The document discusses the difficulty in equating changes in mass and energy in humans based on net calorie balance alone. It reviews several studies that demonstrate humans do not always lose or gain exact amounts of fat based on calculations of net calorie intake. The studies showed on average only about 70% of an excess or deficit in calories was reflected as changes in body weight or fat mass. The studies implicate genetic and other individual factors that can influence fat balance beyond simply net calories. The document concludes that more factors beyond just calorie balance must affect human fat storage and loss.
This study examined how weight loss affects resting metabolic rate and its relationship to lean muscle mass and fitness levels in obese adults. Obese men and women were placed on a very low calorie diet and exercise program to lose 15% of their body weight over 3 months. Their resting metabolic rate, body composition via DXA scan, and fitness via VO2 max test were measured at baseline and after weight loss. The results found that resting metabolic rate, lean mass, and fitness all decreased with weight loss. While resting metabolic rate was positively correlated with lean mass at both timepoints, the changes in each were not correlated, suggesting other factors also influence changes in resting metabolic rate with weight loss.
Validation and reliability_of_the_stayhealthy_bc3_body_composition_analyzer_i...Steven E. Greene
This study evaluated the validity and reliability of the Stayhealthy BC1 bioelectrical impedance analyzer for predicting body fat percentage in children and adults compared to reference methods. The results showed the BC1 provided highly reliable measurements in children, men and women. It also demonstrated mostly valid estimates of body fat percentage compared to hydrostatic weighing in children and dual-energy x-ray absorptiometry in adults, with strong correlations and negligible average biases between the methods. However, the limits of agreement between some of the methods were wide, indicating individual predictions could differ substantially.
Abstract
Background and purpose: Diet and muscle fiber type are all major factors in predicting intramuscular carnosine concentration [1]. Constituent substrate availability, including the amino acids L-histidine and more specifically beta alanine, play the greatest role in determining the concentration of intramuscular carnosine, a potent intracellular Hydrogen ion buffer. The purpose of this review is to analyze the efficacy of beta alanine supplementation on exercise performance, specifically activities relying on anaerobic glycolysis.
Method: The review included articles from peer-reviewed journals with sufficient data related to the purpose and focus of the study. Inclusion criteria included randomized control trials, systematic reviews and meta-analysis published since 2007.
Results: Twenty relevant studies were identified; various experimental protocols were employed, including both acute and chronic effects of beta alanine supplementation on physical performance. All studies were published 2007 through 2017, providing a robust overview of experimentation over the last 10 years.
Discussion and conclusion: Among studies analyzed in this mini-review, the consensus reached regarding the efficacy of beta alanine supplementation for performance enhancement was relatively positive. Most studies followed similar supplementary strategies, consuming anywhere from 1.6 to 6.4g/day for 2 to 10 weeks. The majority of these studies demonstrated statistically significant increases in intramuscular carnosine content, a physiological parameter that is positively correlated with sprinting and power performance. Many studies presented results in support of enhanced muscular endurance performance subsequent to supplementation relative to the placebo group. Researchers also noted a decline in peak aerobic capacity concurrent to a delay in the onset of blood lactate accumulation, supporting the notion of enhanced glycolytic capacity. More research is necessary to identify optimal dosing strategies for performance optimization across the spectrum of physical activities.
Journal of clinical nutrition : How to treat obesity with calorically unrestr...Wouter de Heij
How to treat obesity with calorically unrestricted diets. It’s written by the medical doctor, A.W. Pennington, who inspired Dr Robert Atkins to lose weight in a similar way. This paper is dated 1953, ten years before Atkins tested it and two decades before his book “Dr Atkins’ Diet Revolution” was published.
Leukocyte, Leukocyte Subsets, and Inflammatory Cytokine Response to Resistanc...Coleman Mills
This study examined the immune and inflammatory responses to resistance exercise in breast cancer survivors compared to healthy controls. Blood samples were taken before and after an acute bout of resistance exercise to measure leukocyte counts and cytokine levels. The results showed no significant differences between the groups in leukocyte counts, granulocytes, lymphocytes, monocytes, IL-6, IL-10, or TNF-α at any time point. Both groups did experience a significant increase in IL-6 two hours post and decrease in TNF-α 24 hours post exercise. However, the small sample size limits the ability to draw firm conclusions.
This document discusses myths, presumptions, and facts about obesity. It begins with an introduction explaining how unsupported beliefs can lead to ineffective policies. It then outlines several myths about obesity that have been refuted by evidence, such as the myth that small sustained lifestyle changes lead to large long-term weight loss. It also discusses some presumptions about obesity for which the evidence is unclear or inconclusive, such as the presumption that regularly eating breakfast is protective against obesity. Finally, it outlines several facts about obesity that are supported by sufficient evidence.
This study assessed body composition in Indian women with type 2 diabetes mellitus compared to non-diabetic controls. Body composition was measured using bioelectrical impedance analysis. The study found that women with type 2 diabetes had higher BMI, waist circumference, waist-to-hip ratio, and body fat percentage compared to controls. They also had lower lean body mass percentage. This suggests that abdominal obesity and excess body fat are associated with type 2 diabetes in Indian women.
1) A study investigated the metabolic phenotypes that determine an individual's response to dietary fat interventions in relation to biomarkers of insulin resistance.
2) The study analyzed data from 417 subjects with metabolic syndrome who were randomly assigned to one of four diet groups that varied fat and carbohydrate composition.
3) Based on changes in insulin resistance (HOMA-IR) levels, subjects were classified into three response groups: non-responders, responders whose insulin resistance improved, and responders whose insulin resistance worsened. Fasting insulin and C-peptide levels before the intervention predicted an individual's response to the dietary changes.
This study examined how weight loss affects resting metabolic rate and its relationship to lean muscle mass and fitness levels in obese adults. Obese men and women were placed on a very low calorie diet and exercise program to lose 15% of their body weight over 3 months. Their resting metabolic rate, body composition via DXA scan, and fitness via VO2 max test were measured at baseline and after weight loss. The results found that resting metabolic rate, lean mass, and fitness all decreased with weight loss. While resting metabolic rate was positively correlated with lean mass at both timepoints, the changes in each were not correlated, suggesting other factors also influence changes in resting metabolic rate with weight loss.
Validation and reliability_of_the_stayhealthy_bc3_body_composition_analyzer_i...Steven E. Greene
This study evaluated the validity and reliability of the Stayhealthy BC1 bioelectrical impedance analyzer for predicting body fat percentage in children and adults compared to reference methods. The results showed the BC1 provided highly reliable measurements in children, men and women. It also demonstrated mostly valid estimates of body fat percentage compared to hydrostatic weighing in children and dual-energy x-ray absorptiometry in adults, with strong correlations and negligible average biases between the methods. However, the limits of agreement between some of the methods were wide, indicating individual predictions could differ substantially.
Abstract
Background and purpose: Diet and muscle fiber type are all major factors in predicting intramuscular carnosine concentration [1]. Constituent substrate availability, including the amino acids L-histidine and more specifically beta alanine, play the greatest role in determining the concentration of intramuscular carnosine, a potent intracellular Hydrogen ion buffer. The purpose of this review is to analyze the efficacy of beta alanine supplementation on exercise performance, specifically activities relying on anaerobic glycolysis.
Method: The review included articles from peer-reviewed journals with sufficient data related to the purpose and focus of the study. Inclusion criteria included randomized control trials, systematic reviews and meta-analysis published since 2007.
Results: Twenty relevant studies were identified; various experimental protocols were employed, including both acute and chronic effects of beta alanine supplementation on physical performance. All studies were published 2007 through 2017, providing a robust overview of experimentation over the last 10 years.
Discussion and conclusion: Among studies analyzed in this mini-review, the consensus reached regarding the efficacy of beta alanine supplementation for performance enhancement was relatively positive. Most studies followed similar supplementary strategies, consuming anywhere from 1.6 to 6.4g/day for 2 to 10 weeks. The majority of these studies demonstrated statistically significant increases in intramuscular carnosine content, a physiological parameter that is positively correlated with sprinting and power performance. Many studies presented results in support of enhanced muscular endurance performance subsequent to supplementation relative to the placebo group. Researchers also noted a decline in peak aerobic capacity concurrent to a delay in the onset of blood lactate accumulation, supporting the notion of enhanced glycolytic capacity. More research is necessary to identify optimal dosing strategies for performance optimization across the spectrum of physical activities.
Journal of clinical nutrition : How to treat obesity with calorically unrestr...Wouter de Heij
How to treat obesity with calorically unrestricted diets. It’s written by the medical doctor, A.W. Pennington, who inspired Dr Robert Atkins to lose weight in a similar way. This paper is dated 1953, ten years before Atkins tested it and two decades before his book “Dr Atkins’ Diet Revolution” was published.
Leukocyte, Leukocyte Subsets, and Inflammatory Cytokine Response to Resistanc...Coleman Mills
This study examined the immune and inflammatory responses to resistance exercise in breast cancer survivors compared to healthy controls. Blood samples were taken before and after an acute bout of resistance exercise to measure leukocyte counts and cytokine levels. The results showed no significant differences between the groups in leukocyte counts, granulocytes, lymphocytes, monocytes, IL-6, IL-10, or TNF-α at any time point. Both groups did experience a significant increase in IL-6 two hours post and decrease in TNF-α 24 hours post exercise. However, the small sample size limits the ability to draw firm conclusions.
This document discusses myths, presumptions, and facts about obesity. It begins with an introduction explaining how unsupported beliefs can lead to ineffective policies. It then outlines several myths about obesity that have been refuted by evidence, such as the myth that small sustained lifestyle changes lead to large long-term weight loss. It also discusses some presumptions about obesity for which the evidence is unclear or inconclusive, such as the presumption that regularly eating breakfast is protective against obesity. Finally, it outlines several facts about obesity that are supported by sufficient evidence.
This study assessed body composition in Indian women with type 2 diabetes mellitus compared to non-diabetic controls. Body composition was measured using bioelectrical impedance analysis. The study found that women with type 2 diabetes had higher BMI, waist circumference, waist-to-hip ratio, and body fat percentage compared to controls. They also had lower lean body mass percentage. This suggests that abdominal obesity and excess body fat are associated with type 2 diabetes in Indian women.
1) A study investigated the metabolic phenotypes that determine an individual's response to dietary fat interventions in relation to biomarkers of insulin resistance.
2) The study analyzed data from 417 subjects with metabolic syndrome who were randomly assigned to one of four diet groups that varied fat and carbohydrate composition.
3) Based on changes in insulin resistance (HOMA-IR) levels, subjects were classified into three response groups: non-responders, responders whose insulin resistance improved, and responders whose insulin resistance worsened. Fasting insulin and C-peptide levels before the intervention predicted an individual's response to the dietary changes.
Six young women participated in a 16-week weightlifting training program consisting of exercises like squats, presses, and snatches. The training was divided into two 8-week blocks, with the first focusing on higher reps and the second on increased intensity. After training, the women experienced a decrease in body fat percentage of 3.85% on average without significant loss of body weight or muscle mass. The results suggest that weightlifting can positively alter body composition in young women by reducing body fat. However, the small sample size limits conclusions about its selective effects on fat loss. Overall, weightlifting appears to be a useful fitness activity for both normal and overweight young women.
This study compared energy intake reported from 4-day multimedia diet records to total energy expenditure measured by doubly labeled water in 53 middle-aged and elderly women. The women underreported their food intake compared to their measured energy needs, with a mean reporting accuracy of 76%. Reported energy intake was significantly lower than total energy expenditure in each age group. While the multimedia diet records aimed to improve reporting accuracy over traditional methods, the women still underreported their food consumption compared to their actual energy requirements.
This study sought to determine whether ingesting essential amino acid and carbohydrate supplements in addition to mixed meals would stimulate greater muscle protein synthesis compared to ingesting meals alone, and whether supplements would interfere with the metabolic response to meals. The study found that supplement ingestion resulted in greater muscle protein synthesis than meals alone, and that supplements did not blunt the normal anabolic response to meals. Supplements produced greater increases in net protein balance than meals, indicating a greater anabolic effect from supplements.
Initial human experience with restrictive duodenal jejunal bypass liner for t...Ricardo Yanez
This study evaluated the use of a duodenal-jejunal bypass liner (DJBL) with a restrictor orifice for weight loss in 10 obese patients over 12 weeks. Key results:
1) Patients experienced a mean excess weight loss of 40% and total weight loss of 16.7 kg by the end of the study.
2) Gastric emptying was delayed with the DJBL in place, returning to normal levels after its removal in most patients.
3) Episodes of nausea and abdominal pain required dilation of the restrictor orifice in most patients, but there were no clinically significant adverse events.
4) The DJBL with restrictor orifice promoted substantial weight loss
This meta-analysis assessed the effects of whey protein supplementation combined with resistance training on muscle strength and mass in older adults. Data was collected from 4 randomized controlled trials involving 137 subjects aged 65-85 years old. The studies found that whey protein supplementation increased muscle mass compared to a placebo, but results for muscle strength and fat mass were mixed. While whey protein supplementation may help increase muscle mass when combined with resistance training in older adults, its effects on muscle strength and fat loss were unclear based on the limited available studies.
Case study for rugby athlete in rehabilitationDaniel Kapsis
This case study examined an 8-week nutritional intervention for a rugby player undergoing rehabilitation for a shoulder injury. The intervention consisted of a 3,400 kcal per day diet with high protein and carbohydrates, as well as creatine and whey protein supplements. The athlete gained 5.2 kg total, of which 4.9 kg was lean muscle mass while maintaining his body fat percentage. Arm measurements increased significantly, indicating muscle hypertrophy. The intervention successfully helped the athlete rapidly gain muscle mass during rehabilitation without increasing body fat.
The study used a mouse model to examine the impacts of physical activity on various physiological measures in cases of restrictive-type anorexia nervosa (AN). Mice were divided into four groups - food restriction with wheel access, food restriction only, ad libitum feeding with wheel access, and ad libitum feeding only. Over short and long term periods, various measures were taken including body weight, food intake, locomotor activity, body composition, glucose tolerance, and hormone and metabolite levels. The results showed that physical activity coupled with food restriction led to greater initial weight loss than food restriction alone, but also later weight regain, and changes in feeding patterns and activity levels over time.
This study evaluated a novel method for calculating ideal body weight (IBW) for overweight and obese patients undergoing hematopoietic stem cell transplantation (HSCT). The researchers analyzed conditioning regimens from 150 HSCT patients and calculated IBW using both the traditional Devine formula and a new formula based on a BMI of 24.9. IBW calculated with the new formula was on average 12% higher than the Devine formula. Using the new IBW formula resulted in 10-12% higher calculated doses of busulfan, carmustine, and cyclophosphamide compared to the Devine formula. Further research is needed to validate this new method of IBW determination for dosing chemotherapy in overweight and obese HSCT patients
Recent advances in surgical treatment for obesity include laparoscopic gastric banding surgery, which provides a partnership for sustained weight loss. Obesity is defined as a BMI over 30 and affects 20% of adults, increasing risks for diseases like diabetes, hypertension, and some cancers. While diet and behavior changes often fail to maintain long-term weight loss, surgery has been shown to produce 60% excess weight loss after 2 years through a gradual process, resolving comorbidities. The LAP-BAND system works by allowing small meals to satisfy hunger for long periods, providing an adjustable tool for significant weight loss.
The document proposes a minimal exercise regimen for type 2 diabetics that utilizes brief, moderate intensity muscle contractions after meals to lower blood glucose levels. Preliminary data from one subject who followed this regimen for nearly 3 years showed improved HbA1c levels and blood glucose control without medication. The hypothesis is that such a minimally demanding regimen can reliably lower post-meal blood sugar spikes and benefit glycemic management more than typical ADA recommendations.
The document summarizes a study that examined the prevalence of metabolic syndrome among 101 kinesiology majors at a predominantly Hispanic university in South Texas. Key findings include:
1) 10 subjects (8 males and 2 females) met the criteria for metabolic syndrome by exhibiting abnormal values in 3 or more of the 5 components measured.
2) On average, subjects' measurements were below the thresholds for metabolic syndrome, however some males exhibited elevated blood pressure readings.
3) There were some gender differences observed, with males more likely than females to exhibit large waists, high triglycerides, high blood glucose, and high blood pressure.
4) While the prevalence of metabolic syndrome was low in this group
This summary provides the key points from the document in 3 sentences:
The document discusses 3 studies that examined the effects of creatine monohydrate supplementation combined with resistance training on muscular strength and endurance. The studies found that subjects who took creatine monohydrate supplements showed significant increases in measures of muscular strength like 1 rep max for bench press and leg press compared to placebo groups. The studies support the hypothesis that creatine supplementation increases phosphocreatine levels and ATP production, leading to greater muscular strength and endurance gains with resistance training.
2013 Bazzell, et al dietary composition regulates Drosophila mobility and car...Brian Bazzell, PharmD
The document examines the impact of varying dietary composition on physiological indices related to endurance exercise capacity in Drosophila melanogaster flies. Two genetic backgrounds of flies were fed one of 10 experimental diets that manipulated the ratios and amounts of sucrose and yeast provided. Flies fed balanced low-calorie diets generally showed improved endurance, climbing speed, and cardiac performance compared to those fed high-calorie diets. Within unbalanced diets, flies consuming diets higher in sugar relative to yeast demonstrated greater endurance but impaired cardiac function. The effects of diet composition were found to be reversible within 48 hours if flies switched diets.
This study evaluated a novel method for indirectly assessing muscle glycogen levels in athletes through non-invasive measurements of maximal blood lactate levels ([La-]b max) and maximal carbohydrate oxidation rates (CHOox max). The results showed that 30% of men and 24% of women had suboptimal [La-]b max, indicating lower glycogen levels. [La-]b max, CHOox max, and respiratory exchange ratio were significantly higher in athletes with optimal vs. suboptimal [La-]b max, while fat oxidation was lower. This suggests [La-]b max and CHOox max may be a practical way to identify athletes with insufficient glycogen storage and risk for impaired performance.
The document discusses recent advances in surgical treatment for obesity, focusing on laparoscopic gastric banding surgery as a treatment option that can provide sustained weight loss over several years. It describes the health risks of obesity and how weight loss surgery like gastric banding can help resolve health conditions by facilitating gradual and long-term weight loss. Key details about the LAP-BAND system and the surgical procedure are provided.
This document summarizes a study that compared the post-exercise nutrition knowledge and practices of masters (≥50 years) and younger (≤30 years) triathletes in Australia. The study found that over 40% of triathletes did not know the recommended post-exercise carbohydrate and protein intake amounts. Both groups consumed inadequate carbohydrate after exercise compared to recommendations, with masters triathletes consuming significantly less carbohydrate and energy than younger triathletes. The results suggest triathletes have poor knowledge of post-exercise nutrition guidelines and masters triathletes may not be optimizing their recovery with current intake practices.
Simple Weight Loss Recipes
How You Can Safely and Naturally END Your Weight Issues WITHOUT Expensive Trips to the Doctor, Potentially Toxic Prescriptions, or Dangerous Side Effects.
http://rapbank.com/go/5254/75255/simple-weight-loss-recipes.html
04 May 2015Page 1 of 28ProQuestIntegrating Fundamental Conce.docxmercysuttle
04 May 2015
Page 1 of 28
ProQuest
Integrating Fundamental Concepts of Obesity and Eating Disorders: Implications for the Obesity Epidemic
Author: Macpherson-Sánchez, Ann E, EdD, MNS
ProQuest document link
Abstract: Physiological mechanisms promote weight gain after famine. Because eating disorders, obesity, and dieting limit food intake, they are famine-like experiences. The development of the concept of meeting an ideal weight was the beginning of increasing obesity. Weight stigma, the perception of being fat, lack of understanding of normal growth and development, and increased concern about obesity on the part of health providers, parents, and caregivers have reinforced each other to promote dieting. Because weight suppression and disinhibition provoke long-term weight increase, dieting is a major factor producing the obesity epidemic. The integrated eating disorder-obesity theory included in this article emphasizes that, contrary to dieters, lifetime weight maintainers depend on physiological processes to control weight and experience minimal weight change.
Links: Linking Service
Full text: Headnote
Physiological mechanisms promote weight gain after famine. Because eating disorders, obesity, and dieting limit food intake, they are famine-like experiences. The development of the concept of meeting an ideal weight was the beginning of increasing obesity. Weight stigma, the perception of being fat, lack of understanding of normal growth and development, and increased concern about obesity on the part of health providers, parents, and caregivers have reinforced each other to promote dieting. Because weight suppression and disinhibition provoke long-term weight increase, dieting is a major factor producing the obesity epidemic. The integrated eating disorder-obesity theory included in this article emphasizes that, contrary to dieters, lifetime weight maintainers depend on physiological processes to control weight and experience minimal weight change. (Am J Public Health. 2015;105:e71-e85. doi:10. 2105/AJPH.2014.302507)
Since 1960, the Centers for Disease Control and Prevention has done periodic surveys of representative samples of the US population, which include measured heights and weights.1 From the 1960 to 1962 to the 1976 to 1980 measurement periods, there was little change in population weight. However, the next survey (1988-1994) showed increases in body mass index (BMI; defined as weight in kilograms divided by the square of height in meters [kg/m2]) that were unanticipated and inexplicable.2 Most of the increase occurred in those with BMI of 30 or greater.3 In 2006, a prominent Centers for Disease Control and Prevention researcher expressed frustration with her incapacity to explain why this happened.2
Losing weight and recuperating from that weight loss is part of the biological heritage of every human being.4-6 However, in the past 70 years, self-induced famine (dieting to achieve and maintain a lower weight)7 became the socie ...
This document summarizes research on the effectiveness of high protein diets for weight loss and body composition changes. Several short term studies found that high protein diets were more effective at preserving fat free mass and improving glucose tolerance compared to high carbohydrate diets. However, one long term study found no difference in weight loss between diets after one year, but the high protein diet resulted in less loss of fat free mass. Exercise combined with a high protein diet was found to be most effective for losing body fat and preserving lean mass. While high protein diets raise some safety concerns, the studies reviewed found no evidence of harm to bone or renal health in healthy populations over long term use.
This study examined the effects of 6 consecutive days of breakfast skipping on energy metabolism and blood glucose levels in 10 healthy young Japanese males. The results showed that repeated breakfast skipping slightly increased blood glucose levels and fluctuations when subjects engaged in sedentary behavior. However, 6 days of breakfast skipping did not significantly affect 24-hour energy expenditure or substrate oxidation. Sedentary lifestyle combined with repeated breakfast skipping may cause abnormal glucose fluctuations.
Six young women participated in a 16-week weightlifting training program consisting of exercises like squats, presses, and snatches. The training was divided into two 8-week blocks, with the first focusing on higher reps and the second on increased intensity. After training, the women experienced a decrease in body fat percentage of 3.85% on average without significant loss of body weight or muscle mass. The results suggest that weightlifting can positively alter body composition in young women by reducing body fat. However, the small sample size limits conclusions about its selective effects on fat loss. Overall, weightlifting appears to be a useful fitness activity for both normal and overweight young women.
This study compared energy intake reported from 4-day multimedia diet records to total energy expenditure measured by doubly labeled water in 53 middle-aged and elderly women. The women underreported their food intake compared to their measured energy needs, with a mean reporting accuracy of 76%. Reported energy intake was significantly lower than total energy expenditure in each age group. While the multimedia diet records aimed to improve reporting accuracy over traditional methods, the women still underreported their food consumption compared to their actual energy requirements.
This study sought to determine whether ingesting essential amino acid and carbohydrate supplements in addition to mixed meals would stimulate greater muscle protein synthesis compared to ingesting meals alone, and whether supplements would interfere with the metabolic response to meals. The study found that supplement ingestion resulted in greater muscle protein synthesis than meals alone, and that supplements did not blunt the normal anabolic response to meals. Supplements produced greater increases in net protein balance than meals, indicating a greater anabolic effect from supplements.
Initial human experience with restrictive duodenal jejunal bypass liner for t...Ricardo Yanez
This study evaluated the use of a duodenal-jejunal bypass liner (DJBL) with a restrictor orifice for weight loss in 10 obese patients over 12 weeks. Key results:
1) Patients experienced a mean excess weight loss of 40% and total weight loss of 16.7 kg by the end of the study.
2) Gastric emptying was delayed with the DJBL in place, returning to normal levels after its removal in most patients.
3) Episodes of nausea and abdominal pain required dilation of the restrictor orifice in most patients, but there were no clinically significant adverse events.
4) The DJBL with restrictor orifice promoted substantial weight loss
This meta-analysis assessed the effects of whey protein supplementation combined with resistance training on muscle strength and mass in older adults. Data was collected from 4 randomized controlled trials involving 137 subjects aged 65-85 years old. The studies found that whey protein supplementation increased muscle mass compared to a placebo, but results for muscle strength and fat mass were mixed. While whey protein supplementation may help increase muscle mass when combined with resistance training in older adults, its effects on muscle strength and fat loss were unclear based on the limited available studies.
Case study for rugby athlete in rehabilitationDaniel Kapsis
This case study examined an 8-week nutritional intervention for a rugby player undergoing rehabilitation for a shoulder injury. The intervention consisted of a 3,400 kcal per day diet with high protein and carbohydrates, as well as creatine and whey protein supplements. The athlete gained 5.2 kg total, of which 4.9 kg was lean muscle mass while maintaining his body fat percentage. Arm measurements increased significantly, indicating muscle hypertrophy. The intervention successfully helped the athlete rapidly gain muscle mass during rehabilitation without increasing body fat.
The study used a mouse model to examine the impacts of physical activity on various physiological measures in cases of restrictive-type anorexia nervosa (AN). Mice were divided into four groups - food restriction with wheel access, food restriction only, ad libitum feeding with wheel access, and ad libitum feeding only. Over short and long term periods, various measures were taken including body weight, food intake, locomotor activity, body composition, glucose tolerance, and hormone and metabolite levels. The results showed that physical activity coupled with food restriction led to greater initial weight loss than food restriction alone, but also later weight regain, and changes in feeding patterns and activity levels over time.
This study evaluated a novel method for calculating ideal body weight (IBW) for overweight and obese patients undergoing hematopoietic stem cell transplantation (HSCT). The researchers analyzed conditioning regimens from 150 HSCT patients and calculated IBW using both the traditional Devine formula and a new formula based on a BMI of 24.9. IBW calculated with the new formula was on average 12% higher than the Devine formula. Using the new IBW formula resulted in 10-12% higher calculated doses of busulfan, carmustine, and cyclophosphamide compared to the Devine formula. Further research is needed to validate this new method of IBW determination for dosing chemotherapy in overweight and obese HSCT patients
Recent advances in surgical treatment for obesity include laparoscopic gastric banding surgery, which provides a partnership for sustained weight loss. Obesity is defined as a BMI over 30 and affects 20% of adults, increasing risks for diseases like diabetes, hypertension, and some cancers. While diet and behavior changes often fail to maintain long-term weight loss, surgery has been shown to produce 60% excess weight loss after 2 years through a gradual process, resolving comorbidities. The LAP-BAND system works by allowing small meals to satisfy hunger for long periods, providing an adjustable tool for significant weight loss.
The document proposes a minimal exercise regimen for type 2 diabetics that utilizes brief, moderate intensity muscle contractions after meals to lower blood glucose levels. Preliminary data from one subject who followed this regimen for nearly 3 years showed improved HbA1c levels and blood glucose control without medication. The hypothesis is that such a minimally demanding regimen can reliably lower post-meal blood sugar spikes and benefit glycemic management more than typical ADA recommendations.
The document summarizes a study that examined the prevalence of metabolic syndrome among 101 kinesiology majors at a predominantly Hispanic university in South Texas. Key findings include:
1) 10 subjects (8 males and 2 females) met the criteria for metabolic syndrome by exhibiting abnormal values in 3 or more of the 5 components measured.
2) On average, subjects' measurements were below the thresholds for metabolic syndrome, however some males exhibited elevated blood pressure readings.
3) There were some gender differences observed, with males more likely than females to exhibit large waists, high triglycerides, high blood glucose, and high blood pressure.
4) While the prevalence of metabolic syndrome was low in this group
This summary provides the key points from the document in 3 sentences:
The document discusses 3 studies that examined the effects of creatine monohydrate supplementation combined with resistance training on muscular strength and endurance. The studies found that subjects who took creatine monohydrate supplements showed significant increases in measures of muscular strength like 1 rep max for bench press and leg press compared to placebo groups. The studies support the hypothesis that creatine supplementation increases phosphocreatine levels and ATP production, leading to greater muscular strength and endurance gains with resistance training.
2013 Bazzell, et al dietary composition regulates Drosophila mobility and car...Brian Bazzell, PharmD
The document examines the impact of varying dietary composition on physiological indices related to endurance exercise capacity in Drosophila melanogaster flies. Two genetic backgrounds of flies were fed one of 10 experimental diets that manipulated the ratios and amounts of sucrose and yeast provided. Flies fed balanced low-calorie diets generally showed improved endurance, climbing speed, and cardiac performance compared to those fed high-calorie diets. Within unbalanced diets, flies consuming diets higher in sugar relative to yeast demonstrated greater endurance but impaired cardiac function. The effects of diet composition were found to be reversible within 48 hours if flies switched diets.
This study evaluated a novel method for indirectly assessing muscle glycogen levels in athletes through non-invasive measurements of maximal blood lactate levels ([La-]b max) and maximal carbohydrate oxidation rates (CHOox max). The results showed that 30% of men and 24% of women had suboptimal [La-]b max, indicating lower glycogen levels. [La-]b max, CHOox max, and respiratory exchange ratio were significantly higher in athletes with optimal vs. suboptimal [La-]b max, while fat oxidation was lower. This suggests [La-]b max and CHOox max may be a practical way to identify athletes with insufficient glycogen storage and risk for impaired performance.
The document discusses recent advances in surgical treatment for obesity, focusing on laparoscopic gastric banding surgery as a treatment option that can provide sustained weight loss over several years. It describes the health risks of obesity and how weight loss surgery like gastric banding can help resolve health conditions by facilitating gradual and long-term weight loss. Key details about the LAP-BAND system and the surgical procedure are provided.
This document summarizes a study that compared the post-exercise nutrition knowledge and practices of masters (≥50 years) and younger (≤30 years) triathletes in Australia. The study found that over 40% of triathletes did not know the recommended post-exercise carbohydrate and protein intake amounts. Both groups consumed inadequate carbohydrate after exercise compared to recommendations, with masters triathletes consuming significantly less carbohydrate and energy than younger triathletes. The results suggest triathletes have poor knowledge of post-exercise nutrition guidelines and masters triathletes may not be optimizing their recovery with current intake practices.
Simple Weight Loss Recipes
How You Can Safely and Naturally END Your Weight Issues WITHOUT Expensive Trips to the Doctor, Potentially Toxic Prescriptions, or Dangerous Side Effects.
http://rapbank.com/go/5254/75255/simple-weight-loss-recipes.html
04 May 2015Page 1 of 28ProQuestIntegrating Fundamental Conce.docxmercysuttle
04 May 2015
Page 1 of 28
ProQuest
Integrating Fundamental Concepts of Obesity and Eating Disorders: Implications for the Obesity Epidemic
Author: Macpherson-Sánchez, Ann E, EdD, MNS
ProQuest document link
Abstract: Physiological mechanisms promote weight gain after famine. Because eating disorders, obesity, and dieting limit food intake, they are famine-like experiences. The development of the concept of meeting an ideal weight was the beginning of increasing obesity. Weight stigma, the perception of being fat, lack of understanding of normal growth and development, and increased concern about obesity on the part of health providers, parents, and caregivers have reinforced each other to promote dieting. Because weight suppression and disinhibition provoke long-term weight increase, dieting is a major factor producing the obesity epidemic. The integrated eating disorder-obesity theory included in this article emphasizes that, contrary to dieters, lifetime weight maintainers depend on physiological processes to control weight and experience minimal weight change.
Links: Linking Service
Full text: Headnote
Physiological mechanisms promote weight gain after famine. Because eating disorders, obesity, and dieting limit food intake, they are famine-like experiences. The development of the concept of meeting an ideal weight was the beginning of increasing obesity. Weight stigma, the perception of being fat, lack of understanding of normal growth and development, and increased concern about obesity on the part of health providers, parents, and caregivers have reinforced each other to promote dieting. Because weight suppression and disinhibition provoke long-term weight increase, dieting is a major factor producing the obesity epidemic. The integrated eating disorder-obesity theory included in this article emphasizes that, contrary to dieters, lifetime weight maintainers depend on physiological processes to control weight and experience minimal weight change. (Am J Public Health. 2015;105:e71-e85. doi:10. 2105/AJPH.2014.302507)
Since 1960, the Centers for Disease Control and Prevention has done periodic surveys of representative samples of the US population, which include measured heights and weights.1 From the 1960 to 1962 to the 1976 to 1980 measurement periods, there was little change in population weight. However, the next survey (1988-1994) showed increases in body mass index (BMI; defined as weight in kilograms divided by the square of height in meters [kg/m2]) that were unanticipated and inexplicable.2 Most of the increase occurred in those with BMI of 30 or greater.3 In 2006, a prominent Centers for Disease Control and Prevention researcher expressed frustration with her incapacity to explain why this happened.2
Losing weight and recuperating from that weight loss is part of the biological heritage of every human being.4-6 However, in the past 70 years, self-induced famine (dieting to achieve and maintain a lower weight)7 became the socie ...
This document summarizes research on the effectiveness of high protein diets for weight loss and body composition changes. Several short term studies found that high protein diets were more effective at preserving fat free mass and improving glucose tolerance compared to high carbohydrate diets. However, one long term study found no difference in weight loss between diets after one year, but the high protein diet resulted in less loss of fat free mass. Exercise combined with a high protein diet was found to be most effective for losing body fat and preserving lean mass. While high protein diets raise some safety concerns, the studies reviewed found no evidence of harm to bone or renal health in healthy populations over long term use.
This study examined the effects of 6 consecutive days of breakfast skipping on energy metabolism and blood glucose levels in 10 healthy young Japanese males. The results showed that repeated breakfast skipping slightly increased blood glucose levels and fluctuations when subjects engaged in sedentary behavior. However, 6 days of breakfast skipping did not significantly affect 24-hour energy expenditure or substrate oxidation. Sedentary lifestyle combined with repeated breakfast skipping may cause abnormal glucose fluctuations.
Energy balance is the difference between energy intake through food consumption and energy expenditure. An imbalance where intake exceeds expenditure over time leads to weight gain as excess calories are stored as fat. Most obese individuals do not have abnormal reductions in metabolic rate. Weight regain is prevented when energy intake is reduced to match expenditures set by the body's new size and composition after weight loss.
This study examined the effects of lifelong weight cycling on lifespan in male mice. Mice were placed on either a low-fat diet, high-fat diet, or cycled diet that alternated between low-fat and high-fat every 4 weeks, causing weight fluctuations. The weight cycled mice experienced large fluctuations in body weight and fat mass over time. Surprisingly, the lifespan of weight cycled mice was not significantly different than mice on a low-fat diet, despite cycling between overweight and normal weight periods. In contrast, mice that remained on a high-fat diet had a significantly shorter lifespan than the other groups. This is the first controlled animal study to demonstrate that weight cycling itself did not decrease lifespan
This study aims to determine the role of nature vs nurture in obesity through an experiment using 50 sets of identical twins aged 6-11. The twins will be given different calorie diets for 3 months - one twin receiving a high calorie diet and the other the daily recommended intake. Measurements of weight, BMI and body composition will be taken before and after to analyze the effects of the different diets while controlling for genetic factors. However, concerns are raised about the ethics of the varying diets and whether 3 months is sufficient time to see changes in such a complex issue.
This document provides an overview of nutrition for high performance athletes from an evidence-based perspective. It discusses macronutrients and micronutrients, evidence-based practice, and the role of nutrition in fueling training and recovery. Specific guidelines are presented for endurance athletes and strength/power athletes. Supplements like protein, creatine, and beta-alanine are discussed. Practical guidance is given on developing individualized macronutrient goals and tracking progress objectively and subjectively.
The Okinawa Flat Belly Tonic is a new one of a kind weight loss “tonic” supplement. It helps men and women burn fat fast using a simple 20-second Japanese tonic. IF THAT TONIC DOES NOT WORK AS GIVEN YOUR VALUABLE MONEY WILL REFUND WITH IMMEDIATE EFFECT.
The effect of high-fat versus high-carb diet on body composition in strength-...RefoRefaat
Low-fat, high-carb (LFHC) and low-carb, high-fat (LCHF) diets change body composition as a consequence of the reduction of body fat of overweight persons. The
aim of this study is the assessment of the impact of LFHC and LCHF diets on body
composition of men of a healthy body mass who do strength sports while maintaining the appropriate calorific value in a diet and protein intake. The research involved
55 men aged 19–35, with an average BMI of 24.01 ± 1.17 (min. 20.1, max. 26.1). The
participants were divided into two groups following two interventional diets: highfat diet or high-carb diet, for 12 weeks. The body composition of the participants
This study investigated factors associated with weight loss and changes in body composition in a commercial weight reduction program. The study found that factors like food habits, skipping breakfast, marital status, stress levels, changes in physical activity and cardiovascular fitness had an impact on weight loss, body composition changes and fitness levels. A model combining macronutrient intake, stress levels and physical activity was found to have a strong association with weight loss and explained 42.13% of the variability in weight loss. Vegetarian diets, not skipping meals, and higher physical activity levels were associated with greater weight loss success.
Arterial Destiffening With Weight Loss in Overweight and Obese.docxrossskuddershamus
This study tested whether weight loss through a hypocaloric diet could reduce arterial stiffness in overweight and obese middle-aged and older adults. 36 subjects were randomly assigned to a weight loss or control group. After 12 weeks, the weight loss group lost on average 7.1 kg compared to 0.7 kg in the control group. Arterial stiffness measures (β-stiffness index and carotid-femoral pulse wave velocity) decreased in the weight loss group but not the control group. Reductions in arterial stiffness correlated with reductions in total body and abdominal adiposity. The findings suggest that weight loss can reduce arterial stiffness in overweight and obese middle-aged adults.
This randomized controlled trial examined the effects of diet-induced weight loss, exercise-induced weight loss, exercise without weight loss, and a control group on obesity and related health factors in obese men over 3 months. It found that both diet-induced and exercise-induced weight loss groups lost approximately 7.5 kg (8%) of body weight, with greater total fat loss in the exercise group. Abdominal fat and insulin resistance decreased similarly in both weight loss groups. Exercise without weight loss reduced abdominal fat and prevented further weight gain, but did not change weight or insulin resistance.
The document discusses the importance of body weight measurements in toxicology studies, factors that can affect body weight and growth, how to interpret body weight data, and potential artifacts that can confound the assessment of body weight effects such as ensuring test diets are balanced and controls are appropriate. It provides guidance on evaluating whether observed body weight changes are treatment-related and adverse.
Some stimuli, including specific foods, seem to have enough particularities to make a difference even if their potential to exert an influence a priori appears to be limited. This is the case of yogurt whose consumption is low relative to the amount of daily food consumed but that has been shown to be independently related to reduced body weight and fat. Numerous factors may explain a beneficial effect of yogurt on body weight stability and metabolic fitness. Cohort studies show that the consumption of dairy including yogurt is related to a reduced intake of high fat-high sugar foods, suggesting that the benefits of dairy food may be due to a decrease in the potential negative effects of unhealthy eating. The ability of yogurt to promote a negative energy balance is also likely explained by the satiating and thermogenic effects of some of its nutrients, e.g. calcium and proteins, via mechanisms involving gut hormones. Yogurt has a matrix that can accommodate structural changes affecting energy intake independently of its nutrient content. For instance, we recently demonstrated that the increase in the whey/casein ratio in a yogurt matched for volume and energy and protein content as a control yogurt significantly decreased subsequent energy intake to a much greater extent than the energy content of the yogurt preload. The presence of bacteria in yogurt represents another factor that may explain the effects of yogurt consumption on energy balance and its components. In this regard, recent data suggest that the supplementation of some probiotics facilitates appetite control and accentuates body weight loss in the context of a weight-reducing program. Finally, our recent analyses of relevant data in the Quebec Family Study reveal that yogurt consumption may be the signature of a global healthy lifestyle and food-related personal profile. Female yogurt consumers are more physically active, report a reduced percent energy intake as fat and display a lower disinhibition score than non-yogurt consumers. Taken together, yogurt has numerous features that may globally explain the decreased proneness of yogurt consumers towards excess body fat.
This systematic review analyzed 7 studies that examined the effects of intermittent fasting on weight loss and body composition changes compared to continuous calorie restriction. The studies showed that intermittent fasting resulted in 3-12% weight loss over trial periods of 10-52 weeks. Two studies found that intermittent fasting led to less lean muscle mass loss during weight loss compared to continuous calorie restriction. However, most studies did not differentiate between fat and lean mass changes. More research is still needed to better understand the long term impacts of intermittent fasting on health and weight maintenance.
1) A study divided participants into three groups - one following a low-carb diet plus daily chocolate, one following a low-carb diet only, and a control group.
2) Those in the chocolate group lost slightly more weight (3.2% vs 3.1%) and experienced greater improvements in well-being and biochemical measures than the low-carb only group.
3) While both low-carb groups lost weight steadily, the chocolate group gained slightly at first before losing more weight than the low-carb group in later weeks.
This document summarizes a randomized controlled trial that compared weight loss and metabolic outcomes after 2 years on a low-carbohydrate versus low-fat diet. 307 participants were assigned to either a low-carbohydrate diet with limited carbohydrate intake (20g/day for 3 months, then increasing) or a low-fat diet with limited calorie intake (1200-1800 kcal/day). Both diets were combined with behavioral treatment. At 2 years, weight loss was similar (around 7kg) between groups. The low-carbohydrate diet resulted in greater improvements in blood lipids but also more initial side effects. Long-term weight loss requires ongoing behavioral support regardless of diet.
Das ist ein Vortrag, den Dr. Clarence P. Davis im Jahre 2007 im Rahmen eines Anti-Aging Kongresses in Paris gehalten hat. Er beinhaltet theoretisches Basis- und Hintergrundswissen zu den verschiedenen Diaettypen, sowie einige praktische Beispiele aus dem aerztlichen Alltag.
1. Difficulty in Equating Mass and Energy in Humans
1
Equating Net Energy and Fat Balance in
Open Systems of Enzymatic and Reversible Reactions
Benjamin E. Neusse
California University of Pennsylvania
PRF 810 G4
Research in Performance Enhancement
2. Difficulty in Equating Mass and Energy in Humans 2
Introduction
Professionals constantly advise, eat less and exercise more, and burn more calories than
you eat, to lose weight. Most claim that a reduction of net calories by 3,500 results in the loss of
one pound of fat. Scientists, doctors, and fitness professionals recite similar statements, but are
they grounded in science, medicine, and fitness experience? One can demonstrate that a pound
of fat provides 3,500 kcal when combusted in a bomb calorimeter, however this procedure and
results cannot be generalized to the human. The several differences between a human and bomb
calorimeter threaten the external validity of simply relating units of mass to units of energy.
Humans are open systems, which never reach equilibrium, that can harness reversible
reactions, vary reaction rates, and utilize enzymes which lower activation energy (Barr &
Wright, 2010; Koenigstorfer & Schmidt, 2011). Medical science raises confounding concepts
such as variable insulin sensitivity, protein turnover, omega-3 to omega-6 fatty acid balance, and
up-regulation of lipogenic enzymes (Feinman & Fine, 2003; Fine & Feinman, 2004). Despite
these other factors influencing human fat balance, professionals offer the same cliché advice and
cite protocol non-compliance to explain why subjects always lose less fat than predicted. Surely
some participants in some studies do follow the protocols but don’t experience the predicted fat
loss. Are subjects following hypocaloric protocols and experiencing poor results due to other
factors?
Problem statement: The purpose of this study is to determine the expected body fat change in
kilograms resulting from changes in net energy balance in kcal over time in order to refine
weight loss advice and research.
3. Difficulty in Equating Mass and Energy in Humans 3
Annotated Bibliography
Barr, S. B., & Wright, J. C. (2010). Postprandial energy expenditure in whole-food and
processed-food meals: Implications for daily energy expenditure. Food & Nutrition
Research, 54, 1-9. doi:10.3402/fnr.v54i0.5144
The purpose of this study was to examine the difference in human energy expenditure
following a meal of processed foods versus a meal of whole foods. The researchers
followed a cross-over design with 12 women and 5 men measuring each participant’s
postprandial energy expenditure for 5 to 6 hours following a meal. An indirect
calorimeter provided the energy expenditure data. The researchers used a pair-wise t-test
to analyze the difference between the whole food and processed food test groups, while
age and sex groups were analyzed with a two-sample t-test. The researchers concluded
that whole food meals require more digestion energy than processed foods and provide an
advantage toward weight-loss programs given each meal provided the same number of
calories and satiety. This study shows that factors other than caloric intake can directly
alter caloric expenditure which points to an invalidity of the simple net calories equation.
Bouchard, C., Tremblay, A., Despres, J., Nadeau, A., Lupien, P. J., Theriault, G., … Fournier, G.
(1990). The response to long-term overfeeding in identical twins. The New England
Journal of Medicine, 322, 1477-1482.
The purpose of this study was to determine the presence of individual and genotype
differences in response to long-term over feeding, specifically on body composition and
body fat topography. The researchers overfed 12 pairs of male identical twins by 1000
kcal daily for 84 days. The participants lived in a closed section of the dormitory with
the research staff for 120 days. Researchers used scales, skinfold calipers, and measuring
tape daily while under-water weighing provided body composition data at three points.
The researchers used a two-way ANOVA with the F ratio providing the ratio of variance
4. Difficulty in Equating Mass and Energy in Humans 4
between pairs to that within pairs. The average weight gain was 8.1 kg and the
researchers noted a threefold difference in the weight gained from the same caloric intake
excess. The researchers concluded that individual differences exist in the tendency to
gain fat mass through an increase in caloric intake and that unknown genetic factors are
likely responsible. This study demonstrates that changes in net calories can explain the
direction but not the magnitude of change in body weight or body fat mass specifically as
participants averaged only 74% of excess calories stored as body tissue.
Bouchard, C., Treinblay, A., Despres J., Theriauit, G., Nadeau, A., Lupien, P. J., … Fournier,
G. (1994). The response to exercise with constant energy intake in identical twins.
Obesity Research, 2, 400-410.
The purpose of this study was to determine the individual and genotype differences in
response to exercise induced caloric deficit on body weight. The researchers subjected
seven pairs of male twins to two cycling workouts daily inducing a 1000 kcal deficit
while holding caloric intake and other activity constant over 90 days. The researchers
used scales and skinfold calipers and under water weighing. A two-way ANOVA was
used for statistical analysis while the F ratio provided information regarding variance.
Participants experienced an average weight loss of 5 kg of fat or about 39000 kcal of the
more than 58000 kcal exercise induced deficit. Furthermore participant pairs showed a
14.1 fold variance in changes in body fat. The researchers concluded that genetic
variations must be responsible for the vast variance in body fat loss. This study
demonstrated that even under the most controlled conditions a caloric deficit only
resulted in an average fat loss of 67% of the predictions of the net calorie equation, and
this result varied widely across seven pairs of twins. This study shows similar results
5. Difficulty in Equating Mass and Energy in Humans 5
though opposite in magnitude as Bouchard’s previous study on twins as a caloric excess
only produced about a 70% increase in body weight (Bouchard et al., 1990)
Buchholz, A. C., & Schoeller, D. A. (2004). Is a calorie a calorie? American Journal of Clinical
Nutrition, 79(Suppl.), 899-906.
The purpose of this review was to determine from the data the role a high protein or low
carbohydrate diet plays in increased weight loss. The authors reviewed nine studies of
free-living adults consuming hypocaloric diets. On average the authors found that such
diets resulted in 2.5 kg greater weight loss at 12 weeks than the control or other diets.
The authors reported a standard deviation of 1.8 kg for 12 week losses and 0.4 kg
standard deviation for an average of 4.0 kg of greater weight loss at 24 weeks. The
authors make several attempts to account for the 20000 kcal difference but none of their
calculations or adjustments can explain more than one third of this difference. Despite
the data, the authors conclude that a calorie is a calorie. The authors attempt to account
for the caloric difference by blaming the participants of the studies for under reporting
their caloric intake. This review demonstrates that most professionals assume the
external validity between a bomb calorimeter and a human body as after all attempts fail
to account for all the calories the authors fault the participants.
Del Corral P., Bryan, D. R., Garvey, W. T., Gower, B. A., & Hunter, G. R. (2011). Dietary
adherence during weight loss predicts weight regain. Obesity, 19, 1177-1181. doi:
10.1038/oby.2010.298
The purpose of this study was to examine the relationship between dietary compliance
and weight regain. The researchers studied 160 women who had previously lost an
average 12 kg. The researchers used doubly labeled water to measure body composition
changes. This method seems to assume that weight lost is a dependent variable of dietary
6. Difficulty in Equating Mass and Energy in Humans 6
compliance and that no other factors account for the variance in weight lost. This
assumption conflicts with the study on twins that showed a wide variation of weight loss
due to exercise induced caloric deficit (Bouchard, et at. 1994). The researchers used a
repeated ANOVA to examine the relation between compliance and subsequent weight
gain. The study found that participants in the highest quartile of weight loss results
experienced a weight regain of 31% one year after their weight loss diet, while those in
the bottom quartile regained 69% of weight lost. The researchers concluded that dietary
adherence significantly reduces the percentage of weight regained following a
hypocaloric weight loss diet. This study does demonstrate that individuals who have met
with successful weight reduction are more likely to keep the weight off, however this
study attributes that to only one factor, previous weight loss success.
Demling, R. H., & DeSanti, L. (2000). Effect of a hypocaloric diet, increased protein intake, and
resistance training on lean mass gains and fat mass. Annals of Nutrition & Metabolism,
44, 21-29.
The purpose of this study was to determine the effect on body weight and composition
between a hypocaloric diet with and without protein supplements on men conducting
resistance training. The participants included 38 overweight police officers placed on a
diet of 80% of calculated energy needs divided into three groups, one control, and two
groups given either whey or a casein protein supplement. Researchers used scales and
skinfold calipers to measure weight and body composition. The researchers used the
paired t-test to determine significance of the changes between the three protocols. The
study found roughly the same weight loss between the three groups of about 2.6 kg;
however fat mass loss was 7 kg for the casein group and 4.2 kg of fat mass loss from the
whey group. The researchers concluded that the inclusion of protein and casein
7. Difficulty in Equating Mass and Energy in Humans 7
specifically helped to maintain and even increase lean mass while reducing fat mass
during hypocaloric diets combined with exercise training. This study demonstrated
varied fat mass lost with similar caloric intakes. This conflicts with a strict view of the
generic energy balance equation.
Dennis, E. A., Dengo, A. L., Comber, D. L., Flack, K. D., Savla, J., Davy, K. P., & Davy, B. M.
(2010). Water consumption increases weight loss during a hypocaloric diet intervention
in middle-aged and older adults. Obesity, 18, 300-307. doi: 10.1038/oby.2009.235
The purpose of this study was to determine the effect on energy intake following water
consumption during a weight loss, hypocaloric diet. The researchers recruited 48
participants who were randomized into groups provided about a liter of water and
instructions to ingest it 30 min prior to meals and those given water with no instructions.
Participants were encouraged to maintain physical activity. Researchers used the
repeated ANOVA to determine significance of variance as well as independent t-test and
Pearson’s χ2 as well as t-tests for post hoc analysis. After 12 weeks both groups
demonstrated weight loss while the water preload group exhibited a 44% greater weight
loss. Furthermore the water preload group lost 5.4% fat mass on average compared to
3.3% fat mass. The researchers concluded that preloading water before each meal
resulted in greater fat loss; though such fat loss was not entirely explained by the
subsequent reduction in energy intake at each meal. This study shows another example
of a change in body fat stores resulting from a factor other than a change in net calories.
This demonstrates that factors other than calorie balance affect fat balance.
Kempen, K. P., Saris, W. H., & Westerterp, K. R. (1995). Energy balance during an 8-wk
energy-restricted diet with and without exercise in obese women. The American Journal
of Clinical Nutrition, 62, 722-729.
8. Difficulty in Equating Mass and Energy in Humans 8
The purpose of this study was to determine the difference between energy restricted diet
and energy restricted diet plus moderate exercise on energy balance. The researchers
studied 20 obese women for eight weeks who were matched by body fat percentage and
Body Mass Index (BMI) into two groups. The researchers measured energy expenditure
through an overnight stay in an indirect calorimeter, while body composition was
determined with a scale, measuring tape, and underwater weighing. The interaction of
diet and exercise was analyzed with a two way repeated ANOVA, while the t-test was
used for post hoc testing. The diet plus exercise group demonstrated a larger percentage
of fat mass loss than the diet only group as well as a shift to an increase in fat metabolism
during exercise compared to the diet only group. The researchers concluded that exercise
enhances fat loss but not weight loss. In this study the researchers blamed participants
compliance when predicted weight loss was not achieved rather than considering other
factors or questioning the external validity of the energy balance equation.
Koenigstorfer, J. & Schmidt, W. F. (2011). Effects of exercise training and a hypocaloric diet on
female monozygotic twins in free-living conditions. Physiology & Behavior, 104, 838-
844.
The purpose of this study was to examine the results of various exercise bout timings
relative to meals on body weight and composition in six female twins. Six pairs of
untrained twins were split into two groups, one twin exercised before dinner, the other
after dinner. Researchers measured body weight, body composition and resting energy
and metabolic rates using scales, tape measures, bioelectric impedance, and indirect
calorimetry. The researchers used two-way ANOVA to determine statistical significance.
The researchers concluded that the timing of the exercise bout had no effect on the
dependent variables, that twins showed similar changes in dependent variables while
9. Difficulty in Equating Mass and Energy in Humans 9
significant variance existed between pairs implicating genetic differences in weight loss.
This study also showed less weight loss than predicted due to change in net calories,
while the researchers cited under reporting of caloric intake. This explanation does not
seem plausible in twin studies as each twin would have to under report by a similar
amount to have similar weight loss results.
Shai, I., Schwarzfuchs, D., Henkin, Y., Shahar, D. R., Witkow, S., Greenberg, I., . . . Fiedler, G.
(2008). Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet. New
England Journal of Medicine, 359, 229-241. doi: 10.1056/NEJMoa0708681
The purpose of this study was to compare the three nutritional protocols. The authors
presented three different treatment diets to over 272 obese participants measuring caloric
dietary intake as well as weight loss over a period of two years. The authors used a scale
sensitive to 0.1 kg to monthly measure participant’s weight while clothed but without
shoes. Participants answered a validated food-frequency questionnaire from which the
authors could calculate dietary caloric intake. A validated questionnaire also allowed
measurement of physical activity. The authors used ANOVA to analyze the weight,
calorie and physical activity data. The low fat diet had and average daily caloric
reduction of 572 kcal and a weight loss of 3.3 kg; the Med-diet had and average reduction
of 371 kcal and a weight loss of 4.6 kg; while the low-carb diet had and average
reduction of 550 kcal and a weight loss of 5.5 kg. The authors concluded that the
Mediterranean diet and the low-carb diet are safe and effective alternatives to the low-fat
diet. This research shows similar changes in net calories resulting in different changes in
body weight as well as similar changes in body weight with different changes in net
calories.
10. Difficulty in Equating Mass and Energy in Humans 10
Conclusions
Each of the studies presented here and those cited in the review by Buchholz and
Schoeller (2004) demonstrated that fat balance does not change in lock step with net energy
balance. Though each study did show a negative caloric balance resulted in fat loss and a
positive caloric balance resulted in fat gain a significant portion of calories went unaccounted
for. Even in the two most controlled studies there was a mismatch of energy and mass by around
30% (Bouchard et al., 1990; Bouchard et al., 1994). In nearly every study the researchers
defaulted to the position of participant non-compliance in order to explain the lack of fat loss.
Not one study examined or questioned the ability to generalize the values from a bomb
calorimeter to a human being.
There must be more factors affecting fat balance than just net calories. The twin studies
clearly demonstrate great variance in weight loss or weight gain resulting from genetic
differences (Bouchard et al., 1990; Bouchard et al., 1994; Koenigstorfer & Schmidt, 2011).
Additional studies indicate macronutrient ratios further alter fat balance and fat loss beyond what
caloric deficits can explain (Demling & DeSanti, 2000; Shai et al., 2008). Furthermore a study
involving increased water consumption showed greater weight loss than expected from its
subsequent reduction in energy intake during meals (Dennis et al., 2010). The researchers did
not consider the energy requirements to heat the ingested water to body temperature though that
is the very definition of a calorie.
The results of each study demonstrate a failure of the energy balance equation. This
should not be surprising because the concept is applied in violation of the assumptions of the
laws of thermodynamics, particularly that of a closed system. Humans are constantly
11. Difficulty in Equating Mass and Energy in Humans 11
exchanging heat with their surroundings, and even expend energy to heat and cool themselves.
Additionally not all combustible energy is recoverable metabolically. Finally organisms
manufacture enzymes from proteins in order to lower activation energy of reactions. This one
phenomenon can explain the plateau effect noted in several of these studies. Clearly lack of
participant adherence to dietary reporting or protocols should not be the default position of
researchers as we can predict that weight loss will not match the induced caloric deficit.
Clinical Implications
In recognizing that fat loss does not occur in direct proportion to caloric deficit one
should not emphasize a strategy of calorie counting when counseling or training clients.
Counting calories is sure to lead to disappointment as one could never achieve predicted results.
Positive implications do however exist in that certain macronutrient skews and simple
interventions such as increased water consumption can help clients achieve their body
composition goals. The studies involving exercise do demonstrate greater and faster weight lost
as well as maintenance of lean body mass (Demling & DeSanti, 2000; Kempen et al., 1995).
This underscores the double advantage of resistance training in conjunction with dietary changes
to reach body composition goals.
This research also proves useful when working with a client who has tried diets and
failed in the past. Being able to explain that it was not a client’s fault but any number of other
factors that contributed to less weight loss than expected enables a coach to reach and help more
people. This research should offer hope to those who have tried and failed, prompting them to
exercise, drink more water, and swap processed foods for whole foods. This research can aid
12. Difficulty in Equating Mass and Energy in Humans 12
other coaches to understand why their training and guidance works on some individuals but not
others.
Future Research
The information here seems to indicate the lack of validity of the energy balance equation
but it also provides directions for future research in order to create more productive weight loss
strategies. It would prove helpful to measure changes in the level of metabolic enzymes that
occur under hypocaloric conditions and whether they differ with and without the inclusion of
exercise. Such information could improve weight loss advice and perhaps advocate diets of
constantly varying macronutrient ratios or caloric deficits to prevent plateaus. The body adapts
to stimuli presented to it and perhaps it would be possible to prevent the body from improving
efficiency by utilizing a varied diet with mixed modes and durations of exercise.
Additionally it would be interesting to determine the degree to which free living humans
exchange heat energy with their environment. This would include the consumption of foods and
liquids at temperatures different from core body temperature. This may prove useful to
recommend drinking cool fluids and avoiding hot fluids, or it may prove better to drink differing
temperatures throughout the day to again prevent adaptations of efficiency.
Finally there must be other factors other than genetic which influence how the body
partitions energy (Fine & Feinman, 2004; Feinman & Fine, 2003). There could also be factors
that change how nutrients are absorbed in the intestinal track. Understanding these factors could
enable one to influence how the liver and other organs work together to contribute to fat balance
in the body. Such knowledge could prove useful in developing novel strategies to make up the
gap between predicted and actual weight loss due to caloric deficits.
13. Difficulty in Equating Mass and Energy in Humans 13
References
Barr, S. B., & Wright, J. C. (2010). Postprandial energy expenditure in whole-food and
processed-food meals: Implications for daily energy expenditure. Food & Nutrition
Research, 54, 1-9. doi:10.3402/fnr.v54i0.5144
Bouchard, C., Tremblay, A., Despres, J., Nadeau, A., Lupien, P. J., Theriault, G., . . . Fournier,
G. (1990). The response to long-term overfeeding in identical twins. The New England
Journal of Medicine, 322, 1477-1482.
Bouchard, C., Treinblay, A., Despres J., Theriauit, G., Nadeau, A., Lupien, P. J., . . . Fournier,
G. (1994). The response to exercise with constant energy intake in identical twins.
Obesity Research, 2, 400-410.
Buchholz, A. C., & Schoeller, D. A. (2004). Is a calorie a calorie? American Journal of Clinical
Nutrition, 79(Suppl.), 899-906.
Del Corral P., Bryan, D. R., Garvey, W. T., Gower, B. A., & Hunter, G. R. (2011). Dietary
adherence during weight loss predicts weight regain. Obesity, 19, 1177-1181. doi:
10.1038/oby.2010.298
Demling, R. H., & DeSanti, L. (2000). Effect of a hypocaloric diet, increased protein intake, and
resistance training on lean mass gains and fat mass. Annals of Nutrition & Metabolism,
44, 21-29.
Dennis, E. A., Dengo, A. L., Comber, D. L., Flack, K. D., Savla, J., Davy, K. P., & Davy, B. M.
(2010). Water consumption increases weight loss during a hypocaloric diet intervention
in middle-aged and older adults. Obesity, 18, 300-307. doi: 10.1038/oby.2009.235
Fine, E. J., & Feinman, R. D. (2004). Thermodynamics of weight loss diets. Nutrition &
Metabolism, 1(15), 1-8. doi:10.1186/1743-7075-1-15
Feinman, R. D. & Fine, E. J. (2003). Thermodynamics and metabolic advantage of weight loss
diets. Metabolic Syndrome and Related Disorders, 1(3), 209-219.
Kempen, K. P., Saris, W. H., & Westerterp, K. R. (1995). Energy balance during an 8-wk
energy-restricted diet with and without exercise in obese women. The American Journal
of Clinical Nutrition, 62, 722-729.
Koenigstorfer, J., & Schmidt, W. F. (2011). Effects of exercise training and a hypocaloric diet
on female monozygotic twins in free-living conditions. Physiology & Behavior, 104, 838-
844.
Shai, I., Schwarzfuchs, D., Henkin, Y., Shahar, D. R., Witkow, S., Greenberg, I., . . . Fiedler, G.
(2008). Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet. New
England Journal of Medicine, 359, 229-241. doi: 10.1056/NEJMoa0708681