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Weight loss and
       exercise
Obesity
Overweight: BMI = 25.0 - 29.99

Obesity

  BMI ≥ 30

  Body fat > 25% for men

  Body fat > 30% for women

Americans:

  Overweight: 32%

  Obese: 34%
Obesity

Genetic factors

  25% of the transmissible variance for fat mass and
  percent body fat

Cultural factors (30%)

Individual choices (45%)
Calorie

A measure of HEAT

  (1 calorie = heat required to raise 1 gram of water
  by 1 degree Celcius in temperature)

Heat, or Calorie, represents Energy
Weight Loss
Caloric balance or imbalance

  Energy In > Energy Out = Weight Gain

  Energy In < Energy Out = Weight Loss

Examples

  Energy In: Big Mac 540 kcal

  Energy Out: Run 40 minutes
Energy Out
Caloric expenditure

1. Resting Metabolic Rate = 60-75%

2. Thermic effect of food = 10%

3. Physical activity = 15-30% of daily caloric expenditure




Example 3000 calories in one day

   RMR = 1,800-2250 kcal

   TEF = 300 kcal

   PA = 450-900 kcal
Energy In

 Fat = 9 calories per gram

 Alcohol = 7 calories per gram

 Carbohydrate = 4 calories per gram

 Protein = 4 calories per gram
Weight Loss

Reduce ‘Energy In’ and/or Increase ‘Energy Out’...
 …500-1000 fewer calories per day
 (3,500-7,000 fewer calories per week)
Recommendations:
 1-2 lbs of weight loss per week
Reducing Caloric
Intake
Reducing Calorie
Intake
Rapid Weight Loss /
Low Calorie Diets

= weight loss greater than 1-2 pounds per week.
Where does the weight loss come from?
 Water loss, Muscle loss, etc.
Metabolic rate?
Caloric Intake and Resting
Metabolic Rate
Metabolic Rate
Resting Metabolic Rate is VO2 measured at
rest

  ave. resting VO2 = 3.5 ml/kg/min

Estimated RMR = 1 kcal/kg/hour
  For a 183 pound person, RMR = 2000
  kcals.

60-75% of daily caloric expenditure
Metabolic Rate
 Genetics

 Gender

 Fat-free mass

 Dieting

 Hormones (e.g. Thyroid hormones, etc)

 Over eating (thermogenesis)

 Medications/Drugs
Increasing Caloric
Expenditure
Physical Activity
and Body Fat
Exercise and
Weight Loss
Exercise alone
  less effective than diet alone
  Duration:
     > 2000 calories/wk

EXAMPLES OF KCAL expenditure

  0.77 kcal / kg / mile for walking

  1.53 kcal / kg/ mile for running
Exercise and Weight
Loss

Exercise may be most critical to help maintain
weight loss

Exercise helps to maintain muscle mass and
metabolic rate
Exercise and Weight
Loss
 Aerobic exercise v Resistance exercise

   WORKOUT CALORIES

   resting metabolic rate

 Aerobic Exercise: Duration versus Intensity
Fat Burning Zone?
Exercise and
Fat
Metabolism




                                                        900 total kcals
                                      600 total kcals
Is low-intensity




                    300 total kcals
exercise best for
burning fat? [A




                                      40% fat



                                                        ~20% fat
                    60% fat
Closer Look 4.3]
Successful Weight
Loss

diet and exercise
 Diet: limited caloric intake (source
 of calories is unimportant)
 Exercise: increase physical
 activity
Weight Gain


Genetics

 Body Type / Somatotype
Weight Gain

Caloric intake greater than caloric expenditure.
 25-30 calories per pound of body
 weight to gain weight (20 calories per
 pound to maintain weight)
 ...or...
 500-1000 extra calories per day.
Weight Gain

Caloric distribution
 Carbohydrates - 60 to 70% of total calories
 Protein - 10 to 15% of total calories
 Fat - remainder of total calories.
Weight Gain

Example for 200 pounds.
 Carbohydrates: energy for anabolism (~3000
 kcals)
 Protein: amino acids for anabolism (~1200 kcals)
 Fat: can’t avoid it (~800 kcals)
PSM
Weight Gain


Recovery/Rest

 Eccentric muscle contractions damage muscle
 proteins.
 Proteins are replaced for the next 48
 hours or more.

 Adequate rest and recovery period are critical for
 complete muscle repair and growth
Read More . . .

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