Posts Tagged ‘obesity’
Skinny And Rich In Only 18 Months…Without Exercise!
If you were thumbing through the Sunday paper over the weekend, you may have come across two separate full-page articles eight pages apart from each other.
The first carried the big bold headline ‘Exercise Won’t Make You Thin‘. The second had the headline ‘How I Went From Virtually Zero to $3.5 MILLION of Real Estate Wealth in Just 18 MONTHS!‘
OK seriously…how much more of this do we have to put up with?
Let me reiterate – full page articles – albeit prefaced with the tiny caption ‘Advertisement’, constructed to appear as normal news articles to lure the sleepy Sunday reader into a barrage of support for the sensational headline!
For all I would like to say about the lack of integrity in commercial advertising and journalism – I’ll keep it to this:
Clearly, for the right price, you can say whatever you want to whoever you want, shirking responsibility for the resultant trail of carnage from a skewed truth presented to make yourself a buck. Read the rest of this entry »
Get cool to lose weight?
Damn it’s cold outside! This was my thought as my knuckles were becoming numb on a frosty Adelaide Hills’ morning on my regular run!
We are all no doubt struggling through some of these colder months, so I thought this was the perfect time to talk about how our body’s natural warming system could possibly be a way to keep ourselves from putting on weight.
Scientists our now discovering that a type of fat storage tissue called Brown Adipose Tissue (BAT) is more important than we first thought.
In fact only 50g of BAT can account for up to 20% of someone’s daily energy expenditure!
So what is this BAT and how do we get more of it?
Exercise benefits on Stress – fighting the beast!
Before we can make sense of how exercise can help us deal with stress better, it will be useful to understand the physiology of stress and how it affects us.
Needless to say, a great starting point is to highlight that the best way to deal with stress is to reduce your stress drivers and how you deal with them. Let us encourage you to look at those in your daily life and seek the support of qualified therapists in these area.
To support your changes, exercise is a great tool to improve your body’s capacity to absorb the effects of stress.
At a physiological level, stress is a desired response designed for a “fight or flight” situation. The physiological process that is triggered to help us deal with such an event is described below, but its important to keep in mind that it should occur over short durations, and then ‘dealt’ with (by fighting or running!).
The result is the release of adrenaline which is almost instantaneous and increases alertness and cortisol, which peaks at about 15-30 min after the start of the stress trigger. The whole point of these responses is to give us the required energy to deal with the situation at hand, by elevating blood pressure, increasing blood sugar (for energy) and decreasing most other non-essential systems. the problem in our modern western settings is that we don’t face too many ‘acute’ (short lasting) triggers (such as a threatening animal, etc), but rather longer lasting chronic stresses, such as work and financial pressures. In the ‘acute’ settings, increased physical activity was the way we dealt with the threat – i.e. by fighting or escaping – this would then help diffuse the physiological effects of stress mentioned above.
In our chronic western settings we don’t deal with stress in a physical manner. As a matter of fact we all well know that the amount of exercise we do is consistently decreasing, and even more so the busier we are. So we don’t often get to diffuse the heightened physiological responses. The result is chronically elevated levels of cortisol, which lead to Hypertension, Insulin resistance, and OBESITY.
So what is exercise good for? firstly it directly helps to reduce the physiological effects of stress, as we know that it will reduce insulin resistance, lead to hormonal responses that relax blood vessels, and use up excess blood sugar (and fat) for energy! Further more, through exercise the body becomes more physiologically efficient at dealing with the stress hormones in the first place. In addition you get all the emotional feel-good benefits of being active, a sense of achievement, and the opportunity to enjoy time doing something good for yourself!
so, don’t delay, get out there and MOVE!!!
So, exercise, what are you good for??!
In an earlier post we promised to outline the many benefits that exercise can provide you, and this is our time to deliver! now, before your eyes roll back in boredom, I have to tell you that the more that we look at this the more exciting and brilliant this concept of moving your body becomes!!
To be honest, over the last couple of months I’ve fallen in love all over again with my profession. I get the incredible opportunity to make people’s bodies healthier on a day to day basis by simply making them move at intensities and complexities greater than they are used to!
Another thing that I’d like to clarify is what exercise is NOT good for. My point here is, as is published in an earlier post, that I find it a shame that people become disillusioned with exercise because they expected their 5 visits to the gym to provide them with results that are unrealistic. check out the linked blog article http://informhealth.wordpress.com/2009/05/25/the-balance-between-diet-and-exercise-in-weight-and-fat-loss/ for more on the balance between nutrition and exercise to lose weight. as it indicates, exercise alone results in relatively small weight loss when compared to dietary changes. BUT what is exercise good for then in this case??
now, outlining the many benefits of exercise is a massive undertaking, so we’ll be taking you along on an exploration journey over the next few weeks as we let you in on some fantastic evidence.
Back to our topic for today – the effect of exercise on weight loss: as stated in the linked article, exercise can help reduce as much as half a kilo of fat per week with a gruelling schedule. Very importantly we do know that exercise provides you with the best protection against weight GAIN! therefore being one of the best prevention strategies against the obesity epidemic. There’s a range of physiological reasons that help to explain this:
Exercise, especially resistance training (lifting weights) helps maintain and/or increases your lean body mass (muscle), which means you have a bigger ‘engine’ to burn more energy on a day to day basis.
Exercise, especially at high intensities, results in your cells being more effective fat burners, so not only are you burning fat while you exercise, but also during the rest of the day – try interval based training to maximise this!
Another great mechanism is that exercise makes you more insulin sensitive, meaning that you are better able to metabolise (burn) energy and are less likely to store fat as a result.
Now how is that for a start on getting you excited about getting more active?! next week we’ll tell you about the benefits of exercise on stress management and sleep quality.
till then! in the mean time, if you have any questions on this don’t hesitate to contact our Exercise Physiologists at http://www.informhealth.com
So is that big bottom and thighs healthy now?!
A study recently published in this month’s (Jan 2010) International Journal of Obesity is getting some interesting media attention. Results indicate that adipose (fat) tissue in the bum and thighs have a protective effect against diabetes and cardiovascular disease, as this fat has anti-inflammatory properties.
This is very different to ‘visceral’ fat (that stored internally in the belly) which is pro-inflammatory in nature. the increased inflammation has been associated to decreased insulin sensitivity, which is a pre-cursor to diabetes.
So does this mean that its now OK to be carrying those extra kilos?? well, in reality, those carrying that bum and thigh fat may also be carrying extra weight around the abdominal region. the negative effect of this will cancel the positive effect of the lower fat deposition.
A tip to take from this is that we should be less concerned about what the scales are telling us, and pay more attention to our waist lines. so the tape measure would be a more useful monitoring tool! keep in mind the “how do you measure up” campaign guidelines of 94cm around the waist for men, and 80cm for women. (www.measureup.gov.au)
The good news for the belly storers is that research is pretty clear that it is this fat that will be broken up and released first with exercise. so off that cushy bum and lets do some reps of the stairs!!
'Green' vs 'brown' carbs. The Omega argument
In our last post we left off with a recommendation to increase vegetable intake as a means of reducing total carbohydrate intake, and to also improve the ratio between 0mega-3s and omega-6s. This is very important as this ratio is totally unbalanced by our common western diets, which, among other things will also increase the level of inflammation that we are under.
Chronic inflammation can occur when your body is constantly fighting a disease or condition that is putting undue stress on a particular area. It is relatively common in people suffering from cancer, arthritis, lower back pain, asthma and depression. In extreme cases this inflammation creates a breakdown of muscle tissue with associated weight loss, which is known as cachexia.
While the exact cause of this chronic inflammation is poorly understood, what is known is that specific messenger cells called cytokines are released which act to amplify the inflammation process in the body. Under most circumstances this is a very important process because this pro-inflammatory mechanism is very important in the healing process when the body’s tissues and organs are damaged and also act to help trigger our white blood cells to action when we have a virus or infection.
However, when this process is unable to be “switched off” this amplification process builds on itself and creates a breakdown of muscle tissue and we get associated loss of strength and a decreased quality of life. In this case it is beneficial for us to break the inflammation cycle as under these chronic inflammation conditions it is very hard for us to build muscle.
We also know that the inflammatory cytokines are mediated through messengers called eicosanoids. Depending on the eicosanoids involved there may be a pro-inflammatory or anti-inflammatory response. The pro-inflammatory eicosanoids are the by products of omega-6 fatty acids while omega-3 fatty acids create anti-inflammatory eicosanoids.
These essential fatty acids (our body cannot produce these), are gained from our diet. A general rule is that the brown things that we eat (grains, bread etc) have a high amount of omega-6 (pro-inflammation) while the green things that we eat have high amounts of omega-3 (anti-inflammation). It is not a wonder then that our western diet has moved from approximately a 3:1 ratio of omega-6 to omega-3’s, to approximately a 15+:1 ratio!
How do we break this chronic inflammation cycle?
Obviously for us to break the inflammation cycle we need to alter our ratio of omega-6 to omega-3 in favour of the anti-inflammatory process. Research has shown that by supplementing with fish oil, which has high concentrations of Omega-3 fatty acids in the form of EPA & DHA, we can decrease the amount of inflammation in the body.
However, the dosage required is quite high (approximately 1kg of oily fish per day!) for someone in a cachexic state and the only safe way to get this amount without the risk of mercury poisoning is with a practitioner grade fish oil supplement.
It should be noted that large dosages of fish oil may cause gastrointestinal problems, and there is also a risk of blood thinning at very high dosages (above 6g of fish oil per day).
Other benefits of fish oil
Omega-3 fatty acids have also been shown to be beneficial for other health conditions including: hypertriglyceridemia, hypertension, rheumatoid arthritis, stroke prevention, atherosclerosis, angina, cancer prevention, brain/eye development in infants, Crohn’s disease, Lupus, psoriasis, eczema, asthma, depression and mental illnesses.
For more information on fish oil or the inflammation process talk to one of our Exercise Physiologists.
Free Lap-Band surgery for the Obese – where is the prevention??
An Australian government parliamentary committee is proposing giving the morbidly obese tax-payer funded lap-band surgery.
Some of the facts are: Obesity cost us $50 billion in 08 (wow, don’t just skim over that number!).
This surgery can have drastic and rapid effects in terms of reducing weight, disease, financial and personal costs associated with obesity, both to the individual and to tax payers.
It will only be available to those qualifying under clinical guidelines.
My issue with this is this: our health system is not a health system, its an illness system! where is the prevention??!
How is this for a prevention mindset: Considering the $50billion cost, the government has provided $872million for preventative health programs. Thats 0.02%of the cost being invested!!! and thats for all health programs, that includes obesity, its not even for obesity alone.
Our (SA) federal MP Steve Georganas defended the strategy in ‘Today Tonight’ (tuesday 2nd June09) using the stats above,and said that the program would only be available to those that “have tried everything”. Lets look at that for a second… ‘TRIED’ ‘EVERYTHING‘… when questioned about what may have led individuals to end up in that condition, he mentioned a series of lifestyle behaviours, not surprisingly including poor dietary habits, low levels of physical activity, and high levels of sedentary behaviour, such as prolonged use of TV and computers (its OK, I’m going for a run as soon as I post this!).
They tried everything??? how about actually doing something?? I have yet to meet an individual who has not had very positive results with weight loss when they have actually committed to it! I hope I don’t sound patronising or inconsiderate. I understand that there’s a vast range of socio-demographic and mental health issues that play a very serious role in this debate, not to mention hormonal imbalances that can make things tougher; I spent a two year-honours degree studying them.
My point is this: where is the prevention?! where is the focus on education and facilitating healthier choices?? its in the 0.02%!! c’mon, Mr Rudd, lets get serious about a very serious issue!
The balance between diet and exercise in weight and fat loss
In our last post we made some sense of the main driver of a flat abdomen: leanness. But how do we achieve that elusive goal? Well, the story is a little bit more interesting than we tend to hear. So lets start by covering some basics.
I guess we have all heard about the need to achieve a balance between energy ‘in’ (our diet) and energy ‘out’ (what we burn/use on a day to day basis). Well, research is suggesting that this may not be as basic as we first thought. The evidence is pointing to these two factors playing different roles in the weight loss equation. Our nutrition is being suggested as a much more important driver of weight loss, while exercise seems to serve as a protector against weight gain (among many other health benefits of course!).
You may have experienced this in the past: you realise that you have put some weight on and decide that its time to do something about it. So you start exercising. Weeks later you are still frustrated by the very minimal changes on the scales… have you been there?
Well, the (somewhat) good news here, is that you are not really to blame for those small changes. Research is now consistently reporting that the weight changes that result from exercise alone are quite small. A large review of studies on the topic showed that in the short term (16 weeks in this case) exercise alone reduced fat by 0.25kg per week. Now, this is nothing to be scoffed at: this indicates that over the 16 weeks people can lose 4kg of fat, which is great. And it is a sustainable amount of weight loss.
Also, the quantity of fat loss is dependent on the amount and intensity of exercise performed. So how much exercise do you need to perform for that quarter of a kilo? About 20-30 minutes of moderate intensity exercise on most days of the week (5-6 days).
And what is achievable at greater loads of exercise? Well, if you exercise 6 days a week at a moderate to high intensity – meaning you are burning about 550cals or 2300kj per session – you can expect to lose 0.4-0.5 kg/week of fat. Great results but tough schedule!
Now, don’t get me wrong, I am a great believer and promoter of regular exercise. As a matter of fact my business revolves around it, and the benefits of it are incredible in their scope and depth. And we will publish posts in the future on the many (and often unknown) benefits of exercise. However it is more important for me that you receive the right advice and are equipped to make the right decisions for the specific goals that you may have.
So which way does the balance tip? A summary of the research indicates that exercise will account for approximately 20-40% of fat loss, while (you guessed it!) your diet will account for anywhere between 60-80%. Definitely worth while spending some time exploring this side of the equation! And the good news is that it will take a lot less effort and time to achieve significant results.
This benefit will be even more important for you if for whatever reason, your capacity to exercise is limited. For example due to injury, serious health conditions, or an extremely tough work schedule.
So what can you expect from dietary changes? Well, our clients are losing an average of 1kg per week form dietary changes alone. How? Well, this will take another post to explain it in good detail so that the mechanisms can be well understood, but so that you can get started between now and then, here are some foundational recommendations we make:
- Eat natural foods – every meal should look like you just picked it from a plant, or like you were hunting that morning!
- Eat lots of colour – what is the average colour in your diet? If its brown, then please do make sure you stay tuned to our next blog, as you will be surprised as to what may be going on in your body!
- Eat regularly – 5-6 smaller meals a day are ideal to maintain blood sugar levels well regulated
- Decrease the amount of grain based carbohydrates in your diet – this will obviously depend on what you are currently eating. But by an large, we tend to over-consume grains, a dietary habit that may be at the root cause of many of our western diseases.
I’ll go into a lot more detail about these recommendations in our next blog. But what I’d love you to do is to start thinking about the above information, and start to make small gradual changes based on it. Look at the dietary recommendations above, mix them with some regular exercise (yes, this is still important!), and stay tuned to our next post.
Please tell us if any of this doesn’t make sense, or if you have any further questions. Our aim is to inform you so you can lead a more energetic life. We want to help shape your life performance -forever!
If you have specific questions, don’t hesitate to contact our Exercise Physiologists at www.informhealth.com
Getting a 'flat-stomach'!
Australia wins Gold as World's fattest nation! – A critical time for health
By Max Martin. Director/Exercise Physiologist – iNform Health and Fitness Solutions
I know I’m not alone in my concern for the health of Australians and I’m not the first (by any stretch of the imagination) to report on the seriousness of the issue. However, I believe that right now we are facing a ‘critical’ period that requires our prioritized attention. Let me explain: As an owner of a Personal Training and Exercise Physiology studio in Adelaide I have on one hand experienced the effects of a tough economy over the first half of this calendar year, and unfortunately you probably have too. The combination of a number of factors have led to two thirds of respondents to a recent survey stating that they would re-consider gym memberships due to financial pressures.
On the other hand, at a time of global focus on sporting competition, we have as a nation officially become the heavyweight champion of the world! Unfortunately this is not a title we want to have! Figures from a recent study released by the Baker IDI Heart and Diabetes Institute, report that 26 per cent of adult Australians are now obese, one million more than the last calculation in 1999! The findings give Australia a Gold Medal as the world’s fattest nation, ahead of the notoriously super-sized Americans, who have a 25 per cent obesity rate.
Based on these shocking new statistics, Access Economics has recalculated the costs of the burden of obesity on our nation. Their report, released at a government forum in Tasmania in August, shows the full cost to be $58 billion, far exceeding the $21 billion bill estimated in 2006. The direct costs are estimated at $8.3 billion, with a further $49.9 billion attributable to the value of lost wellbeing and premature death.
In the face of such news, can we afford to stand with arms crossed while people ‘reconsider’ the importance and value of their health? Should we as a nation re-evaluate what is most important to us? Should we achieve national pride from winning the greatest number of medals per head of population, as we tend to do, or from having a healthy and vibrant population?
Can we make a difference? I strongly believe so! But as the health and economical environment changes, it is critical that the decisions we make change as well. ‘Fitness’ is unfortunately becoming a discretional item. As budgets get tighter, gym memberships and personal training sessions are one of the first things to go. It is imperative that the message we give our community at large is one that extends past ‘just’ fitness and highlights the impact of their daily behaviours, such as their nutrition and physical activity, on health.
Dr Gary Deed, national president of Diabetes Australia, which commissioned the Access Economics report, said that the obesity epidemic was having a “direct and catastrophic influence on increasing the incidence of type-two diabetes. We know that obesity and type-two diabetes can be prevented and we need to make fundamental changes in the way we live to arrest the escalating crisis”. The report estimates that 242,000 Australians have type-two diabetes as a direct result of their obesity, a further 650,000 Australians can blame their cardiovascular disease on their weight, and more than 30,000 have colorectal, breast, uterine or kidney cancer as a result of their physique.
So we now face a critical time to make decisions with far reaching implications. It was not long after our Olympic Athletes had touched Australian soil after their great achievements in Beijing that discussions started about increasing funding to Olympic programs in preparation for the London Games. Now let me clarify that I am a sports loving, proud Australian who lost considerable sleep staying up late to watch our sporting achievements. Furthermore, I am personally involved in the development of athletes, including current medalists at Beijing. However, I think this is an issue of motivations and priorities. We have for a long time justified the millions of dollars spent per Olympic Medal won based on what’s known as ‘the trickle-down effect’. This speculates that success on the world stage will flow on and increase sports and physical activity participation at a grass roots level, a theory that unfortunately has not proved to be correct.
Our challenge then, lies in deciding what to do with our tax dollars already tagged for ‘sports’ and health’. Will we continue to pump them into an international ‘pride’ building contest or strategically allocate them to help reduce our rapidly increasing rates of obesity and related diseases?
For further information please contact our iNform Accredited Practitioners by visiting http://www.informhealth.com/
