双语：你为什么还没有减肥成功呢？

 
减肥这个话题现在也越来越流行，周边的朋友总是有说在减肥，但是很久依旧没有变化，那为什么一直在说要减肥，但还是没有减肥成功呢？

 
　　Weight loss is still incredibly challenging for most people, as evidenced by the growing global obesity epidemic.
 
　　有证据表明，全球肥胖正在蔓延，对大多数人来说，减肥仍然是一项艰巨的挑战。
 
　　According to the latest Centers for Disease Control and Prevention statistics, more than two in three US adults are considered overweight (defined as a body- mass index between 25 and 30), and 36.5% of US adults fall into the obese category (BMI greater than 30).
 
根据疾病控制和预防中心（CDC）的最新统计数据，超过三分之二的美国成年人超重（体重指数在25至30之间），36.5%的美国成年人属于肥胖（BMI大于30）。
 
　　Many people also want to lose weight. According to a recent study in the Journal of the American Medical Association, approximately half of overweight and obese adults report that they are trying to lose weight. Which is why my patients often ask, "Why aren’t I losing weight?"
 
　　许多人也想减肥。《美国医学会杂志》最近的一项研究发现，大约一半的超重和肥胖的人说他们想减肥。所以我的病人经常问，“为什么我没有减肥成功？”
 
　　There is no simple, universal answer to this question, but after nearly two decades of working with patients trying to lose weight, and with the help of two leaders in the field of nutrition and obesity medicine, I’ve put together this list of some of the most common behavioral and medical reasons you might not be losing weight, even though you think you are doing everything right. I’ve also tried to include suggestions to get you on the right track to sustained weight loss.
 
这个问题不是一个简单的和共同的答案，但是患者对那些试图对近20年的研究减肥，以及两个主要医学营养和肥胖，我列出了一些可能导致你减肥失败的最常见的行为和医疗因素，尽管你可能会认为你没有做错什么。我也试着给你建议如何减肥成功。
 
　　You have calorie ’amnesia’
 
　　你有热量“失忆症”
 
　　This is one of the most common and easy-to-fix issues that I see in my practice: Put simply, people often eat more calories than they realize.
 
　　这是我在实践中看到的最常见的，也是最容易解决的问题之一：简单来说，人们通常摄入的热量要比他们意识到的要多。
 
　　You relax your diet too much on weekends
 
　　你在周末太过放纵饮食了
 
　　This is another very common issue that is a bit more challenging to fix, as weekends are generally much less structured and more social than weekdays. Three days (Friday, Saturday and Sunday) of more relaxed eating (and in many cases drinking) can easily erase four days of more focused effort.
 
　　这是另一个常见问题，但解决起来有点困难。因为周末比平日更缺乏结构性和社交性。暴饮暴食（星期五，星期六和星期天）可以很容易地消除你最初四天的努力结果。
 
　　Your medication is working against you
 
　　药物对你没什么好处
 
　　Most physicians do not receive adequate training in obesity medicine and nutrition. Many may not be aware that the medications they prescribe may lead to weight gain or make weight loss more challenging.
 
　　在肥胖医学和营养领域，大多数医生没有受过足够的训练。他们中的许多人可能没有意识到他们的药物可能会导致体重增加或使减肥变得更困难。
 
　　You eat too much of a good thing
 
　　你好东西吃太多了
 
　　It is true that recommendations concerning dietary fat have changed in the past decade, and nutrition science has found that unsaturated fat, including nuts, seeds, avocado and olive oil, plays an important role in a healthy diet.
 
　　事实上，关于饮食脂肪的建议在过去的十年里已经改变了，营养科学已经证明了不饱和脂肪，包括坚果、种子、鳄梨和橄榄油，在健康饮食中起着重要作用。
 
　　However, you can easily eat too much healthy fat along with other healthy foods, including whole grains.
 
　　然而，你很容易就会在吃其他健康食物的同时摄入过多的健康脂肪，包括全谷物类食物。
 
　　Your body is resistant to insulin
 
　　你的身体对胰岛素有抵抗作用
 
　　This is an issue I often encounter with patients and one that my colleague Dr. Michael Rothkopf, president of the National Board of Physician Nutrition Specialists, confirms is an often overlooked reason for weight loss failure.
 
　　这是我在病人身上经常遇到的一个问题，而我的同事，全美营养医师专业委员会主席迈克尔·罗特科普夫博士也证实，这是一个经常被忽视的失败原因。