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What role does exercise play in the management of PD?

Exercise is an important part of healthy living for everyone. However, for people with PD exercise is not only healthy, but a vital component to maintaining balance, mobility and daily living activities. NPF is studying exercise in theParkinson's Outcomes Project.

Every NPF Center of Excellence agrees that they believe exercise is important to good outcomes in PD, and the data supports that. Exercising is associated with a better sense of well being, even across stages and severity of the disease. This was expected: there is a growing consensus amongst researchers about the short- and long-term benefits of exercise for people with PD.

Exercise can benefit in two ways:

What happens in the brain to produce these visible benefits? Researchers at the University of Southern California (Fisher et al.) looked at the brains of the mice that had exercised under conditions parallel to a human treadmill study. They found that:

Scientists at University of Pittsburgh found that in animal models, exercise induces and increases the beneficial neurotrophic factors, particularly GDNF (glial-derived neurotrophic factor), which reduces the vulnerability of dopamine neurons to damage.

At the molecular level, at least two things are happening to make dopamine use more efficient:

Many programs target the rapid gains that can be achieved through a focus on improvements in functional capacity and mobility. These programs vary according component activities. Examples of exercise programs for people with PD include:

YES! Everyone should exercise more, whether they have PD or not.

Page reviewed by Dr. Joash Lazarus, NPF Movement Disorders Fellow, Department of Neurology at Emory University School of Medicine.

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Whole body vibration could provide exercise benefits to obese patients who might otherwise have trouble working out and could affect metabolic factors that are implicated in diabetes and other diseases, according to research at Augusta University.

Working in a mouse model for obesity and Type 2 diabetes, the AU team found that daily whole body vibration passive treatment on a machine that shakes the patient had effects similar to treadmill exercise on metabolic factors such as glucose levels and insulin sensitivity and had on muscles compared with sedentary mice, according to research published in the journal Endocrinology.

The effect on bones was more mixed, with modest changes in bone structure but higher circulating levels of the bone hormone osteocalcin, compared with sedentary mice.

The research, which already has received much attention, prompted two of the authors to clarify what it means.

A lot of people assume, just from the title, that were saying that whole body vibration should replace exercise, said Dr. Meghan McGee-Lawrence, the lead author. Thats not what we are saying. We are saying this is another option for individuals that may not be able to participate in ordinary, traditional exercise programs, for a number of different reasons.

Only obese-diabetic mice responded to the whole body vibration or treadmill exercise, which was at a level well below what normal mice would do in a week, said Dr. Alexis Stranahan, the corresponding author on the paper.

The impact on metabolic factors and the increase in some bone-forming elements is of interest to researchers such as McGee-Lawrence who work in the bone field; there havebeen intriguing findings in mice about the interaction between the two.

But realistically, the clinical research isnt there to back it up right now, she said. While we know that bone has an important endocrine role in the body, I think the mechanisms by which it does that, including the role of osteocalcin, are up for debate.

whole body vibration was hot in the bone field in the late 1990s and early part of this century but lost a lot of interest when it was found to be ineffective in addressing one of the largest problems, postmenopausal osteoporosis, McGee-Lawrence said. There is now research in humans looking at its effects on health problems such as metabolic disorders and cardiovascular disease and bone health, she said.

Those studies are ongoing right now and they are producing a lot of exciting results, McGee-Lawrence said.

The AU research is important because the two interventions are not often compared, Stranahan said.

Side-by-side comparisons are definitely lacking in both the human and the animal model literature, she said. And I think it is useful to compare the two because it can help to tailor and say, OK, whole body vibration mimicked the metabolic effects of exercise but the effects at the level of bone structure were not that extensive.

That might help point the way to where whole body vibration would be more effective for some people or some problems than others, Stranahan said.

Though the effect of whole body vibration on bone remains to be clarified, There are a lot of other beneficial effects and finding the body systems that will best benefit from it is really, I think, the way to move forward, McGee-Lawrence said.

Reach Tom Corwin at (706) 823-3213

or tom.corwin@augustachronicle.com.

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Whole body vibration could provide some exercise benefits to obese patients - The Augusta Chronicle

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Do enough curls and youll start to see your biceps grow.

Walk up enough staircases and youll no longer get so out of breath.

Swim enough laps and you might start noticing youre sleeping better.

But what about the less noticeable effects of exercise?

How do you become healthier in other less visible but critical ways?

Exactly how exercise can affect your tiniest components your cells is still being uncovered.

A recent study published in Cell Metabolism sheds some light on the mystery, finding that high-intensity interval training (HIIT) during exercises like biking and walking increased the capacity of the mitochondria.

Those are the organelles that produce the energy in cells that keeps us going.

This energy generation capacity decreases as we get older, but the researchers found that, due to exercise, the cells in study participants made more mitochondrial proteins as well as the proteins responsible for muscle growth.

This, the researchers said, essentially reversed the effects of aging at the cellular level.

We always knew exercise could have an impact on cell function, the studys senior author, Dr. Sreekumaran Nair, of the Mayo Clinic, told Healthline. Many age-related changes are related to lack of exercise. But if you deliberately do it, then you can really reverse most it.

Specifically, interval training brief bursts of high-intensity cardio followed by longer period of lighter activity or rest led to a 49 percent increase in mitochondrial capacity in the muscle cells of volunteers ages 18 to 30.

It also produced a 69 percent increase in participants ages 65 to 80.

Those were the two age groups included in the research.

The study divided volunteers 36 men and 36 women into a group that did high-intensity interval cycling, one that lifted weights, and another that did both. Researchers then took biopsies from the participants thigh muscles.

The benefits went beyond interval training causing mitochondrial improvements.

The quicker, more intense exercises also reduced insulin sensitivity and, thus, susceptibility to diabetes.

Nair said the study was intended to help uncover how exercise affects cell functioning, not necessarily to find the best exercises.

But he would recommend combining HIIT with strength training to maximize both the age-reversing cellular benefits and the muscle strength improvement.

He said to stick with the interval training if you only have time for one.

The broader benefits to health and longevity from exercise have been well established for more than 70 years, said Jennifer Turgiss, Ph.D., vice president of behavioral science and advanced analytics at Johnson & Johnson Health and Wellness Solutions.

She rattles off a list of ailments that exercise is known to decrease the likelihood of developing. These include stroke, hypertension, hyperlipidemia, cardiovascular disease, type 2 diabetes, breast and colon cancers, depression, and anxiety.

But, she says, through new research methods we are starting to learn more about how physical activity affects us at the cellular level.

It is early days for this type of research, so there would be no changes in [exercise] recommendations yet, Turgiss told Healthline. But keep on the watch.

She notes that updates to the governments Physical Activity Guidelines are currently in the works. Those guidelines dont currently mention cellular health or interval training.

Most athletes already use interval training in their exercise programs and the approach appears to be growing in popularity among non-athletes as well.

For some ideas on how to apply it in your own exercise routines, look to a study last year that put 27 sedentary men through 12 weeks of HIIT consisting of three 20-second sprints on a stationary bike, each followed by 2 minutes of easier riding.

The group, which biked for 10 minutes a day total, saw the same benefits in terms of aerobic fitness, regulation of blood sugar, and improved function of muscle cells as men who biked for 45 minutes at 70 percent of their maximal heart rate.

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Shorter, Quicker Exercises Might Be More Beneficial - Huffington Post

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Women's Health

Exactly How To Use Cheat Days To Lose Weight Women's Health The cheat day has mixed reviews. Some say that by labeling your burger, bowl of pasta, or ice cream as a "cheat" or a "splurge," you're putting that food on a pedestal and will spend all week dreaming about it. On the other hand, 39 percent of women ...

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Exactly How To Use Cheat Days To Lose Weight - Women's Health

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Most employees spend at least 40 hours a week in the office. Over the course of the year, thats 2,080 hours. Much of that time is spent sitting. And long workdays often make it difficult for workers to find time to squeeze in trips to the gym.

But, with health-related expenses costing companies millions of dollars a year, employers can, and should, be doing all they can to get their employees fit.

How? Here are four tips to help workers adopt the Little-Engine-That-Could mindset (I think I can!) and get on a healthy track.

1. Integrate healthy living information into everyday tasks. Some examples:

Encourage employees to download a free workout app such as Sworkit or the Johnson & Johnson 7 Minute Workout. Set the company intranet homepage to a healthy living website, or incorporate a dedicated health section. The American Heart Association, The Nutrition Source by Harvard School of Public Health and The American Diabetes Association have informative websites. Also, provide a list of healthy living organizations on social media that employees can follow to keep nutrition and exercise on their mind. Declare Wednesdays as Walking Wednesdays by hosting workday walking meetings or listening to conference calls on foot. Also, encourage employees to park farther away and take the stairs.

2. Put it on paper pros and cons style. As part of a health campaign, have employees jot down the pros, including benefits and perks, and the cons, including challenges and fears, that chasing weight loss or other personal health goals will entail. It can be difficult to be motivated a person to do something when the risks and reward arent clear. Ready to take it to the next level? Have an area where employees can share their lists, which will increase accountability and make it official.

3. Work the buddy system. There is power in numbers and groups can add to both the fun and accountability. Create a community where employees can find a friend or co-worker to partner with as they tackle the challenges of healthy eating and exercising. Consider coordinating fun workplace initiatives such as a walking or running group, a team weight maintenance program during the holidays, signing up a team for a recreation league or inviting local health and wellness professionals to host workshops and cooking demos.

4. Build a supportive culture. People will not succeed if they do not believe in the process. Employers must build a space that supports healthy activities and living. If employees do not feel that the employers efforts are sincere, they are less likely to participate. Employers must offer a supportive culture and an array of activities to reach every employee, regardless of preferences and lifestyles. Also, they need to make sure that employees understand that results wont happen overnight. Small changes over time can add up to big results.

These tips will help employers and their employees work together to create a healthy, productive workspace that encourages everyone to be active and live well. Getting started on a weight loss journey can be intimidating, but with the right tools and support, employees should be able to fit health into our busy lives. And what better place to start than where employees spend the majority of our time?

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LEE SUCKLING

Last updated05:00, March 23 2017

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There's no research to say that light drinking will impede any weight loss efforts.

It's the question almost anyone on a fitness mission wants to know: is it possible to still drink alcohol while you're trying to lose weight?

The short answer is no. Alcohol is unnecessary calories that provide no nutritional benefit, and most weight loss plans dictate that you cut out anything of thissort.

Anybody trying to lose weight will have a much easier time doing it without the temptation of booze.

The primary reason is not the 100-odd excess calories in one beer or glass of wine, it's the fact that alcohol doesn't like to be consumed in single doses. One drink easily leads to three or four, plus the excess food you end up eating because booze ramps up your appetite.

However, there is some encouraging news in the long answer.

READ MORE: *Eight things that happen when you quit alcohol *Should you drink water before your meal to help lose weight? *Do more, eat less - that's the secret to success

There's some science out there that has found that between one and two alcoholic units per day can actually speed up your metabolism.

THE FIGURES

Alcohol contains seven calories (29kilojoules) per gram. Your body can't store alcohol, instead, it treats it like a toxin to eliminate. That becomes you body's priority, rather than burning fat.

But some evidence finds that when your body is working on overload to do this, it may also work your metabolism harder too. Potentially helping you burn marginally more calories.

In an International Journal of Obesity study, for example, two groups of overweight participants followed a calorie-reduced diet, one consuming white wine as part of their diet and the other consuming grape juice. The white wine group lost slightly more weight.

In another International Journal of Obesity study, middle-aged and older women who consumed one alcoholic beverage per day gained less weight over the course of their later years than women who didn't drink at all. These findings have also corroborated by long-term Archives of Internal Medicine research.

Despite having the potential to temporarily speed up your metabolism, 1-2 drinks a day can slow down the body's lipid (fat) oxidation rate (the way in which fat is stored in the body).

In an American Journal of College of Nutrition study on men who were given two drinks of vodka and diet lemonade a day, lipid oxidation dropped by 73 per cent. So, despite potentially having slightly a faster metabolic rate, the rate at which you'll burn fat becomes hindered and maybe crosses that "benefit" of a drink a day out.

LIGHT DRINKING

Still, this is only a theoretical. There's no research to say that light drinking such as this will impede any weight loss efforts.

What you cannot do and still lose weight, however, is save up your "one drink per day" and consume seven drinks in one night at the weekend.

When you consume more than two units of alcohol at once, your body has too many calories from alcohol to process before it can properly process all of the other nutrients you've taken in from food.

The result is a complete slowdown of your lipid oxidation rate, where the energy you've consumed isn't expended. Instead, it becomes fat, usually around the mid-section (hence the term "beer belly").

The body simple cannot handle any type of "binging" of alcohol if it's to maintain weight loss progress.

THE BINGE EFFECT

A BioMed Central Public Health journal's analysis once found that those who binge drink those who don't drink daily, but instead regularly drink heavily (4+ drinks) in one session are significantly more like to become obese than any other assessed group of people.

Andmore than two drinks in one sitting affects your blood sugar levels and makes you hungry, leading you to consume more food than you might normally. Owing to the inebriation factor of alcohol, you'll also choose less-healthy foods when you've gone over that two-drink limit.

Before you jump straight into your nightly glass or two of wine and expect any weight loss efforts to continue, there is one other caveat to consider. In general, light drinkers are likely to be more physically active than both teetotallers and heavy drinkers.

Something as simple as this perhaps they get an hour's extra exercise in every week could actually be what's making all the difference to their weight, not that glass of chardonnay.

Lee Suckling has a master's degree specialising in personal-health reporting. Do you have a health topic you'd like Lee to investigate? Send us an emaillife.style@fairfaxmedia.co.nzwith Dear Lee in the subject line.

-Stuff

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When you're trying to lose weight, do you have to cut out all alcohol? - Stuff.co.nz

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Despite thousands of studies spanning decades, alcohol remains one of the most controversial and confusing topics for people concerned about controlling their weight.

People trying to lose weight or not gain weight are frequently advised to lay off the booze. Although organizations like Weight Watchers offer ways to drink wisely within their plans, alcohol, with 7 calories a gram and no compensating nutrients, is commonly thought to derail most efforts at weight control.

After the winter holidays, I often hear people blame alcohol for added pounds, not just from its caloric contribution but also because it can undermine self-control and stimulate the appetite and desire for fattening foods.

Yet you probably know people who routinely drink wine with dinner, or a cocktail before it, and never put on an unwanted pound. Given that moderate drinkers tend to live longer than teetotalers, Id love a glass of wine or a beer with dinner if I could do so without gaining, so I looked into what science has to say about alcohols influence on weight.

Despite thousands of studies spanning decades, I discovered that alcohol remains one of the most controversial and confusing topics for people concerned about controlling their weight.

I plowed through more than two dozen research reports, many with conflicting findings on the relationship between alcohol and weight, and finally found a thorough review of the science that can help people determine whether drinking might be compatible with effective weight management.

The review, published in 2015 in Current Obesity Reports, was prepared by Gregory Traversy and Jean-Philippe Chaput of the Healthy Active Living and Obesity Research Group at the Childrens Hospital of Eastern Ontario Research Institute in Ottawa, Ontario.

The reviewers first examined so-called cross-sectional studies, studies that assessed links between alcohol intake and body mass index among large groups of people at a given moment in time. The most common finding was that, in men on average, drinking was not associated with weight, whereas among women, drinking either did not affect weight or was actually associated with a lower body weight than among nondrinkers.

Their summary of the findings: Most such studies showed that frequent light to moderate alcohol intake at most two drinks a day for men, one for women does not seem to be associated with obesity risk. However, binge drinking (consuming five or more drinks on an occasion) and heavy drinking (more than four drinks in a day for men, or more than three for women) were linked to an increased risk of obesity and an expanding waistline. And in a departure from most of the other findings, some of the research indicated that for adolescents and (alas) older adults, alcohol in any amount may promote overweight and a higher body fat percentage.

Prospective studies, which are generally considered to be more rigorous than cross-sectional studies and which follow groups of people over time, in this case from several months to 20 years, had varied results and produced no clear picture of the relationship between alcohol and weight. Several found either no relationship or a negative relationship, at least in women, while others found that men who drank tended to risk becoming obese, especially if they were beer drinkers.

The conclusion from the most recent such studies: While heavy drinkers risked gaining weight, light to moderate alcohol intake is not associated with weight gain or changes in waist circumference.

The studies Chaput ranked as most reliable and providing the strongest evidence were controlled experiments in which people were randomly assigned to consume alcohol under monitored conditions. One such study found that drinking two glasses of red wine with dinner daily for six weeks did not result in weight gain or a greater percentage of body fat in 14 men, when compared with the same diet and exercise regimen without alcohol. A similar study among 20 overweight, sedentary women found no meaningful change in weight after 10 weeks of consuming a glass of wine five times a week.

However, the experimental studies were small and the intervention periods were short. Chaput noted that even a very small weight gain over the course of 10 weeks can add up to a lot of extra pounds in five years unless there is a compensating reduction in food intake or increase in physical activity.

Unlike protein, fats and carbohydrates, alcohol is a toxic substance that is not stored in the body. Alcohol calories are used for fuel, thus decreasing the bodys use of other sources of calories. That means people who drink must eat less or exercise more to maintain their weight.

Chaput said he is able to keep from gaining weight and body fat despite consuming about 15 drinks a week by eating a healthy diet, exercising daily and monitoring his weight regularly.

Big differences in drinking patterns between men and women influence the findings of alcohols effects on weight, he said. Men are more likely to binge drink and to drink beer and spirits, whereas women mostly drink wine and are more likely than men to compensate for extra calories consumed as alcohol.

Genetics are also a factor, Chaput said, suggesting that alcohol can be more of a problem among people genetically prone to excessive weight gain. People who are overweight to begin with are more likely to gain weight if they increase their alcohol intake, he said.

Furthermore, as I and countless others have found, alcohol has a disinhibiting effect and can stimulate people to eat more when food is readily available. The extra calories taken in with alcohol are stored as fat, he reminded drinkers.

Heres the bottom line: Everyone is different. The studies cited above average the results among groups of people and thus gloss over individual differences. Even when two people start out weighing the same and eat, drink and exercise the same amount, adding alcohol to the mix can have different consequences.

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A fasting diet doesnt mean you feel like you're starving.

Numerous studies have shown fasting impacts the reduction of chronic disease risk, longevity and weight loss. Most diets are all about giving up what you love and feeling deprived; whereas fasting diets may actually make those cravings go away. Here are five ways to get started.

This essentially means front-loading all of your calories to avoid consumption after a cut-off time, like 5 p.m. Many of my patients fast while they sleep, or skip dinner all together, allowing at least 12-14 hours between their last meal of the day and their first meal the following day.

Choose your plan based on your goals. Fasting is not a one-size-fits-all approach, and success often means trying different models.

RELATED: Intermittent fasting: Is restrictive eating right for you?

You'll have two "on days, where you'll consume 500-600 calories, split between breakfast and dinner. The other five days of the week are your off days, where you'll follow a healthy diet without calorie restriction. This intermittent fasting plan may help to reduce hunger and cravings and may also have beneficial impacts on insulin and C-reactive protein.

Studies show a monthly, periodic approach to fasting can help to increase longevity and reduce your risk for cancer, diabetes and heart disease.

For five consecutive days each month, consume about 35 to 50 percent of your normal calorie intake, divided between 10 percent protein, 40 percent carbohydrate and 50 percent fat. For example, if your normal intake is 1,800 calories, youll bring it down to 700 calories, and focus on lean proteins, healthy fats and high-fiber carbohydrates.

RELATED: Should you really be fasting? 3 diet myths get busted

While on any of the plans listed above, try to choose carbohydrates that are higher in protein and fiber they'll help you stay fuller, longer. Here are a few changes to make:

Dehydration is often misinterpreted as hunger. Fill yourself up by choosing calorie-free herbal tea, decaffeinated coffee and sparkling or plain water. Avoid artificially sweetened beverages, which will only increase sugar cravings and appetite.

If youre attempting a fasting diet, lack of sleep is a recipe for disaster because it negatively alters your hunger and satiety hormones. Finally, as with any new diet, have a discussion with your doctor beforehand.

Kristin Kirkpatrick, MS, R.D., is the manager of wellness nutrition services at the Cleveland Clinic Wellness Institute in Cleveland, Ohio, and the author of "Skinny Liver." Follow her on Twitter @KristinKirkpat. For more diet and fitness advice, sign up for our One Small Thing newsletter.

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One day, it just might be you.

A senior, home-bound or just home from the hospital and unable to do much for himself. A disabled person, unable to work and trying to scrape by on disability payments. Someone, living by herself with no friends or family nearby, and recovering from a medical episode.

Those are the people helped each and every day by Meals on Wheels of Greater Lynchburg. Tuesday, community leaders from across Central Virginia rode shotgun with Meals on Wheels volunteers as they went about their appointed daily rounds, delivering a hot meal to more than 660 folks and checking in to see how theyre faring. The ride-along gave them the chance to see up close a side of Central Virginia thats often hidden from view.

And if you wonder whether or not the success rate of Meals on Wheels is, in any way, quantifiable, just consider these numbers:

In 2016, Meals on Wheels served 663 Central Virginians, 106 more than in 2015.

Volunteers delivered 75,354 hot meals to seniors and others in need, 13,456 more than in 2015.

And because companionship of any kind is so rare in many of these folks lives, Meals on Wheels also provided 123 pet owners food for their furry friends and companions.

In 2016, Meals on Wheels army of volunteers logged 16,728 volunteer hours and 87,313 volunteer miles serving others throughout Central Virginia.

But when you look back just a couple of years, you see how much the need has truly grown in our region. In 2014, volunteers delivered 50,000 hot meals to 388 clients. Thats almost a 71 percent growth in the number of clients and almost a 51 percent jump in the number of hot meals delivered.

Meals on Wheels of Greater Lynchburg receives 100 percent of its funding from local sources. Individual donations account for half of the nonprofits annual budget, while grants, fundraising events and contributions from churches and other houses of worship account for the rest. There are no state or federal dollars involved.

People of all ages and all incomes are accepted into the program. More than 8 percent of clients pay full price for the service; about 16 percent pay on a sliding scale based on ones ability to pay; and about 76 percent receive their meals at no charge. Meals are diabetic and heart-friendly, and staff can even work with a clients doctor to provide special diets.

So many people, especially the elderly living on their own, are in danger of being food insecure and lapsing into an unhealthy diet that simply keeps them functioning. Just stop to consider that a years worth of home-delivered meals costs about as much as a days stay in a hospital, and you begin to see the great value of Meals on Wheels. Keeping people healthy in their homes is much more cost-effective than getting them healthy in a hospital.

Learn more about Meals on Wheels of Greater Lynchburg at http://www.mealsonwheelslynchburg.org. A contribution of either your time or your resources will ripple through the community and the lives of hundreds of people in ways you cant even imagine.

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Sustenance For the Body and the Soul - Lynchburg News and Advance

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MICHAEL JAROSKY

Last updated10:44, March 23 2017

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Is it what you eat, or how much you move, that really counts?

I was offended when a respected US magazine recently hit my Facebook feed suggesting "back to the couch you go, because running isn't helping you lose weight." Respectfully, I call BS to that conclusion.

The crux of the article was an argument echoed at many smoothie bars across the globe: should you count calories or burpees? What's more important for weight loss? Food or fitness?

WHAT THE EXPERTS SAID

Sports nutritionist Nick Greensaid "in most cases, nutrition plays a big role with weight loss. Most people are familiar with the phrase 'you can't outrun a bad diet'".

READ MORE: *Do more, eat less - that's the secret to success *Why is exercise useless for weight loss? *Taking a break from your diet helps long-term weight loss, research shows

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Maintaining a healthy exercise routine is essential to living a better quality life.

Alexandra Kookarkin, exercise physiologist and nutritionist, explained that "exercise has a huge role in fat burning, but it's the diet that will ultimately make or break the weight loss success".

Samantha Gemmell, nutritionist, replied, "In my experience, diet is definitely more essential than exercise... It's a lot easier to eat a few too many kilojoules than it is to exercise them off. Most people underestimate their food intake and overestimate the energy they burn by exercising".

Sharon Thurin, founder of Slim Secrets, said, "without a doubt what we eat is far more important from a weight loss perspective than exercise".

"IF WE CHANGE WHAT WE EAT"

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Diets have been shown to fail in the long run, with many reporting that they put weight back on.

Nutritionist Fiona Tuck broke it down like this: "[to burn off]40 minutes of intense weight lifting equals two beers; 20 minutes brisk walk equals one glass of champagne; 45 minutes brisk walk is one doughnut.

"Weight loss comes down to 80 per cent what we eat and 20 per cent how much we exercise. If we change what we eat we will lose weight, it is that simple."

And Dr. Karen Phillip, counselling psychotherapist, clinical hypnotherapist and naturopathic nutritionist explained: "I work with many individuals in their pursuit of a slimmer body. The main issue is diet I have many people who have done hypnotherapy choosing correct foods, eating smaller portions and losing weight. No gym required."

Lastly, GPNick Tellis threw in his two cents, saying, "when weight loss is your aim, diet is your game".

CONTRARY TO POPULAR OPINION

The professionals have had their say it's diet, diet, and more diet. I disagree not to play devil's advocate but because I believe in a 50 per cent diet and 50 per cent exercise commitment when it comes to weight loss and a new, happier, and healthier lifestyle. Exercise is a key element in weight loss, and it's a key element in keeping the weight off.

Colleagues might say I'm putting the cart in front of the horse. Fine. But there's a reason why I support exercise as a weight loss (and more) tool.

It's because of happiness. Take an overweight person who adores food. Now put them on a plan to eat less, and watch their mood, life, and energy sour. Sure, that crash diet might have them on a weight loss path, but I'd rather have them eat more, and have the caloric deficit come via exercise they'll be fuller, happier, and healthier.

RETHINKING YOUR HABITS

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The benefits of exercise aren't just physical, but also psychological.

We've got to stop with the laziness. Sure, it's easier to give up 500 calories of fizzy drink per day than it is to burn off 500 calories we love to do less because we're lazy. Tell an overweight individual weight loss is 80/20 food-fitness, and guess what's going to be neglected?

The reality is the body wants, needs, and loves to move. Exercise improves energy throughout the day while burning calories. It's a weight loss fact. We need a global "Get the Bum off the Couch and Move" movement.

LIES YOUR DIET TOLD YOU

In 2007 UCLA conducteda rigorous studyof dieting, and their conclusion was this: Diets don't work.

"You can initially lose five to 10 per cent of your weight on any number of diets, but then the weight comes back," said Traci Mann, UCLA associate professor of psychology and lead author of the study. "We found that the majority of people regained all the weight, plus more."

GET UP AND GO

It also because of science. Exercising reduces stress and anxiety while increasing self-confidence. It increases strength and flexibility. Exercise reduces heart disease, diabetes, and certain cancers. Need more benefits? Better bones, joints, ligaments, muscles, sleep, and appearance.

Because of resting metabolism. People who exercise with intensity at their goal weight are able to eat more because their bodies continue to burn calories even while resting, improving what's known as the Resting Metabolic Rate. They don't put on weight.

However those just coming off a diet? Their RMR is unmoved because of too little activity. A bit of naughtiness goes straight to the waistline as they revert back to their original weight. Exercising as a habit breeds weight loss, then guarantees weight maintenance.

AGREE TO AGREE (AND DISAGREE)

Of course I agree with my colleagues from above that healthy diet is an integral component of weight loss. And hell, maybe we've all got it all wrong and built a mega-billion industry around it. The issue isn't weight loss its longevity.

But people who are physically active tend to be healthier and live longer. The heart and body does not like weight in later years, and our bodies were meant to move with speed, power, and strength three things that exercise gives us. Don't just exercise for weight loss; exercise to live longer.

But food with no fitness? It's like Tim without Tams. Jekyll without Hyde, Bonnie without Clyde. Newman without Redford. A selfie without narcissism. Hamish without Andy. Bieber without talent.

Actually, I can imagine that last one. I just cannot imagine weight loss without exercise.

Michael Jarosky is aSydney-based personal trainer who champions a charity weight-loss event, Droptober.

- Executive Style

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Is diet really more important than exercise when it comes to weight loss? - Stuff.co.nz

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