Friday, January 4, 2019

My scientific approach to a weight loss journey, part 2: Focusing on dealing with situations where caloric restriction is not possible, and the new focus for weight maintenance, factors that help to keep weight off after losing it(includes studies from NATURE). 81kg to 54.8kg. 178.5lbs to 120.8 lbs

Hello all. It has been very inspirational for me to read this sub, and I was hoping to contribute to this sub.

If you have not seen part 1 yet, here is the link: https://www.reddit.com/r/loseit/comments/a6yl89/81kg_to_57kg_1785lbs_to_1255_lbs_my_scientific/

Here, I discuss in brief, caloric restriction, my experience with the weight loss plateau and the effects of caloric restriction on BMR, and the importance of being physically active(this is not the same as exercise, although closely related).

Now for the second part.

I don't have much else to post on my transformation, as it is a short period of time, with minimal weight change, however I do have pictures of my current weight and waist size as proof i am not pulling a fast one.

https://imgur.com/a/xh9r11I

As you probably are aware, caloric restriction works, and it is a significant factor in weight loss, as shown in a 217 participant study funded by the National Institute of Health.

https://www.nih.gov/news-events/news-releases/nih-study-finds-calorie-restriction-lowers-some-risk-factors-age-related-diseases

https://www.nia.nih.gov/health/calorie-restriction-and-fasting-diets-what-do-we-know

The question then becomes, what happens when caloric restriction is not possible?

As many have experienced, including myself, caloric restriction is not possible 100% of the time. Even logging food items is not possible 100% of the time. Is there a way out?

In my opinion, there is a way out. That is through being more active for that period of time. This is not the same as physically working out until you collapse. Rather, it could be as simple as sitting down less.

I found a study that involved 303 Roux-en-Y Gastric Bypass patients,

Here is the link: https://link.springer.com/content/pdf/10.1007%2Fs11695-014-1212-3.pdf

Here is the short version incase you can't access the full study: https://www.ncbi.nlm.nih.gov/pubmed/24682779

It might be difficult to access due to pay wall issues, but if you wish to see the study in it's entirety, please drop me a message.

Here is the image of the results: https://imgur.com/a/OnNENxj

Only 48 % of patients reported ≥1 session/week MVPA, and mean reported sitting time was 7±4 h/day. Neither MVPA nor sitting time was associated with weight loss outcomes at patients’ lowest weight postsurgery. However, both MVPA and sitting time were independently positively and inversely, respectively, associated with total (kg) weight loss, % weight loss, and % excess weight loss at current weight, as well as weight loss maintained vs. regained, controlling for age, sex, surgery type, presurgery BMI, total initial weight loss, and time since surgery

Conclusion: Results demonstrate associations between MVPA and high sitting time and weight loss outcomes among bariatric patients in the long term.

This study is unique as caloric restriction is controlled for due to the nature of the operation.

In my anecdotal experience, due to unforseen circumstances and a general lack of self control, during the holiday period for 24-30 Dec, I doubled/tripled my caloric intake every day. eating 2800 at minimum, and 4700 at maximum.

https://i.imgur.com/EDaZTTx.png

My RMR is 1400 when I was 62 kg, and given that I was around 57kg at that point in time, this would have given me aestimated TDEE of lower than 1600.

This means that the excess caloric intake would have led to a gain of about 2kg. However, this did not happen. In fact, i maintained my weight.

During the same period, I walked a total of 151,643 steps or 21663 steps daily. This is about 10 miles a day, at 4.8km/h or 3mph, which is not a fast speed at all for most people.

https://i.imgur.com/iE5CuO2.png

This isn't anything out of the ordinary for me, as that is the amount that i tend to walk on a daily basis.

However, conditions during the trip are much harsher than normal. First, the steps were done in a -4 to -6 degree environment, with about an estimated 10kg of additional clothing(that is about 18% of my body weight)

Given that cold weather tends to increase fat metabolism, that may be a possible explanation

https://www.nih.gov/news-events/nih-research-matters/cool-temperature-alters-human-fat-metabolism

However, since a month of exposure only increases metabolism by 10%, it is not significant enough to outweigh my excess caloric intake of 100-200% daily.

My new focus, is on weight maintenance, as losing more weight is definitely out of the question.

I looked into studies on weight maintenance, and found two important points. There is an emphasis on reduced sitting time and proper nutrition(lack of fast food).

The biggest predictor of losing the weight and keeping it off according to a 4 year study published in nature of 8726 women, from ages 18-23, was spending very little time sitting.

Link: https://www.nature.com/articles/0802150#t3

Similarly, compared with the women who spent least time sitting, those who reported moderate and high sitting times (eg 33– <52 h,>52 h) were 17–20% less likely to have maintained their weight, and women who reported eating takeaway food occasionally were 15% less likely to be weight maintainers than those who rarely or never ate takeaway food.When these socio-demographic and health behaviours were taken into account, the factors associated most clearly with weight maintenance in the present study were initially healthy BMI, low sitting times and low consumption of takeaway food

This is very similar to the findings of the study of patients who went for a gastric bypass.

Conclusion: Results demonstrate associations between MVPA and high sitting time and weight loss outcomes among bariatric patients in the long term.

https://link.springer.com/content/pdf/10.1007%2Fs11695-014-1212-3.pdf

https://www.ncbi.nlm.nih.gov/pubmed/24682779

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[Daily Directory] Find your quests for the day here! - Saturday, 05 January 2019

Welcome adventurer! Whether you're new on this quest or are towards the end of your journey there should be something below for you.

Daily journal.

Interested in some side quests?

Community bulletin board!

If you are new to the sub, click here for our posting guidelines


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Can't believe I've let this happen.

Hi guys! I'm hoping to find support here because I'm feeling alone in this journey of weight loss. I went to the doctor for a checkup on the 2nd and found out I've hit 301.8 pounds.

I'm devastated I knew I was gaining weight but didn't realize how bad it was. For reference I'm 31 year old 5'7" woman so I in no way look ok with this weight. I'd convinced myself I was maybe 275 so finding out I broke 300 is a true push to do something.

Since the appointment I have started tracking calories trying to stay close to 1600 or below as that's what my fitness pal suggests for 2 lbs per week loss. I also went to the gym the 2nd 3rd and today! I only did 30 minutes on the treadmill doing the week 1 c25k training but I did something and I'm proud of the 1.3 miles I did each day.

Anyone with any other suggestions tips or just encouragement on my journey?

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I need help with a healthy calorie deficit!

Hi! I'm a long time sub to this subreddit but this is my first post! So about a year ago I started my weight loss journey, and was comfortably losing 1 lb a week with simply a 1,200 calorie diet and no exercise. I went from 155lbs in January to 137lbs in May, but I eventually fell off the wagon and gained 5lbs back in my first semester of college. So I've been back for winter break and decided to try to lose weight fast.... to the tune of eating ~800 calories a day and doing 30 mins of cardio at the gym almost daily. I wanted to lose 2 pounds a week. But aside from an initial 2-3 pound loss, which I assume is water weight, I haven't lost anything and it's been almost three weeks! So, I'm wondering, if "starvation mode" doesn't exist... what am I doing wrong? I have been diligent with using MFP to track my calories and I usually stay within eating 800-1000 calories a day and burning 300 calories at the gym 5x a week.

I believe my BMR is ~1480 and my TDEE is ~2000, so I have been trying to eat at at least a 1000 calorie deficit. But I've seen no results. :(

Am I doing this too fast or too harshly? I haven't been tracking how much water I drink at all, but I estimate that I drink about 48 oz a day. At this point, I just want to lose weight but I don't want to give up exercising. I don't even care about losing 2 pounds a week anymore, I want to lose weight consistently and sustainably at this point. Do I need to eat more or less? Should I exercise less often? I thought with CICO, I should have been at least losing some weight. I've been reading online articles about how too much cardio can lead to weight gain or how I'll burn muscle instead of fat if I exercise too much.... frankly, I'm lost! I could use a little guidance. Please help! And thank you!

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I finally hit under 200 pounds!

191 pounds exactly!

Since I was a kid, I always remember being overweight. By the time I was in middle school, I was 250 pounds. About 5 years ago, I hit my biggest weight at a whopping 275 pounds. I decided then it was time to make a change.

Life happened, and my weight loss journey was always off and on. I was always between 205 or 220. Lately I've been doing the calories in and calories out, and exercising. I weighed myself today for the first time in a long time and when I saw that number, I was sooo happy! My goal weight is 150, seeing this progress is more motivation and I dont doubt that I will get there!

I had to share this somewhere since I dont really have anyone to tell. Here's to a new year!

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How do clothes fit you now?

Is there an item of clothing you always wanted to wear but couldn't fit into before you lost weight? How did your sizes change? If you have loose skin, do you find that you have to wear certain clothes to hide it or be more comfortable? Did your personal style change at all? Did you end up altering any of your clothes to make them fit? What did you wear while you were continuing to lose weight and you knew things wouldn't fit you for long? Do you have any clothing brands to recommend?

If you have stories or anything to say about how clothes clothing works for you before, during, or after your weight loss, I'd like to hear it!

Edit: no idea why this post is getting downvoted. It's a legit question.

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Years long weight struggles, I know I can beat this

Hi, this is my first post here. I’ve been lurking for about a year.

When I was younger I used to do sports a lot and I spent most my time outside. I did korfbal (Dutch sport, a bit like basketball), tennis, and soccer and could eat whatever I wanted. Also I didn’t have any money so I didn’t buy junk food and my parents always made sure I ate healthy food.

In high school I developed major (clinical) depression which I have been struggling ever since. I also got enough pocket money to buy junk food and unhealthy snacks and start my comfort eating habit. At first this wasn’t much of a problem, because I was still relatively active and growing, but when my depression got worse I stopped doing sports, spent a lot of time in bed, and it was around the same time that I reached my final height. However, I did not stop comfort eating. So I kept gaining weight.

Over the years I’ve tried to lose weight quite a few times, with wildly differing results. I started taking anti-depressants and became more active again. Last year I started the year of by losing 7 kilos (85 to 78), using CICO and MFP, and felt like I could easily keep on going. But then I got to (finally) start taking testosterone (I am a trans* man), and I became very hungry all the time, and my anti-depressants got less effective as well.

So I gained 12 kilos in the past few months and am now at my all time high of 90kg (198.4lbs). I’ve started eating less and more healthy again in the last few weeks of 2018, and have been trying to stay active as well. I know I can lose the weight, a bit at a time, but tend to fall back in bad habits when things don’t go quite as I expect (or when my birthday comes around and I cheat, and feel like I may as well cheat some more).

I really really really want to keep up with my weight loss this time, though, because of my probable top surgery next summer. The best results are possible when you are a healthy weight.

I will try to post updates as the weeks/months pass.

Finn

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