Monday, August 11, 2008

How Much Exercise is Enough?

Before you can answer the question, "how much exercise is enough?" you have to first answer another question: enough for what?

For improving your heart health?
Or for losing weight?

The answer is going to be different depending on which one you're talking about.

See, health professionals know darn well that some exercise is better than no exercise. And it actually doesn't take all that much to move people from the "most at risk for heart disease" category to the "much less at risk" category, and only a little more to move them to "very little risk".

Yet we also know from our own experience that if we scare the public too much they wind up doing nothing.

Take exercise and weight loss. It's a nasty little secret- albeit one I've talked about for years- that exercise is not the most effective way to lose weight. (It is, however, the only way to maintain weight loss.)

And, if that weren't bad enough, the amount of exercise we typically do doesn't come close in either length or intensity to really knock the pounds off.

But if we tell the public that, many people won't even bother to go for a walk. Or garden. Or do anything moderate that could still extend their life and improve their well-being. They'll just give up ("it doesn't make a difference anyway, right?")

What to do, what to do?

I opt for truth telling. And the truth is this: if you're using exercise to lose weight- the primary motivation for most people- you've got to do a lot more of it than you think.

A new study in the Journal of the American Medical Association, released July 28, tells the story plainly. It's headline:

"Current Exercise Recommendations May Not Be Sufficient for Overweight Women to Sustain Weight Loss".

Here's the executive summary: In addition to limiting calories, overweight (and obese) women need to exercise almost an hour a day for five days a week if they are to have any hope of sustaining a weight loss of 10 percent over two years.

This comes as no surprise to those of us who have been following the National Weight Control Registry, a database of thousands of people who have successfully lost substantial weight (at least 30 pounds, typically more) and kept It off (at least a year, typically five).

These folks typically exercise an hour a day.

Think about it. Our Paleolithic ancestors typically traveled around 20 miles a day; much of it spent hauling stuff around. We were meant to move- a lot. Twenty minutes three times a week on the Stairmaster is helping your heart quite a bit- but it doesn't begin to undo the damage to your waistline of a couple of meals at McDonald's. Sorry, but that's the truth.

In the current study, the almost 25% of people who were successful at losing weight and keeping it off reported burning up an average of 1835 calories per week more than those who lost less weight. That came to about 275 minutes per week more than "baseline" levels of activity.

Interestingly, that's not all they did- they also completed more telephone calls with the researchers, showing once again that accountability and connection and partnering is a powerful tool in the weight loss journey (one reason I'm so hot on coaching programs.

This JAMA study didn't address the issue of the efficacy of various forms of exercise, but I continue to believe that short burst training, interval training, circuit training and the like is a far more effective way to burn calories and fat than long slow aerobics. That said, a number of studies do show that even 30 minutes a day of walking can improve overall health, lower the risk for mortality and even help you grow more brain cells.

So which kind of exercise should you do?

That's a no brainer: Why not do both?

As I talk about in The Most Effective Natural Cures on Earth, and at much greater length in the forthcoming book on Energy (jan 2009), you can do burst training a number of different ways. You can use a terrific home machine like the Xiser, or you can do it with no equipment at all- just alternate a minute or two of "normal" aerobic walking with a much higher intensity jog or fast walk for 30 seconds. Repeat 4-10 times. Even if you're just beginning, you can do your own version of burst training. Start with what's comfortable- say a 5 on a scale of 1-10- and then do a 7 for 30 seconds.

Your heart, brain and waistline will all thank you profusely!

Blogger Sheilanova said...

I used to exercise on the cross trainer and the bike a couple/few times a week. One day I decided to switch it up and start running, something I had never done before. I couldn't run very fast, but I decided to put the machine on the "interval" setting and do a walk/run every two minutes. I ended up obtaining more endurance over a couple month's time and shifted from doing a 30 minute interval of 4.0/5.0 mph to a 30 min interval of 6.0/7.0 mph. Granted at the time I also started eating better as well, I did lose 35 lbs (which is a lot for my height at 5'5" weighing in now at 130lbs). I'd like to think that my personal anecdote has a lot to say about interval training! Cheers! :)

August 12, 2008 4:57 AM  
Blogger Smirti said...

I'm a very recent subscriber to your daily newsletters and I just want to say "thank you" for the wonderful work that you're doing to encourage ordinary people to take responsibility for their personal wellbeing.

Do you have any information or comparative studies on the health benefits of Spirulina Vs Soy Protein Isolate? Which is a better source of vegetarian protein and why?

God Bless.
Stephen Beddoe
New Delhi, India

August 13, 2008 10:26 PM  
Blogger KGR said...

Dear Johnny,
You've just broached a subject on which I'm trying to find my way. The intervals u suggest are 2 min. normal with 30-sec. intensive, repeated 4-10 times. That makes it a theoretical 25 min. total. Would it have the same effect if I made it 6 min normal + 4 min. intensive, repeated twice or thrice?
K.Gopal Rao

August 16, 2008 5:15 AM  
Blogger Dr. Jonny Bowden said...

I think so. We're in uncharted territory here, with research still coming in. I would think it would be really hard to sustain VERY hard 4 minute intervals, but i think the ratio you suggest is interesting. Try it!

warmly
jb

August 16, 2008 1:09 PM  
Blogger Dr. Jonny Bowden said...

Hi Smirti

Thanks for the kind comments.

I'm not a huge fan of soy in general, but think that a couple of servings of 25g of soy protein a day never hurt anyone, even though i think we may have gone overboard on the whole soy thing. Spirulina seems to be a nice source of protein as well, but i'm not sure it delivers as many grams of protein as a comparable powder like whey (or even soy). My favorite is whey.

warmly
jb

August 16, 2008 1:19 PM  
Blogger Andrew said...

Sunwarrior is a great protein to try. Many of my trusted sources are reporting great results personally from it - such as Kevin G and the health ranger.

Thanks for reporting on burst training J. I looked it up, and found personal trainers saying clients are getting noticeable results in terms of weight loss from doing it in the morning. Esp. interesting as they should be the people that know best on this.

August 20, 2008 3:49 AM  
Blogger Dr. Jonny Bowden said...

thank you. I've tried Sunwarrior and it is indeed terrific

warmly
jb

August 20, 2008 11:55 AM  

Post a Comment

Links to this post:

Create a Link

<< Home