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Diet Wars, Episode 952: The Assault on Exercise

I wrote about Gary Taubes, the science journalist and author of Good Calories, Bad Calories, in this post two weeks ago.

I'll concede up front that Taubes is smarter than me, has been writing about nutrition far longer than I have, and bases his views on research so deep that I would drown in it.

That said, I'm going to disagree with him about the premise of this excerpt from his new book.

The short version: Exercise makes us fat.

The long version is pretty much the same: Your body has mechanisms that prevent you from falling out of homeostasis, meaning that you eat and store fat to compensate for any fat you burn off during exercise.

I'll let him explain it:

The one thing that might be said about exercise with certainty is that it tends to makes us hungry. Maybe not immediately, but eventually. Burn more calories and the odds are very good that we'll consume more as well. And this simple fact alone might explain both the scientific evidence and a nation's worth of sorely disappointing anecdotal experience.

[snip]

There was a time when virtually no one believed exercise would help a person lose weight. Until the sixties, clinicians who treated obese and overweight patients dismissed the notion as naïve. When Russell Wilder, an obesity and diabetes specialist at the Mayo Clinic, lectured on obesity in 1932, he said his fat patients tended to lose more weight with bed rest, "while unusually strenuous physical exercise slows the rate of loss."

The problem, as he and his contemporaries saw it, is that light exercise burns an insignificant number of calories, amounts that are undone by comparatively effortless changes in diet. In 1942, Louis Newburgh of the University of Michigan calculated that a 250-pound man expends only three calories climbing a flight of stairs--the equivalent of depriving himself of a quarter-teaspoon of sugar or a hundredth of an ounce of butter. "He will have to climb twenty flights of stairs to rid himself of the energy contained in one slice of bread!" Newburgh observed. So why not skip the stairs, skip the bread, and call it a day?

More-strenuous exercise, these physicians further argued, doesn't help matters -- because it works up an appetite. "Vigorous muscle exercise usually results in immediate demand for a large meal," noted Hugo Rony of Northwestern University in his 1940 textbook, Obesity and Leanness. "Consistently high or low energy expenditures result in consistently high or low levels of appetite. Thus men doing heavy physical work spontaneously eat more than men engaged in sedentary occupations. Statistics show that the average daily caloric intake of lumberjacks is more than 5,000 calories, while that of tailors is only about 2,500 calories. Persons who change their occupation from light to heavy work or vice versa soon develop corresponding changes in their appetite." If a tailor becomes a lumberjack and, by doing so, takes to eating like one, why assume that the same won't happen, albeit on a lesser scale, to an overweight tailor who decides to work out like a lumberjack for an hour a day?

Everybody reading this can probably spot the logical fallacy in the part I highlighted. If we're comparing the lumberjack with the tailor, who's leaner? Whose body has more muscle mass, and whose body has more fat? Which one is at higher risk for heart disease, diabetes, and other afflictions of the fat and sedentary?

Going deeper: What's wrong with someone eating more to compensate for exercising more? The net result will almost certainly be a leaner body, no matter how much that body weighs.

The reason is a phenomenon called energy flux, which I wrote about in a magazine article almost four years ago, and which I explored in some detail in The New Rules of Lifting and The New Rules of Lifting for Women.

Energy flux is important because eating more increases our metabolic rate. We all know that a percentage of the calories we consume are burned during digestion (even if this basic fact is all but ignored by most mainstream dietary advice). But there also seems to be a synergistic effect of exercising more and eating more that increases metabolism beyond what either could do on its own.

That's why a lumberjack can eat twice as much as a tailor, but still be leaner. He's not necessarily burning off thousands of calories more than the guy with the sedentary job. The combination of food and exercise gives him a metabolic rate that's much faster than the tailor's, which is why he's going to be much leaner, even if the two guys weigh the same.

Which is not to say that what people eat, and how much they eat, is unimportant. People in my field have shown the importance of timing meals to multiply the benefits of workouts, and Taubes himself has reported on the vastly different metabolic effects of different types of nutrients.

There's also the issue of genetics. Consider this:

My favorite study of the effect of physical activity on weight loss was published in 1989 by a team of Danish researchers. Over the course of eighteen months the Danes trained nonathletes to run a marathon. At the end of this training period, the eighteen men in the study had lost an average of five pounds of body fat. As for the nine women subjects, the Danes reported, "no change in body composition was observed." That same year, F. Xavier Pi-Sunyer, then director of the St. Luke's-Roosevelt Hospital Obesity Research Center in New York, reviewed the studies on exercise and weight, and his conclusion was identical to that of the Finnish review's eleven years later: "Decreases, increases, and no changes in body weight and body composition have been observed," Pi-Sunyer reported.

For my money, the key word there is "nonathletes." If you put me into a marathon-training program, all I'd get out of it would be a lifetime of orthopedic problems. I might even end up fatter. Why? Because my body isn't suited to endurance exercise. But you could put me on a powerlifting program and I'd probably get leaner. Why? Because my body responds quickly to strength training, and easily partitions nutrients to my muscles and away from my fat deposits.

Now let's get back to energy flux: If you took trained marathoners and forced them to stop running for a designated period, they'd almost certainly get fatter, even if they were eating fewer calories to compensate for the loss of exercise. Their metabolic rates would slow down, which means that more of the calories they eat would be treated as excess energy, and stored in their fat cells for future use.

So while nonathletes don't necessarily get lean with athletic training for a sport they're ill-suited to pursue, athletes in those sports would certainly get fat if they stopped training for them.

I guess the real point of all this is that weight control is a three-step process: You have to figure out the right type of calories for your genetics, the right amount of calories for your activity level, and the right type of exercise for your body, your schedule, and your interests. There's no single solution that works for everybody, and I wish all of us would quit pretending that there is or should be.

Monday blog workout

  • This story about HDL cholesterol makes a good companion piece to Taubes' book excerpt. It says that cholesterol-lowering drugs can reduce heart-attack and stroke risk by 40 to 50 percent, but there's no simple and easy way to raise HDL, the "good" cholesterol, which would reduce that risk even more. The researchers wring their hands in despair over the lack of a pill to raise HDL, and note that the only thing that really works is to "become lean and become very active." But, as we all know, that's much easier said than done.
  • Fortunately, there's a much easier way to increase HDL, which researchers on the hunt for a pharmacological solution will always overlook. As my friends Adam Campbell and Jeff Volek report in their new book, TNT Diet, a low-carb diet increases HDL cholesterol. In Volek's studies at the University of Connecticut, HDL goes up an average of 13 percent on low-carb diets. LDL may increase, decrease, or stay the same, but the bottom line is that "HDL increases significantly more than LDL, [which means] your risk of heart disease goes down."

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For Taubes, Exercise = Cardio
My take on his exercise is futile issue, was that cardio is not what its cracked up to be. To over eat to compensate for the calories burned during aerobic exercise is trivial.  IIRC, none of the studies he cited used strength training.  Even so, body fatness vs leaness is a function diet, not exercise.

by kadill on Oct 1, 2007 1:11 PM EDT reply reply actions actions   0 recs

For most people, Taubes' comment is true
Taubes doesn't say that exercise makes you fat, just that exercise isn't going to move the body composition needle by itself, which I think is true. The Taubes hypothesis is that excessive simple carbohydrate and especially sugar consumption leads to a persistent hyperinsulin state, which predisposes the fat cells to hoard energy (especially as lean tissue, on this hypothesis, becomes insulin resistant faster than adipose tissue). Reducing fat then requires one to reverse the metabolic pattern.

Eating the same diet that got you into the mess and increasing cardiovascular exercise isn't going to help, especially as your increased exercise leads you to eat more pasta, white bread, carb snacks, "energy" bars, and soda. You have to address the insulin problem head on with diet changes (not eating less, but changing the mix of what is eaten to a low or lower carb diet). I would agree that strength training and HIIT would be more helpful than slow cardio (by reducing the percentage, if not the mass, of adipose tissue, competing with the fat for blood glucose, and perhaps by then increasing the insulin sensitivity of the lean tissue) but probably not enough to significantly move the needle at recreational levels without diet changes as well.

Taubes is addressing the common blame placed on fat people (they overeat and don't exercise) and pointing out that the don't overeat, and that exercise alone isn't going to solve the problem. I agree that there's more to the story (I lost 40 pounds of weight and probably more of fat following the combination of low carb and strength training and intense cardio) but the story that Taubes is telling is nonetheless a significant and compelling one. I'd definitely recommend reading the book.

by amalec on Oct 1, 2007 5:52 PM EDT reply reply actions actions   0 recs

Hopefully today's runners have better diets
I can honestly say that over my years of running (from about 1972 to 2002), I and most of my fellow runners were of the mindset that since we ran 10 miles today, we can pretty much eat what we want.  And, trust me, we did.  It was, by and large, the worst kind of overprocessed carbohydrate crap you can imagine.

I remember reading articles in the late seventies about Bill Rodgers spooning out mayonnaise (and only mayonnaise) as an afterrun meal.  So imagine my surprise when I read that maybe a year or so ago, he broke his leg as a result of an abrupt surface change from asphalt to grass (or the other way around) while running.  I wouldn't be surprised if he had the bone density of an 80 year old.

I'm very glad I decided to quit running when I injured my knee five years ago and weight train instead.

by RobertRainey on Oct 1, 2007 9:38 PM EDT reply reply actions actions   0 recs

HDL cholesterol
I have always had very low HDL cholesterol, it has been as low as 18, usually in the 20's. My total cholesterol isn't too bad, and I stay fit. My doctor has me on a low fat diet to control my cholesterol. Now Adam Cambell wants me on a low carb diet. Next year someone will come out and refute that (maybe with a low protein diet???) For all the fad diets, workouts, etc. I have usually agreed with you in your fitness beliefs (as long as you don't cheer for the Yankees) but it does get frustrating reading new opinions all the time.  

by Alan on Oct 2, 2007 10:41 AM EDT reply reply actions actions   0 recs

weight loss and exercise
Twice in my life (I am 40)I have lost weight with exercise.  The first time I started doing yoga 3-4 times a week while at the same time reducing my meat intake to almost none while increasing my carb intake.  I lost 2" off my waist and felt great.  I then went back to school, stopped exercising and my diet went to hell.  I gained all that weight back (slowly, though).  More recently I bought Lou's NROL and began lifting while basically not changing my diet.  I over 6-9 months I lost again 2" off my waist while getting a lot stronger.  Not huge changes, but to say that exercise does not help fat loss does not work in my experience.  

Actually, Taubes idea that our sedentary lifestyle has nothing to do with our obesity crisis also does not fit my experience:  I used to alternate between working as a carpenter and as a draftsman/manager; I would always lose a little weight when working hard with my hands on my feet, and would gain a lot when I would change to more sedentary.

by jtnRN on Oct 2, 2007 12:03 PM EDT reply reply actions actions   0 recs

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