The more you exercise, the less diet matters

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My new Sweat Science columns are being published at www.outsideonline.com/sweatscience. Also check out my new book, THE EXPLORER'S GENE: Why We Seek Big Challenges, New Flavors, and the Blank Spots on the Map, published in March 2025.

- Alex Hutchinson (@sweatscience)

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This week’s Jockology column in the Globe and Mail takes a closer look at some new results (which I blogged about back in April) from the long-running National Runners’ Health Study:

At a public debate in May on the relative importance of exercise and diet in battling obesity, Yoni Freedhoff began his opening arguments with some basic physics.

“There’s no debate about whether the laws of thermodynamics exist,” said Dr. Freedhoff, the medical director of the Bariatric Medical Institute in Ottawa. Energy can’t be created or destroyed, so weight loss ultimately depends on burning more calories than you consume. But which side of that equation should you focus on? [READ THE FULL ARTICLE]

The basic finding of the new study is that the more you exercise, the weaker the link between diet and weight. I exchanged a few e-mails with Yoni Freedhoff (of Weighty Matters fame) about this idea, and his initial reaction was that the findings could be interpreted as simply the result of calories burned while running. After all, running 8 km per day (as the “top” group in the analysis does) burns quite a few calories. I tend to think that there’s more going on here (as I explain in the article), but I’d certainly be interested in hearing what others think. Am I making too big a deal about something that’s completely obvious?

Is strength training really better than cardio for weight loss?

THANK YOU FOR VISITING SWEATSCIENCE.COM!

My new Sweat Science columns are being published at www.outsideonline.com/sweatscience. Also check out my new book, THE EXPLORER'S GENE: Why We Seek Big Challenges, New Flavors, and the Blank Spots on the Map, published in March 2025.

- Alex Hutchinson (@sweatscience)

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I did a radio interview today with Angela Kokott on QR77 in Calgary, and one of the questions we discussed was the perennial claim that lifting weights is better than aerobic exercise for burning calories. It’s a claim that isn’t totally crazy — even the most recent American College of Sports Medicine position stand on weight loss reverses earlier stands by acknowledging the possibility that resistance training could contribute to weight loss by elevating resting metabolic rate, increasing fat oxidation, and making people more active generally. Here’s the funky flowchart they use to illustrate this process:

Still, the “evidence statement” endorsed by the position stand is: “Resistance training will not promote clinically significant weight loss.” In other words, it’s a nice theory, but the studies of actual people losing weight don’t back it up.

The reason I bring this up is that James Fell has a good article in the Los Angeles Times that tackles this topic — in particular, taking on the oft-repeated whopper that every pound of muscle burns an extra 50 calories a day. He turns to Claude Bouchard of Pennington Biomedical Research Center, who offers the following breakdown of resting metabolic rate (RMR):

Brain function makes up close to 20% of RMR. Next is the heart, which is beating all the time and accounts for another 15-20%. The liver, which also functions at rest, contributes another 15-20%. Then you have the kidneys and lungs and other tissues, so what remains is muscle, contributing only 20-25% of total resting metabolism.

The punchline, according to Bouchard: a pound of muscle burns about six calories a day while a pound of fat burns two calories a day. Don’t get me wrong: strength training is great for many reasons, and I certainly encourage everyone (including, reluctantly, myself) to do some. But it’s not a miracle weight-loss technique.

The more you run, the less your diet affects your weight

THANK YOU FOR VISITING SWEATSCIENCE.COM!

My new Sweat Science columns are being published at www.outsideonline.com/sweatscience. Also check out my new book, THE EXPLORER'S GENE: Why We Seek Big Challenges, New Flavors, and the Blank Spots on the Map, published in March 2025.

- Alex Hutchinson (@sweatscience)

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Another month, another neat paper from Paul Williams’ prolific National Runners’ Health Study, online at Medicine & Science in Sports & Exercise. With his sample of >100,000 runners, Williams took two well-established correlations — those who eat more meat tend to weigh more, as do those who eat less fruit — and checked to see whether these links between diet and weight were affected by how much exercise the subjects did.

The first thing to emphasize: don’t get hung up on whether or why meat and fruits are “good” or “bad.” That’s not what this study is about. It’s just a cross-sectional study, so individual dietary markers (like meat and fruit consumption) may simply be markers of other behaviours. But whatever the reason for these correlations, they’re well established. The question is: if you do lots of exercise, are you less likely to get fat from whatever dietary patterns are associated with high meat and low fruit intake?

The answer is yes:

Specifically, compared to running < 2 km/d, running >8 km/d reduced the apparent BMI increase per serving of meat by 43% in men and 55% in women, and reduced the apparent BMI reduction per serving of fruit by 86% in men and 94% in women.

Williams suggests two possible explanations for this effect:

  • Aerobic exercise trains your body to burn a higher percentage of fat rather than carbohydrate for fuel. In contrast, people who burn a lower percentage of fat compared to carbohydrate are thought to be at higher risk of gaining weight.
  • Exercise improves “coupling between energy intake and expenditure.” In effect, researchers have found that people who exercise more tend to develop stronger appetite cues that tell them when they’re hungry or full. There have been some neat studies of this, where subjects were fed “disguised” drinks that had either high or low energy content. As a later meal, regular exercisers unconsciously adjusted by eating more or less (depending on which drink they’d received) compared to sedentary people.

So why is this important? It goes back to the never-ending “diet versus exercise” debate for weight loss, a false dichotomy if there ever was one. Williams notes that a recent review of epidemiological studies looking for links between reported levels of physical activity and prospective weight gain concluded that they “generally failed” to show any links. This contrasts sharply with Williams’ own findings, which clearly show that “running attenuates age-related weight gain prospectively in proportion to the exercise dose, and that increasing and decreasing exercise produces reciprocal changes in body weight.” He speculates that the difference arises because running is relatively vigorous. It’s also easy to quantify compared to vague epidemiological studies that have subjects estimate how much time they spend playing soccer or mowing the lawn, at what subjective level of effort.

Whatever the mechanism, it’s a good reminder that exercise can play a role in weight control. It certainly doesn’t give you a free pass on your diet — but if you do enough, it seems to give you a little more wiggle room.

Skipping breakfast leads to lead poisoining?

THANK YOU FOR VISITING SWEATSCIENCE.COM!

My new Sweat Science columns are being published at www.outsideonline.com/sweatscience. Also check out my new book, THE EXPLORER'S GENE: Why We Seek Big Challenges, New Flavors, and the Blank Spots on the Map, published in March 2025.

- Alex Hutchinson (@sweatscience)

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A few months ago, I blogged about the controversy surrounding whether eating breakfast is a good strategy for people trying to lose weight. I (along with expert clinicians like Yoni Freedhoff) am in the pro-breakfast camp, but a few readers offered well-supported arguments against breakfast.

So I’ve been biding my time since then, waiting for a slam-dunk argument — and now I’ve got it! A new study in the journal Environmental Health looked at blood levels of lead in a group of 1,344 children in China. Apparently, it has been shown previously that fasting increases the rate of lead absorption in the gastrointestinal tract. So if you don’t eat breakfast, this daily mini-fast could cause your body to absorb more lead into the bloodstream. Sure enough, after controlling for factors like age and gender, the study found that regular breakfast-eaters (as reported by their parents) had 15% less lead in their blood than regular breakfast skippers.

In all seriousness, this is unlikely to be relevant to anyone who doesn’t have lead paint on their walls or a toy-box full of lead toys. I just thought it was interesting — and it does show that eating patterns and timing do affect how your body processes the food (and heavy metals) that pass through your gut. Overall, the research on breakfast and weight control is still pretty muddled and conflicting. I remain pro-breakfast, but I realize this study isn’t going to win anyone over!

UPDATE April 8: Perfect timing: I just noticed that Peter Janiszewski over at Obesity Panacea has a post on a new prospective study showing that breakfast-skippers aren’t just heavier in a cross-sectional analysis, but also tended to gain the most weight after a two-year follow-up. Still suffers from the same flaws as any non-randomized trial (i.e. the skippers could be the ones who are already battling weight problems), but an interesting finding nonetheless.

Wait, maybe thermostat settings really do affect weight

THANK YOU FOR VISITING SWEATSCIENCE.COM!

My new Sweat Science columns are being published at www.outsideonline.com/sweatscience. Also check out my new book, THE EXPLORER'S GENE: Why We Seek Big Challenges, New Flavors, and the Blank Spots on the Map, published in March 2025.

- Alex Hutchinson (@sweatscience)

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I can’t resist posting this follow-up to last month’s discussion of a paper proposing that one of the reasons we’re getting fatter is that we heat our houses too much. Where’s the evidence, you demanded? Ask and you shall receive…

Peter Janiszewski over at Obesity Panacea recently had an interesting post describing a prospective study that followed 1,597 people for six years, looking for “relatively unexplored” factors that might predict who becomes obese and who doesn’t. One of the factors they looked at was the temperature people kept their homes at:

[A] twofold increased risk for both incident obesity and hyperglycemia was estimated in subjects living at an indoor temperature >20 C.

While there are all sorts of cause-and-effect questions to worry about, I should point out that the 315 people who were obese at the start of study weren’t included in the analysis of what caused obesity; similarly, the 618 people who started with hyperglycemia were excluded from the analysis of what caused hyperglycemia. So it wasn’t just that people who are already obese prefer warmer temperatures (which would be the opposite of what I’d naively expect anyway).

Of course, I should include the disclaimer from the paper:

It might be hypothesized that metabolic processes are favorably affected by an ambient temperature within the thermal neutral zone, that is, not requiring energy expenditure to be allocated to maintaining a constant body temperature. However, no evidence exists to support this and socioeconomic factors might confound these associations.

As Peter noted (rather forcefully!) in his blog post, this idea is way out there on the fringe. And no one, including me, is suggesting that it’s a dominant factor in causing obesity. But perhaps it’s actually worth considering as one of the elements in an “obesogenic environment.”