Darren Dale

FOOD, STRENUOUS EXERCISE, AND SLEEP

Resolving what to eat these holidays

For many people, the holiday season brings resolutions to eat better and to exercise more. Up until a few months ago, implementing these resolutions was straightforward: consume less calories, particularly fat calories, and begin (or increase) the workout program experts recommend.

Then Gary Taubes' book was published. Good Calories, Bad Calories: Challenging the Conventional Wisdom on Diet, Weight Control, and Disease has produced an avalanche of media attention, much of it applauding the well-written, extensively researched treatise on diet and health.

Taubes' primary contention is not new: high-fat diets are not responsible for obesity and chronic diseases such as diabetes and heart disease. Indeed, Taubes asserts there is nothing particularly insidious about high-fat diets. He suggests butter and meats can be eaten at will.

According to Taubes, the real villains in the fattening of the American waistline are carbohydrates. Throughout the book he seems akin to a tenacious prosecutor determined to implicate carbohydrates for the crime of the rising incidence of obesity. Personally, I think he fails to make his case. The insulin-glucose response mechanism he puts forward to explain how carbohydrates make us fat is oversimplified. He also ignores decades of research confirming the benefits of high-carbohydrate diet for serious exercisers and elite athletes.

Readers are encouraged to read a heated exchange between Taubes and Michael Fumento at reasononlline.com. This debate took place following the publication of Taubes' "What if it's all been a big fat lie?" in the New York Times Magazine in 2002.

Does exercise make us thinner?

In late 2007 Gary Taubes wrote an article for the New York magazine entitled The Scientist and the Stairmaster. The article is adapted from Good Calories Bad Calories (the topic in this month's article) and focuses on arguing that exercise will not help with weight loss (The byline in the title is "Why most of us believe exercise makes us thinner - and why we're wrong").

Essentially Taubes' point is this: exercise fails in helping weight loss because if you exercise more you tend to eat more, thus nullifying the energy expenditure benefits from exercise. I don't find Taubes' argument compelling. In fact he seems to contradict his entire argument when he writes in his concluding sentence: "Maybe it's because we eat foods that fatten us that the workout becomes a necessity." Exactly. Exercise is a necessity. It counteracts and can reverse the influence of the foods that fatten us.

Is strenuous exercise a health risk?

A student of mine recently asked whether exercise could endanger your health. The first thing that came to mind was the tragic occurrences of sudden death in athletes. There is a website devoted to this topic. The site contains information on the causes of sudden death in young athletes, the incidence and prevalence, and the proposed mechanisms. There is certainly no definitive statement suggesting individuals avoid exercise: indeed, the Healthy People 2010 initiative is cited advocating the importance of regular physical activity for good health. However, a note of caution is expressed in commentary about serious exercisers and a condition known as "athlete’s heart:" "While firm evidence is presently lacking, one cannot exclude with certainty that such extreme ventricular remodeling due to intense conditioning may have adverse consequences over long time periods."

In 2007, The American College of Sports Medicine (ACSM) published a position paper clarifying the potential dangers of exercise - Exercise and Acute Cardiovascular Events: Placing the Risks into Perspective. The ACSM report concludes "physical activity decreases the risk of" potential cardiovascular problems and that "the benefits of physical activity outweigh the risk." Of note, the report does provide important recommendations for populations of people for whom vigorous exercise might be potentially dangerous.

The health of young athletes

Although not usually life threatening, sport and exercise participation can cause serious (and not so serious) health problems - especially for young people. In June of 2007, The American Academy of Pediatrics (AAP) released a clinical report entitled Overuse Injuries, Overtraining, and Burnout in Child and Adolescent Athletes. The report is essential reading for coaches, especially those involved in sports requiring high-repetition vigorous training: baseball throwing, tennis, dancing, gymnastics, and swimming.

It documents various health problems that can arise from prescribing sports training programs that are too demanding for young people. An earlier report from the AAP in 2000 - Intensive Training and Sport Specialization in Young Athletes - made a strong case against children specializing in sports at an early age. "Young athletes who specialize in just one sport may be denied the benefits of varied activity while facing additional physical, physiologic, and psychologic demands from intense training and competition."

Is marathon running bad for your health?

One specific area of inquiry into potential harm from exercise involves children's participation in marathon running. The journal Pediatric Exercise Science (subscription required) convened a roundtable of experts to comment on the potential harmful effects of children training and competing in marathons. A consensus was not reached.

A more blunt assessment on the merits of participating in marathons comes from a retired professor of economics. Art De Vany has a website listing 10 reasons why children (and adults) should not run marathons. It is an interesting read and includes comments by visitors to the site - some responses are in agreement, others are against De Vany's views.

Evolutionary fitness

Perhaps more stimulating than his comments on marathon running is the 27-page essay Evolutionary Fitness written by De Vany. The essay is a terrific read, challenging the wisdom behind conventional ways to exercise for good health.

Chronic lack of sleep in children may have long term adverse effects on cognition, emotion, and body weight

Anybody who has suffered from a few days of little or no sleep can testify to feeling lousy - irritable, stressed, and unable to concentrate. A recent article in the New York Magazine by journalist Po Bronson comments on research that speculates on the harm caused by chronic lack of sleep* in children. Bronson writes: "The surprise is how much sleep affects academic performance and emotional stability, as well as phenomena that we assumed to be entirely unrelated, such as the international obesity epidemic and the rise of Attention Deficit Hyperactivity Disorder."

* comment by webmaster: This is an exceptionally good article. If you can't read this right away, you should bookmark it for later reading.

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