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Role of Strength Exercise in Weight Loss and Wellness Workable Programs that Work Well Wayne L. Westcott, Ph.D., CSCS
Current Conditions in America ,[object Object],[object Object],[object Object]
 
Consideration   ,[object Object],[object Object],[object Object],Photo courtesy of www.obesityinamerica.org
American Psychologist Journal of the American Psychological Association April 2007 62: 220-233 Medicare’s Search For Effective Obesity  Treatments: Diets Are Not The Answer “ In sum, there is little support for the notion that diets lead to lasting weight loss or health benefits.” “ It appears that dieters who manage to sustain a weight loss are the rare exception.” “ We suggest that future research focus on exercise as a treatment for obesity.”
Medicine and Science In Sports and Exercise Journal of the American College of Sports Medicine 40: 181-188  January 2008 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Circulation Journal of the American Heart Association August 2007 116: 1081-1093 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medicine and Science in Sports and Exercise Irving et al.  40:1863-1872  November 2008  Effect of Exercise Training Intensity on Abdominal Visceral Fat and Body Composition Obese Women (400 kcal/session for 16 weeks) Low-Intensity Endurance Exercise:   No change TAF, SAF, or VAF High-Intensity Endurance Exercise:   Significant reduction in TAF,   SAF, & VAF
Medicine and Science In Sports and Exercise Journal of the American College of Sports Medicine Marzolini et al.     40:1557 – 1564  September 2008 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physiological Aspects of the Fat-Gain Process
Consideration   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Consideration   ,[object Object],[object Object],[object Object],[object Object],5-7 lbs Muscle
Consideration   ,[object Object],[object Object],[object Object],[object Object],2-4% RMR
Consideration   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nutrition Action Health Letter July/August 2009 Women’s Bodyweight David Kessler – Commissioner, U.S. Food and Drug Administration Year Age Group Average Weight 1960 20 - 29 years 128 lbs 2000 20 – 29 years 157 lbs 1960 40 - 49 years 140 lbs 2000 40 – 49 years 169 lbs
Consideration   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reversing the Fat-Gain Factors
Consideration   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Weight Loss and the Effect on RMR RMR can change significantly during a weight management program and there are no individual characteristics to predict when and how much RMR will change. The standard deviation in each reference point is  +  300 Kcals.   Alexander, H.A. et al.  (2002) Efficacy of a Resting Metabolic Rate Based Energy Balance Prescription in a Weight Management Program  Obesity Research, Presented at Nutrition Week Conference   ,[object Object],[object Object],[object Object],[object Object],250 Subjects, University of Colorado 170 180 190 200 1450 1475 1500 1525 1550 1575 1600 1625 1650 Weight (lbs) 196 192 190 188 184 179 Measured RMR 1628 1586 1568 1539 1530 1503 Start 1  Week 2  Week 4  Week 8  Week 12  Week Pounds Calories per day
Consideration   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Consideration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Journal of Strength and Conditioning Research Hackney et al.  22:1602-1609 September 2008 Resting Energy Expenditure After Full Body Resistance Training 8 Exercises X 8 sets x 6 Reps Average % Increase in REE 72 Hours Post Exercise Untrained Subjects 9% (9% - 9% - 9%) Trained Subjects 8% (4% - 10% - 8%)
Strength Training & Resting Energy Expenditure Study Subjects   Protocol   Time  REE Campbell ‘94 Untrained M/F  Low Vol.  12 Wks  +7% Pratley ’94 Untrained M   Low Vol.   16 Wks  +8% Van Etten ’97 Untrained M   Mod Vol.  18 Wks  +9% Hunter ’00 Untrained M/F  Mod Vol.  26 Wks  +7% Melby “93 Trained M   High Vol.  1 Day  +7%  Hackney ’08  Untrained M  High Vol.  3 Days  +9% Hackney ’08  Trained M  High Vol.  3 Days  +8%
American Journal of Health Promotion July 2009   Impact of  100 fewer calories per day: * Eliminate over 71 million cases of overweight  & obesity * Save 58 billion dollars annually Regular strength training increases resting energy expenditure more than 100 calories everyday!
Strength Training Increases Fat Burn Ormsbee, MJ et al.  2007 (J of Appl Physiol, 102:1762-1772) Fat metabolism and acute resistance exercise  Subjects: 8 strength trained males in mid 20s Session: 6 exercises; 3 sets x 10 reps Results: 40 minutes post-exercise *resting energy expenditure +10% *fat oxidation   +105% Resistance training increases adipose tissue lipolysis during (78%) and after (75%) the exercise session.
Consideration  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Consideration   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
South Shore YMCA   Keeping Fit Program ,[object Object],Fat Weight Change Lean Weight Change % Fat  Fat Wt  Lean Wt Categories  Change  Change (lbs)  (lbs )
Study: Over Half of Americans on Chronic Medicines In the year 2007, a study by Medco Health Solutions Inc. found that for the first time more than ½ of insured Americans take medication for chronic health problems. Drugs that lower blood pressure and cholesterol - problems linked with heart disease, obesity and diabetes were the most commonly prescribed.
Strength Training Benefits Fitness for a Lifetime
[object Object],[object Object],[object Object],[object Object],Strength Training Benefits
[object Object],[object Object],[object Object],[object Object],Strength Training Benefits
[object Object],[object Object],[object Object],[object Object],Strength Training Benefits
[object Object],[object Object],[object Object],[object Object],[object Object],Strength Training Benefits
[object Object],[object Object],[object Object],[object Object],[object Object],Strength Training Benefits
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Strength Training Benefits
Strength Training Benefits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Strength Training Benefits
 
  South Shore  YMCA ,[object Object]
1995 ACSM Exercise Guidelines ,[object Object],[object Object],[object Object],[object Object]
1995 ACSM  Exercise Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object]
South Shore   YMCA  Fitness Program ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],South Shore YMCA  Fitness Program
South Shore YMCA  Fitness Program ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],South Shore YMCA  Fitness Program
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],South Shore YMCA  Fitness Program
[object Object],South Shore YMCA  Fitness Program 2 x Wk 3 x Wk All Body Weight (lb.) -0.1 -1.3 -0.6 Percent Weight (%) -1.9 * -2.2 * -2.0 * Fat Weight (lb.) -3.2 * -4.4 * -3.7 * Lean Weight (lb.) +3.1 * +3.1 * +3.1 * Systolic BP (mmHg) -3.1 * -4.6 * -3.8 * Diastolic BP (mmHg) -1.4 * -2.2 * -1.8 * *sig (P<.05)
[object Object],South Shore YMCA  Fitness Program Females Males Percent Fat (%.) -1.8 * -2.8 * Fat Weight (lb.) -3.0 * -5.9 * Lean Weight (lb.) +2.6 * +4.6 * *sig (P<.05)
[object Object],South Shore YMCA  Fitness Program Lean Weight 21-44 Years +2.5 lbs. 45-54 Years +3.1 lbs. 55-64 Years +2.9 lbs. 65-80 Years +3.2 lbs. (No significant difference by age)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],South Shore YMCA  Fitness Program
[object Object],[object Object],South Shore YMCA  Fitness Program
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],South Shore YMCA  Fitness Program
International Journal of Sport Nutrition and Exercise Metabolism   Arciero et al.   16:373-392 (2006) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Protein Supplementation & Strength Training
Strength & Endurance Study 6-Month w/wo Protein Supplement Subjects:   46 men & women (mean age = 59 years) Exercise:   11 weightstack machines   20 minutes walking or cycling   ACSM training guidelines Treatment:  24 subjects post-exercise protein shake   (25 g pro; 37 g carb; 250 calories)   22 subjects no supplement
Strength & Endurance Study 6-Month w/wo Protein Supplement * Significantly different from no supplement group Group Results Protein Supplement No Supplement Percent Fat (%) -4.0 -2.8 Lean Weight (lbs) +5.5 +3.9 Fat Weight (lbs) -9.0* -4.9
Strength & Endurance Study 6-Month w/wo Protein Supplement * Significant improvement (p< 0.05) Overall Results 1 st  3 Months 2 nd  3 Months 6 Months Percent Fat (%) -1.6* -1.8* -3.4* Lean Weight (lbs) +2.2* +2.5* +4.7* Fat Weight (lbs) -3.3* -3.7* -7.0*
Strength & Endurance Study 6-Month w/wo Protein Supplement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Protein-Carb Supplementation   American College of Sports Medicine “ Just after exercise, the protein-building processes of muscle cells are especially receptive to amino acids.”  “ Muscle cells are especially efficient in absorbing carbohydrates from the blood just after exercise.” Dr. Mark Tarnopolsky, M.D.   New York Times.com June 2008
Nutrition Action Health Letter Vol. 34/No.3  (2007) “ We’ve found that older men and women who consume no more protein than the RDA can stay healthy, but they’ll continue to lose muscle, even if they’re doing strength training.  Our studies showed that people from their 50s into their 80s who were exercising their muscles needed at least 25 percent more protein than the RDA level just to maintain their muscle mass.  And to gain muscle tissue, they needed to consume 50 percent more protein than the RDA level.”  Dr. Wayne Campbell
Strength Conditioning Pyramid Functional  training exercises Free-weight exercises Machine exercises
Level 1 Exercise - Machines Machine Sets x reps 1. Leg press 1 x 8-12 2. Chest press 1 x 8-12 3. Seated row 1 x 8-12 4. Incline press 1 x 8-12 5. Pulldown 1 x 8-12 6. Shoulder press 1 x 8-12 7. Abdominal curl 1 x 8-12 8. Low back extension 1 x 8-12
Level 2 Exercises – Free-weights Free-weight Sets x reps 1. Dumbbell squat 2 x 6-10 2. Barbell bench press 2 x 6-10 3. Dumbbell bent row 2 x 6-10 4. Barbell incline press 2 x 6-10 5. Pulldown 2 x 6-10 6. Dumbbell shoulder press 2 x 6-10 7. Dumbbell standing bicep curl 2 x 6-10 8. Dumbbell standing triceps extension 2 x 6-10
Level 3 Exercises – Medicine Balls Medicine Ball Set x reps 1. Med Ball squat/front raise 1 x 8-12 2. Med Ball rotational knee lift 1 x 8-12 3. Med Ball torso rotation 1 x 8-12 4. Med Ball over/under exchange 1 x 8-12 5. Med Ball (power)   front step/low throw 2 x 6-10 6. Med Ball  (power)   front step/high throw 2 x 6-10 7. Med Ball (power)   underhand throw 2 x 6-10 8. Med Ball (power) side step/lateral throw 2 x 6-10

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What every Adult needs to know about Strength Training

  • 1. Role of Strength Exercise in Weight Loss and Wellness Workable Programs that Work Well Wayne L. Westcott, Ph.D., CSCS
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  • 5. American Psychologist Journal of the American Psychological Association April 2007 62: 220-233 Medicare’s Search For Effective Obesity Treatments: Diets Are Not The Answer “ In sum, there is little support for the notion that diets lead to lasting weight loss or health benefits.” “ It appears that dieters who manage to sustain a weight loss are the rare exception.” “ We suggest that future research focus on exercise as a treatment for obesity.”
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  • 8. Medicine and Science in Sports and Exercise Irving et al. 40:1863-1872 November 2008 Effect of Exercise Training Intensity on Abdominal Visceral Fat and Body Composition Obese Women (400 kcal/session for 16 weeks) Low-Intensity Endurance Exercise: No change TAF, SAF, or VAF High-Intensity Endurance Exercise: Significant reduction in TAF, SAF, & VAF
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  • 10. Physiological Aspects of the Fat-Gain Process
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  • 15. Nutrition Action Health Letter July/August 2009 Women’s Bodyweight David Kessler – Commissioner, U.S. Food and Drug Administration Year Age Group Average Weight 1960 20 - 29 years 128 lbs 2000 20 – 29 years 157 lbs 1960 40 - 49 years 140 lbs 2000 40 – 49 years 169 lbs
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  • 22. Journal of Strength and Conditioning Research Hackney et al. 22:1602-1609 September 2008 Resting Energy Expenditure After Full Body Resistance Training 8 Exercises X 8 sets x 6 Reps Average % Increase in REE 72 Hours Post Exercise Untrained Subjects 9% (9% - 9% - 9%) Trained Subjects 8% (4% - 10% - 8%)
  • 23. Strength Training & Resting Energy Expenditure Study Subjects Protocol Time REE Campbell ‘94 Untrained M/F Low Vol. 12 Wks +7% Pratley ’94 Untrained M Low Vol. 16 Wks +8% Van Etten ’97 Untrained M Mod Vol. 18 Wks +9% Hunter ’00 Untrained M/F Mod Vol. 26 Wks +7% Melby “93 Trained M High Vol. 1 Day +7% Hackney ’08 Untrained M High Vol. 3 Days +9% Hackney ’08 Trained M High Vol. 3 Days +8%
  • 24. American Journal of Health Promotion July 2009 Impact of 100 fewer calories per day: * Eliminate over 71 million cases of overweight & obesity * Save 58 billion dollars annually Regular strength training increases resting energy expenditure more than 100 calories everyday!
  • 25. Strength Training Increases Fat Burn Ormsbee, MJ et al. 2007 (J of Appl Physiol, 102:1762-1772) Fat metabolism and acute resistance exercise Subjects: 8 strength trained males in mid 20s Session: 6 exercises; 3 sets x 10 reps Results: 40 minutes post-exercise *resting energy expenditure +10% *fat oxidation +105% Resistance training increases adipose tissue lipolysis during (78%) and after (75%) the exercise session.
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  • 29. Study: Over Half of Americans on Chronic Medicines In the year 2007, a study by Medco Health Solutions Inc. found that for the first time more than ½ of insured Americans take medication for chronic health problems. Drugs that lower blood pressure and cholesterol - problems linked with heart disease, obesity and diabetes were the most commonly prescribed.
  • 30. Strength Training Benefits Fitness for a Lifetime
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  • 55. Protein Supplementation & Strength Training
  • 56. Strength & Endurance Study 6-Month w/wo Protein Supplement Subjects: 46 men & women (mean age = 59 years) Exercise: 11 weightstack machines 20 minutes walking or cycling ACSM training guidelines Treatment: 24 subjects post-exercise protein shake (25 g pro; 37 g carb; 250 calories) 22 subjects no supplement
  • 57. Strength & Endurance Study 6-Month w/wo Protein Supplement * Significantly different from no supplement group Group Results Protein Supplement No Supplement Percent Fat (%) -4.0 -2.8 Lean Weight (lbs) +5.5 +3.9 Fat Weight (lbs) -9.0* -4.9
  • 58. Strength & Endurance Study 6-Month w/wo Protein Supplement * Significant improvement (p< 0.05) Overall Results 1 st 3 Months 2 nd 3 Months 6 Months Percent Fat (%) -1.6* -1.8* -3.4* Lean Weight (lbs) +2.2* +2.5* +4.7* Fat Weight (lbs) -3.3* -3.7* -7.0*
  • 59.
  • 60. Protein-Carb Supplementation American College of Sports Medicine “ Just after exercise, the protein-building processes of muscle cells are especially receptive to amino acids.” “ Muscle cells are especially efficient in absorbing carbohydrates from the blood just after exercise.” Dr. Mark Tarnopolsky, M.D. New York Times.com June 2008
  • 61. Nutrition Action Health Letter Vol. 34/No.3 (2007) “ We’ve found that older men and women who consume no more protein than the RDA can stay healthy, but they’ll continue to lose muscle, even if they’re doing strength training. Our studies showed that people from their 50s into their 80s who were exercising their muscles needed at least 25 percent more protein than the RDA level just to maintain their muscle mass. And to gain muscle tissue, they needed to consume 50 percent more protein than the RDA level.” Dr. Wayne Campbell
  • 62. Strength Conditioning Pyramid Functional training exercises Free-weight exercises Machine exercises
  • 63. Level 1 Exercise - Machines Machine Sets x reps 1. Leg press 1 x 8-12 2. Chest press 1 x 8-12 3. Seated row 1 x 8-12 4. Incline press 1 x 8-12 5. Pulldown 1 x 8-12 6. Shoulder press 1 x 8-12 7. Abdominal curl 1 x 8-12 8. Low back extension 1 x 8-12
  • 64. Level 2 Exercises – Free-weights Free-weight Sets x reps 1. Dumbbell squat 2 x 6-10 2. Barbell bench press 2 x 6-10 3. Dumbbell bent row 2 x 6-10 4. Barbell incline press 2 x 6-10 5. Pulldown 2 x 6-10 6. Dumbbell shoulder press 2 x 6-10 7. Dumbbell standing bicep curl 2 x 6-10 8. Dumbbell standing triceps extension 2 x 6-10
  • 65. Level 3 Exercises – Medicine Balls Medicine Ball Set x reps 1. Med Ball squat/front raise 1 x 8-12 2. Med Ball rotational knee lift 1 x 8-12 3. Med Ball torso rotation 1 x 8-12 4. Med Ball over/under exchange 1 x 8-12 5. Med Ball (power) front step/low throw 2 x 6-10 6. Med Ball (power) front step/high throw 2 x 6-10 7. Med Ball (power) underhand throw 2 x 6-10 8. Med Ball (power) side step/lateral throw 2 x 6-10

Notes de l'éditeur

  1. Photo courtesy of www.obesityinamerica.org
  2. Re-measurement is crucial to the individual’s success. Weight loss will result in decreased RMR and re-measurement will allow you and the individual to adjust nutrition and exercise programs to prevent weight loss plateau and frustration.