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The Real Truth About Exercise

Posted: 08/18/2009 3:15 pm

John Cloud, senior writer with Time Magazine, dropped a bombshell -- or was it a "dumb" bell -- with his August 17 cover story, "The Myth About Exercise." Not only is the logic behind Cloud's article flawed, his message is dangerously irresponsible. What's the next cover of Time going to be, "Hard work proven not to work"?

Cloud should be ashamed of putting this drivel forward, especially now. He's telling the American people that exercise doesn't really matter at the time when our country's leaders are wrestling with how to incentivize preventative medicine as a means of promoting good health and reducing overwhelming health care costs.

Cloud points to various studies indicating that by exercising, one may want to eat more. BIG DEAL, I love to eat and one of the main reasons I exercise is so I can indulge myself from time to time. This doesn't mean I go rushing out to buy french fries every time I work out like some sort of heroin addict.

I also exercise to feel good, to look good and to keep my brain alert -- and exercise does the trick for me and millions of Americans in all three of these areas. To imply that we shouldn't be working out or playing sports because exercising alone won't help us get thin is missing the point of exercise entirely. Yes, of course we should be exercising and eating healthy nutritious foods so we can have active minds and healthy bodies -- that is the message that the California Governor's Council on Physical Fitness and Sports puts forward and that is the message that the media should be putting forward to our fellow Americans. Our doctors get it, our nutritionists get it, our moms and dads get it -- why doesn't John "my head is in the Clouds" get it? Is it perhaps because he really wants to sell magazines more than he wants to be a responsible journalist?

Cloud states that the American College of Sports Medicine and the American Heart Association's guidelines regarding weight loss and exercise are unrealistic, especially for those with jobs or those looking for jobs. The guidelines encourage exercise for 60 to 90 minutes on most days of the week. What he fails to mention is that they also say that "research shows that moderate-intensity physical activity can be accumulated throughout the day in 10-minute bouts, which can be just as effective as exercising for 30 minutes straight. This can be useful when trying to fit physical activity into a busy schedule."

"If exercise were a pharmaceutical it would be the most potent drug ever invented," says my friend Dr. Robert Sallis, past president of the American College of Sports Medicine. "Exercise has been clearly proven to prevent and treat chronic diseases and lower mortality rates. From a scientific perspective, any attempt to discredit the value of exercise is just laughable and potentially very harmful to the public. As a physician who works hard to get patients more active, I find it very irresponsible for Time magazine to run a story that so misrepresents the facts."

While exercise alone won't make you thin, it does play a significant role in helping to keep one fit, and helping to avoid a host of chronic diseases such as Type 2 Diabetes, cardiovascular disease and more. Exercise, coupled with the intake of fewer calories, is just what the doctor ordered to help keep this nation healthy... and the best solution to helping Americans lose weight.

Unfortunately, a great number of Americans do not regularly exercise, resulting in a nation of children and adults who are overweight or obese and suffering from health problems that can be avoided with proper diet and exercise. Lack of exercise has led to more than 20 million Americans living with Type 2 Diabetes. This will only get worse if we give up on exercise. In fact, for this generation of children, if things don't drastically change, they may be the first in history to have a shorter life-span than their parents.

Health care expenditures in the United States exceeded $2.2 trillion as of 2007 and are continuing to spiral out of control. According to the Center for Disease Control and Prevention, chronic diseases account for 75% of the national health care expenditures. One thing both Democrats and Republicans can agree on is that exercise is good for the mind and body. While the Obama administration is actively working to deliver a sustainable health care reform package that will provide health care insurance to all Americans, a significant way to reduce health care costs is through preventative measures, which includes exercise.

You don't have to take my word for it. Here is what Rear Admiral Steven Galson M.D., M.P.H, Acting Surgeon General of the United States has to say: "For the past two years I've been crisscrossing our country talking about the value of exercise and diet in prevention of chronic disease. I'm worried that the Time magazine article could discourage Americans from engaging in physical activity. We know from hundreds of scientific studies that physical activity is linked to good health. If more Americans engaged in exercise, over time we could save lives and health care dollars."

Those who exercise regularly are fitter, feel better about themselves, have less propensity for developing a chronic disease, and ultimately do lose weight. I was a fat kid with a bad stutter growing up. Exercise helped me lose weight while boosting my confidence and self-esteem. Exercise changed my whole life.

Cloud's article interweaves some of the positive outcomes of exercise but overall he has gone to great lengths to disavow the correlation between exercise and weight loss and in turn could provide couch potato Americans with one more excuse for sitting around instead of getting out and exercising. Not only is an "exercise doesn't work" mentality detrimental to adults, it will be disastrous for our children. Today's kids already have to be reminded to get off the computer, put down their handheld videogames and get outside and play. Suggesting that exercise will do nothing for weight loss could put the future health of our entire country in peril.

I'll give the last word on this subject to my friend Dan Broughton, pediatrician at the Mayo Clinic:

As I watch political leaders wrestle with how to improve the quality of care in this country and lower our overwhelming healthcare costs, it is clear that reasonable people from both sides of the aisle have different opinions on the best way to proceed. In contrast, medical professionals ALL agree that exercise, as part of a healthy lifestyle, improves one's health and lowers costs to the health care system. Americans should be encouraged to do more of it, not less. Of this there can be no debate.


Jake Steinfeld is the Chairman of the Governor's Council on Physical Fitness and Sports, a non-profit, non-partisan organization dedicated to promoting physical activity and fitness for all Californians especially children and youth.

 
 
 
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01:57 PM on 08/23/2009
FARMERS ABOUT TO RETIRE -- GREAT DANGER AHEAD

Not just retiring farmers, but anyone who does hard manual labor for a living, for research studies show an extremely high death rate the first few months after retiring from a high-labor job.

The biggest danger being that the body cannot store the excessive protean in a diet. And as the average American diet is 40% protein, the excess must be converted to fat or expelled from the body.

So eat nothing processed by man or animal, walk a half hour or more a day and fill up on water. Don't have to be a vegetarian to have good health, but must keep fat and protean below 10% of diet. A vegetarian being 80% complex carbohydrates, 10% protean and 10% fat. Average American diet being 10% complex carbohydrates 40% protein and 50% fat.
12:39 AM on 08/23/2009
I also thought the article was terrible. Not that it did not contain a lot of valid information. And yes, I realize that it is correct that if you eat a lot of junk food, no amount of exercise is going to slim you down. Fine. That could be covered in a paragraph. It is just simple common sense. But the fact remains, exercising WILL help you slim down, as long as you do not sabotage your efforts by eating too much crappy food. Further, the article did not discuss the key point, which is that you want to lose fat, not weight. What people are aiming for is a better ratio of fat mass to lean mass. If you just diet, without exercising, you will likely lose a lot of muscle along with the fat. You end up looking like a somewhat smaller, but still soft and flabby version of your heavier self. Exercise, in particular lifting, is the way you minimize the muscle loss. Even if it did not contribute to one extra pound of fat gone (which it surely will) this would make it essential for getting the results you want. And ladies, that includes you. As they say in the book New Rules of Lifting for Women," "Lift like a Man, look like a Goddess."
02:05 PM on 08/23/2009
Sitting down you burn up 60 calories and hour, brish walk about 130 calaries an hour. So a burger at Mc Donalds will cost you an 8 hour walk, unless you plan to get fat. Calories-in must equal calories-out or its stored as fat.
02:04 AM on 09/01/2009
Sure. But as I point out above, exercise does a lot more than burn calories. Nobody wants to lose "weight." They want to lose fat. Specifically, they want to change the ration of fat to lean mass in their bodies. Exercise, especially lifting, gives you body a reason to hang onto more muscle. If you just diet, you will lose a lot of muscle along with the fat..
12:10 AM on 08/21/2009
I read the article when it came out, but I'm pretty sure I recall Cloud avowing the many benefits of exercise for, inter alia, helping people to be "fitter, feel better about themselves, [and] have less propensity for developing a chronic disease ..." The only part of your quotation Cloud's article disagreed with was the end of that sentence "... and ultimately do lose weight." The claim was that there's some kind of compensatory mechanism which means that after expending energy during exercise there's a strong tendency to recoup it through eating fatty foods. I don't know if that claim is true, but Cloud did cite some apparently cogent evidence for it which I don't see you addressing. It also makes some evolutionary sense, to my mind at least. Maybe what Cloud said is true and the apparent outrage over his article is actually outrage over how he might be misinterpreted. Fair enough, that might be irresponsible on his part; but best to be clear about what the criticism is.
06:56 PM on 08/19/2009
Well said, Jake!! At a time when Healthcare Reform is the primary focus of both our leadership and the media, daily physical activity/exercise is the only "magic bullet" we have that research has demonstrated time and again to prevent hundreds of serious diseases, and insure better quality of life (and lower healthcare costs) for people of every age. The membership of our State organization, the California Association for Health, Physical Education, Recreation and Dance (CAHPERD), addresses daily the serious and growing health crisis of Childhood Obesity in California. Right now, approximately 30% of our children are seriously overweight or obese; of those children, 75% will grow into obese adults, with serious healthcare issues (including increased risk of heart disease, stroke, diabetes, etc.). However, this situation is completely preventable! While we can't control what children are fed in their households, we can encourage and support quality physical education and daily physical activity programs that allow them to burn off the calories that turn into fat. At the same time, we can teach them the skills that they can apply towards lifelong fitness and wellness. What's more, research also demonstrates that children that are active every day do better in school! Therefore, now is not the time to discourage exercise; as Jake emphasizes in his article, now is the time to increase it!
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KJLSanDiego
09:47 PM on 08/19/2009
well said drisha!
also, we sleep so much better if we get "worn out" both physically and mentally every day!
11:59 PM on 08/20/2009
Exactly right. I'd been up and down in weight for years and SO wanted to be slim, but it was depressingly difficult. That is until my motivation for wanting to lose changed from nice appearance to excellent health. Now, frankly, maintaining a trim weight is no problem for me. I don't want to do anything to change or spoil the healthy way I feel. Poor food choices do not appeal to me at all now, nor does sitting on the couch in front of the lobotomy box. The feeling of good health has no equal and I'm certain I will never be overweight again. Moderate exercise and relaxation activities have also been very fulfilling and not at all difficult because they make me feel so good.
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12:24 PM on 08/19/2009
I am one of those lucky people who LOVES to exercise, but I do it moderately, not obsessively. There's just something about getting up early and going for a walk or a run, or lifting weights, that makes my day that much better. 30 minutes daily working out intelligently is much better than over training and getting injured.
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David Campbell
09:29 AM on 08/19/2009
Those of us who exercise regularly -60 minutes daily-do not eat more but less. Why, I don't know. Probably because feeling "full" is uncomfortable for us. Feeling fit becomes a habit and we do not want to change it in any way. Many people at my athletic club ask me how I do it. My advice always is I do my one hour work out every day-NO DAYS OFF. That is the secret. If we want to change people's life style do not tell them 10 minutes here, ten minutes another day is fine. It isn't. The rule. 30 minutes aerobics every day minimum. Walking etc. 60 minutes. No excuses unless you are really ill or injured. What we must do is make this a requirement for every child in our schools. Make it a habit. I'm 77 years old. I take no medications, am 6' tall and weigh 156. No lunch. It is not needed. Most eating, I find, is social or from boredom and American restaurant portions are ridiculous. Eat an apple for lunch. Stop thinking about food and don't snack. It will become easy but is is not at the beginning.
09:09 AM on 08/19/2009
Oops... I meant being THIN
09:08 AM on 08/19/2009
I haven't read the article in TIME but somewhere along the way it has become the American way to be a fat lazy slob and proud of it. Exercise is about A LOT more than just being then. I'm a runner and hopefully will be until my last breath.
08:38 AM on 08/19/2009
Jake and others have missed the point of the Time magazine article. So much so, that I think I read a completely different article than what he described. The Time article never said exercise doesn´t work or isn´t helpful. Instead it focuses on a prevailing myth of exercise "earning" the right to eat junk food(Hence the title "The Myth of Exercise"). This article emphasized healthy eating, and did not de-emphasize exercise.

Also, the article concentrated on weight loss. It made a point to mention other health benefits of exercise like heart health, mental health, and bone health. However, exercise with poor eating choices will not result in weight loss. I thought this was common sense and anyone with some reading comprehension (or didn´t just read the cover) would understand this.
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Fred Hahn
Author, trainer.
08:30 AM on 08/19/2009
Cloud is actually quite correct on the fat loss issue. Research on the subject of exercise and fat loss supports his statements.

Gut reaction is to assume that he is saying that exercise is not good for us or that it provides no benefit. That is not what he said. The title of the article is "Why Exercise Won't Make You Thin."

From the ACSM:

“It is reasonable to assume that persons with relatively high daily energy expenditures would be less likely to gain weight over time, compared with those who have low energy expenditures. So far, data to support this hypothesis are not particularly compelling.”

Why?

Fat loss is not a numbers game. It is a hormonal game. Fat is not released from the fat cell because you burn calories doing exercise. No one loses fat without altering their diet and sticking to that alteration. And the specific alteration is a reduction in carbohydrates, not necessarily calories, which in turn reduces insulin secretion, which in turn allows the lipids to be released form the fat cell. That's the biochemistry. We don't get to vote on it.

Not wanting to make this comment too long, a thorough read of Gary Taubes' book Good Calories Bad Calories explains this in great detail.

Exercise cannot solve the problem of fat release from the fat cells. The key to the fat cell is not exercise, it's insulin.

As the late Carl Sagan said: "Science as a candle in the dark."
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dsws
No owning ideas. Limit only commercial use.
09:30 AM on 08/19/2009
Hey, you read the article. Isn't that cheating?

I'm not convinced that insulin is the key. There are so many feedbacks -- neural and immune as well as endocrine -- that there's no reason to expect that there will even necessarily be a single key. It may be that the obesity boom is the result of a combination of factors, and can only be reversed by changing more than one of the causative factors.

Carbohydrates are not all alike. Dietary lipids are not all alike. Adipose tissue is not all alike. Simple answers that assume otherwise should be viewed with skepticism.
02:16 PM on 08/19/2009
I used think that way too -- that it was complicated, that a single cause (insulin/carbs) couldn't be the primary cause, and so on. But after reading Taubes' "Good Calories, Bad Calories", I now agree with what Fred Hahn is saying here. I strongly recommend anyone interested in this subject read that book (warning: it is not light reading!), as I think it will change your mind on various aspects of nutrition, obesity, the diseases that comprise metabolic syndrome, etc.
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redsongia
is not Chicago
10:44 PM on 08/19/2009
If you eat alot of carbs and don't exercise, your blood sugar is always out of balance and you are hungry all the time. If you work out, you regulate your bloodsugar a great deal. You may get hungry when you are finally calorie deprived, but you won't be hungry all the time, like you are when your insulin is out of whack.

Also, if you give your body a little more protein after a workout, you will crave less calories overall. Eating a bag of chips doesn't provide you with the food you need to repair your muscles after strenous exercise, so if you eat chips after a work out, you'll likely feel an uncontrolable urge to eat the whole bag. If you eat a chicken breast salad, you'll become full quite quickly and soon you will be craving healthier food without even being tempted by a cookie.
05:42 AM on 08/19/2009
I've been an avid daily exerciser for years. Ran multiple races including a marathon. The day I ran the marathon, I was at my heaviest.

I could never understand why I could work out for hours daily and not be thin like my girlfriends at the gym. It wasn't until I got serious and took a hard look at my diet that I realized....duh, you can run 15 miles in a day but not get to eat two brownies. Sure, that's not really fair, but that's the way it is.

All he is saying in the article is that exercise alone won't to it. And many MANY women I know would work out at the gym thinking that they "earned" some extra food. Well, you can eat away the benefit of an hour on the ellipitical in 5 seconds of a chocolate chip cookie.

Truth is, I am at my thinnest and fittest now and I only workout 20-30 (albeit hardcore) minutes daily. To be thin, it's 90/10....90% diet, 10%food.
06:20 AM on 08/19/2009
Sorry....I meant 90% diet, 10% exercise. Whoops.
08:14 AM on 08/19/2009
I completely agree - to me the article was trying to get the point across that people shouldn't rely on just exercise to lose / maintain a healthy weight. Too many people, including myself in the past, fall in to the trap of believing that if they are exercising regularly they can eat whatever they want. The truth is that you need to get your diet right first, then complement healthy eating with regular exercise for the additional benefits it offers.

Although I do think that perhaps the article should have provided more emphasis on the benefits of exercise alone.
12:22 AM on 08/19/2009
I too, was really put off by the tone of that article. Exersize provides so many benefits but the article left one feeling that if a person is not going to lose a ton of weight by exersizing, why bother!?! Exersize is the essential foundation to a vital, healthy lifestyle, not something that should be undertaken only when one needs to shed pounds.
02:18 PM on 08/19/2009
While I agree that exercise provides many benefits -- as does the author of the Time article -- it simply is not correct that "exercise is teh essential foundation...". If anything is *the essential foundation* it is proper nutrition. As Fred Hahn suggested in an previous comment, read the book "Good Calories, Bad Calories" by Gary Taubes to learn more.
11:16 PM on 08/18/2009
I think you're twisting the meaning of the article completely. Cloud did affirm, several times, that exercise is good for your heart. This article is NOT against people who exercise or enjoy exercising, but people who mis-exercise. Cloud's just saying the the correlation between exercise and weight is a little more complicated than the average American would assume.

After reading all the comments....what is WRONG with you guys? Have you even fully comprehended the article? The misinterpretation here is just appalling. One of the very sentences in the article was along the lines of "next time I'll skip that muffin"....Cloud's article was a basic reinforcement of "no junk food", not "don't exercise". It's a great tip for those who lack the time to exercise at all, aka my own mom who is so weary from work that she eats dinner afterwards and goes straight to bed. Thin as a stick, however, because she moves around constantly and eats healthy food in moderate proportions.
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HUFFPOST BLOGGER
Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
10:34 PM on 08/18/2009
Hi Jake, We should talk as we are on the same page. These headlines sell and that is why they are out there. The headline, "If You Burn 200 Calories in Exercise and Eat a 400 Calorie Muffine To Reward Yourself, You Won't Lose Weight" isn't very catchy and yet that is what the article said. Check out this blog http://www.huffingtonpost.com/irene-rubaumkeller-/why-are-you-overweight_b_115268.html. Good work. Let's keep up the good fight.
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HUFFPOST BLOGGER
Fred Hahn
Author, trainer.
10:00 AM on 08/20/2009
Irene -

With all due respect, I think you need to re-read Cloud's article. He is NOT saying people shouldn't exercise. He is saying that exercise won't make you thin if you are overfat and it won't.

Obesity is a disorder of excess fat accumulation. We accumulate excess fat when calories get stored as fat instead of being used for fuel. This happens when the hormone insulin is over secreted and when we are insulin insensitive which happens when we eat too many carbohydrates. Obesity is virtually impossible on a low carbohydrate (under 60 grams) diet. A calorie is not necessarily a calorie. The 2nd law of thermodynamics helps us to understand this.

My blog post explains this in great detail: http://www.huffingtonpost.com/fred-hahn/how-emdoem-we-become-fat_b_250233.html

Cheers!
09:45 PM on 08/18/2009
Very well stated Jake. I wouldn't be surprised if Mr. John Cloud moonlights as a lobbyist for the pharmaceutical companies.
11:18 PM on 08/18/2009
that's ridiculous. "Eat well, eat well, eat well" is hardly an advocation for any type of drugs.