How many times during a week do clients tell you they want to lose weight or talk about what they are doing to change their body weight? Among 48,026 U.S. residents over the age of 20 who answered the National Health and Nutrition Examination Survey in 2015–2016, 42% responding said they were actively trying to lose weight.

The most popular strategies did not include trendy diets. Instead, survey respondents reported they were eating less (31.9%), exercising (31.5%) and drinking more water (26.3%). They also said they were eating more fruits, vegetables and salads (29.4%); eating less sugar and fewer sweets (20.9%); and changing their eating habits (20.5%).

The findings were reported in JAMA Network Open, along with respondents’ perceptions on whether they were the right weight (41%) and wanted to weigh less (67%).