Fourteen months ago I started a serious weight loss program that successfully transitioned into a weight maintenance program about three months ago. Along with the weight loss and the associated benefits and problems that come with that, many questions presented themselves and finding answers and new questions has been a rich experience.
Some of the high points have been learning that, at least for me, losing the weight was much easier than maintaining it. It turns out this is generally true and most diets end in failure. Specialists in the field are not joking when they say “the best way to gain weight is to go on a diet.” Why this is happens to be a rich area of academic study. The general explanation most people use is the body needs less energy due to less weight to support, lower muscle mass, and a shifted metabolism. But why does the urge to eat more than what the body needs at its new weight exist? Is this relate to “plateauing” in weight loss? What are the biochemical signaling links? Why is this predominately unidirectional (why is it that underweight people are usually more successful gaining and keeping weight)? How much of this is genetic? How much is epigenetic? ...
Curiously the exact energy available to us in food is only approximate. Calorie charts must be viewed with a bit of skepticism, but they are still essential for tracking and it isn't terribly important that their listing may not match what your body is really doing - especially when what you eat doesn't dramatically shift. You can learn to deal with the bias. The same is true - but even more so - for exercise. You can infer some of these relationships and adjust your calculations, like the Caloric calculations, with a weighting coefficient. If you aren't into this sort of detail just adjust your intake downwards and/or increase your exercise if you are slowly gaining with time.
There are a pile of open questions and research is only beginning to probe some of them. Of course a magic bullet would be worth billions to the drug companies and many of them have tried to crack the problem with no luck. The diet business is filled with pseudoscience and terrible nutrition advice. Some of it may be good, some is neutral but doesn’t cause harm, and some of it is downright dangerous. The best paths - and the best segments of the population - for dealing with the epidemic of obesity still are unclear, although prevention is probably the cheapest and most effective option at this point.
The fundamentals of controlling weight for someone who has never been overweight are well known, but the current level of inactivity coupled with the easy availability of low quality good make this difficult. You would think children are important and in need of protection, but there are no signs they are well protected from this epidemic which seems to be lowering projected adult life spans in many countries.
In theory it is easy - eat good food, but don’t overeat, and get enough exercise. Sadly that is impossible for the majority of the population.
I’ve been overweight so I have to fight signals that my body is sending to return to a higher weight. This means I have to monitor my activity and food intake. Doing this isn’t too difficult with a little software assist as well as exercise coaching from a friend - basically I’m using techniques similar to those I used to lose weight, but with a different target on my daily energy balance. There are indications that the best techniques for losing weight and maintenance are somewhat different.1 I keep a daily journal, but don’t worry about being a few hundred Calories over target here and there as long as I can cancel that excess from other days - I try to have a weekly balance where my energy intake minus my energy expenditure are equal to my energy need. Setting goals and giving myself rewards also seems to work for me.
To help with self-motivation I’m going to post the last nine months of my weight chart every few months. It will be embarrassing to record a gain. For background my doctor suggests the ideal weight given my height, age and bone structure is somewhere around 155 pound - conveniently close to the 70 kg assumption for a standard human used in many medical calculations. He initially asked me to drop to something under 170.
There could be some tools to make this easier and I’ll probably write one for my specific case. I found it important to understand my regular daily energy requirement without extra exercise and had to extract that from my daily logs. The number I come up with is about five percent lower than the standard medical calculations suggest and are probably related to a shifted metabolism. Very interesting stuff!
Currently I’m experimenting on when I should be eating to feel most satiated. Earlier experimenting showed that taking my time to eat was important - one must learn to savor food, which has a real benefit of encouraging you to learn to become a better cook. I suspect this is unlikely to generalize, but it is clearly useful for me if I’m to get to a point where I don’t have to monitor as much as I do. In talking with some experts at Yale and the University of Toronto I’m coming to the realization that people who are successful in holding a proper weight after a significant weight loss (over 10% of their weight) need to be vigilant for at least a decade and possibly much longer before the body readjusts.
In the meantime I’ve learned that one needs to have quality food and real treats at times - as long as you don’t overdo it. So there is no reason why you can’t make some delicious things. I can recommend Talenti gelato for example:-)
So apologies for something this personal and narrowly focused, but I suspect some of you have this issue or have family members who are trying to get to and maintain a healthy weight. If so I strongly recommend using it as a learning experience and be able to sort out all of the snake oil.2 Informed common sense is very important in this game. Just remember - losing weight isn’t easy, but is much easier than keeping it off.
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1 My physician was very impressed with the success of my weight loss program. The core learnings I had were I needed exercise and Caloric restriction - neither was sufficient by itself, although food restriction is much easier than enough exercise. A nonjudgmental exercise coach was very important. I would not have had the motivation without her help. Support from family and friends was also very important. Being a vegetarian probably helps as does cooking most of your own food. Weight has to come off slowly - nothing faster than 3% month or you will probably fail. And finally you have to let yourself eat healthy and delicious food - it isn't worth the effort if you are eating cardboard.
Note there is evidence long term success in keeping weight off is different from weight loss - here is an interesting resource. (pdf)
Then they looked for patterns among what successful losers do and patterns among what successful maintainers do. And they found significant differences. For example, people who exercised consistently or ate plenty of lean protein were almost twice as likely to succeed in weight maintenance. People who engaged in a variety of exercise activities or planned their meals ahead were about two and a half times as likely to lose weight.
For losers, the most statistically significant behaviors:
- Eating a lot of fruits or vegetables
- Eating healthy snacks
- Limiting the amount of carbohydrates eaten
- Controlling portions
- Doing different exercise types
For maintainers, the most statistically significant successful:
- Eating a lot of low-fat protein
- Following a consistent exercise routine
- Reminding yourself of the need of controlling weight
There was only one behavior highly significant among both losers and maintainers:
- Thinking about how much progress you’ve made
- Participate in a weight loss program
- Look for information about weight loss, nutrition, or exercise
- Eat healthy snacks
- Limit sugar
- Plan your meals and snacks ahead of time
- Avoid skipping meals - especially breakfast
- Do variety of exercise types
- Do exercises you enjoy
- Think about how much better you feel when you are thinner
- Eat a lot of low-fat high protein foods
- Follow a consistent exercise routine
- Reward yourself for maintaining your weight
- Remind yourself why you need to control your weight
- Journal what you eat and how much you exercise
A rich source of scientific work in this area is the open access Journal of Obesity.
2 The pseudoscience associated with the diet and nutrition industry is awful. It turns out weight loss isn't difficult using any number of techniques, but few are effective in the long term and some are unsafe. ping me if you ever want more information..
rules of thumb and approximations
An aspiring chef was taking about some of the rules of thumb she is learning
° to tear Saran Wrap, put your thumb on the W of the box
° for potato salad use one and a half medium potatoes and an egg per person
° good popcorn pops to 33 cups for every cup of seeds
° use a third the amount of a dried herb to replace its fresh version
° food cost is usually about 25% to 30% of sales
° drive through sales are 40% to 50% of a fast food restaurant's business
° hamburger should be cooked to at least 155° F
° for catering you should have a half pound of uncooked meat and three quarters of a pound of side dishes per person
° leave the oven door cracked open when broiling in an electric oven, closed when using gas
° ...
I mentioned a calendar trick and, without effort, dozens come to mind:
° In any calendar year 4/4, 6/6, 8/8, 10/10 and 12/12 will fall on the same weekday - Wednesday for 2012...
° An average adult of normal weight requires about 100 watts of power from food
° skeletal muscle is about 20% efficient
° a car with an internal combustion engine radiates about three quarters of the energy in the gasoline it burns as waste heat
° a person on a bicycle is about three times as efficient as someone who is just walking
° the average adult male in good physical shape should be able to provide a kilowatt-hour of physical work in a day.
° the average home uses about one kilowatt of power
° the average nuclear power plant generates about a billion watts of power - so it can run the homes in a city with a million residents (San Diego is very close to this)
° electric motors are about 90% efficient
° a pound of fat is equivalent to about 3,500 Calories
° fat, pound for pound, has a similar amount of energy as gasoline
° losing more than three percent of your weight per month in a diet is medically dangerous
° fewer than five percent of dieters are at or below their starting weight two years later (the surest way to gain weight is to go on a diet)
° there are about Pi * 107 seconds in a year and about 8,800 hours in a year
° it takes about an acre of land to feed a person
° getting your energy from beef requires about ten times as much plant energy as just eating the plants
° about 1000 watts of solar power per meter makes it to the ground with the Sun directly overheat on a perfectly clear day
° molecules in an ideal gas at room temperature have an average kinetic energy of about 1/40th of an electron volt.
° digital music needs to be sampled at least at twice its highest frequency
° when estimating angular widths stretch your arm out: your finger tip is about 1°; the distance across your index, middle and ring fingers is about 5°; your fist 10°; the space between your outstretched pinky and index finger 15°, and the span between your outstretched thumb and index finger is about 25°
° the angular size of the sun and moon are both about a half degree
Any field will have rules of thumb for quickly making approximations with very little work. You can probably list a few dozen with five minutes of reflection (if you have some interesting ones add them as comments).
The etymology of the term is hazy, but the sources I've seen either relate it to an approximation for length based on the thumb (inch and thumb are commonly linked in European languages) or for some agricultural purpose like the depth for planting seeds.
I find it useful to make many back of the envelope calculations as I come to grips with a problem. There are a lot of tricks - units analysis (which tells you mc2 has the units of energy, mc3 or mc don't. Many calculations are speeded along with drawings for visualization and approximations for doing mental or back of the envelope math. I'm a big fan of slide rules. Learning to use one gives you a natural sense of what a logarithm is. You had to know roughly what the answer might be and keep track of the order of magnitude in your head. I was banned from using mine when invited to some corporate strategy sessions at a big telecom that I used to work for -- I was out-calculating the guys who were using laptops (they often got their answers wrong to 8 significant decimal places) and it was somehow wrong to have a researcher doing that... I recommend learning how to use one if you want a more intimate relationship with back of the envelop calculations.
There is probably a lot of information about any field embedded in its rules of thumb and how they change with time.
Posted at 03:22 PM in building insight, critical thinking, general comments | Permalink | Comments (1)
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