
Negative publicity has always surrounded certain diet programs past and present. The genuine concern from caring individuals for others following dubious programs has sometimes been wrongly perceived as negativity or attacks. I share the concern that extreme dieting (Very Low Calorie Diets) done long term – and for some even short term – can be detrimental to body composition and health. So I feel compelled to say something.
Very low calorie diets have a place in the medical arsenal of bariatric specialists to treat extreme cases of morbid obesity. If you’ve watched the Discovery Channel shows Inside Brookhaven and Big Medicine you’ll have noticed the use of medically supervised 1200 calorie diets for treatment of morbid obesity and to prepare gastric bypass patients before surgery.
On the other hand, use of these diets long term or for losing moderate amounts of weight without medical supervision can be dangerous and tend to back fire. Starvation diets lower metabolism and lead to later weight gain if a normal consumption of calories is resumed.
“Proper diet will increase and speed up your metabolism. It is important to never skip a meal or go on any type of starvation diet. You should always eat healthy snacks between meals. The idea is to eat frequently to prevent hunger pangs, and to keep your energy levels consistent which in turn will increase and speed up your metabolism.
Our bodies were designed with a survival mechanism just in case there is a time of famine. Because of this mechanism, it is easier for the body to store fat. If we go on any calorie deficit diet or some type of starvation diet you can forget about increasing your metabolism because our body's metabolism decreases in order to conserve energy. In this mode, it is much easier for the body to store what we eat as body fat and burn energy from muscle tissue. Since muscle tissue burns a higher amount of calories, the less we have the lower our metabolism will be.” - From How To Speed Up Your Metabolism
I doubt the commercial success of any program will be damaged by all the fuss of positive or negative press or discussion surrounding it. There will always be plenty of dieters seeking fast solutions and quick fixes. And as they say in Hollywood, “There’s no such thing as bad publicity.”
But I can’t help but cringe when I read of dieters who lose more than two or three pounds of scale weight in a week (like 7 or 10 pounds) and they’re thrilled about it. Chances are they lost a lot more than body fat. Others lose a healthy and reasonable amount and become upset, frustrated and discouraged that the scale “only” went down a pound or two. There is a prevailing attitude these days among dieters of all styles that losing weight rapidly is healthy and desirable.
This just isn’t so. The Biggest Loser is guilty of glamorizing fast weight loss and making people believe it’s a reasonable goal. But most people overlook just how intensely these people trained and how strictly they ate clean under professional supervision. This is why some contestants gain some or all of the weight back. Very few people have time, energy, and income to train like a professional athlete all the time.
Losing no more than 3 pounds a week if you’re obese or overweight, or losing no more than ½ pound to 2 pounds a week if you’re closer to goal, is exactly what you should be aiming for. If you’re losing more scale weight than that – and particularly if you’re losing weight rapidly like a Biggest Loser contestant - you’re risking muscle loss, excess water loss, and other body matter particularly if you don’t perform resistance training to offset this muscle loss. The below quote from Anne Collins illustrates:
“When we lose weight we don't just lose fat. We lose a combination of body fat, and muscle tissue. For example, studies show that when we diet, the weight we lose is on average 75 percent fat and 25 percent muscle. Furthermore, a relatively high percentage of this weight loss is likely to be water loss. Remember, water accounts for about 70 percent of the total body weight of an average person, with muscle tissue containing roughly 75 percent water (plus 20 percent protein and 5 percent minerals), and body fat containing roughly 50 percent water.”
I can hear the chunky masses shrugging their well padded shoulders and saying “So what? Weight loss is weight loss.”
Wrong. The last thing any one needs is to lose muscle mass. Muscle mass IS the engine of your metabolism. The bigger the engine, the more fuel (fat and carbohydrates) is burned. Every pound of muscle lost equals less calories required every day.
Your goal should be to lose body fat and body fat ONLY.
Rob Maher wrote: "The equation to reduce body fat is simple: one must burn more calories than one consumes. Most diets try to do this with gimmicks by just reducing calorie intake, but it is easier to tip the equation if one also burns more calories. For a sedentary “average” female it is likely that only 1700 calories or so are needed to maintain the body each day. By increasing to a moderate activity level (e.g., walking several miles per week) the daily calorie requirement increases to perhaps 2000."
Okay, the laws of physics - which nobody has outwitted yet - requires the human body (with a normal metabolism) to burn 3500 calories in order to lose one pound of body fat. To lose 1 pound of fat in 7 days you'll have to create a deficit of 500 calories a day through diet and/or exercise. This means in order to burn 5 pounds of body fat in one week you'll have to create a calorie deficit of 2500 calories PER DAY. Losing 7, 10, 12 or more pounds of body fat – and just body fat alone - in a week is verging on the impossible.
Now, maybe eating a low carbohydrate / high protein diet will give you a metabolic edge and shift these numbers a bit, but it's not going to defy the laws of physics. If you're losing 5 pounds a week or more (and not working out hours and hours like an endurance athlete) you should be concerned and immediately start strictly tracking your body fat and lean mass ratios as well as looking at dehydration issues. Most gyms have bio-impedance body fat monitors and you can buy your own for around $75.
All this impatience and rush to see big number losses on the scale is not healthy or based on sound knowledge. There is nothing wrong with losing weight at a slow and reasonable pace. I lost 1/2 pound of body fat and gained 1/2 pound of muscle in the last ten days and I'm thrilled. But I busted my ass with an hour a day of weight training to stimulate muscle growth, and an hour a day or more of aerobics to burn calories, and ate a well balanced high protein diet moderate in fat and carbohydrates high enough in calories (above my BMR that's for sure) to allow muscle building..
Be forewarned, if you lose enough muscle through chronic dieting, lack of resistance training, and/or age related muscle loss and your metabolism becomes sluggish, you will end up having to consume very few calories just to maintain your weight. This is why some overweight dieters can maintain high weights on very little calories.
Low Carb Band-It recently wrote about her past experiences with low calorie dieting “I ate a lower calorie diet mostly, but I was eating less and less and I didn't want to get stuff metabolically where I couldn't eat only 800 calories a day to maintain my weight.
Just regular science says, when you weigh less you need less calories to run the body mass you have. I was already eating as low as 900 calories a day and not losing weight and I was 230lbs. It scared me to think of how little I would have to eat...eventually.”
As for adequate protein intake alone sparing muscle during very low carbohydrate diet, this seems to be attainable. A Nutrition and Metabolism article suggests this is possible in a controlled environment:
“Although more long-term studies are needed before a firm conclusion can be drawn, it appears, from most literature studied, that a VLCARB is, if anything, protective against muscle protein catabolism during energy restriction, provided that it contains adequate amounts of protein.”
While a low carbohydrate / high protein approach can prevent this lowered metabolism quandary, if a dieter drops the overall calories too low for too long adequate protein alone may not protect muscle mass or metabolism.
“Very Low Calorie Diets leading to deficiencies of certain essential amino acids and potassium were thought to have caused a loss of lean muscle mass, weakening of heart muscle, and heart irregularities which probably contributed to the death of at least 60 people in the United States. Such liquid protein diets are no longer generally available.”
This begs the question, if laymen with no medical or nutritional supervision are experimenting with various very low calorie diets, be they low carbohydrate and/or low fat, what are the chances adequate protein intake, let alone adequate levels of other nutrients, will be achieved?
One overlooked problem with reliance on ketosis is hunger is dampened. Without hunger you’re just guessing at how much protein or other nutrients your body needs. Hunger is an intuitive signal from your body that’s recently been bastardized by crappy foods that screw with your body chemistry. Many people never experience true hunger because food is so plentiful.
If you’re not getting your minimum daily requirement of protein your body will break down skeletal muscle and later organ muscle. (US RDA recommends 0.8 grams of protein per kilogram of ideal body weight per day for sedentary people. Active people and athletes require 0.9 grams and bodybuilders generally view 1.0 grams of protein per pound of body weight as a bare minimum).
A 200 pound man of six feet two with approximately 15 percent body fat (considered in the fit range) will have about 30 pounds of body fat. This leaves 170 pounds of lean mass including muscle bone, organs, etc. Maybe 125 or so of this is muscle if he’s an average Joe who doesn’t body build. If this man goes on a 1500 calorie diet (and at 15 percent body fat this diet seems unnecessary unless he’s an elite athlete looking to compete at single digit body fat percent) and eats a ratio of 40 percent protein, 50 percent fat, 10 percent carbohydrates, he’s eating 600 calories (150 grams) of protein a day. That being a little less than 1 gram of protein for each pound of body weight, it seems like he'd avoid muscle loss.
Now let’s look at a 170 pound woman around 5’ 7” with a history of yo yo dieting and minimal exercise. (Based on a 67 inch female with a 37 inch waist and 43 inch hips is 55% Body fat. Recommended BF% for this woman is 22%).
This gives her approximately 90 pounds of body fat and 80 pounds of lean mass. If she adopts a VLCD of 500 calories a day and eats a ratio of 40 percent protein, 40 percent fat and 10 percent carbohydrates her protein intake is 200 calories (75 grams of protein). Again this “appears” to be enough protein to prevent muscle loss.
BUT WAIT! Both people are eating less calories than their BMR (basal or resting metabolic rate) of 1980 for him and 1522 for her.
What happens when we eat less calories than our BMR?
While a negative calorie balance is essential to lose body fat this still is based on a number above your BMR unless you’re on complete bed rest. Eating adequate protein alone may not prevent muscle loss in the face of very low CALORIE dieting.
From Shape Fit:
“It is well known that cutting calories too much slows down the metabolic rate, decreases thyroid output and causes loss of lean mass, so the question is how much of a deficit do you need? There definitely seems to be a specific cutoff or threshold where further reductions in calories will have detrimental effects. The most common guideline for calorie deficits for fat loss is to reduce your calories by at least 500, but not more than 1000 below your maintenance level. For some, especially lighter people, 1000 calories may be too much of a deficit. The American College of Sports Medicine (ACSM) recommends that calorie levels never drop below 1200 calories per day for women or 1800 per day for men. Even these calorie levels are extremely low.”
So, what’s wrong with adopting a sensible diet and exercise plan that supplies enough calories and nutrients to stay healthy and active while cutting just enough calories to nudge your body into losing body fat slowly? Why the impatience and rush to see an unreasonably low drop on the scale every week? And why is there so much denial surrounding the detriments of muscle loss and other negative effects of extreme dieting? Why chase after a quick fix that really isn’t a long term solution you can live with?
Um?
Bottom line, I'm not here to judge what anyone chooses to do, nor am I here to condone behaviors I believe are of dubious value or dangerous. My goal is to share what has worked for me and others on our quest for health and fitness. But if my sibling, spouse, child, or friend asked what I thought about them going on a VLCD without medical supervision, I say DON'T. There are safer, healthier and more sustainable ways to lose fat and reach your goals.
Also check out these links if you’re interested in more information:
The Dangers of Low Calorie (under 1500) Diets
Very Low Calorie Diet Information
Metabolic Response To Starvation
The Fast Supper
Is a life lived on the edge of starvation worth living? Our hungry reporter gives the ultra-extreme Calorie Restriction Diet a two-month taste test
Fad Diets.com
Why You Want To Preserve and Build Muscle
Note that some morbidly obese people can lose weight more rapidly – particularly after WLS – because of their sheer excess of body fat and the early stages after surgery require a low calorie liquid diet. This does not mean losing five or ten pounds a week is healthy for moderately overweight dieters. It is likely that people with excess body fat who start a low carbohydrate or low calorie diet will lose weight rapidly in the beginning simply because the body is shocked into dropping large amounts of weight (and not just body fat). But it’s not healthy to sustain large weekly weight losses long term.
Wednesday, July 18, 2007
How Much Body Fat Can You Really Lose In A Week?
Posted by
Carol Bardelli
at
3:52 PM
Labels: Fad Diets, Metabolism, Muscle, Muscle Loss, Rapid Weight Loss, VLCD
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14 comments:
Great post Carol.
This is a very good post. I agree that we should be watching our % body fat and actual fat loss rather than just weight. But it's easier said than done. There are numerous formulas and methods for calculating lean body mass but I've found that none are perfect. My calculation is based on various measurements. First problem is that each method results in different % body fat and lean weight. This makes me question the accuracy of any method. And, using any single measurement, my lean weight calculation result might be the same today as tomorrow, my weight might vary by 5 or 10 pounds due to various factors including water retention. Low carb tends to dehydrate us a little. I'm not sure if this is truly because of low carb or if it is because it's because high carb foods tend to be high in salt and potassium. Regardless, I have lost 85 pounds. Based on my calculations, I have lost 10 pounds of muscle. But is this really muscle loss or is it loss of water weight? If I go off the diet for 2 or 3 days, I quickly gain 5 to 10 pounds (I think this is water weight) but my measurements stay the same which makes it appear that I've lost less than 10 pounds of muscle after all. It's all very frustrating trying to figure out exactly what is really happening... I guess what is important is that I feel great.
If indeed, I did lose 10 pounds of muscle, I wonder if this has nothing to do with protein and calories and everything to do with the fact that I am no longer carrying around an excessive amount of weight. This alone means that my body does not require as much muscle to support my day-to-day activities. So, because the body is frugal, it tends to eliminate muscle not being used rather than having to maintain it.
Thank Sue.
Big Daddy D, congrats on your impressive weight loss. Ten pounds of muscle loss for an over all 80 pound loss is probably less loss than average. Yes, carrying less weight demands less muscle.
But I've been dabbling at bodybuilding since college and got serious in the 1990's. I have a bodybuilder's mentality - every ounce of muscle I've built is gold. When you work very hard to build muscle - and when your a small woman it's a slow process - the last thing you want is to give up any. I know I've traded faster fat loss for muscle building many times. I'm not willing to give up any muscle I don't have to because I have little to spare.
And for me, all I've gained equals increased functional fitness. When I had my last horses in the early 2000's I couldn't lift a 50 sack of grain and now I can. Everything is easier to do with every pound of muscle gain.
As for the differences in fat measuring methods, the idea is to pick one and stick with it. You wouldn't jump from scale to scale to weight 'shop'.
Even if it differs somewhat from measurement to measurement it will give you a good general picture of where you're at and if you're progressing in the direction you want. My Omron is ten years old and watched my fat percentage move from the mid-30's after my pregnancy in 2000 down to 20 percent now. The small inconsistencies from measurement to measurement don't matter. It's the overall movement down.
Always measure at the same time of day and keep a log.
Carol, that was very well written and timely too!
Thank You, Regina. I consider that a high complement coming from you, who I consider an expert on low carb, health, and nutrition.
A very informative and thorough discussion. Thank you for posting it and the links you included!
Carol - if you're not aware yet, Jimmy Moore issued a huge apology today and referenced this article for his readers to read to understand the dangers of vLCD! Awesome job Carol!
Hey how did I miss this!
Great article Carol!
Thanks for all your comments everyone. I appreciate it.
Carol--this is a very wondeful post--I even posted up on my WLS board because some of them just don't get it either----then wonder why they start regaining at year 2----thanks for putting so much effort in getting this message out.
Thanks for the great article, Carol :) I enjoyed reading it greatly. As a fan of Tom Ventuno's "Burn The Fat" book, I agreed with about everything you said :)
I can't do low carb as cutting my carbs too much makes me feel weak and sick - I have to stick pretty close to USDA guidelines, but I appreciate that there is a range of healthy eating and we all fall in there somewhere on that spectrum.
I am so glad there are more and more people preaching the dangers of VLCD's and hopefully the noise of that sense will drown out the NON-sense of people like Kimmer and others who say 800 or 1000 Kcal a day is healthy.
God Bless,
mik
Thanks for the great article, Carol :) I enjoyed reading it greatly. As a fan of Tom Ventuno's "Burn The Fat" book, I agreed with about everything you said :)
I can't do low carb as cutting my carbs too much makes me feel weak and sick - I have to stick pretty close to USDA guidelines, but I appreciate that there is a range of healthy eating and we all fall in there somewhere on that spectrum.
I am so glad there are more and more people preaching the dangers of VLCD's and hopefully the noise of that sense will drown out the NON-sense of people like Kimmer and others who say 800 or 1000 Kcal a day is healthy.
God Bless,
mik
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Carol, great article! As far as measuring goes - when I used to be a fitness trainer, I was very astute at watching how clothes fit on clients.
Many times, I could tell before they even stepped on a scale that they lost weight just by noticing how their clothes fit around them. And sure enough if we would take out the measuring tape, they lost weight... or if we'd put them on my body fat machine - their fat percentage went down.
And of course, since I did alot of free weight training with them, at times, the scales would not show in lbs but the body fat percentage was down and clothes were looser.
Also, like you mentioned, I always knew that if the dropped the weight quickl that it would most likely come back.
Slow and steady wins the race :)
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