All diets / Points and coaching apps

Drawing for Points and coaching apps: the healthen mark with the word POINTS APPS, salad, boiled egg, tea, banana, grapes, beans, carrot and soup.
What you eat on points and coaching apps: salad, boiled egg, tea, banana and grapes.

Points systems and coaching apps: the points are a gimmick. The accountability isn't.

WeightWatchers turned calories into points. Apps turned food into colours and coaches into chat bubbles. Underneath, it's calorie counting with a support group, and the support group is the part that works.

The short version

What it is
Commercial programmes that simplify calorie counting into points, colours or scores, and add weigh-ins, groups or a coach.
Good for
Structure and accountability. People who do better with a weekly check-in and someone noticing.
Bad at
Teaching you to eat without the app. Cheap, it isn't.
Evidence
Moderate. Some big trials, often co-funded by the companies.
Our take
They beat doing nothing. We're a competitor, so read the evidence, not just us.

What points systems and coaching apps actually are

The oldest is WeightWatchers (now just WW), founded in the 1960s around weekly group weigh-ins. Its points system gives every food a number based mostly on calories, nudged by protein, sugar and saturated fat. You get a daily budget. Some foods are "zero points" so you can eat them freely.

The newer generation lives on your phone. Apps like Noom sort food into colour groups by calorie density, add daily psychology lessons, and pair you with a coach you message. Others are basically a calorie counter with a chatbot.

Strip away the branding and every one of them is the same three things: a simplified way of counting calories, a way of nudging you towards less dense, more filling food, and a reason to check in every week.

How it works in your body

There's no special biology here. Points are calories in a costume. You lose weight because you eat less than you burn.

The interesting part happens in your head. Weekly weigh-ins and logging create self-monitoring, which a systematic review found consistently linked to weight loss.5 Groups and coaches add social accountability: someone expects you back next week. Zero-point foods steer you towards vegetables, fruit and lean protein without calling it a rule. And the points maths itself makes it tiresome to spend your budget on a muffin, which is the point.

What you eat, what you don't

Eat

  • Whatever fits your points or colour budget
  • "Free" foods: usually vegetables, fruit, eggs, beans, lean fish and chicken
  • Soups and salads to stretch the budget
  • Wholegrains in measured portions
  • Water, tea, black coffee

Forget it

  • Nothing is technically banned
  • In practice: sweets, pastries and crisps eat the budget
  • Soft drinks and juice
  • Branded "diet" snacks sold by the programme itself
  • Saving all your points for the weekend binge

A week on a points app, honestly

By day ten, most of the effort goes on two things, logging food without a barcode and deciding what to do on Saturday night. The people who do well usually settle into a routine:

In Singapore: hawker food is the logging nightmare. No barcodes, sauces you can't see, portions that vary by stall. Pick a handful of go-to dishes (fish soup, yong tau foo, economy rice with vegetables and one protein), log them the same way every time, and accept that it's an estimate. Ask for less rice and sauce on the side.

In Austria, Germany and Switzerland: supermarket labels make scanning easy. Bakery rolls, a Brotzeit plate or a Sunday roast at the in-laws' don't. Log the rough portion and move on. The trap is the "light" aisle: low-fat quark is fine, low-fat biscuits are still biscuits.

Alcohol on points systems

OK, now and then

  • A spirit with soda water and lime
  • One glass of dry wine
  • A spritzer: half wine, half soda water
  • A light beer

Eats the whole budget

  • Cocktails and cream liqueurs
  • Several pints of beer or cider
  • Anything mixed with juice, cola or tonic
  • "Saving" a day's points for a night out

50 Club: one spritzer or one light beer, counted.

Every programme counts alcohol, because alcohol is a lot of energy with no fullness. Skipping dinner to "afford" drinks is the worst trade in dieting. All the details are in our alcohol guide.

What it's good for, with proof

Better than doing nothing

A systematic review of 45 studies found that, after 12 months, WeightWatchers participants lost at least 2.6% more weight than people given only education or nothing. Jenny Craig, which includes prepared meals, did a bit better at 4.9%.1 For someone weighing 100 kg, that's 2.6–4.9 kg beyond what doing nothing would get you. Real, not dramatic.

Better than standard doctor's advice

In a trial with 772 adults in Australia, Germany and the UK, people referred by their doctor to WeightWatchers lost about twice as much weight in a year as those given standard care: about 5 kg against 2 kg.2 Worth knowing: the trial was funded by WeightWatchers through a grant to the UK Medical Research Council.2

A later British trial with 1,267 adults found that a 12-week programme beat brief advice, and a 52-week programme beat both: about 6.8 kg lost at one year, against 4.8 kg and 3.3 kg.3 Longer support, more weight lost. That's the accountability effect in one number.

The diet doesn't matter much, the sticking does

A meta-analysis of 48 trials found that different named diets gave similar weight loss, and that behavioural support added to it.4 Whichever programme you can stick with is the one that works for you.

The uncomfortable truth

"Zero-point foods mean unlimited." A banana has the same calories whether a company gives it zero points or not. Zero points is a nudge, not physics. Eat ten and see.

"The app taught me to eat." Often it taught you to follow the app. When the subscription ends, the points go with it, and many people regain. The trials mostly stop at one or two years, so long-term results are thin.1

"This app is backed by science." Often that means the general ideas are (self-monitoring, behaviour change, eating less dense food), not that the app itself was tested in a proper trial. The review of commercial programmes found good-quality trials for only a handful of big brands, and many newer apps had little or no trial evidence at the time.1 Ask to see the trial, not the testimonial. Ask who paid for it, too.

The risks

Allergies: watch the staples

Programmes don't have fixed staples, but their branded products often contain major allergens.

Common stapleAllergen (EU list of 14)7Swap
Branded bars and shakesMilk, soy, peanuts, tree nuts, cereals containing glutenReal food: eggs, fruit, plain yoghurt; check labels
Zero-point eggsEggsTofu, beans, chicken
Zero-point fish and seafoodFish, crustaceans, molluscsChicken, lentils
Fat-free yoghurtMilkSoy yoghurt
Light bread and wrapsCereals containing glutenCorn tortillas, rice, potatoes

Don't do a points or coaching programme if you…

  • have ever had an eating disorder
  • are pregnant or breastfeeding
  • are under 18
  • take insulin or other diabetes medication (ask your doctor first)
  • find weekly weigh-ins make you miserable

Healthen me asks about all of these and gives you a different plan if any apply.

How we use points systems in your plan

We don't. These are our competitors, and we'd rather tell you what they do well than pretend they don't work.

What we take from them: structure, and food that fills you up for its calories (our volumetrics building block). What we do differently: no points, no colours, no logging. The calorie maths happens in the background, and the plan teaches habits that work without an app, like eating slowly (see mindful eating) and fasting as long as you comfortably can.

This article is general information, not medical advice. If you have a medical condition or take medication, talk to your doctor before changing how you eat.

Sources

  1. Gudzune KA et al. Efficacy of commercial weight-loss programs: an updated systematic review. Annals of Internal Medicine 2015;162(7):501–512. doi.org/10.7326/M14-2238
  2. Jebb SA et al. Primary care referral to a commercial provider for weight loss treatment versus standard care: a randomised controlled trial. Lancet 2011;378(9801):1485–1492. doi.org/10.1016/S0140-6736(11)61344-5
  3. Ahern AL et al. Extended and standard duration weight-loss programme referrals for adults in primary care (WRAP): a randomised controlled trial. Lancet 2017;389(10085):2214–2225. doi.org/10.1016/S0140-6736(17)30647-5
  4. Johnston BC et al. Comparison of weight loss among named diet programs in overweight and obese adults: a meta-analysis. JAMA 2014;312(9):923–933. doi.org/10.1001/jama.2014.10397
  5. Burke LE, Wang J, Sevick MA. Self-monitoring in weight loss: a systematic review of the literature. Journal of the American Dietetic Association 2011;111(1):92–102. doi.org/10.1016/j.jada.2010.10.008
  6. Simpson CC, Mazzeo SE. Calorie counting and fitness tracking technology: associations with eating disorder symptomatology. Eating Behaviors 2017;26:89–92. doi.org/10.1016/j.eatbeh.2017.02.002
  7. Regulation (EU) No 1169/2011 on food information to consumers, Annex II (the 14 allergens). eur-lex.europa.eu/eli/reg/2011/1169/oj