Atkins. Ornish. Weight Watchers. South Beach. The Zone.

As a physician, I’m often asked which diet works best.

Carbs or protein? Liquid only? A “cleanse” diet?  Mediterranean? Grapefruit only?

Many people want to know whether any of them even work at all.

Scientific research has been focusing more and more on weight loss, as a record number of Americans – more than one-third of adults – can now be considered clinically obese. Evidence shows that you can lose weight on some of the popular diet programs.

Which ones?

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When the federal government released its snapshot of diabetes cases in the U.S. last October, the picture wasn’t pretty.

The incidence of new cases among adults had nearly doubled in just one decade. And the bulk of the newly diagnosed patients had type 2 diabetes, the form of the condition linked to obesity, genetic factors, and a sedentary lifestyle.

By all accounts, the statistics are alarming. Experts anticipate that 29 percent of American women and 25 percent of men will develop the disease in their lifetime. The new data suggests the diabetes epidemic is continuing, full speed ahead – and is nowhere near a peak.

But it doesn’t have to be this way.

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Is an ounce of prevention really worth a pound of cure? Or how about an extra year of life?

Cardiovascular experts believe so, calculating that if everyone with a risk factor for heart attack or stroke – 78 percent of the American adult population! – got serious about prevention, it would boost the average life expectancy by 1.3 years.

Researchers determined that if everyone took “to heart” the known preventive strategies for cardiovascular problems and made positive lifestyle changes, the incidence of heart attacks would decrease by 63 percent, while stroke would drop by 31 percent.

That is no small benefit. But unfortunately, it requires no small feat.

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If you’ve been blessed with genes that help you look good in your jeans, lucky you.

But you haven’t escaped the need to exercise.

Sure, being able to eat all you want without getting fat might seem like a blessing. Unlimited ice cream, limited time on the treadmill – what could sound better?  But studies clearly have shown that weight is not the best measurement of health. And if you’re physically inactive you aren’t doing yourself any favors, no matter what size you are.

Case in point: Recent research found that about one in four slim people had two cardiovascular risk factors, such as high blood pressure, cholesterol, or blood sugar levels that are typically associated with obesity. Some of the obese people in the study, in fact, were in much better metabolic health than some who were considered to have “healthy” weights.

“We found that 23.5 percent of normal-weight adult Americans — or about 16.3 million people — are metabolically abnormal when it comes to heart-disease risk,” said Rachel Wildman, the study’s lead author, in a written statement.

I can’t say it enough: Skinny people need to exercise, too.

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If you’ve been looking for excuses to skip exercise, a predisposition to atrial fibrillation shouldn’t be one of them.

For years, the prevailing wisdom has been that exercise – at least vigorous endurance training – increases a person’s risk of atrial fibrillation, an irregular heart beat linked to the formation of blood clots that can potentially cause a stroke.

By extension, many people feared the same might be true even for leisurely physical activity.

But new research has determined that being inactive may be just as bad. Scientists recently found that light to moderate exercise appears to actually prevent this health condition from occurring in older adults.

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You might expect to read the “Eight Secrets to Weight Loss!” in a popular women’s magazine. But in a top medical journal? And based on a long-term scientific study of thousands of people who lost weight and kept it off for more than a year?

Both a scientific journal and a health conference held earlier this year highlighted the key characteristics of successful weight loss in the National Weight Control Registry, an ongoing study of more than 5,000 successful dieters. Brown University researcher Suzanne Phelan, who is involved in the study, noted that the people who lost at least 30 pounds – and kept them off for more than a year – tended to share certain success strategies. Anyone with some unwanted pounds to shed, she said, would be wise to learn from the “successful losers” in the research project.

“There is a general perception that almost no one succeeds in long-term maintenance of weight loss,” Phelan and a colleague wrote in the American Journal of Clinical Nutrition. “However, research has shown that [roughly] 20 percent of overweight individuals are successful at long-term weight loss when defined as losing at least 10 percent of initial body weight and maintaining the loss for at least one” year.

So how do they do it?

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“Feel the burn!” Jane Fonda used to exclaim to her aerobics disciples. “No pain, no gain.”

These were popular exercise mantras, embraced by many American fitness buffs. Yet these days, you won’t hear many health experts repeating them.

Exercise, obviously, is a good thing. But even if you aren’t a triathlete in training, you still have options.

Intense, painful exercise dragging on for hours at a time isn’t necessarily “better” than a more temperate approach.  In fact, engaging in just 30 minutes of moderate exercise per day has been associated with many significant health benefits, even when the 30 minutes are divided into several shorter workouts.

Given that many people are more likely to squeeze in exercise when it seems easier or less painful, “intermittent” exercise may be the best option for some folks.

What exactly is intermittent exercise?

Fitness experts have used the term somewhat loosely to describe several types of physical activity, namely interval workouts and short, separated bouts of exercise. The premise behind both is simple: Follow a brief period of exercise with a varying level or amount of rest.  And many researchers are beginning to sing its praises.

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Going up?

If you regularly take the elevator instead of the stairs, your weight – and blood pressure and lipid levels– may be going up, too.

Sure, elevators and escalators may seem more convenient and time-efficient, especially when you’re cradling your laptop or a load of groceries in your hands. But health experts have long advised folks to make simple changes to sneak more exercise into their daily routine. And scientific research is beginning to suggest that there’s benefit in taking the stairs.

In fact, one British scientist who has studied the public’s use of stairs – or lack thereof—said the benefits might be far greater than you think.

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