Maximum Wellness

Episode 73: Exercise for Weight Loss: Further Evaluating Energy Compensation with Exercise

November 18, 2020 Mackie Shilstone Season 1 Episode 73
Maximum Wellness
Episode 73: Exercise for Weight Loss: Further Evaluating Energy Compensation with Exercise
Show Notes

 In 2005, with the publication of my book, The Fat Burning Bible (John Wiley & sons), I called for at least 300 minutes of weekly exercise to reduce excess scale weight and body fat. That’s in spite of current recommendations, which states that exercise programs should exceed 225 weekly minutes to induce clinically significant weight loss.

Now, my recommendation has found merit with research –"Exercise for Weight Loss: Further Evaluating Energy Compensation with Exercise" – which appeared in the November 2020 issue of Medicine & Science in Sports & Exercise.

The University of Kentucky study authors suggest that it will take in excess of 300 minute per week of exercise to overcome the approximate 1000 calories per week compensatory response that accompanies exercise.

“The lack of weight loss success with exercise is due to compensatory responses counteracting the negative energy balance created by exercise to maintain homeostasis, thereby alleviating the energy deficit required for weight loss.”

Maintaining energy balance, note the researchers, “can be viewed, as an evolutionarily conserved mechanism in place to retain bodily energy stores and reproductive function, a useful survival strategy in times of famine.”

Several reasons for the post-exercise compensation effect include an increased food intake stimulated by a need to have calories in to exceed calories expended, and hormone regulators – acylated ghrelin, peptide YY, insulin, leptin (after eating or fasting) – that regulate hunger.

Of specific note, are ghrelin – the hunger hormone produced by cells of the gastrointestinal tract - specifically the stomach, which increases food intake (stomach growl) and leptin – a hormone secreted by fat cells and enterocytes in the small intestine that regulate energy balance and inhibits hunger.

It appears that obese individuals can experience leptin resistance – a situation that makes them non-responsive to the fullness effect or satiety after food consumption.

To back up their exercise duration recommendations, the study authors employed a three-arm, randomized, controlled trial among sedentary adults between the ages of 18 to 40 – with a body mass index of 25 (overweight) to 35 (obese) to assess how individuals compensate for energy expended during a 12-wk aerobic exercise intervention – explaining the  potential mechanisms and the role exercise dose plays in the compensatory response.

 The 44 final study participants (32 women) were assessed, after a medical history, physical, and diet and exercise history, along with other relevant tests - as to their rate of exercise energy expenditure, which was calculated from a graded exercise test averaged across five heart rate (HR) zones – zone 1, 50-59% of heart rate reserve (HRR), zone 2, 60-69%, zone 3, 70-79%, zone 4, 80-89% and zone 5, 90% or greater. The heart rate zones were calculated – based on the Karvonen formula, (220-age) – resting heart rate (RHR) x a high and low zone percent + resting heart rate.

 The energy compensation effect was calculated, as the difference between expected weight loss (based on exercise energy expenditure) and changes in fat and fat-free mass (DXA Scan).

Resting energy expenditure (REE) was assessed via indirect calorimetry, while concentrations of acylated ghrelin, leptin, insulin, and glucagon-like peptide 1 (GLP-1) were assessed fasting and postprandial (six timepoints over 2 hours.)

Read the rest on MackieShilstone.com

Photo credit: Jacob Lund / stock.adobe.com