Why do Typical Diet & Exercise Programs Fail?

The most recent statistics provided by the National Heart Lung and Blood Institute reveal that nearly 100 million Americans fit within the classifications of being either overweight or obese. According to the Surgeon General’s 1996 report on physical activity and health, 25 percent of Americans are totally sedentary and another 46 percent are not regularly active. These statistics prompted the American Heart Association to upgrade obesity from simply a contributing factor, to a major risk factor for heart attack.

 

Obesity is a stronger risk factor for diabetes, hypertension and several forms of cancer, than physical inactivity is. In a letter written by former Surgeon General Dr. C. Everett Koop, Dr. JoAnn Manson of Harvard Medical School and Dr. Theodore VanIttallie of Columbia University, “Obesity causes 318,000 excess deaths per year.” Obese people are 26 times more likely to have diabetes and 3.5 times more likely to die of heart disease. Obesity leads to more preventable deaths than all other causes, not including smoking. These facts alone should terrify you. If you don’t get your weight under control or maintain your current body ratio of fat, chances are, without help, your weight will increase as you age.

 

At or near thirty-five years of age – or for some earlier – our metabolism begins to slow. This promotes a gradual but steady increase in our body fat. You need to have a successful weight management program that can decrease the possible outcomes of obesity. If you have been waiting for one miracle product that will cause you to lose as much weight as you want, chances are you are going to be waiting forever. If you or someone you know is overweight, it’s because your metabolism is not working efficiently.

Cardio Work

Is there any form of cardio that is better than another? Where does using an excercise bike rank? Any exercise that is designed to increase or maintain your aerobic capacity is a good cardio exercise. This can be anything from jogging and cycling to jump rope or walking. The key is to keep above your threshold of training (within your fitness target zone) for an extended period of time (20-60 mins depending on the activity). Activities of a lower intensity would need a longer duration of time.

 

An example, on average running is of a higher intensity than cycling, so you need to cycle longer to match its effectiveness to running. Whatever activity that you enjoy the most that is of 20-60 mins in duration and of an intensity higher than your threshold of training would be a good cardio/aerobic exercise. What I might find as the best activity for me, may not be the best for you. Keep in mind any injuries or ailments that you may have. Someone with a bad knee may not be able to run pain free, so cycling would be a great alternative. With all this in mind, my advice would be to alternate various aerobic activity.

 

Try running one time, and cycling another. Walking, aerobic exercise machines, aerobic interval training, dance, hiking, backpacking, cross-country skiing, and circuit resistance training are all great alternatives to try. This will prevent you from getting stale/bored with your activity and ensure all around fitness. One last note that may be just be a given, but it is always wise to check with your Doctor before starting any exercise, especially a cardio program. If you haven’t been doing any exercise for a long time, and jump into an intense cardio workout, you run the risk of damaging your heart/lungs. Remember, your heart is a muscle too, and it can sustain damage if it is highly overworked.

Fat on thighs and butt

The fitness world and the world of Jane Q Doe have almost learned this.) that situps, some sort of abdominal training will reduce belly fat or that exercising your legs will reduce the fat on your legs. I’m sorry, but the only way to spot reduce is liposuction. Liposuction actually gets rid of the fat cells. As an adult, losing body fat doesn’t change the number of fat cells in your body (The number of fat cells in your body and their distribution is basically determined by late puberty.)

 

Other than liposuction, the only way to change the number of fat cells is to get so obese that you go over 50 % bodyfat. When you get over this limit, the individual fat cells can’t get any bigger so your body makes more fat cells to store fat. The sad news is that if you ever were over 50 % body fat, you cannot eliminate those extra fat cells your body made when you were obese. Which is why the once obese will always have trouble keeping their weight down.

 

You say that your butt and thighs are too fat. If do lose sufficient body fat to get down to say 15 to 20 % and you still feel that your butt and thighs are too big, your only other option is to make your other body parts (chest, arms, back, etc.) bigger so that your butt and thighs are not so large _relative_ to the rest of your body.

Nausea while exercising

What is the physiological reason for nausea during intense exercise? It’s happened twice in the last month while riding a stationary bike. It has been before breakfast so I’m wondering if it has anything to do with blood sugar level. There are probably several possible explanations. Exercise can result in temporary fluid and electrolyte imbalances, which in turn results in nausea. I’d also suspect other metabolic changes may be possible. Be careful or you may have to be rehydrated by IV, although that’s usually either a severe GI bug or running in hot conditions.

 

I’ve allways been careful about nutrition and think it’s useless even harmful to train before eatting early in the morning. You eat to have energy, that energy is spend to keep working your body properly, even more while excercising. We all know that, but why don’t we take serious about what we eat? I think you feel nausea because your body feels the lack of glicogen. Have you ever felt that pain in your stomatch? well, it’s not your stomatch, it’s your liver which has run off from glicogen. At that point you must stop because after it your body get the proteins from your muscles as source of energy, if you ignore this pain or even don’t feel it, then your body can produce nausea as secondary defense alarm to say something like -hey man, you’ve get rid of my reserves-.

 

I’ve heard of people who have broken some of their abs muscles doing this. By the way, It takes 20 hours for your glicogen to go up again. I bet you don’t have much fat, this is a great store. The 50% of your energy comes from fat during the first hour of excercise and up to 70% after it. Fat poeple don’t faint easily because they have plenty of energy stored, in any case they exhaust too soon. How this relates to you? The less fat you are, the more prominent your meals are to keep the balance. I bet those people who train hard in a low fat diet know what I mean.

Database to keep tabs on calorie intake

Anyone got a custom database(excel or similar) they use to keep tabs on calories. I’m trying to keep track by entering explicit data into a worksheet, which is a bit cumbersome and prone to error. Indeed, not to mention the error in the raw data itself: How do you accurately measure portion sizes, or the calorie content of mixed foods? Do you exclude protein calories? Do you include the caloric burn due to drinking large volumes of water?? Not easy even in the lab–a chore, in fact, and unnecessary for consumers.

 

You can do the whole thing about as well by *eye*. If you are not gaining weight, you are in metabolic equilibrium: calories in = calories out. Lower the calories in, lose weight; increase the calories out, lose weight. Which means all’s you gotta do is eat *exactly* what you are already eating, but less of it. Ditto exercise. Among other strategies, if you know how to substitute foods. I keep forgetting to give the customer *exactly* what they want, no matter what or how off-base it is: calorie trackers for dieters, hormones for the effing BBers on MFW, HRMs for exercisers, and ab isolators for the ab-obsessed.

 

Email me in a few months after you’ve counted calories to your heart’s content, and are (likely) right where you are now. Or, email me to gloat! Whatever, counting calories is like watching your feet while you walk. Some people gotta do that, while others walk briskly along. If you actually *understood* my post instead of your knee-jerk reaction of taking it personally, you’d be a lot further along. There was, in fact, nothing negative about it. Re-read it, slowly. Sound out the words, if necessary.

Eating small meals 6 times a day

I have been doing aerobics for several years but have decided to split my routine between aerobics (2-3 days per wk., 40 mins.) and using Nautilus and similar machines (2-3 days per wk) . I really need to add some muscle and tone to my upper body which I’ve neglected for several years. I’ve read in many places that for adding some bulk it’s best to eat a high protein diet spread out in smaller meals throughout the day. I need to figure out what my protein and calorie requirements are.

 

Using a “very” rough guide I may need about 2,000 cals. per day (weight times about 10). I sit a lot a my desk at work but I’ll be doing the routine above. Can someone recommend a diet and tell me what they would think my protein and caloric requirements are? Contrary to popular belief, a high protein diet is NOT required to gain muscle. Many medical research abstracts have been published saying that athletes do NOT need more than 15% total caloric intake in the form of protein.

 

Nor, should we forget the fact that you are a body building beginner, NOT a world class champion. Further, you stated that you have been exercising for a couple years and yet are still overweight. Hence, you need to go on a diet: NOT eat more! I would recommend that you consume 1,500 calories a day until you reach your ideal weight (160 to 180 pounds). You can eat between 60 and 75 grams of protein a day and still gain muscle while losing weight.

Exceeding Max Heart Rate

I consider myself to be in great shape. My resting heart rate is about 47 bpm, I bike 50-90 miles a week, and I spend some time in the gym doing additional cardio and strength training. I noticed that this morning (while biking) I exceeded my theoretical max HR for about 30 seconds. The period right before the 30 seconds I was at about 180, for 30 seconds I was at about 203 – 205, and then back down to 179. My average HR for the workout was 164 so I know it was just this little period while I was really hammering.

 

I assume this has happened before, but I only recently upgraded my HRM so that I could see this. It didn’t hurt or anything, am I pushing way to hard or is it cool to get in the upper reaches of you HR for 30 seconds? I suppose another possibility is HRM malfunction but I doubt it. It’s expected to see some scatter about an estimated maximum heart rate and it’s common to see high maximum heart rates on people who have exercised over a period of time. I’ve read of maximum rates above 240. One’s actual maximum heart rate isn’t supposed to increase though, although mine has crept up from 178 when I started exercising (supposed to have an estimated maximum of 176) about nine months ago to 190 this last weekend, when doing weights.

 

I too would like to know more about this, as I feel fine and have been making steady gains with the aerobics and weights. Consider yourself very fortunate. The maximum heart rate formula of 220 minus your age is just a real rough ball park estimate. Individuals vary considerably. Your resting heart rate shows that you are fit. And the fact that you can hit the high numbers in beats per minute means you have great athletic potential.

How do you keep exercise from being so boring?

I have tried many times to get in the habit of exercising, but I find one of the serious problems I have is that it is so boring! I find it hard to work on a stationary bicycle for a half an hour, or run, or practically anything even though I know it is good for me. Mostly this is a problem in the winter, when my normal biking habits have to hibernate. I bike in the winter anyway :-) I don’t ride in when the weather is truly awful, so my commuting mileage does go down a bit in winter, but it really isn’t so bad with proper clothes. (I live in Colorado.) On days when it’s just too miserable to bike, I run on a treadmill.

 

I find that stationary bicycles remind me too much of real cycling, without the things I like, and thus it’s too boring. My friend who primarily is a runner is exactly the same way the other way around — she finds treadmill running boring, and rides a stationary bike in the winter. Two things I do to keep interested: (1) use metrics to constantly challenge myself, and (2) vary the type of workouts and exercises to include aerobic type and strength. I try to use the strength training to increase performance in sports that I enjoy in the regular season (mainly rowing and skating, ice and roller blades).

 

I have taken to rowing and use a Concept II Model C to constantly strive to improve my times in the main race, the 2000 meters. I use the metrics to gauge not only my own progress, but comparisons on where exactly I am in relation to other rowers published in CII’s world rankings (after not rowing many years since undergrad school, the first year, ’95, was humbling to say the least!) There are indoor competitions all over the country at the end of the winter before the on-the-water starts so you can compete against others also. I have always liked the competition, competition can keep it interesting.

Exercise and Insulin Action

I was recently diagnosed with type 1 diabetes at the end of April of this year, so I am trying to learn all I can about diabetes, and I had a question that I thought maybe someone on this newsgroup could shed some light on. I have read that exercise speeds up the effect of insulin within the body. My question is: does exercise also shorten the amount of time that the insulin will work? For instance, if I take some Regular Insulin and then exercise 2 hours later for 30 minutes, will the insulin be cleared out of my blood in 4-5 hours rather than 5-6 hours? Any answers would be appreciated. I too am new to diabetes (diagnosed three weeks ago) but I am also a professional dancer/choreographer. I don’t yet know what technically happens with the insulin in your system when you exercies but I did read that when you exercise, the “portals” for glucose in your muscles, that insulin opens, open up by themselves.

 

I only mention this because I have experienced some funky lows following exercise even though I ate my breakfast (60g of carbs), took my insulin dose (7Ultralent, 6 Humalog) then exercised. What I am learning is that I need to eat my 60g but not take my full dose of insulin because my muscles will absorb the glucose on their own. Hopefully someone else on this list has a more medical answer but I thought I would share my experience with you. I’m interested to hear the answer myself. There are a couple things going on. Exercise does not speed up the effect of insulin in the blood stream. It increases the efficiency of the insulin present and opens up non insulin mediated pathways for glucose to enter the cells from the blood stream.

 

Exercise has no significant effect on the half life of insulin in the blood stream which is on the order of 5 minutes. There is evidence that exercise of the injection site, e.g. thigh injection and an endurance run, can increase the rate of absorption of insulin from the site into the blood stream. There are other studies that did not replicate the original finding, but nonetheless the standard belief is that exercising the site of injection results in an increased absorption rate. Given the non-linear absorption curves, whether this effect begets a significant reduction in the effective absorption period is, I think, open to question. I know of no hard data of that specific question.

Approximate carbohydrate intake

I have absolutely no problem with my BGs when exercising. Mainly because I’ve worked out the exact dosages and approximate carbohydrate intake required. On exercise days my dose is so low, it would be almost impossible to become hypoglycaemic, or if I do, it’s only very mild. The problem occurs on rest days. On rest days the insulin dose has to be increased. If I overestimate the requirement I may have difficulties. This doesn’t usually create problems (with the exception of last weekend!) but may mean I end up eating far, far more than I would like on that day.

 

The reason it is sometimes hard to estimate the “rest day” dose is because the insulin requirement is dependent on several factors: not just what I’m doing on the day but on how *hard* I cycled in previous days as well as how far and how often. Even so, on days that I ran (when I used to run) I would take my meter, 500ml of juice and various other odds and ends along with me in a special “running” bum-bag. I find cycling has the advantage that you can take more fluids and other supplies with you. When running you can only carry so much. Even with hard cycling the drain on my BGs is not quite as rapid as with running. So BG control is a little less lumpy. One final thing: whether running or cycling it seems that for me, doing so twice a day is better than once a day.

 

This is related to the types and actions of the insulins I take. Exercising at different ends of the day means a steady drain on the BG is kept up throughout the 24 hour period, meaning that control is made easier. This of course may not work for everyone. If some of you think that doing this sort of stuff is a major exercise in management or logistics, you are right! On the other hand I feel the results are more than worth it – especially when I see my non-diabetic contemporaries wheezing up the stairs.