Sunday, 23 September 2012

Exercise: Is Less Better Than More? | Perfect Health Diet

Exercise: Is Less Better Than More? | Perfect Health Diet

New York Times column, “For Weight Loss, Less Exercise May Be More,” got some attention this week. It was based on a recent study of the effects of exercise on weight loss.
The Danish study [1] found that exercise is helpful for weight loss – but only the first 30 minutes of light exercise per day. Additional exercise had no effect on body weight – in fact it even seemed to diminish weight loss. Those who jogged for 60 minutes a day lost five pounds, those who jogged for 30 minutes lost seven.

The subjects wore activity tracking devices – Actigraph GT1-M devices, which are an older model of these and similar to a Fitbit – which produced a surprising result. Those who exercised 30 minutes a day were seemingly energized by their exercise, as they became more active in their daily lives – more likely to take the stairs, for instance. Those who exercised 60 minutes a day, on the other hand, seemed to be worn down by their exercise, and became less active in daily life.

It seems that 30 minutes of exercise improved health but 60 minutes of exercise may have diminished well-being. When it comes to exercise, perhaps, less is more.

A Well-Supported Result

While the Danish study [1] was novel in looking at how weight loss and non-exercise activity respond to exercise, it is not the first study to show that light activity may be healthier than intense activity.

In the new Scribner edition of our book, we greatly expand the part which discusses how to optimize immunity and heal or prevent disease. The new edition discusses exercise. We found a number of recent studies showing that light daily activity is as good or better than intense activity for health:
  • A study of American runners found that those who ran between 1 and 20 miles per week at a jogger’s pace of 10 or 11 minutes per mile reduced their risk of dying as much as those who ran more than 20 miles a week or who ran faster. [2]
  • Another Danish study reported that Danes who exercised two or three times per week for a total of one to two and a half hours reduced mortality by 44% and extended their lifespans by 6.2 years for men and 5.6 years for women. Those who exercised either more or less had less benefit. [3]
  • A study of 416,175 Taiwanese adults found that an hour and a half of moderate exercise per week (13 minutes per day) reduced mortality by 14% and extended lifespan by 3 years. An additional 15 minutes per day reduced mortality by only another 4%. Benefits peaked at 50 minutes of exercise per day. [4]
These are intriguing results. What’s more intriguing is that it doesn’t seem to matter how fit the exerciser is. People gain substantial health benefits from light exercise, even if the activity never makes them fit.

An Evolutionary Argument for Not Over-Exercising

Thanks to Stephan Guyenet, we’ve been talking a lot about the reward system of the human brain. It evolved in order to make us want to do healthy things, like braving the stings of angry bees to get honey from hives concealed high in trees.

David recently linked to an interesting post suggesting that our Paleolithic ancestors may have done a lot of honey gathering, which reminds me of this movie about the Hadza and their honey seeking:



Why did we develop an attractive taste for sugar, and why does the brain reward us for carb consumption? Presumably because the Paleolithic diet was too low in carbs for optimal health, and evolution wanted to encourage Paleolithic hunter-gatherers to gather more honey.

But, however valuable carbs are, it’s not clear that they are as valuable as the extra six years of life we obtain from light daily exercise. Yet there’s no innate reward for exercise. Many people are quite content to live their whole lives as couch potatoes.

Why didn’t evolution reward exercise, if it is as valuable as carbs? Probably because Paleolithic humans almost invariably got more exercise than they needed. Perhaps our brain evolved to prevent our ancestors from over-exercising, and now our brain unfortunately rewards us for over-resting!

Conclusion

It looks like exercise is healthful, but most or all of the benefits come from a relatively small amount – the first 30 minutes per day.

Doing the research for the new edition of our book has led me to revise my ideas of why exercise is beneficial, and how we should exercise to optimize health. In my next post, I’ll discuss why I think light exercise is most healthful, the tension between healthfulness and fitness, what I think a health-oriented exercise program should look like, and how my personal exercise activity has changed.

References

[1] Rosenkilde M et al. Body fat loss and compensatory mechanisms in response to different doses of aerobic exercise–a randomized controlled trial in overweight sedentary males. Am J Physiol Regul Integr Comp Physiol. 2012 Sep;303(6):R571-9. http://pmid.us/22855277.
[2] Gretchen Reynolds, “Moderation as the Sweet Spot for Exercise,” New York Times, June 6, 2012, http://well.blogs.nytimes.com/2012/06/06/moderation-as-the-sweet-spot-for-exercise/.

[3] European Society of Cardiology (ESC) (2012, May 3). Regular jogging shows dramatic increase in life expectancy. ScienceDaily. http://www.sciencedaily.com/releases/2012/05/120503104327.htm.

[4] Wen CP et al.  Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet. 2011 Oct 1;378(9798):1244-53. http://pmid.us/21846575.

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13 Comments.

  1. Interesting post. I disagree, however, with your statement that there’s no innate reward for exercise. Exercise releases endorphins and other hormones, and has been found to be more effective in fighting depression than anti-depressant medicines. I think being a couch potato isn’t natural, but happens because people enjoy the quasi-meditative state of watching TV or surfing the web.
    • I guess in light of the study, it may work both ways. The body releases endorphins and gets healthier in response to moderate exercise but discourages more than that.
    • Hi David,
      Well, now that’s an interesting question. Endorphins are one of the circadian immune molecules we want to promote by exercising. Their presence reflects improved health, and cause it.
      It definitely feels better when we become healthier through exercise, and so many people learn from experience that it’s a good idea to exercise, and come to want to do it.
      But for most sedentary people, there’s no desire in advance of exercise to go do it; and there’s no great pleasure in the first day of exercise. As I understand it, it’s prospective wanting (motivating action) and concurrent liking (rewarding it) that the innate reward system of the brain generates. And those cues seem to be lacking.
      Best, Paul
  2. Interesting. This has certainly been my experience.
    I used to go through 3-5 months bouts of over-exercising in my attempt to manage my weight. The only other time (before Paleo/PHD) that I successfully lost a substantial amount of weight was a few years ago at which time I severely restricted calories and exercised 1-2 hours most days of the week for a 2-3 month period. T’wasn’t healthy, t’was miserable, it ended quickly, and I gained all the weight back and more.
    Last fall before learning about Paleo/PHD/etc, I spent two months meticulously counting/limiting calories and doing long cardio sessions 5-6 days a week. After two months the scale hadn’t budged.
    Since starting Paleo/PHD in January I have lost 60 lbs and put on a bunch of muscle with ease. I loosely follow Mark Sisson’s fitness rx – I lift heavy things (mostly myself) once or twice a week, I do a full on sprint every week or so, and I do plenty of enjoyable walking, biking, and playing as I am able.
    I definitely prefer smart, manageable, and cheap exercise over what I used to think I needed
  3. If there is no innate reward for exercise, there is still what Nietzsche called the “will to power” which, in its purest form, impels animals to exert themselves in acts that have no survival value and to enjoy themselves.
    Perhaps we didn’t need innate rewards when exercise helped us get food, a mate, status, territory etc. Athletes and other performers still get those rewards.
  4. I suspect that in an individual that is very healthy both mentally and physically, that person enjoys a bit of exercise and as others have mentioned, exercise releases endorphins and is well known to elevate mood. It’s just that now, most of us eat toxic foods from birth (cheerios are typically a baby’s first solid food!!!) and many of us live isolated noncommunal lives far different from what we evolved for.
  5. It may be worth disentangling intensity and volume. Though you say that moderate activity may be better than intense activity, all the evidence cited apart from the words “…or who ran faster” seem to be concerned with volume. It may be that the best sort of exercise is infrequent short bursts at high intensity, rather than longer at moderate intensity.
    • Hi David,
      Yes, that’s an important point. Intensity is a totally different variable than volume and its health effects have to be studied independently.
      Yes, there does seem to be a lot of evidence in favor of HIIT. However, the ability to increase intensity is correlated with health, so we have to be careful in analyzing studies.
  6. I didn’t watch that video the first time through – really fascinating stuff!
  7. I love having you back blogging. Interesting view on the benefits of exercise. You seem to be able look at these things from a new perspective.
    A personal experience:
    The last couple of months I have been doning crossfit style exercise. Lately I have been pondering if I was generally feeling a litle bit better when I was doing more leangains style training.
    What I still really like about crossfit is the community and the focus on learning new movements and improving mobility and not only focusing on gaining muscle.
    Can’t wait for the new book!
  8. Good vacation to you two!
    Exercise: a very complex subject indeed. Based on a recent study, maybe we should not encourage sick people to exercise (at least not more than brisk walks) but try to get healthy first. I think Table 1 is visually very revealing (and disturbing):
    Adverse Metabolic Response to Regular Exercise: Is It a Rare or Common Occurrence?
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3364277/
    • Hi Mario,
      Yes, I think exercise intensity and volume need to be scaled with health. Exercise should be refreshing, not stressful. For unhealthy people that means a brisk walk may be the most they should do.
  9. This is all very interesting and consistent with my own experience. I definitely feel that for general health and well being a moderate amount of light exercise is the best route. Looking forward to upcoming posts!