D2Rds7x9eL

May 16, 2022 · 24,344 followers View post →
Harmless Frog
@FrogHarmless · X

#41 Four diets - see pictures for EI and P estimates. WW is calorie-restricted, others ad-lib. 1yr, outpatient, self-reported intake. Overweight/obese. Results: EI decreases, then recovers. Similar weight loss. Total P behaviour varies with diet. https://t.co/qka4muN2P0 https://t.co/I4bEluxunx

Apr 3, 2022 · 558 followers View post →
Abs_Lincoln
@abs_lincoln · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 6, 2022 · 20 shares · 259 followers View post →
Aljosa Kuzmanovski
@Aljoo5 · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 5, 2022 · 20 shares · 108 followers View post →
Admiral Halsey
@AdmiralHalsey8 · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 4, 2022 · 20 shares · 67 followers View post →
Fra
@Frabersss · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 4, 2022 · 20 shares · 105 followers View post →
Sarina Kajani PhD
@sarinakajani · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 4, 2022 · 20 shares · 7,541 followers View post →
Vitas Gerulaitis
@VGerulaitis · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 4, 2022 · 20 shares · 150 followers View post →
Joachim's Training
@TrainingInNYC · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 4, 2022 · 20 shares · 757 followers View post →
Guðmundur Jóhannsson
@gfj1979 · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 4, 2022 · 20 shares · 2,008 followers View post →
*Clair* et Lipide✖️
@clairetlipide · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 4, 2022 · 20 shares · 297 followers View post →
Hany Ragy
@Hragy · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 4, 2022 · 20 shares · 80,901 followers View post →
Tannya Lopez
@tannya_lopez · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 4, 2022 · 20 shares · 554 followers View post →
Ruby Cherie
@transformxruby · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 4, 2022 · 20 shares · 58 followers View post →
Ryan
@ryanfernance · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 4, 2022 · 20 shares · 1,064 followers View post →
Simon Hill MSc, BSc
@theproof · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 4, 2022 · 20 shares · 34,591 followers View post →
Dr. Woodall
@DrWoodallND · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 3, 2022 · 20 shares · 667 followers View post →
Food Mood Doctor
@FoodMoodDoctor · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 3, 2022 · 20 shares · 1,531 followers View post →
Marco Fortes
@markofortes · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 3, 2022 · 20 shares · 40 followers View post →
Kevin Hall
@KevinH_PhD · X

RT @MichaelAlbertMD: Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed foo…

Feb 3, 2022 · 20 shares · 38,738 followers View post →
Michael Albert, MD
@MichaelAlbertMD · X

Diet adherence naturally wanes with time. Why? Because as many people have pointed out this week, modern processed food options are generally more convenient and appealing, which is an almost irresistible combination for our primitive brains. https://t.co/WjIYep0y4j

Feb 3, 2022 · 132 likes · 20 shares · 16,240 followers View post →
Dr Jennifer Nasser (PhD, RD)
@serenedoc · X

RT @MichaelAlbertMD: Obesity Medicine physician, here. — Fact Check: this statement is not supported by evidence. No best diet for weight…

Jan 24, 2022 · 4 shares · 627 followers View post →
Stewart Lonky, MD
@LonkyMD · X

RT @MichaelAlbertMD: Obesity Medicine physician, here. — Fact Check: this statement is not supported by evidence. No best diet for weight…

Jan 24, 2022 · 4 shares · 4,693 followers View post →
Elaine Chiquette
@Chiquette3 · X

RT @MichaelAlbertMD: Obesity Medicine physician, here. — Fact Check: this statement is not supported by evidence. No best diet for weight…

Jan 24, 2022 · 4 shares · 259 followers View post →
Michael Albert, MD
@MichaelAlbertMD · X

Obesity Medicine physician, here. — Fact Check: this statement is not supported by evidence. No best diet for weight loss. Lots of room for individualization. ⤵️ @nutrition_facts =>https://t.co/IJ3M6gFnMk => https://t.co/WjIYep0y4j https://t.co/AsNaBtSNYe

Jan 24, 2022 · 13 likes · 4 shares · 16,240 followers View post →
Bhopender Thakur
@TheBhupiThakur · X

RT @HermanPontzer: @DoctorTro All diets work if you adhere to them, a and all have similar beneficial effects from wt loss, whether the die…

May 3, 2021 · 1 share · 1,386 followers View post →
Stephen Winrow
@swinrow1 · X

RT @HermanPontzer: @AKA_Sadrien @freethinkCDN Assign people whatever diets you like. If you stick to it, you lose weight. If you lose weigh…

May 2, 2021 · 2 shares · 413 followers View post →
Trent Stellingwerff, PhD / CSEP-CEP / FACSM / ChPC
@TStellingwerff · X

RT @HermanPontzer: @AKA_Sadrien @freethinkCDN Assign people whatever diets you like. If you stick to it, you lose weight. If you lose weigh…

May 2, 2021 · 2 shares · 23,143 followers View post →
Herman Pontzer
@HermanPontzer · X

@AKA_Sadrien @freethinkCDN Assign people whatever diets you like. If you stick to it, you lose weight. If you lose weight, all your blood markers etc improve. It’s not magic it’s calories. The best diet is the one you stick to - for many that may be keto, but it’s not magic https://t.co/8yU2lev6u0

May 1, 2021 · 22 likes · 2 shares · 12,116 followers View post →
Herman Pontzer
@HermanPontzer · X

@DoctorTro All diets work if you adhere to them, a and all have similar beneficial effects from wt loss, whether the diet is meaty or vegetarian. And ability to stick to them is also similar. https://t.co/8yU2lev6u0

May 1, 2021 · 7 likes · 1 share · 12,116 followers View post →
Herman Pontzer
@HermanPontzer · X

@julianswitte @MelindaRD Plenty of studies showing cardiometabolic benefits from weight loss alone. Here's a good one: https://t.co/8yU2lev6u0 https://t.co/cT9joJHcL0

Apr 20, 2021 · 1 like · 12,116 followers View post →
Herman Pontzer
@HermanPontzer · X

@garytaubes @CaloriesProper @SamueleMarcora @bigfatsurprise But those are controlled feeding studies! So artificial, right? Let's get real world, assigning real live folks to low fat or low carb diets. Low carb wins right? Nope. https://t.co/8yU2lev6u0

Apr 9, 2021 · 2 likes · 12,116 followers View post →
Michael Albert, MD
@MichaelAlbertMD · X

10/ Summary: LC diets are one tool to assist (not replace) in the tx of chronic dz, notably obesity. But as we know, adherence is the greatest predictor of WL and improvement in RFs (https://t.co/WjIYeoIWFJ). Most ppl will not respond to diet changes alone given the nature of OB.

Nov 15, 2020 · 6 likes · 16,240 followers View post →
Herman Pontzer
@HermanPontzer · X

@Travis_Statham @paulmelzer1 @TuckerGoodrich @throwingspears @LowCarbVet @p70S6K @bendormiki @CarnivoreMD @KenDBerryMD @DrPaulMason @SBakerMD @KetoDocCLT @KevinH_PhD Randomly assign people a range of low fat to low carb diets and see what happens: individuals vary of course but overall outcomes and adherence are the same: https://t.co/8yU2lev6u0 https://t.co/2U7n0qc3pr

Jun 24, 2020 · 1 like · 12,116 followers View post →
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