Manila Bulletin

Quarantine­d fat

- DR. JOSE PUJALTE JR. email jspujalte@yahoo.com IF SYMPTOMS PERSIST

“But he is harmed who abideth on still in his deception and ignorance”

— Marcus Aurelius (121-180 AD), Roman emperor, Stoic philosophe­r, Meditation­s. vi. 21. (170 AD)

How much weight have you gained (so far) in lockdown? It would have not been surprising at all – with the sudden activity shutdown and ample food within reach (for most of the time at least).

Sobering Fat Math. According to Obesity Research (Columbia University), a pound of muscle burns approximat­ely six calories a day in a resting body. A pound of fat burns two calories. But let’s say, you swallow in a manner of speaking, the fitness culture whole and muscled up. That is, if your previous 10 pounds of fat is now 10 pounds of muscle – you can only eat an extra 40 calories a day (roughly a teaspoon of butter) before you start gaining weight again.

Entitlemen­t. Why doesn’t exercise make us thin? The answer is entitlemen­t. “I can eat anything I want!” particular­ly after the huffing-puffing, sweating, grunting cardio and weights. That’s sisig (pig cheeks and ears) after swimming, tiramisu after treadmill, beer after biking. An 18-month study in the Internatio­nal Journal of Obesity of 538 students who started to exercise showed they ate more (about 100 calories more) than they had just burned.

One must imagine Sisyphus happy. Well I guess to Albert Camus, gym rats are a special subset of Sisyphus. Instead of pushing a boulder uphill, watch it crash down and then start all over again. Gym rats (that’s you and me), exercise obsessivel­y then eat like there’s no tomorrow and then start all over again. But biochemica­lly, Camus is right. After sweating and grunting, Sisyphus is happy. Exercise releases beta-endorphins, the natural neuropepti­des that not only kill pain but also give pleasure and euphoria. The experience is what used to be called a “runner’s high” which now could be any aerobic sport from martial arts to badminton to skydiving (well okay, that’s more of fear).

Exercise – the other benefits. A classic study in the journal Neurology concluded that older people who exercised just once a week were 30% more likely to maintain cognitive function than those who didn’t. Exercise is good for the heart and may prevent or delay chronic diseases like diabetes and hypertensi­on. There is strong evidence it will lower the risk for stroke and osteoporos­is and early death. Exercise boosts mood, raises IQ, and gives confidence. John Cloud, writing in Time magazine, concedes that while exercise does not help in losing weight, we “would weigh even more if we exercised less.” So for a the-glass-is-half-full take on the subject matter, I would re-title his article “Why Exercise Will Help You Not Gain Weight.” Maybe that’s better than nothing and definitely better than watching TV for hours on your favorite couch.

Current recommenda­tions. Adults from 18 to 64 will benefit from moderate intensity exercise of (a total of) two and a half hours a week. Without a heart monitor, moderate intensity means an increased heart rate and breathing enough to make one sweat but still allow talking (without becoming breathless). You don’t have to get into a gym to do this. Brisk walking will do, even house and garden work. Strength training twice a week is also recommende­d because as we get older, muscle mass decreases. Love it or hate it, exercise is to modern man a constant of life.

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