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Pennington Nutrition Series
Healthier lives through education in nutrition and preventive medicine




       Body Mass Index (BMI) is a way to define over-                The distribution of body fat is important from a
 weight and obesity. The index is a mathematical formula in   chronic disease perspective. Those who have more
 which a person’s body weight in kilograms is divided by      body fat in the abdominal area have an increased risk
 the square of his or her height in meters [kg/m2]. The BMI   for elevated triglycerides, high blood pressure and
 is more highly correlated with body fat than any other       glucose intolerance. Waist circumference correlates
 mathematical ratio of height and weight; however, athletes   well with chronic disease risk. A waist circumference
 and individuals with a high percentage of muscle may         of 40 inches (102 cm) or more in men or a waist
 have a BMI in the overweight range because of the higher     circumference of 35 inches (88cm) or more in women
 density of muscle compared to fat.                           puts one at greater risk of insulin resistance and the
         A BMI of 18 to 25 is considered normal weight.       chronic diseases associated with it.
         Individuals with a BMI of 25 to 29.9 are
         considered overweight, and those with a BMI of             When someone is a few pounds overweight and
         30 or more are considered obese.                     is motivated to lose weight, there are safe and effec-
                                                              tive methods to lose a few pounds and to maintain a
         Overweight is defined as increased weight in         weight loss.
         relation to height.
         Obesity is defined as an excessively high
         amount of body fat or adipose tissue in
         relation to lean body mass.




                innovate           educate            improve lives
Present guidelines
on physical activity
     American College of Sports Medicine
recommends 30 to 45 minutes of exercise three
to five days each week, maintaining the intensity
for the duration of exercise. Each session should
include a 5- to 10-minute warm-up and a cool-
down period. If weight loss is a major goal,
aerobic activity should last at least 30 minutes a
day for five days each week.
  The American Cancer Society (ACS) recom-
mends at least 30 minutes of moderate activity
for adults on five or more days a week. Children
and adolescents should have at least 60 minutes
a day of moderate-to-vigorous physical activity
for at least five days a week. Moderate physical
activity, such as walking, done on several bouts
lasting 10 or 20 minutes at a time will result in
the same level of energy expenditure as one
longer session. Choose an activity that is                Exercise is excellent in helping to maintain a
enjoyable so you will stick to the activity.         zero energy balance. Exercise can build lean body
    Maintaining, gaining and losing weight are       mass, which burns more calories than fat. Walking,
tied to energy balance. Positive energy balance      running and doing physical activity can burn two to
leads to weight gain, negative energy balance        three times or more calories than a similar amount of
leads to weight loss, and maintaining weight         time sitting. Moderate activity is needed to metabo-
means an energy balance has been reached.            lize stored body fat and to modify physiologic
Physical activity and caloric intake balance each    functions that affect hormonal and immune function.
other out at weight maintenance.                         Weight loss similar to diet can be achieved by
                                                     exercise alone. An exercise program with a minimum
                                                     of 150 to 200 minutes of moderate physical activity
                                                     each week combined with a diet for weight loss can
                                                     result in reduced body weight and fat. An exercise
                                                     program with less than 150 minutes a week and
                                                     lower intensity can result in improvement in cardio-
                                                     respiratory fitness. There is an improvement in
                                                     overall physical fitness and a reduction in blood
                                                     pressure. Exercise improves maintenance of weight
                                                     after weight loss and is essential for weight mainte-
                                                     nance.
                                                         High amount of abdominal fat is a risk factor for
                                                     high blood lipids, diabetes and heart disease. Men
                                                     and women who are aerobically fit and have smaller
                                                     waists and reduced abdominal fat have a lower risk
                                                     of chronic diseases, compared to those with a larger
                                                     waists. Exercise, particularly aerobic excercise, can
                                                     reduce abdominal fat significantly.
Aerobic activity
    Aerobic exercise is any extended activity that
makes the lungs and heart work harder while using
the large muscle groups in the arms and legs at a
regular, even pace. Aerobic activities help the heart
grow stronger and more efficient. They also use more
calories than other activities. Some examples of
aerobic activities include:
           Brisk walking
           Jogging
           Bicycling
           Swimming
           Aerobic dancing
           Racket sports
           Lawn mowing
           Ice or roller skating
           Using aerobic equipment
        (treadmill, stationary bike)


Anaerobic activity
    Anaerobic activity is short bursts of very strenu-
ous activity using large muscle groups. Anaerobic
activity helps build and tone muscles, but it does not
benefit the heart or the lungs. Examples of anaerobic
activities are weight lifting, curls and power lifting.
During the anaerobic activity, glycogen (carbohydrate
stored in muscle and liver) is used for energy and, at
the end of anaerobic activity, lactic acid is produced.
This gives a burning sensation in the muscles.


Beginning Walking Plan: Follow 3 to 4 days a week to build a safe walking
                                          Warm up         Walking Briskly   Cool down
        Week 1                            5 minutes         5 minutes        5 minutes
        Week 2                            5 minutes         7 minutes        5 minutes
        Week 3                            5 minutes         9 minutes        5 minutes
        Week 4                            5 minutes         11 minutes       5 minutes
        Week 5                            5 minutes         13 minutes       5 minutes
        Week 6                            5 minutes         15 minutes       5 minutes
        Week 7                            5 minutes         18 minutes       5 minutes
        Week 8                            5 minutes         20 minutes       5 minutes
        Week 9                            5 minutes         23 minutes       5 minutes
        Week 10                           5 minutes         26 minutes       5 minutes
        Week 11                           5 minutes         28 minutes       5 minutes
        Week 12                           5 minutes         30 minutes       5 minutes
Heli Roy, PhD, RD,
Associate Professor

References:

www.cdc.gov

Ross R, Jansses I, Dawson J, Kungl A-
  M, Kuk JL, Wong SL, Nguyen-Day T-B,
  Lee SL, Kilpatrick K, Hudson R.
  Exercise induced reduction in obesity
  and insulin resistance in women: a
  randomized controlled trial. Obesity
  Research 12:789-798, 2004.

Jakicic JM, Marcus BH, Gallagher KI,
  Napolitano M, Lang W. Effects of
  exercise duration and intensity on
  weight loss in overweight, sedentary
  women. JAMA 10: 1323-1330, 2003.

Ross R, Katzmarzyk PT. Cardio respiratory
  fitness is associated with diminished
  total and abdominal obesity independent
  of body mass index. International Journal
  of Obesity 27: 204-210, 2003.                                              The Pennington Biomedical Research Center is a
                                                                             world-renowned nutrition research center.
McArdle WD, Katch FL, and Katch VL.
  Exercise Physiology: Energy, Nutrition                                     Mission: To promote healthier lives through research
  and Human Performance, 5th Edition.                                        and education in nutrition and preventive medicine.
  Lippincott Williams & Wilkins 2004.
                                                                             The Pennington Center has five priorities in research:
                                                                                 1. Clinical Obesity Research
                                                                                 2. Experimental Obesity
                                                                                 3. Functional Foods
                                                                                 4. Health and Performance Enhancement
                                                                                 5. Nutrition and Chronic Diseases
                                                                                 6.   Nutrition and the Brain

                                                                             The research fostered by these divisions can have a
                                                                             profound impact on healthy living and on prevention
Louisiana State University Agricultural Center                               of common chronic diseases, such as heart disease,
William B. Richardson, Chancellor                                            cancer, diabetes, hypertension and osteoporosis.
Louisiana Agricultural Experiment Station
David J. Boethel, Vice Chancellor and Director                               The Division of Education provides education and
Louisiana Cooperative Extension Service                                      information to the scientific community and the public
Paul D. Coreil, Vice Chancellor and Director                                 about research findings, training programs and
                                                                             research areas, as well as providing educational
Pub 2912-C            (20M)       3/06                                       events for the public on various health issues.
Issued in furtherance of Cooperative Extension work, Acts of Congress of
May 8 and June 30, 1914, in cooperation with the United States Department    We invite people of all ages and backgrounds to
of Agriculture. The Louisiana Cooperative Extension Service provides equal   participate in the exciting research studies being
opportunities in programs and employment.                                    conducted at the Pennington Center in Baton Rouge,
                                                                             Louisiana. If you would like to take part, visit the
                                                                             clinical trials web page at www.pbrc.edu or call (225)
                                                                             763-2597.

                                                                             Division of Education
                                                                             Phillip Brantley, PhD, Director
                                                                             Pennington Biomedical Research Center
                                                                             Claude Bouchard, PhD, Executive Director




                                             Visit our Web site:                Visit our Web site:
                                            www.lsuagcenter.com                   www.pbrc.edu

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Exercise for weight loss

  • 1. Pennington Nutrition Series Healthier lives through education in nutrition and preventive medicine Body Mass Index (BMI) is a way to define over- The distribution of body fat is important from a weight and obesity. The index is a mathematical formula in chronic disease perspective. Those who have more which a person’s body weight in kilograms is divided by body fat in the abdominal area have an increased risk the square of his or her height in meters [kg/m2]. The BMI for elevated triglycerides, high blood pressure and is more highly correlated with body fat than any other glucose intolerance. Waist circumference correlates mathematical ratio of height and weight; however, athletes well with chronic disease risk. A waist circumference and individuals with a high percentage of muscle may of 40 inches (102 cm) or more in men or a waist have a BMI in the overweight range because of the higher circumference of 35 inches (88cm) or more in women density of muscle compared to fat. puts one at greater risk of insulin resistance and the A BMI of 18 to 25 is considered normal weight. chronic diseases associated with it. Individuals with a BMI of 25 to 29.9 are considered overweight, and those with a BMI of When someone is a few pounds overweight and 30 or more are considered obese. is motivated to lose weight, there are safe and effec- tive methods to lose a few pounds and to maintain a Overweight is defined as increased weight in weight loss. relation to height. Obesity is defined as an excessively high amount of body fat or adipose tissue in relation to lean body mass. innovate educate improve lives
  • 2. Present guidelines on physical activity American College of Sports Medicine recommends 30 to 45 minutes of exercise three to five days each week, maintaining the intensity for the duration of exercise. Each session should include a 5- to 10-minute warm-up and a cool- down period. If weight loss is a major goal, aerobic activity should last at least 30 minutes a day for five days each week. The American Cancer Society (ACS) recom- mends at least 30 minutes of moderate activity for adults on five or more days a week. Children and adolescents should have at least 60 minutes a day of moderate-to-vigorous physical activity for at least five days a week. Moderate physical activity, such as walking, done on several bouts lasting 10 or 20 minutes at a time will result in the same level of energy expenditure as one longer session. Choose an activity that is Exercise is excellent in helping to maintain a enjoyable so you will stick to the activity. zero energy balance. Exercise can build lean body Maintaining, gaining and losing weight are mass, which burns more calories than fat. Walking, tied to energy balance. Positive energy balance running and doing physical activity can burn two to leads to weight gain, negative energy balance three times or more calories than a similar amount of leads to weight loss, and maintaining weight time sitting. Moderate activity is needed to metabo- means an energy balance has been reached. lize stored body fat and to modify physiologic Physical activity and caloric intake balance each functions that affect hormonal and immune function. other out at weight maintenance. Weight loss similar to diet can be achieved by exercise alone. An exercise program with a minimum of 150 to 200 minutes of moderate physical activity each week combined with a diet for weight loss can result in reduced body weight and fat. An exercise program with less than 150 minutes a week and lower intensity can result in improvement in cardio- respiratory fitness. There is an improvement in overall physical fitness and a reduction in blood pressure. Exercise improves maintenance of weight after weight loss and is essential for weight mainte- nance. High amount of abdominal fat is a risk factor for high blood lipids, diabetes and heart disease. Men and women who are aerobically fit and have smaller waists and reduced abdominal fat have a lower risk of chronic diseases, compared to those with a larger waists. Exercise, particularly aerobic excercise, can reduce abdominal fat significantly.
  • 3. Aerobic activity Aerobic exercise is any extended activity that makes the lungs and heart work harder while using the large muscle groups in the arms and legs at a regular, even pace. Aerobic activities help the heart grow stronger and more efficient. They also use more calories than other activities. Some examples of aerobic activities include: Brisk walking Jogging Bicycling Swimming Aerobic dancing Racket sports Lawn mowing Ice or roller skating Using aerobic equipment (treadmill, stationary bike) Anaerobic activity Anaerobic activity is short bursts of very strenu- ous activity using large muscle groups. Anaerobic activity helps build and tone muscles, but it does not benefit the heart or the lungs. Examples of anaerobic activities are weight lifting, curls and power lifting. During the anaerobic activity, glycogen (carbohydrate stored in muscle and liver) is used for energy and, at the end of anaerobic activity, lactic acid is produced. This gives a burning sensation in the muscles. Beginning Walking Plan: Follow 3 to 4 days a week to build a safe walking Warm up Walking Briskly Cool down Week 1 5 minutes 5 minutes 5 minutes Week 2 5 minutes 7 minutes 5 minutes Week 3 5 minutes 9 minutes 5 minutes Week 4 5 minutes 11 minutes 5 minutes Week 5 5 minutes 13 minutes 5 minutes Week 6 5 minutes 15 minutes 5 minutes Week 7 5 minutes 18 minutes 5 minutes Week 8 5 minutes 20 minutes 5 minutes Week 9 5 minutes 23 minutes 5 minutes Week 10 5 minutes 26 minutes 5 minutes Week 11 5 minutes 28 minutes 5 minutes Week 12 5 minutes 30 minutes 5 minutes
  • 4. Heli Roy, PhD, RD, Associate Professor References: www.cdc.gov Ross R, Jansses I, Dawson J, Kungl A- M, Kuk JL, Wong SL, Nguyen-Day T-B, Lee SL, Kilpatrick K, Hudson R. Exercise induced reduction in obesity and insulin resistance in women: a randomized controlled trial. Obesity Research 12:789-798, 2004. Jakicic JM, Marcus BH, Gallagher KI, Napolitano M, Lang W. Effects of exercise duration and intensity on weight loss in overweight, sedentary women. JAMA 10: 1323-1330, 2003. Ross R, Katzmarzyk PT. Cardio respiratory fitness is associated with diminished total and abdominal obesity independent of body mass index. International Journal of Obesity 27: 204-210, 2003. The Pennington Biomedical Research Center is a world-renowned nutrition research center. McArdle WD, Katch FL, and Katch VL. Exercise Physiology: Energy, Nutrition Mission: To promote healthier lives through research and Human Performance, 5th Edition. and education in nutrition and preventive medicine. Lippincott Williams & Wilkins 2004. The Pennington Center has five priorities in research: 1. Clinical Obesity Research 2. Experimental Obesity 3. Functional Foods 4. Health and Performance Enhancement 5. Nutrition and Chronic Diseases 6. Nutrition and the Brain The research fostered by these divisions can have a profound impact on healthy living and on prevention Louisiana State University Agricultural Center of common chronic diseases, such as heart disease, William B. Richardson, Chancellor cancer, diabetes, hypertension and osteoporosis. Louisiana Agricultural Experiment Station David J. Boethel, Vice Chancellor and Director The Division of Education provides education and Louisiana Cooperative Extension Service information to the scientific community and the public Paul D. Coreil, Vice Chancellor and Director about research findings, training programs and research areas, as well as providing educational Pub 2912-C (20M) 3/06 events for the public on various health issues. Issued in furtherance of Cooperative Extension work, Acts of Congress of May 8 and June 30, 1914, in cooperation with the United States Department We invite people of all ages and backgrounds to of Agriculture. The Louisiana Cooperative Extension Service provides equal participate in the exciting research studies being opportunities in programs and employment. conducted at the Pennington Center in Baton Rouge, Louisiana. If you would like to take part, visit the clinical trials web page at www.pbrc.edu or call (225) 763-2597. Division of Education Phillip Brantley, PhD, Director Pennington Biomedical Research Center Claude Bouchard, PhD, Executive Director Visit our Web site: Visit our Web site: www.lsuagcenter.com www.pbrc.edu