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Weight

How important is exercise in weight reduction?
Exercise will help you to lose weight because it burns calories. In addition to burning calories, exercise
builds muscle, which burns more calories than fat and requires more calories to maintain.
Exercise has many benefits, including building and toning muscle, strengthening the cardiovascular
system, and helping with relaxation (alleviates stress and promotes sleep). Aerobic exercise (jogging,
swimming, cycling, walking, aerobics) increases your heart rate and helps burn calories. When losing
weight, exercise will help you lose more body fat than muscle mass. Calorie reduction alone, without
exercise, will result in both muscle and fat loss.

How do I cut back on my calories to lose weight?
General guidelines suggest that to lose weight safely, lose 1/2 to 1 pound per week. One pound of fat has
3,500 calories. If you cut back by 500 calories per day, you can lose one pound of fat in one week. In
addition to cutting calories, burn more calories each day with exercise. For example, by cutting back on
300 calories of food each day, and burning an extra 200 calories with aerobic exercise, you could expect
to lose about a pound a week.

How many calories do I need a day?
The following is one way to estimate your calorie needs for a day. Many ways of determining calorie needs
exist, and individual needs vary. A registered dietitian can offer you a more individualised, accurate
estimate.

  • Multiply your target weight by 10. This is an estimate of the calories you need for basic metabolic
    functions (enough energy for breathing, sleeping, etc.).
  • Add to the number just calculated one of the following activity factors. (Pick the range that fits
    your lifestyle on a day to day basis):
  • Sedentary: Add 300 (limited exercise if any; i.e. reading a book, watching TV, driving a car,
    shopping, and light walking).
  • Moderately Active: Add 500 (light activity; i.e. walking, fishing, golfing, pleasure cycling, dancing,
    calisthenics, and volleyball).
  • Extremely Active: Add 700 (extremely active; i.e. jogging, running, football, basketball, swimming,
    scuba, and cross country skiing).

Why don't I lose weight when I reduce calories without exercise?
When you reduce calories without exercising, the body will lose fat as well as muscle. While restricting
calories, you will lose weight. However, once you go back to a normal pattern of eating, the weight will
often come back on with perhaps some additional weight. The reason the weight comes back on is
because you may have lost muscle. Muscle burns more calories than fat; therefore, when you go back to
an increased level of calories, your body does not require them for energy. Therefore, excess calories are
converted to fat.

Will I eat more if I exercise?
Researchers have found that immediately following exercise, appetite actually decreases. Including
exercise in your daily routine, may increase your food intake to some degree. However, the calories that
you burn while exercising can compensate for the increased food intake.  Making healthy food choices is
one way to counter-balance this.

Why do diets fail?
Often, one-third to two-thirds of weight lost, is gained back within one year, and almost all is regained
within five years. Only five percent of people who go on a "diet" actually lose weight and keep the weight
off. The best advice is to never go on a "diet," which implies that it is something you start and stop, or go
on and go off. The best way to lose weight and keep it off is to slowly change your eating and exercise
habits.  Also, most diets do not work because they are not incorporated into a person's lifestyle. Often
people lose weight on a fad diet. Once the weight is lost they usually return to their previous lifestyle and
regain the weight.

Why do some people regain more weight after a diet than others?
Often, diets are focused on quick weight loss rather than a gradual weight loss. A drastic reduction in
calories to a low calorie diet (i.e. from 2,500 calories to 1,200 calories) without exercise, will contribute to
a loss of a lot of muscle mass and some fat. Do not subtract more than a third of your calories to lose
weight (this will result in loss of muscle). Losing weight, whether it is fat or muscle, will show a weight loss
on the weighing-scale.

What is a calorie?
A calorie is a unit used to express the heat or energy value of food. Calorie needs vary from person to
person. Factors influencing your particular needs include: activity level, gender, body composition, health
status, and metabolic rate.

Calories are obtained from three nutrients:
  • Carbohydrates (four calories per gram). A few sources include breads, cereals, pasta, corn,
    potatoes, and fruits.
  • Proteins (four calories per gram). Some sources include meat, nuts, and cheese.
  • Fats (nine calories per gram). Sources include butter, salad dressing and bacon.

Why is it important to control calories?
When you consume more calories than your body needs, then you will gain weight. If calorie intake equals
calories used, you will maintain your weight. If calorie intake is less than calories used, weight loss will
occur.

Weight gain can lead to obesity. Obesity is a serious health concern that severely decreases the quality of
life for many people. Moderate weight loss (10-15% of body weight) decreases health risks and medical
problems in 90% of obese patients.

Obesity is associated with an increased risk for:
  • Cancer
  • High cholesterol levels
  • Coronary heart disease
  • Hypertension
  • Diabetes
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Eating Disorders
The practice of an eating disorder can be viewed as a survival mechanism. Just as an alcoholic uses
alcohol to cope, a person with an eating disorder can use eating, purging or restricting to deal with their
problems. Some of the underlying issues that are associated with an eating disorder include low self-
esteem, depression, feelings of loss of control, feelings of worthlessness, identity concerns, family
communication problems and an inability to cope with emotions. The practice of an eating disorder may
be an expression of something that the eating disordered individual has found no other way of expressing.

Eating disorders are usually divided into three categories:
  • Anorexia Nervosa
  • Bulimia Nervosa
  • Compulsive Overeating

Anorexia Nervosa
Anorexia is a disorder where the main characteristic is the restriction of food and the refusal to maintain a
minimal normal body weight. Any actual gain or even perceived gain of weight is met with intense fear by
the Anorexic. Not only is there a true feeling of fear, but also once in the grasp of the disorder, Anorexics
experience body image distortions. Those areas of the body usually representing maturity or sexuality
including the buttocks, hips, thighs and breast are visualised by the Anorexic as being fat. For some
Anorexics, weight loss is so severe that the menstrual cycle can be interrupted. In the obsessive pursuit of
thinness, Anorexics participate in restrictive dieting, compulsive exercise, and laxative and diuretic abuse.
If Anorexia Nervosa is left untreated, it can be fatal.

Bulimia Nervosa
Bulimics are caught in the devastating and addictive binge-purge cycle. The Bulimic eats compulsively
and then purges through self-induced vomiting, use of laxatives, diuretics, strict diets, fasts, vigorous
exercise, or other compensatory behaviors to prevent weight gain. Binges usually consist of the
consumption of large amounts of food in a short period of time. Binge eating usually occurs in secret.
Bulimics, like Anorexics, are also obsessively involved with their body shape and weight. The medical
complications of the binge-purge cycle can be severe, and like Anorexia, can be fatal.

Compulsive Overeating
Compulsive overeaters are often caught in the vicious cycle of binge eating and depression. They often
use food as a coping mechanism to deal with their feelings. Binge eating temporarily relieves the stress of
these feelings, but is unfortunately followed by feelings of guilt, shame and depression. Binge eating, like
Bulimia, often occurs in secret. It is not uncommon for compulsive overeaters to eat normally or
restrictively in front of others and then make up for eating less by bingeing in secret. For other compulsive
overeaters, binges consist of picking at foods all day long. Like the other eating disorders, compulsive
overeaters are constantly struggling and unhappy with their weight. It is not uncommon for the number on
the weight-scale to determine how they feel about themselves. Medical complications can also be severe
and even life-threatening for compulsive overeaters.

Treatment
Unless treated, the individual suffering from an eating disorder is putting their life at risk. These are often
complicated cases, without a quick solution. However, support from close family members, friends and
possibly therapy can have reasonable results.  The most important aspect of these types of conditions is to
discover the underlying cause for the condition, and of course, society itself plays a part in its depiction of
the ideal form.


                                                                                                                                                  
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