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Weight Loss: Exercise and Nutrition

9/30/2015

13 Comments

 
     Maintaining a health weight is important for many aspects of health. There are main differing points of view on the definition of a healthy weight. One reason is that there are many ways to measure a healthy body weight. BMI is a simple measure of height vs. weight but isn't particularly valid for muscular people. Body composition is a better measure but skin fold testing is rarely done outside of personal training. Body composition can be measured by electrical current and is included in some scales, however hydration levels can create inconsistency. And some people just have a gut feeling that they are in at unhealthy weight. But that's all for another time, including the reasons for maintaining that healthy weight.

      This post is about losing weight. It doesn't matter if your goals are motivated by health or vanity. You have decided to lose some amount of weight. I have a bachelor degree in kinesiology and plenty of personal experience in many types of exercise so of course I get questions about exercise and weight loss. There are many great benefits of exercise and weight loss is one of them, but, and this is a big but, it doesn't guarantee success. Many people who exercise end up eating more. Depending on your cravings, will power and an underestimation of the actual calories burned during your workout, you may actually wipe out all of the weight loss benefits of exercise. Running 1 mile will, roughly speaking, burns between 100-150 calories depending on your speed, weight and efficiency. A little more for men, a little less for women. How many calories were in that can of coke or beer you had after your workout, or even with lunch or dinner? 150-200? In my opinion it is much easier to eliminate excess empty calories than to tack on an extra mile in a workout. 

     Alcohol is particularly troubling because of it's effect on metabolism. Your body can burn alcohol for 7 calories per gram. More than sugar and protein at 4 calories per gram and less than fat at 9 calories per gram. Alcohol is not useful for anything other than those calories and the byproducts of metabolism cause a hangover. Your liver has to process alcohol, but your liver also works on many other metabolic pathways. Your liver is critical in many forms of sugar metabolism: fructose processing (a form of sugar naturally in fruit among other things), storage of glucose as glycogen and maintenance of blood glucose levels. Nonessential amino acids are synthesized in the liver and ammonia, a toxic byproduct of protein metabolism, is converted to urea.  The liver is responsible for a large amount of fatty acid metabolism as well. Your liver has all the protein machinery present to convert alcohol into fatty acids, which then go into your blood stream and to surrounding muscle and fat cells. So not only are you taxing your liver with extra work, which may slow down the good metabolic processes, you are also giving it a lot of energy to create the fat you are trying so hard to lose.

     In the ideal world you can employ all 3 strategies: Exercise, eat well and save alcohol only for special occasions. But if you can't do all 3 at once start with nutrition and reducing alcohol consumption.

Dr. Nelson
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Back Health: Stress and Back Pain

9/15/2015

2 Comments

 
     Stress is rampant in our busy lives. Unsurprisingly it is related to back pain in more ways than one.
Physiologically our bodies respond to the perception of many forms of stress the same way we would respond to danger. Our sympathetic nervous system kicks in the 'fight or flight' response through hormones that elevate heart rate, cause shortness of breath, increase sweating and tighten muscles. Our bodies put short term survival above long term health. Respectively, when we are relaxed, the parasympathetic nervous system kicks in the 'rest and digest' response which promotes blood flow to the gut, decreases heart rate and lets our bodies heal.    
     Unfortunately our body doesn't distinguish between stress at work or at home from physical threats. Physical, mental and chemical stress all influence our levels of back pain. Cortisol is released with stress, increasing inflammation and all the associated negative effects. Tension in muscles hold on to poor postures which can even influence our emotions. Stress can drive us to eat unhealthy foods which add further chemical stress to the equation. Stress can also cause a normally careful person to be reckless in many ways as we think less and react more.
     There are many ways to reduce stress that can also help with back pain: Laughter is the best medicine, especially for stress. Your social network can help you ease tension, relax and even vent. Meditate, breath deeply or practice mindfulness to bring an inner calm. Focus on the little things like your breathe, the small details of the world or even your own emotions and thoughts. Be grateful, focus on things that you have and love, not problems in the future or things you want. Exercise is a great way to burn off frustration and get your blood flowing, there are many other benefits at any intensity. If you notice you are stressed try these methods out, you might find some more effective than others. Remember which ones are the best for your body and make a habit of looking for and diffusing your stress

Dr. Nelson

2 Comments

    Dr. Matthew Nelson

    A Vancouver chiropractor who pursues the outdoors year round with a passion for health and wellness. 

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