Tag Archives: obesity

Another reason to get enough sleep

We are all aware of the fact that inadequate sleep makes it harder to function; we are only vaguely aware it could lead to some long-term health problems. For one thing, if we don’t get enough sleep, we are likely to end up looking like this:

zombies-620x412

Its effects on the brain are also well known, but many are unware of the role it plays in obesity and diabetes. Sleep deprivation can become part of a vicious cycle in which it is difficult to exercise, which in turn makes it difficult to get enough sleep(exercising during the day improves sleep quality at night), which makes it difficult to exercise, etc. But there is more to it that that.

So let’s see what our friends at the Department of Health Studies, University of Chicago, Chicago, IL, had to say about the Associations between sleep loss and increased risk of obesity and diabetes

Evidence is rapidly accumulating to indicate that chronic partial sleep loss may increase the risk of obesity and diabetes. Laboratory studies in healthy volunteers have shown that experimental sleep restriction is associated with an adverse impact on glucose homeostasis. Insulin sensitivity decreases rapidly and markedly without adequate compensation in beta cell function, resulting in an elevated risk of diabetes. Prospective epidemiologic studies in both children and adults are consistent with a causative role of short sleep in the increased risk of diabetes. Sleep curtailment is also associated with a dysregulation of the neuroendocrine control of appetite, with a reduction of the satiety factor, leptin, and an increase in the hunger-promoting hormone, ghrelin.

That sounds really scary. So if you are having trouble sleeping, dim your lights at night as much as possible since light can be stimulating; do not watch TV before bedtime or use your computer(unless you dim it a lot, like I did with my screen). Avoid spicy food, caffeine and alcohol as well. Alchol may help you fall asleep, but the sleep will be of poor quality. Sugary food is also out of the question. Avoid pills at all costs, you do not want to become dependent on them. Remember that it is during your sleep when your muscles grow the most. It is not a good idea to exercise within a few hours before bedtime, unless it is very light exercise.

The benefits of HIIE, a new approach to cardio

IMG_0811If there is one thing that fitness enthusiasts, researchers, and doctors are all singing the praises of these days, it is HIIE(high intensity intermittent exercise). Even jogglers like myself have joined the chorus, even if I can barely carry a tune.

What is HIIE? It is very short bursts of intense cardio at VO2 Max that is as beneficial or probably more beneficial than moderate intensity cardio for 30 to 40 minutes, according to recent research. It may be more beneficial for losing weight and improving insulin sensitivity than moderate cardio.

Getting fit from doing 4 minutes of cardio? I know what you’re thinking, but look here – The Unbelievable 4-Minute Cardio Workout.

A closer look at the science behind this in the Journal of Obesity:

In conclusion, regular HIIE produces significant increases in aerobic and anaerobic fitness and brings about significant skeletal muscle adaptations that are oxidative and glycolytic in nature. HIIE appears to have a dramatic acute and chronic effect on insulin sensitivity. The effects of HIIE on subcutaneous and abdominal fat loss are promising but more studies using overweight individuals need to be carried out. Given that the major reason given for not exercising is time [64], it is likely that the brevity of HIIE protocols should be appealing to most individuals interested in fat reduction. The optimal intensity and length of the sprint and rest periods together with examination of the benefits of other HIIE modalities need to be established.

That’s neat! So if you can’t do 30 minutes of cardio a day at a moderate pace due to lack of time, just do 4 minutes of intense cardio. But then don’t sit for too long, or, I believe, most of the benefits will vanish. This is great information, but don’t use HIIE as a replacement just yet for your daily 30 minute cardio workout if you have time to do it. Do HIIE in addition to, not as a replacement for moderate cardio, which is still important.

You can do HIIE while running, cycling, jumping rope, joggling, and some forms of dance cardio.

When I joggle, I sometimes go all out for 30 seconds to a minute in intervals. It is so exhilarating, sprinting while juggling very fast. Rhythm is very important here so that I don’t drop the balls. It is also quite shocking to anyone who witnesses it, although a neighbor of mine who is impossible to impress told me the other day she wants to see me do it with bowling balls. I told her I’m working on it.

So add intensity to your cardio workouts, especially if you are short on time.

Can water assist in weight loss?

Our bodies are about 60% water. We could not live without water. Our most ancient ancestors evolved in water, which may be why almost all life is dependent on it. A few species, like the land-dwelling ancestors of whales, were even pulled back into the water by evolutionary forces to become aquatic mammals.

But could this most ubiquitous, and essential of substances help with weight loss? It sounds crazy to ask, since, if the solution to being overweight were that simple, then why are so many of us fat?

A quick look at the scientific literature lead to an interesting study on children in: Int J Obes (Lond). 2011 Oct;35, by Dubnov-Raz G, Constantini NW, Yariv H, Nice S, Shapira N. – Influence of water drinking on resting energy expenditure in overweight children:

CONCLUSIONS:

This study demonstrated an increase of up to 25% in REE following the drinking of 10 ml kg(-1) of cold water in overweight children, lasting for over 40 min. Consuming the recommended daily amount of water for children could result in an energy expenditure equivalent to an additional weight loss of about 1.2 kg per year. These findings reinforce the concept of water-induced REE elevation shown in adults, suggesting that water drinking could assist overweight children in weight loss or maintenance, and may warrant emphasis in dietary guidelines against the obesity epidemic.

This is remarkable. While the amount of weight loss would be modest, it was still statistically significant.

It looks like the potential weight loss was due to water raising their REE(Resting energy expenditure). What this also suggests is that one of the keys to losing weight or keeping it off is to maximize our REE. Obviously, this can be achieved through exercise, but it may be more important to not be inactive(sitting down for several hours) for extended periods of time, since this can negate the effects of regular exercise.

It must be noted that this was just one study; follow up studies on water could fail to replicate the findings of the first one, especially when you consider how the potential for weight loss was almost statistically insignificant. Also, this study was done on children, so the findings may not apply to adults, and the study concerned the potential for weight loss, not actual weight loss.

Still, it is a sound idea for the weight conscious to drink water instead of calorie containing drinks. So if you’re struggling to lose weight, among all the other things you are doing, fill yourself up with water before meals or if you are experiencing cravings.

Can you be fat and fit?

Many people might think it is ridiculous to ask such a question since, to them, the answer is obvious. “Fat and fit? Give me a break!”, they might say. Science on the other hand says something very different.

Obesity6

Source: Wikipedia

Luckily, Steven Blair at the Cooper Institute, in Dallas, Texas decided to put this question to the test. Needless to say, the results of his research sent shock-waves across the world, due to their counterintuitive conclusions. Among their findings: ” 1) regular physical activity clearly attenuates many of the health risks associated with overweight or obesity; 2) physical activity appears to not only attenuate the health risks of overweight and obesity, but active obese individuals actually have lower morbidity and mortality than normal weight individuals who are sedentary (emphasis mine)

This is remarkable. It seems to suggest that regular exercise is more important than weight loss. So if you are overweight, and you regularly exercise, don’t get frustrated and give up if you don’t lose weight, there are many other benefits from exercise besides weight loss.

The findings from this study and similar ones also relate to the TOFI(thin outside, fat inside) phenomenon I did an earlier post on – Are you a Tofi?

This doesn’t mean if you are significantly overweight but are still healthy, you shouldn’t try to lose weight.

The lessons to be learned here are: No matter what your weight is, exercise is beneficial. If you are overweight but not losing weight, keep exercising. Also, being slim doesn’t mean you are metabolically fit, so slim people still need to exercise to be healthy.

Sugar – The Master of Disguise

When it comes to human nutrition, almost nothing compares to sugar. So much controversy and confusion surrounds this ubiquitous, largely maligned nutrient. Does it deserve its terrible reputation? And how many different names does sugar use these days?

Even a cursory review of sugar’s history makes it look like one of the most evil substances in human history. The institution of slavery in the Americas was founded largely to produce gargantuan amounts of sugar, to satisfy the insatiable sweet-tooths of Europeans, and nowadays food companies use sugar to get people addicted to their products. Sugar is also partially responsible for the obesity epidemic. No wonder some researchers want sugar to be classified as a drug. Also, is it a coincidence that the founder of the highly addictive Facebook, has a surname that literally means “Sugar-mountain” in German?

Obviously, it is a good idea to minimize or completely remove simple sugars from our diets, if only for our dental health. It is also highly immoral to enslave people, I do not recommend it. The links between sugar and poor dental health, and weight gain are impossible to deny.

At the same time, we all need sugar, since it is our body’s primary energy source. Sugar is a carbohydrate, and all carbohydrates are made of chains of the simplest sugar molecule, glucose, which is what all carbs are eventually broken down into during digestion.

Glucose molecule. Our primary source of fuel and the building block of all carbohydrates. Source: Wikipedia.

Glucose(C6H12O6) molecule. Our primary source of fuel and the building block of all carbohydrates. Source: Wikipedia.

The problem is that our bodies are very good at absorbing simple sugars, which I’ll come back to. In prehistoric times, back before sugar became so easily available and we were often on the brink of starvation, this was a good thing and had survival value. It didn’t just absorb quickly but we evolved to enjoy its taste so we could seek out this calorie-loaded life-saver.

Nowadays, when relatively few of us are at risk for starvation in the developed world, and we don’t have to outrun sabre-tooth tigers, this love for sugar and super-efficient sugar absorption can wreak havoc on our delicate metabolism. If consumed in excess on a consistent basis or if an individual has a genetic predisposition, it can lead to a strong insulin response that over time may cause our cells to become less sensitive to insulin(insulin resistance). Along with weight gain, this may eventually lead to type II diabetes. Insulin is needed to help cells absorb glucose from the bloodstream.

Since we still need sugar, the way around this conundrum is to consume sugar in its more complex, slow to absorb form. This is where complex carbohydrates or starches come in. These long, complex chains of glucose are difficult to breakdown, so they are slowly absorbed and don’t mess up your metabolism. Whole grains are mostly starch; candy and grape juice are mostly simple carbohydrate or sugar.

So many different types of sugar, but they are all sugar.

So many different types of sugar, but they are all sugar.

Since sugar knows it has a bad reputation, it often tries to sneak its way into our diet under a number of different disguises. Some are clever, while some are not, but it helps to be mindful of them and to realize that there really is no “healthy” form of simple sugar.

Cane juice or evaporated/dehydrated cane juice – This is just sugar. It is often used in some “health” foods to fool people into thinking it is either refined sugar-free or that it is a healthy alternative to sugar. Nutritionally, it is sugar and has all the same effects. Sure, maybe there are trace amounts of minerals in it since it is less refined than white, powdered sugar, but it is still sugar.

Brown sugar – It’s sugar, but darker!

Maple syrup – Sugar from maple trees. It’s really just liquid sugar from maple trees, the product of the sap from maple trees getting boiled down(having water removed). It is mostly sucrose, the same sugar that table sugar consists of. Often has trace amounts of minerals but it is still sugar.

Honey – Sugar made by bees. Yes it may keep better, and maybe some forms have modest benefits, but nutritionally this is just sugar again.

High fructose corn syrup – Right now, there is an epic battle going on between refined sugar(usually sucrose) and HFCS, with both of them pointing the finger at the other saying he is the more evil one. It’s rather amusing to see products at stores with the label “has no high fructose corn syrup”, yet lists “sugar” as its main ingredient.

Yet there is practically no evidence that HFCS is worse than sucrose or other simple sugars. The problem with HFCS isn’t that it is HFCS, the problem is it is sugar. So it can’t be held as uniquely responsible for the obesity epidemic, compared to other forms of sugar.

Let’s have a look at what the science says. According to Moeller SM, Fryhofer SA, Osbahr AJ 3rd, Robinowitz CB; Council on Science and Public Health, American Medical Association in The effects of high fructose syrup(J Am Coll Nutr. 2009 Dec;28(6):619-26.):

High fructose corn syrup (HFCS) has become an increasingly common food ingredient in the last 40 years. However, there is concern that HFCS consumption increases the risk for obesity and other adverse health outcomes compared to other caloric sweeteners. The most commonly used types of HFCS (HFCS-42 and HFCS-55) are similar in composition to sucrose (table sugar), consisting of roughly equal amounts of fructose and glucose. The primary difference is that these monosaccharides exist free in solution in HFCS, but in disaccharide form in sucrose. The disaccharide sucrose is easily cleaved in the small intestine, so free fructose and glucose are absorbed from both sucrose and HFCS. The advantage to food manufacturers is that the free monosaccharides in HFCS provide better flavor enhancement, stability, freshness, texture, color, pourability, and consistency in foods in comparison to sucrose. Because the composition of HFCS and sucrose is so similar, particularly on absorption by the body, it appears unlikely that HFCS contributes more to obesity or other conditions than sucrose does. Nevertheless, few studies have evaluated the potentially differential effect of various sweeteners, particularly as they relate to health conditions such as obesity, which develop over relatively long periods of time. Improved nutrient databases are needed to analyze food consumption in epidemiologic studies, as are more strongly designed experimental studies, including those on the mechanism of action and relationship between fructose dose and response. At the present time, there is insufficient evidence to ban or otherwise restrict use of HFCS or other fructose-containing sweeteners in the food supply or to require the use of warning labels on products containing HFCS. Nevertheless, dietary advice to limit consumption of all added caloric sweeteners, including HFCS, is warranted.

This is also a good read based on science: Straight talk about high-fructose corn syrup: what it is and what it ain’t.

So no, there is no evidence that high fructose corn syrup was invented by the Devil to make children obese. It is no worse nor better than other forms of simple sugar, although some suggest it may be a little more addictive.

Agave nectar – It’s very similar to HFCS. Might as well just call it “high fructose agave syrup”. Just another form of sugar. I often see this used in “health” foods, as if it’s a healthier alternative to sugar or high fructose corn syrup, but there really isn’t any significant difference.

Just about anything ending in -ose is a sugar. “Dextrose” is just another way to say “glucose”. Even concentrated fruit juice is practically sugar. Fruit is definitely good to eat, but the most sugary ones like grapes and pears are loaded with fruit sugars. Rice syrup, barley malt syrup, and molasses are also sugar syrups or come awfully close. Even many fruit juices that don’t have added sugar are just sugar water drinks.

Sugar isn’t always horrible for you. After a long heavy workout, simple sugars are a great way to refuel. And while fruit contains a lot of fructose, it also has fiber, water(assuming its not dried), vitamins, minerals and phytochemicals, so its not just empty calories. Fruit is good, just go easy on the most sugary ones.

Sugar Alcohols

On the other hand, sugar alcohols don’t cause cavities or metabolic problems, and contain fewer calories than regular sugar. One type of sugar alcohol, xylitol, is almost as sweet as sucrose(table sugar), but unfortunately it is much more expensive and can cause gas and/or diarrhea if you are not used to it. Sorbitol is another sugar alcohol. Many sugar-free gums and candies have sugar-alcohols as sweeteners. I sometimes chew xylitol gum for dental health.

Do you think you could come up with some new names for sugar, to hide that it is sugar?

Related articles: 8 Surprising Reasons Agave Is Bad for You

Fidget off the fat, research says

This sounds almost too good to be true, but research suggests that people who fidget a lot tend to be slimmer than those who do not fidget. 

What this means is that every little bit of exercise helps. Even if you are sitting, tapping your feet or moving around a lot can help burn calories. If possible, stand rather than sit. Losing weight is easier if you approach fitness as a lifestyle, not as an activity. 

Other ways to make fitness a lifestyle and not just an activity:

Take the stairs instead of the elevator

Walk instead of taking the car

Can’t or don’t want to go to a gym? Use resistance bands. You can even bring them with you to work(along with your juggling balls), where you can do a quick resistance workout that is practically the same as if you are lifting weights.

I also think it is important to avoid negative people who may try to sabotage your weight-loss efforts.

Of course twiddling your thumbs or taking the stairs can’t replace the recommended 30 minutes of daily aerobic exercise we need to be fit and prevent disease. And you don’t even have to do the 30 minutes all at once either. You can divide it up – 10 minutes in the morning, 20 later in the day. 10 minutes seems to be the magic number for a bout of cardio to really count as exercise, so if you divide your time for exercise, do at least 10 minutes at a time.

Above all, make sure you enjoy your exercise. Do not think of it as punishment. You were born to move!

Sitting may be dangerous for your health

Sitting may be dangerous for your health, according to some studies. I know, I know, you’re probably sick of hearing how certain everyday habits may cause disease, but this is a health and fitness blog so it’s totally on topic.

Anyway, sitting is associated with an increased risk for many different diseases, even in people who exercise every day yet sit a lot during work or leisure. Excessive sitting may play an important role in the obesity epidemic and may also partially explain the Tofi phenomenon, people who are Thin on the Outside but Fat on the Inside.

The simple solution is to simply move around more, and if you must sit, to get up every now and then to stretch or do some quick exercises. I often stand at my desk when blogging or browsing, but not always. Sitting on an exercise ball may be a little better; stand up desks or treadmills seem like a great solution. It’s disturbing how sitting seems to be as bad as smoking when it comes to health, at least according to some research.

Whatever you do, keep moving!

Is Sitting a Lethal Activity?

Are you a Tofi?

Many people who look fit may be anything but. There is a growing phenomenon of “Tofis”, people who are “Thin on the Outside, Fat on the Inside”. It’s like a more insidious form of obesity, since even the sufferer may be under the illusion that they are healthy when they are actually very fat on the inside. This outwardly hidden excess fat is stored in and around many vital organs which can clog the arteries and lead to heart disease, besides causing many other serious health problems associated with obesity.

This underscores the reason everyone needs to exercise, which is by far the best way to ensure our metabolism doesn’t go awry(besides eating healthy). It still amazes me how often I encounter people who believe “skinny people shouldn’t exercise”, which is usually aimed at me due to how slim I am. 

Above all, and it deserves repetition, fitness should be a lifestyle, not an activity.