Abdominal Fat Shortens Your Lifespan

Written by Dr. Steve Chaney on . Posted in Issues, Obesity

Your Belly Fat Could Be Killing You

Author: Dr. Stephen Chaney

Belly FatYou’ve probably already heard about the dangers of abdominal obesity (otherwise known as “belly fat“). You’ve probably heard that it increases your risk of diabetes, heart disease, stroke and cancer.

But did you know that your belly fat could be killing you? And, the weirdest part is that your belly fat could be killing you even if you are at ideal body weight (more about that in a minute).

Abdominal Fat Shortens Your Lifespan

A group of scientists at the National Institutes of Health recently analyzed data collected from 44,000 women in the Nurses’ Health Study over a 16-year period and asked if abdominal obesity affected their death rates from heart disease and cancer (Zhang et al, Circulation, 117: 1658-1667, 2008).

The answer was a clear-cut yes!

The study showed that women with a waist circumference of 35 inches were 2X more likely to die from heart disease and cancer than women with a waist circumference of 28 inches – even if they were at ideal body weight.

Abdominal Fat Can Kill You Even If Your Weight Is In The Normal Range

You might be asking “How could those women be at ideal body weight and still have abdominal obesity?”

There is a natural tendency to lose muscle mass as we age. When we add in the inactivity associated with the American lifestyle that loss of muscle mass is accelerated and the muscle is replaced with fat. Thus, it is actually possible in today’s world to have both normal weight and abdominal obesity – and that is not a good thing!

Of course, the women who were both overweight and had abdominal obesity were even more likely to die from heart disease or cancer. So weight control is not just about looking good in your bathing suit – abdominal obesity is a killer!

However, the good news is that you can do something about abdominal obesity. With exercise and a controlled calorie, high protein diet you can replace that fat with muscle (See my previous article “Do High Protein Diets Reduce Fat And Preserve Muscle?).

The Bottom Line

  • Belly Fat may double the risk of dying from heart disease and cancer in women. The statistics are likely to be similar in men.
  • Because both inactivity and the normal aging process cause us to lose muscle and replace it with fat, many of us have excess belly fat even when we are not overweight.
  • Combining a calorie controlled, high protein diet with exercise can help reverse the process and replace that excess fat with muscle.

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.

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High Protein Diets and Weight Loss

Posted October 16, 2018 by Dr. Steve Chaney

Do High Protein Diets Reduce Fat And Preserve Muscle?

Author: Dr. Stephen Chaney

Healthy Diet food group, proteins, include meat (chicken or turkAre high protein diets your secret to healthy weight loss? There are lots of diets out there – high fat, low fat, Paleolithic, blood type, exotic juices, magic pills and potions. But recently, high protein diets are getting a lot of press. The word is that they preserve muscle mass and preferentially decrease fat mass.

If high protein diets actually did that, it would be huge because:

  • It’s the fat – not the pounds – that causes most of the health problems.
  • Muscle burns more calories than fat, so preserving muscle mass helps keep your metabolic rate high without dangerous herbs or stimulants – and keeping your metabolic rate high helps prevent both the plateau and yo-yo (weight regain) characteristic of so many diets.
  • When you lose fat and retain muscle you are reshaping your body – and that’s why most people are dieting to begin with.

So let’s look more carefully at the recent study that has been generating all the headlines (Pasiakos et al, The FASEB Journal, 27: 3837-3847, 2013).

The Study Design:

This was a randomized control study with 39 young (21), healthy and fit men and women who were only borderline overweight (BMI = 25). These volunteers were put on a 21 day weight loss program in which calories were reduced by 30% and exercise was increased by 10%. They were divided into 3 groups:

  • One group was assigned a diet containing the RDA for protein (about 14% of calories in this study design).
  • The second group’s diet contained 2X the RDA for protein (28% of calories)
  • The third group’s diet contained 3X the RDA for protein (42% of calories)

In the RDA protein group carbohydrate was 56% of calories, and fat was 30% of calories. In the other two groups the carbohydrate and fat content of the diets was decreased proportionally.

Feet_On_ScaleWhat Did The Study Show?

  • Weight loss (7 pounds in 21 days) was the same on all 3 diets.
  • The high protein (28% and 42%) diets caused almost 2X more fat loss (5 pounds versus 2.8 pounds) than the diet supplying the RDA amount of protein.
  • The high protein (28% and 42%) diets caused 2X less muscle loss (2.1 pounds versus 4.2 pounds) than the diet supplying the RDA amount of protein.
  • In case you didn’t notice, there was no difference in overall results between the 28% (2X the RDA) and 42% (3X the RDA) diets.

Pros And Cons Of The Study:

  • The con is fairly obvious. The participants in this study were all young, healthy and were not seriously overweight. If this were the only study of this type one might seriously question whether the results were applicable to middle aged, overweight coach potatoes. However, there have been several other studies with older, more overweight volunteers that have come to the same conclusion – namely that high protein diets preserve muscle mass and enhance fat loss.
  • The value of this study is that it defines for the first time the upper limit for how much protein is required to preserve muscle mass in a weight loss regimen. 28% of calories is sufficient, and there appear to be no benefit from increasing protein further. I would add the caveat that there are studies suggesting that protein requirements for preserving muscle mass may be greater in adults 50 and older.

The Bottom Line:

1)    Forget the high fat diets, low fat diets, pills and potions. High protein diets (~2X the RDA or 28% of calories) do appear to be the safest, most effective way to preserve muscle mass and enhance fat loss in a weight loss regimen.

2)     That’s not a lot of protein, by the way. The average American consumes almost 2X the RDA for protein on a daily basis. However, it is significantly more protein than the average American consumes when they are trying to lose weight. Salads and carrot sticks are great diet foods, but they don’t contain much protein.

3)     Higher protein intake does not appear to offer any additional benefit – at least in young adults.

4)     Not all high protein diets are created equal. What some people call high protein diets are laden with saturated fats or devoid of carbohydrate. The diet in this study, which is what I recommend, had 43% healthy carbohydrates and 30% healthy fats.

5)    These diets were designed to give 7 pounds of weight loss in 21 days – which is what the experts recommend. There are diets out there promising faster weight loss but they severely restrict calories and/or rely heavily on stimulants, they do not preserve muscle mass, and they often are not safe. In addition they are usually temporary.  I do not recommend them.

6)    This level of protein intake is safe for almost everyone. The major exception would be people with kidney disease, who should always check with their doctor before increasing protein intake. The only other caveat is that protein metabolism creates a lot of nitrogenous waste, so you should drink plenty of water to flush that waste out of your system. But, water is always a good idea.

7)     The high protein diets minimized, but did not completely prevent, muscle loss. Other studies suggest that adding the amino acid leucine to a high protein diet can give 100% retention of muscle mass in a weight loss regimen – but that’s another story for another day.

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.

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