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Diet-exercise and weight
loss
Changing Your body's Fat-Burning
Chemistry
You may have told your clients for years that dieting
was the key to weight loss and changing body chemistry. You extolled
the virtues of a low calorie fare, piggy-backed with an intense
fitness regimen. Then the recommendations changed, so you switched
to lowering exercise intensity to burn fat. Later you learned that
degree of intensity didn't matter much. It was more important to
"just move." Interval training was out, then in. The litany changed
to eat more. Don't diet. Perhaps you wished the experts would just
get it together. Or, you secretly thought to yourself -- as I have
in my private practice -- that genetics will win every time, so why
fight it?
You can't be blamed for misinterpreting the relationship between
body weight, composition and metabolism. Even the experts don't
always agree. Numerous studies report conflicting results as to what
actually lowers or raises metabolism, whether dieting helps or
hinders the process and what fitness strategy is best.
Is it really possible to change our body chemistry? Is there a safe
and sane way to reduce body fat and increase lean muscle mass for a
permanently fit look and feel? More importantly, what do we tell our
clients?
Metabolic myths and realities
Basal metabolic rate (BMR) is measured at rest, reclining, 12 to 18
hours after a meal, and reflects the amount of energy the body uses
for basic functions such as breathing, thinking, central nervous
system activity and pumping blood and oxygen throughout the body.
Metabolic rate is the speed at which the body burns calories at any
given time, or how quickly energy is expended. It is measured in
calories per minute (or kilocalories in scientific jargon), and
accounts for up to 75 percent of the total number of calories burned
during the day. An individual could potentially burn 60 to 75
calories per hour, or about 1,440 to 1,800 calories per day, just by
sitting. |
Basal Metabolic Rate.
Stop dieting and start eating.
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The speed of basal metabolic energy
depends primarily on body composition. Research shows that the more
lean muscle mass, the faster the metabolism. Another factor
affecting energy expenditure is something called "dietary induced
thermogenesis" (digesting, transporting and storing food). This is
the least significant in terms of calories, and accounts for about
10 percent of total calories expended (about 75 to 200 calories
burned per day). The third factor is activity, which accounts for
approximately 15 to 35 percent of total calorie burning. Any
activity we engage in, whether it's running, walking or fidgeting
burns calories above and beyond our BMR.
Some people have a higher metabolism than others, which can vary as
much as 30 percent. We all know people who can eat plates of
fettuccini, polish off a quart of ice cream, go back for seconds and
still not gain weight. Others swear they eat "like a bird" and just
looking at food makes it go straight to their hips.
Factors fanning the fat flame
The main factors influencing BMR include age, gender, genetics,
hormones, diet and activity level. Of the list, there are only two
that we can actually control.
Age. Starting near age 30, many people begin experiencing a decrease
in metabolic rate. Researchers state, however, that this decrease is
more likely a result of loss of lean muscle mass and inactivity than
the aging process itself. Some studies state that a sedentary
lifestyle explains as much as 70 percent of the difference in weight
gain between older and younger people. |
Genetics. Some say genetics play a small part in determining
metabolic rate. Judith Stern, professor of nutrition and internal
medicine at the University of California at Davis, and vice
president of the American Obesity Association, states, "Genetics is
important. But you can't exactly choose your parents."
Hormones. Thyroid hormones regulate metabolic rate. A disorder of
the thyroid gland could affect metabolic rate, however only a small
percentage of the population are affected by this.
Gender. Men have it better than women here. Generally, men have more
lean or "fat-free" tissue than women, thus, they typically have a
faster metabolism. Women, on the other hand, are built for fat
storage, particularly during puberty, pregnancy and menopause. They
have what it takes to store fat quickly and efficiently.
Key players: Diet and exercise
It's true; the literature recommends no more dieting. Crash diets
are out, anti-diets are in. More emphasis is being placed on the
percentage of muscle and fat, and less on total body weight. Dieting
shuts off metabolism and causes a loss of lean muscle mass. For
every diet, there is an equal and opposite binge. Statistics show
that people gain back more weight after dieting, and with a higher
percentage of body fat. These are abysmal statistics. William J.
Evans, director of the Geriatric Nutrition, Metabolism and Exercise
Program at the University of Arkansas for Medical Sciences, Little
Rock, Ark., states, "By cutting back in calories, you will see an
immediate drop in metabolic rate."
In theory, the number of calories you take in should equal the
number of calories you burn. This may sound simple, but most of us
struggle to achieve this balance. Cutting calories is not the
answer. Restricting calories robs the body of necessary nutrients,
which slows metabolism in an effort to conserve energy. This sets
the stage for fat storage. The human body has a sort of built-in
survival mechanism that fights dieting. Weight loss is primarily
muscle lost, not body fat (especially the more restrictive the
dieting). Some studies show that this "famine-fat" acceleration
cycle makes for more fat gain with each consecutive period of
dieting.
Michael Buono of the Department of Exercise and Nutrition Science at
San Diego State University, states, "Weight loss should be no more
than one to two pounds per week. Losing more weight than that,
although physiologically possible, usually leads to losses in
fat-free (i.e., muscle) mass, which is usually not desirable."
What about the composition of the diet? Most researchers agree that
a diet high in complex carbohydrates and low in fat (all types) is
the best bet. Evans remarks, "It's quite possible to manipulate
metabolic rate. Newer evidence shows a diet high in complex
carbohydrates has a 'thermogenic' quality which helps to burn more
calories. BMR goes down when you undereat." Stern states, "Changing
from a low- to a high-fat diet raises set point for many people. The
evidence is cleanest in laboratory animals....Unless you make
permanent changes in exercise and/or eating, once you stop what you
are doing to lose the weight, you typically regain the weight."
The Journal of the American Dietetic Association reported obesity is
maintained primarily by a diet that is high in fat and added sugar
and relatively low in fiber.1 Many times I tell my clients if they
change the type of food they eat, they may not have to reduce the
amount of food they eat. It seems prudent to state that a diet high
in complex carbohydrates, i.e., fresh fruits, vegetables and fiber,
and low in fat is the best bet so far.
Burning calories is far more effective than skimping on them to
maintain weight. Thus enters the role of exercise. And strength
training, or resistance training, seems to be a key player.
The heart of the matter
We know that physical activity is a good thing. Benefits are
numerous and well documented, such as lowering blood pressure,
lowering blood lipids, decreasing incidence of heart disease,
maximizing oxygen uptake and increasing bone mass. There is evidence
that also suggests exercise depresses appetite by stabilizing
insulin and blood sugar levels, which could contribute indirectly to
weight loss. Some experts think exercise helps with depression, too.
What remains unclear is what type, for how long and at what level of
intensity.
Inactive people can lose up to a half pound of muscle per year
--
that's five pounds a decade of one of the body's most metabolically
active tissues.2 Current research seems to suggest two effective
approaches for weight control and/or changing the body's metabolism:
strength training and aerobic exercise.
According to Dr. Jody Wilkinson, medical director of research at the
Cooper Institute for Aerobics Research in Dallas, "Muscle is
metabolically active tissue. The more lean muscle we have, the more
calories we burn -- even when resting. Strength training increases
BMR." Evans agrees: "You can change body chemistry through strength
training, which gives an elevation in BMR by as much as l5 percent
due to changes in lean muscle mass and protein turnover. It takes
energy to build new muscle tissue. Changing body fat levels doesn't
change metabolism."
According to Wayne Westcott, strength training consultant for the
South Shore YMCA, Quincy, Mass., "The more muscle you have, the more
calories you burn -- even at rest. A pound of muscle burns about 45
calories a day, whereas a pound of fat burns fewer than two calories
a day."3 Keep in mind, too, that not all weight is created equal. A
pound is a pound, whether it's bone, muscle or fat, but since a
pound of muscle takes up less space than the same amount of fat, you
can get smaller without actually losing weight.
The principle behind weight training is to add resistance to the
body's natural movements so muscles get stronger. The American
College of Sports Medicine guidelines call for performing a
strength-training workout two to three times a week, with each
session including eight to 12 different sets of exercises that work
each of the body's major muscle groups. For best results, each of
these sets should consist of eight to 12 lifts, or reps. Guidelines
for aerobic exercise include an activity that keeps the heart
beating at its training rate for 30 minutes or more, at least three
times per week.
When asked about level of intensity, Evans says, "The theory that
the lower the intensity of the activity, the more fat is burned, is
an old one. Aerobic exercise does not raise BMR significantly, but
it does burn calories. It's the number of calories burned that is
important." Dr. Claude Bouchard, professor of exercise physiology at
Laval University in Quebec, Canada, agrees. "It's still a valid goal
to increase lean muscle mass and decrease body fat, but don't count
on a higher metabolic rate to do it. Count more on calories expended
through exercise to help you. Even walking briskly 30 minutes can
raise the BMR to where it remains elevated for one hour afterward."
Regardless of whether your body uses carbohydrates or fat during a
workout, if you burn more calories than you take in, your body
starts relying on its fat stores for energy to perform day-to-day
activities between workouts.
When asked about "after burn," Stern says, "It's true that the body
continues to increase metabolic rate after one stops exercising. The
question is, how long does it last?" Wilkinson states, "It's better
with aerobic exercise than strength training due to increased heart
rate, increased oxygen consumption and increased calorie burning."
Work in this area continues to remain controversial. Some studies
report that metabolism stays elevated for 15 hours after
high-intensity strength training. Others claim one hour, or a
negligible increase. It is evident that every time one exercises,
metabolic rate goes up temporarily, which translates into spent
calories.
The set point theory is also being challenged. Research has shown
that people who gain or lose weight experience metabolic changes
that bring the body back to its baseline weight. But changes in diet
or exercise could also alter the set point. Stern states, "It seems
easier to raise [the set point] than to lower it. For sedentary
people, becoming physically active lowers their set point. It's more
important for them to just pick an activity they'll enjoy doing on a
consistent basis."
Each person has a different metabolic rate. Aerobic exercise
improves the body's ability to consume and use oxygen, which is
vital for burning fuel, such as carbohydrates and fat. It raises
heart rate and is important for cardiovascular fitness. Strength
training is its complement, and a necessary adjunct to aerobic
exercise. It indirectly increases BMR by increasing muscle.
Medical experts and researchers agree on this. They endorse a
combination of strength and aerobic training as essential elements
of a healthy lifestyle -- a lifestyle that should also include a
nutritious diet -- as the best equation. Evans sums it up, "To boost
metabolic rate, do strength training and eat a diet high in complex
carbohydrates. Include aerobic exercise because of the calories
expended. It's not one single event; it's all got to be a part of
the lifestyle."
Small changes, big results
In spite of ongoing changes and continually evolving research, there
are some worthwhile guidelines we can give our clients.
Consider the six-month plan. Those who shed weight a little at a
time are often the most successful at keeping it off. The slower the
change, the more time it has to become permanently incorporated into
one's lifestyle. Also, it's easier for the body to adjust to a new
set point. I flat out tell interested clients if they're still
looking for a "quick fix," look me up when they're done. I'll still
be here.
Examine food habits. Eliminate first the foods that won't be missed.
It's easier to switch from potato chips to popcorn, ice cream to
frozen yogurt, or soda to diet soda, than it is to give up cookies.
Again, slow changes that do not leave the body feeling deprived are
best.
Get moving. Perform aerobic and resistance training for long or
short durations, with high or low intensity. Challenge clients to
move their bodies. I tell them to think about "Moving their bodies
forward into space."
Eat breakfast. Don't let clients tell you they're not hungry in the
morning. Clients who use this excuse typically have binged the night
before because they starved their body all day. Remember,
restricting meals lowers metabolism.
Get advice from a nutritionist. Refer clients to a sports
nutritionist for advice in food plans or binge eating, or other
special dietary concerns.
Stop dieting, start eating. Switch over to "grazing" or eating
smaller, but more frequent meals. It's easier on the vital organs,
and research shows it can help improve metabolism (see Table 1).
Pump up. Weight training improves one's overall fitness program,
increases lean body mass and helps rev up basal metabolic rate.
Skim the fat. Shoot for about 20 to 30 percent of total calories
from fat. You can actually train the body to prefer low-fat foods.
The slower, the better
Above all, remember each individual is different. Move slowly.
Making small changes in diet and physical activity can make a huge
difference in body chemistry. After a few weeks, clients will see
how small changes lead to a leaner body and healthier lifestyle.
They will thank you. And then, tell them to enjoy their success.
REFERENCES
1. Journal of the American Dietetic Association, June 1994.
2. Prevention, August 1994, p. 59.
3. Westcott, Wayne. American Health, Jan/Feb 1995, p. 54.
The OFF Plan
Six Strategies toOutsmart
Female Fat*
|
Switching Fat
Cells On |
Switching Fat
Cells Off |
|
Inactivity |
Aerobicize your
fat cells |
|
Dieting |
Stop dieting and
start eating |
|
Overeating |
Feed your body,
not your fat cells |
|
Skipping meals |
Shrink and
multiply your meals |
|
Nocturnal eating |
Become a daytime
eater |
|
High fat intake |
Fat-proof your
diet |
By
Barbara A. Brehm, Ed.D. A professor of exercise and sport studies
at Smith College, Northampton, Mass.
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