NEAT and the Benefits of Hunger: Part II

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Previously we looked at the deliterious health effects of our seated, sedentary modern lifestyle; and we saw remarkable value of NEAT, or Non-Exercise Activity Thermogenesis.  Essentially, sitting a lot correlates to early death while moving around a lot makes you healthy–even if this movement isn’t what you might call “exercise.”

Part II of the discussion revolves around the article Movement comes with appetite, found on Science Daily.  We’re told of findings by a Swiss research team, whose study is found in the journal Nature.  (The full study can be accessed here for a fee.)  The science here is fairly complicated so I’m going to try and avoid the overly complex details.  Essentially, the star of the study is a molecule found in the liver and hypothalmus called Foxa2.  Foxa2 is found in humans and other animals.  Here we go with an attempt at explaining why Foxa2 is important.

Foxa2 found in the liver affects fat burning.  It’s also found in the hypothalmus which affects daily rhythm, sleep, intake of food and sexual behavior.  Researchers also observed that Foxa2 helps form two proteins (MCH and orexin) which trigger both the intake of food and spontaneous movement.  Foxa2 is blocked by insulin which is released when we eat.  In a fasted state–between meals for instance–insulin is absent and Foxa2 is active.  Thus animals tend to be more active while hungry.

If mammals are hungry, they are more alert and physically active. In short, they hunt and look for food. “If you watch a cat or a dog before feeding it, you can see this very clearly,” Markus Stoffel, a professor from the Institute of Molecular Systems Biology at ETH Zurich.

Researchers found a Foxa2 disorder in obese mice.  High levels of insulin blunted Foxa2 which in turn reduced production of the two proteins that triggered hunger and movement.  To prove this, the researchers bred mice with ultra-active Foxa2 production and the result were mice with high production of the two proteins.  These mice lost fatty tissue and formed larger muscles. Their sugar and fat metabolism increased considerably.

The practical suggestion from Stoffel is that we should be hungry sometimes.  “The body needs fasting periods to stay healthy.”  Hunger promotes movement and thus all the benefits we expect from an active lifestyle.  Both the study’s evidence and the suggestions from this researcher are contrary to much of the popular nutrition advice.

The suggestion that one should eat small frequent meals throughout the day (aka grazing) is standard advice found on almost any list (look here, here, here, here and here for starters) of healthy eating tips.  I’ve told clients this many times and I’ve followed this bit of common knowledge for years.  The reasoning behind the several-small-meals tactic is 1) eating throughout the day keeps the metabolism up, and 2) if we become too hungry then we tend to overeat at mealtime.  Is it possible we’ve been doing it wrong?  Could three meals a day in fact make us leaner and healthier?  I think the answer to that question is the same answer  to most questions: It depends.  I’ll discuss it more in Part III.

The Dangers of Sitting; NEAT and the Benefits of Hunger: Part I

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The longer you spend sitting each day, the more likely you are to die an early death — no matter how fit you are.

Right around Thanksgiving I discussed some of the science behind obesity and eating.  Now, the tremors of holiday gorging have started, and an eruption of Christmas binging is close at hand.  It’s cold outside and here in Colorado we’ve got several inches of snow on the ground.  This seems the ideal backdrop to look at obesity again, this time with an eye toward energy expenditure.

Two articles present slightly different information on the same general issue, that is the relationship between movement and obesity.  I’ll discuss the first article here and the second in part II of this post.  Your Body’s big enemy?  You’re sitting on it comes from MSNBC.com.  The article has two main topics.  First, we’re told of the consequences of our modern, mostly seated lifestyle.  We sit at our jobs.  We sit getting to our jobs.  We sit for entertainment.  And our many electronic tools allow us to live our lives while expending very little energy, especially when compared to the bulk of human history which featured far more physical labor than we currently experience.  Specifically we’re told about the biochemistry of too much sitting:

“When you sit for an extended period of time, your body starts to shut down at the metabolic level, says Marc Hamilton, Ph.D., associate professor of biomedical sciences at the University of Missouri. When muscles — especially the big ones meant for movement, like those in your legs — are immobile, your circulation slows and you burn fewer calories. Key flab-burning enzymes responsible for breaking down triglycerides (a type of fat) simply start switching off. Sit for a full day and those fat burners plummet by 50 percent, Levine says.”

Sitting increases our risk of diabetes and heart disease and it may even increase our risk for depression.  It’s also none too good for our spinal health and posture.  A bottom-line assessment of sitting was observed by Canadian researchers: The longer you spend sitting each day, the more likely you are to die an early death — no matter how fit you are.  (The article stated this finding but I’m not sure exactly where or by whom this research was done.)

The second topic is NEAT, or Non-Exercise Activity Thermogenesis.  (Read more on NEAT from the Mayo Clinic.)  Examples of NEAT include tapping our toes, gesturing with our hands while talking, doing house work or yard work, standing while working or any sort of fidgeting–even chewing gum.  According to Mayo Clinic research, NEAT has a big impact.  A study found that after 10 days, lean participants moved an average of 150 minutes more per day than overweight participants  That translates to 350 calories, or about one cheeseburger.  Take that out to one month and that’s 10, 500 calories (3 lbs. of fat).  In one year NEAT may burn up to 127, 750 calories or almost 37 lbs. of fat!

What can we do with this information?  Well it goes to a discussion I’ve had with many of my personal training clients who are trying to lose weight.  Find a way to move around somehow.  An hour or a half-hour a day in a gym doesn’t add up to much by the end of the week.  We’ve got to find ways to move around a lot more than that.  Your body needs to move throughout the day.  Here are some ideas:

  • Stand up while talking on the phone.
  • Set the meeting timer on your Microsoft Outlook (or similar e-mail system) for every half-hour with this message: GET UP.  WALK AROUND.
  • Use the stairs.  Avoid elevators and escalators.
  • Wash dishes by hand.
  • Quit looking for the parking space closest to the mall or grocery store entrance.  Park way back in the back and walk to the entrance.

The bottom line is this: Sitting is death by a thousand keystrokes.  Moving yourself about the planet under your own power has tremendous health benefits.  Your body doesn’t care if you do it in a gym or whether or not you call it “exercise.”

Alright, you’re done reading.  GET ON YOUR FEET AND GO DO SOMETHING!

Cardio Health Correlates to Smarts

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A strong link between cardiovascular fitness in adolescence and cognitive ability in adulthood has been demonstrated in by American and Swedish researchers.  The study is discussed in Science Daily and it focuses on 1.2 million Swedish men born between 1950 and 1976 who enlisted for mandatory military service at the age of 18.  On several assessments of cognitive function test scores increased along with aerobic fitness levels.  (That’s pretty cool.)  On the other hand, intelligence scores didn’t not track with muscle strength.  (That’s sort of a bummer.)  We’re told that the rapidly changing adolescent brain seems particularly sensitive to fitness levels, and that being fit during these years is quite important to brain power in adulthood.  Researchers admit that this fitness/intelligence effect is poorly understood.

“In every measure of cognitive functioning they analyzed — from verbal ability to logical performance to geometric perception to mechanical skills — average test scores increased according to aerobic fitness.”

Though I haven’t read the entire study, we should take note of several strong points.  First, the sample size of 1.2 million is fairly large.  Second, subjects were studied for several years.  Finally, the study even looked at pairs of twins.  Fit twins were smarter than their unfit siblings.  This suggests that fitness is indeed the cause of greater intelligence rather than a genetic influence.  The study’s main weak point is that it was conducted on Swedish men only.

I’ve got a several opinions.  First, this study should be mandatory reading for every public official, every principal, every teacher and every grade-schooler in the country.  For years physical education has been cut from schools in favor of more classroom time spent sitting and “learning.”  If this study is sound then clearly we need to add a fourth R to the equation: Readin’, Ritin’, ‘Rithmatic & Runnin’ Around.

Can we see a little further here?  Can we see a way not only to very nearly fix our creaking health care system–but also to regain America’s status as the most inventive, creative nation on earth?  As an incentive for more kids to be more physically active, I’d like to see an optional physical fitness equivalent of the SATs.  Colleges could offer tuition breaks for students with good scores.

Finally, why is cardiovascular fitness is tied so strongly to intelligence but not strength?  More specifically I’d like to know where the line is drawn–because in fact there is no line as I see it but rather a gradient.  From the shot put to the marathon, our heart, lungs, and muscles must work to accomplish the task; and it’s all driven by our nervous system.  It’s not like we turn off our lungs in order to throw a fastball, or shut down our muscles to run or bike for several hours.

To parse it a bit more, are ultra-marathoners smarter than 10k runners?  Are Ironman triathletes smarter than track cyclists?  Are 100 meter sprinters the least intelligent of the cardiovascularly fit among us?  What about rowers, basketball players, boxers, wrestlers, hockey players, tennis players, soccer players, rugby players, volleyball players and rock climbers?  Those sports require  you to be aerobically fit and strong.  This is a fascinating study and I hope someone expands on it.

A Final Bit on Stretching: Dynamic Flexibility Demo

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Here are three key dynamic stretch processes that you can (and I think you should) incorporate into your exercise regimen.  I suggest you use these movements at the start of your workout, be it a gym workout or a ride, run, swim–whatever.  It may be a good idea to do these movements at the end of the workout too.  I’ll post more dynamic stretches later.

 

A Look at Massage Therapy

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Monday’s New York Times Fitness & Nutrition section recently featured an article titled Athletes take massage into their own hands.  The article discusses the benefits to athletes of massage but more specifically we learn about self-massage methods and the tools for the job.  The article states that ideally hard training athletes should get a massage once a week or every other week.  For many athletes (pros or the wealthy among us) massage is as integral to their preparation as their time in the gym, on the bike, in the pool or on the court.  However for many of us the price is somewhat prohibitive.  Enter self-massage.   We’re told tools such as foam rollers (available here, here, and here), golf balls, tennis balls as well as your own hands are useful in addressing tight, stiff muscles.  DVDs on self-massage techniques are available and there are many demonstrations of these techniques on Youtube.

Over recent months, I’ve come to believe that these massage techniques are beneficial to athletes and everyone else who exercises.  But on what do I base my evidence?  Well, it’s just about all anecdotal.  Massage seems to be beneficial (i.e.  it feels good), various experts recommend it, and many athletes swear by it.  What does science tell us?  Much like everything in the world of science, the value of massage, and the mechanism(s) by which it works is debatable.

To that point, there are three articles on Science Daily that discuss different massage studies.  Massaging Muscles Facilitates Recovery After Exercise profiles a study by the National Institutes of Health and Ohio St. University.  The study suggests that massage indeed does facilitate recovery from strenuous exercise.  The study was done on rabbits though, and both the “exercise” and “massage” was performed by machines which moved the rabbits’ limbs and performed the massage.  This study may well indicate the recuperative value of massage, however we can’t be entirely certain that the same effects occur in humans.

In contrast, Massage After Exercise Myth Busted refutes some of the claimed effects of massage, namely that massage improves circulation and that it speeds removal of lactic acid.  (Not to run away on a very different issue, but the common knowledge on lactic acid and its role and effects on muscle is inaccurate.  Read about lactic acid, lactate and muscular fatigue here.)  I don’t have full access to the Queen’s University study but apparently researches found that neither circulation nor lactic acid removal was facilitated by massage.  Does this then mean that massage is not beneficial in aiding recovery from strenuous exercise?  No.  It simply means that in this study neither circulation was increased (it was actually decreased) nor was lactic acid removed any faster than without massage.  It’s entirely likely that massage promotes recovery by other means.  Perhaps the reduced circulation somehow aids in recovery.  It’s also possible that another different study may find conflicting information.

The third piece, Massage Therapy May Have Immediate Positive Effect On Pain And Mood For Advanced Cancer Patients, tells of a National Institutes of Health study of 380 advanced cancer patients in which both pain and mood was improved through massage therapy.  The article states:

“Researchers think that massage may interrupt the cycle of distress, offering brief physical and psychological benefits. Physically, massage may decrease inflammation and edema, increase blood and lymphatic circulation, and relax muscle spasms. Psychologically, massage may promote relaxation, release endorphins, and create a positive experience that distracts temporarily from pain and depression.”

So what conclusions should we draw?  First, we can say that the mechanisms of massage are not fully understood.  Far more study must be undertaken to determine the hows and the whys of massage.  Second we might take note that there’s very little out there suggesting that massage is unhealthy or harmful.  (The unskilled massage therapist may however pose harm.  Further, there is probably a right and wrong time to employ a specific massage technique–relaxation vs. deep tissue for instance.)  Though massage’s proposed mechanisms–increased blood flow as an example–may be in question the fact that it has been used effectively by so many for so long suggests strongly that there is something good to be had from massage.

Next, I’ll post three self-massage techniques you can use.

Return from Cozumel

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Dolphins are in that pin, probably content to skip the bike and run.

Dolphins are in that pin, probably content to skip the bike and run.

This is my first post since returning a little over a week ago from Cozumel.  We went from temperatures in the mid-80s with high humidity to highs in the single digits and wind chills in the negative double-digits.  Quite a contrast.  No mosquitos in Denver though, and the skiing is better.

The main reason my wife and I were there was a very generous invitation from Mike, a friend and former client from Virginia.  He was competing in the Cozumel Ironman Triathlon.  It was a fascinating experience and the ability of anyone to complete such a race (2.4 mi. open ocean swim/112 mi. bike/26.2 mi. run) is astonishing.  Mike finished 32nd out of 100 in his age group and 135 overall out of nearly 2000 competitors.  That’s a tremendous performance in a grueling race.  It was hot, humid and about 1/3 of the bike course was into a stiff headwind.

The race is on!

The race is on!

There were competitors from all over the world.  The local crowd support was very enthusiastic.  I figure a race like this might be an interesting change from the typical staggering visits by drunken cruise line passengers.  Much thanks to Mike, his girlfriend, and their families who were there as well.  Here’s an excerpt from Mike’s race report:

“That Ironman is the most recognizable name in triathlon is no accident – the lead up to the start was nothing short of spectacular.  The dolphins in the enclosures at the swim start were all performing various jumps, a helicopter raced in low and fast over the pier, and the music and emotions were amped up.  The pros went first – down the pier and off the edge for the in-water start.  It was easy to be envious both of their 15 minute head start and the fact that there were only 50 of them.  At 7am, the other 1900 of us would all be in the same water, all swimming for the same buoy, all at the same time.  Not for the faint of heart.  I was able to position myself about two or three rows back once in the water, almost centered on the buoy.  It was the first time we tested the current, as we had to swim in

place as the rest of the competitors made their way into the water.”

Aside from the big race, my wife and I got in some scuba diving and a healthy intake of margaritas, pina coladas and beer.  The house where we all stayed was right on top of the edge of a reef so we could literally jump right into the Caribbean Sea at our leisure.  Dunk your head under the water and there was a wide and varied crowd of fish, coral, sea urchins and other underwater creatures.  Good livin’…

All in a day's work.  Bravo.

All in a day's work. Bravo.

No crowd support out here.

No crowd support out here.