Welcome to Debate Club! Please be aware that this is a space for respectful debate, and that your ideas will be challenged here. Please remember to critique the argument, not the author.

Stop counting calories - Harvard Health

Dante_80
Dante_80 Posts: 480 Member
edited October 2020 in Debate Club
Stop counting calories
Put the focus on food quality and healthy lifestyle practices to attain a healthy weight.


a0e3204e-81fb-44ad-b22e-111a2b885e55.jpg
Published: October, 2020

Most people have been taught that losing weight is a matter of simple math. Cut calories — specifically 3,500 calories, and you'll lose a pound. But as it turns out, experts are learning that this decades-old strategy is actually pretty misguided.

"This idea of 'a calorie in and a calorie out' when it comes to weight loss is not only antiquated, it's just wrong," says Dr. Fatima Cody Stanford, an obesity specialist and assistant professor of medicine and pediatrics at Harvard Medical School.

The truth is that even careful calorie calculations don't always yield uniform results. How your body burns calories depends on a number of factors, including the type of food you eat, your body's metabolism, and even the type of organisms living in your gut. You can eat the exact same number of calories as someone else, yet have very different outcomes when it comes to your weight.

"Drop the calories notion," says Dr. Stanford. It's time to take a different approach, she says, putting the emphasis on improving diet quality and making sustainable lifestyle improvements to achieve a healthy weight.

Not all calories are created equal

Three main factors affect how your body processes calories.

1. Your gut microbiome. Trillions of organisms live in your gut, and the predominant types may influence how many calories your body absorbs from food. Researchers have found that people who are naturally thin have different types of organisms living inside them than those who are overweight. "Taking the gut microbiota out of people who are lean and placing it in people who have overweight or obesity can result in weight shifts," says Dr. Stanford. This may occur because some types of organisms in the gut are able to break down and use more calories from certain foods than other types of organisms.

2. Your metabolism. Each body has a "set point" that governs weight, says Dr. Stanford. This set point reflects several factors, including your genes, your environment, and your behaviors. Your hypothalamus, a region at the base of your brain that also regulates things like your body temperature, stands guard to keep your body weight from dipping below that set point—which is not really a bonus if you're trying to lose weight. This is why you might find your weight plateauing even if you are diligently dieting and exercising, and also why a majority — 96% — of people who lose a large amount of weight regain it, says Dr. Stanford.

"Researchers studying the show The Biggest Loser, which helps contestants lose large amounts of weight through a stringent plan of diet and exercise, found that after weight loss, contestants' bodies would fight back in an attempt to regain the weight," she says. The resting metabolic rate for contestants, which measures the number of calories the body uses just running its everyday functions, plummeted after their dramatic weight loss. This means it became very challenging to avoid regaining some weight because of "metabolic adaptation," says Dr. Stanford.

3. The type of food you eat. Your food choices may also influence your calorie intake, and not just because of their specific calorie content. One 2019 study published in Cell Metabolism found that eating processed foods seems to spur people to eat more calories compared with eating unprocessed foods. In the study, 20 people (10 men and 10 women) were split into two groups. They all were offered meals with the same number of calories, as well as similar amounts of sugar, sodium, fat, fiber, and micronutrients. But there was one key difference: one group was given unprocessed foods, and the other got ultra-processed options. After two weeks, the groups switched and ate the other type of diet for the following two weeks.

"People who ate the ultra-processed food gained weight," says Dr. Stanford. Each group was given meals with the same number of calories and instructed to eat as much as they wanted, but when participants ate the processed foods, they ate 500 calories more each day on average. The same people's calorie intake decreased when they ate the unprocessed foods.

What's the lesson? Not all food is created equal. "The brain likes foods that are healthy, that are in their natural form," says Dr. Stanford.

Successful weight management

If counting calories isn't a dependable way to manage your weight, what can you do to shed extra pounds? Dr. Stanford recommends the following:

Focus on diet quality. When planning your meals, try to cut down on or eliminate processed foods, which can drive your body to consume more. Instead, focus on choosing unprocessed foods, including lean meats, whole grains, and lots of fruits and vegetables in their natural form.

Exercise regularly (as well as vigorously). Aim to get at least 150 minutes of moderate-intensity exercise each week. Moderate exercise is done at a level where you can talk, but not sing. "A lot of people think moderate exercise is a casual walk to the garden, but it's more like walking up a large hill," she says. While any movement is better than nothing, work toward achieving a more vigorous level of exercise when you can.

Sleep soundly. Poor sleep quality can lead to weight gain, as can a sleep schedule that is out of sync with the body's natural daily pattern, known as circadian rhythm. Your body wants to sleep at night and be awake during the day. "The Nurses' Health Study, which followed nurses for 20 years, found that those who worked the night shift gained more weight over time," says Dr. Stanford. The body gets perturbed when you disrupt its natural rhythm. The same is true if you are getting poor-quality sleep or not enough. A lack of sleep affects your weight in much the same way as hormonal shifts, making you want to eat more. So, addressing sleep problems with your doctor should be a priority.

Check your medications. Sometimes medication causes weight gain. Be aware if you start a new medication and you notice you're putting on weight. Your doctor may be able to prescribe an alternative that doesn't have the same side effect.

Reduce your stress levels. Stress, like poor sleep, can lead to weight gain. Controlling stress can help you keep excess pounds at bay.

Consult a professional. "A lot of people believe it's a moral failing if they are unable to lose weight," says Dr. Stanford. But it's not. As with other medical conditions, many people will need help from a doctor. Successful weight loss may require more than just diet and exercise. "You may never have thought about using medications to lose weight. Only 2% of people who meet the criteria for the use of anti-obesity medications actually get them. This means that 98% of people who could be treated, aren't," she says. Some people may also need surgery to lose weight, she says. Don't be afraid to seek help if you need it.

https://www.health.harvard.edu/staying-healthy/stop-counting-calories

Got this on my inbox today, and wanted to share. Dr Stanford does give some good points. I don't think I'll stop counting calories any time soon though, personally. Especially since I've seen how it helps me.

Thoughts?
«1

Replies

  • cgvet37
    cgvet37 Posts: 1,189 Member
    Well, I have my caloric intake set to lose 1lb per week. I exercise 6 days a week. Three days of weight training, which doesn't burn many calories. Three days are conditioning, and according to my watch is roughly 250 calories per workout. I eat what I want on the weekends, but am strict during the week. I have been losing on average 2lbs per week. So, according to my diet and exercise, I should be losing roughly 1lb per week. So, it's possible that I'm eating fewer calories than I should be, or it's really not based on 3,500 per lb. of fat.
  • SModa61
    SModa61 Posts: 3,117 Member
    What have learned about myself is my "off" switch is broken. So whether it is calorie counting or points tracking or whatever, I benefit from and external source that says "you're done".

    Also, it is possible to say that counting calories works, but must be customized because we are all unique in our response.
    What's the lesson? Not all food is created equal. "The brain likes foods that are healthy, that are in their natural form," says Dr. Stanford.

    In their experiment, they tested how much was eaten if offered processed vs unprocessed and processed food people ate more. Wouldn't that mean the brain likes the unprocessed? Also, if testing the brain, where is the test where processed and unprocessed were both offered and what was selected/eaten was studied.

    But I did hear an interesting theory about the overeating of process food and the theory was that your body will crave more food until it reaches the NUTRITION it needs and not but calories and that since the unprocessed food has less nutrition, one will continue to eat. I'm actually trying to run with this theory since cravings and no "off" switch are my key issues. It may be helping.
  • Diatonic12
    Diatonic12 Posts: 32,344 Member
    Intuitive Eating. Set Point. Clean Eating. That's what they were talking about in a nutshell.

    Intuitive Eating sounds good on paper but very vague if you're trying to put it into practice. It lacks any real direction. People want direction and a road map to get there. Just listening to your body...most people who have struggles with food lost touch with their body's hunger cues a long time ago.

    People want a strategy and a plan. Just following your hunger cues can lead you around by the nose and flying by the seat of your pants if you don't know how to go about that. Just do whatever works for you.

    Turn all of that dieting dogma into ACTION. We can have the answers to absolutely everything and still not be able to do anything. CICO is easy. Just track your data points.
  • Diatonic12
    Diatonic12 Posts: 32,344 Member
    Niner, you've got a way. That's it in a nutshell without the whole bushel. You summed it up the other day and I've been repeating it to myself. The deficit. I know all about the deficit but you condensed it. It's not always easy but it really is this simple. I lurve that.
  • Theoldguy1
    Theoldguy1 Posts: 2,498 Member
    ninerbuff wrote: »
    Name one weight loss plan that DOESN'T require eating fewer calories to lose weight? I've seen so many people switch to "healthy eating" and GAIN weight. Even switching to "non meat diets", "organic diets" etc.

    Again, I'll bring up prison inmates. The worst quality food, they eat it 3 times a day, and for many for years on in. What is the current obesity rate in prison? I'll bet you that only about 15% of the population are overweight that have been in there for 5 years or longer. If quality of food mattered that much, these guys should be dying of overweight related issues by the thousands. But that ain't happening.


    A.C.E. Certified Personal and Group Fitness Trainer
    IDEA Fitness member
    Kickboxing Certified Instructor
    Been in fitness for 30 years and have studied kinesiology and nutrition

    9285851.png

    Its also my understanding thet inmates are fed a certain amount of food at each of the 3 meals and the opportunities for additional food is somewhat limited.

    Would make sense over time they would lose weight if they were comsuming more on the outside
  • Dante_80
    Dante_80 Posts: 480 Member
    @enidben7 Glad to hear it. And it seems like logging your food via MFP is helping you with your quest, right?
  • cgvet37
    cgvet37 Posts: 1,189 Member
    Theoldguy1 wrote: »
    ninerbuff wrote: »
    Name one weight loss plan that DOESN'T require eating fewer calories to lose weight? I've seen so many people switch to "healthy eating" and GAIN weight. Even switching to "non meat diets", "organic diets" etc.

    Again, I'll bring up prison inmates. The worst quality food, they eat it 3 times a day, and for many for years on in. What is the current obesity rate in prison? I'll bet you that only about 15% of the population are overweight that have been in there for 5 years or longer. If quality of food mattered that much, these guys should be dying of overweight related issues by the thousands. But that ain't happening.


    A.C.E. Certified Personal and Group Fitness Trainer
    IDEA Fitness member
    Kickboxing Certified Instructor
    Been in fitness for 30 years and have studied kinesiology and nutrition

    9285851.png

    Its also my understanding thet inmates are fed a certain amount of food at each of the 3 meals and the opportunities for additional food is somewhat limited.

    Would make sense over time they would lose weight if they were comsuming more on the outside

    Most prisons have cominsery. Where they can buy soda, chips, sweets, etc. Ever see meals that prisioners make? They are very high calorie.
  • durhammfp
    durhammfp Posts: 494 Member
    sijomial wrote: »
    More like a sales pitch than a public service announcement.

    Pedalling the stupid myth that calorie counting has to be accurate to be effective is ridiculous.
    ...

    Really dim premise that it's a binary choice between calorie counting / calorie awareness OR eating good quality healthy food. Is there some law that it can't be both?

    "Not all calories are equal" is a shameful thing for an educated person to say because that's exactly what uniform units of energy are.
    ...

    It's not your fault, it's your set point/your food/your medications/you are immune to laws of energy conservation etc. etc. but don't worry if you give us your money we will fix it for you.

    Preach! Harvard should be ashamed of itself.
  • freda666
    freda666 Posts: 338 Member
    edited October 2020
    Diatonic12 wrote: »
    Intuitive Eating. Set Point. Clean Eating. That's what they were talking about in a nutshell.

    Intuitive Eating sounds good on paper but very vague if you're trying to put it into practice. It lacks any real direction. People want direction and a road map to get there. Just listening to your body...most people who have struggles with food lost touch with their body's hunger cues a long time ago.

    People want a strategy and a plan. Just following your hunger cues can lead you around by the nose and flying by the seat of your pants if you don't know how to go about that. Just do whatever works for you.

    Turn all of that dieting dogma into ACTION. We can have the answers to absolutely everything and still not be able to do anything. CICO is easy. Just track your data points.

    My "intuitive" eating took me to 20 stone.
  • Psychgrrl
    Psychgrrl Posts: 3,177 Member
    Me either. Lost almost 120 pounds and kept it off for 5-6 years. Calorie counting works for me. “Healthy eating” alone didn’t.
  • davepirat
    davepirat Posts: 12 Member
    Yikes, isn't Harvard supposed to be a good school? This reads a lot like those silly blog posts trying to sell you weight loss supplements...
  • psychod787
    psychod787 Posts: 4,099 Member
    ninerbuff wrote: »
    Name one weight loss plan that DOESN'T require eating fewer calories to lose weight? I've seen so many people switch to "healthy eating" and GAIN weight. Even switching to "non meat diets", "organic diets" etc.

    Again, I'll bring up prison inmates. The worst quality food, they eat it 3 times a day, and for many for years on in. What is the current obesity rate in prison? I'll bet you that only about 15% of the population are overweight that have been in there for 5 years or longer. If quality of food mattered that much, these guys should be dying of overweight related issues by the thousands. But that ain't happening.


    A.C.E. Certified Personal and Group Fitness Trainer
    IDEA Fitness member
    Kickboxing Certified Instructor
    Been in fitness for 30 years and have studied kinesiology and nutrition

    9285851.png

    I can't speak for your home state, but in mine, the rates of overweight and obese is lower than the street. Higher than 15% though. I have worked in prison medical for some years now and have seen some very interesting things. I have seen 400lb guys walk out 220lbs without hunger issues. Most guys here do lose some weight, but don't think they don't have access to the foods we eat on the outside. They do, if they have the money in their accounts to buy it from the canteen. What I have observed is the guys who do eat more of the outside foods, the less weight they lose or might even gain weight. As far as food quality of the chow hall, the "quality" is not really that bad. Lots of fruits, vegetables, rice, potatoes, beans... ect. Now the "meat" quality is in question. They do eat quite a bit of TVP. The taste? Pretty bland honestly. I have had to eat it on multiple occasions D/T natural disasters and being stuck at work. Yes, guys here do die from "overweight". Complications from diabetes and hypertension are not uncommon. The big take away is that most animals adapt to their environment. No different here.
  • Dante_80
    Dante_80 Posts: 480 Member
    edited October 2020
    davepirat wrote: »
    Yikes, isn't Harvard supposed to be a good school? This reads a lot like those silly blog posts trying to sell you weight loss supplements...

    Harvard Medical School is legit, and it's nutrition database and archives one of the best sources for proper information into the subject in the world.
    This specific article is a hit and a miss imho, although I think this is more a matter of improper wording than substance.
  • Rhumax67
    Rhumax67 Posts: 162 Member
    Show me the studies, please!
  • paperpudding
    paperpudding Posts: 9,304 Member
    The truth is that even careful calorie calculations don't always yield uniform results.

    No kidding, article writer.

    Of course there is variation between people and calorie calculators are only an estimate - usually a reasonable estimate but certainly not going to be xactly the same for everyone.

    And "calories are not created equal" - going on to say some sources of calories are more nutritious than others - again, No kidding.
    Nobody ever disputes that, do they?

    Ending with the promotion of weight loss med's - well, yes, you would want us to think calorie counting doesn't work if you are trying to sell an alternative. ;)
  • paperpudding
    paperpudding Posts: 9,304 Member
    But I did hear an interesting theory about the overeating of process food and the theory was that your body will crave more food until it reaches the NUTRITION it needs and not but calories and that since the unprocessed food has less nutrition, one will continue to eat. I'm actually trying to run with this theory since cravings and no "off" switch are my key issues. It may be helping.

    Yes, I can see there could be something in that.

    Known fact that children eating dirt and pregnant women craving strange things - almost always down to iron deficiency anaemia.

    This craving issue could well apply to other nutrients as well
  • nitalieben
    nitalieben Posts: 681 Member
    Well, sure. I'd like to not count calories for the rest of my life, but I've seen what happens when I don't.

    For me, it has been and continues to be effective.

    It is possible to still overeat on healthy, high quality foods. Heck, give me avocados, a bowl of quinoa, some nuts, some spinach, some chicken, some eggs, some salmon (all nice and healthy, good quality, right?) and I'll munch it all. So, sure. good quality, healthy food. But I'd still overeat. And I'd still gain weight.

    In the light of the above, getting surgery wouldn't exactly be very helpful if I'd keep overeating, would it? In fact, surgery might require me to be even less active while healing, and I'd probably be back to square one in a while.

    Sure, this approach might work for some people. But demanding people to stop counting calories while this approach hasn't helped them in the past but counting calories has? Eh, nah...
  • derekoh1234
    derekoh1234 Posts: 14 Member
    Diatonic12 wrote: »
    Intuitive Eating. Set Point. Clean Eating. That's what they were talking about in a nutshell.

    Intuitive Eating sounds good on paper but very vague if you're trying to put it into practice. It lacks any real direction. People want direction and a road map to get there. Just listening to your body...most people who have struggles with food lost touch with their body's hunger cues a long time ago.

    People want a strategy and a plan. Just following your hunger cues can lead you around by the nose and flying by the seat of your pants if you don't know how to go about that. Just do whatever works for you.

    Turn all of that dieting dogma into ACTION. We can have the answers to absolutely everything and still not be able to do anything. CICO is easy. Just track your data points.

    its more than want... most people NEED to have a guide and a set of rules to follow, intuitive eating is great in theory but for morbidly obese people its just unrealistic for losing weight.
  • Dante_80
    Dante_80 Posts: 480 Member
    edited October 2020
    Intuitive eating is not great in theory. It is great in practice too since the majority of the world population is following it without any weight problems.

    The problem is that intuitive eating is not working for someone that already has an unhealthy relationship with food. We have essentially trained our brains via our eating disorders to trick our bodies where eating is concerned. Judging from myself, I don't think I'll ever be able to have a healthy relationship with my food like the rest of the world. I'm trying, but I don't think I can succeed in re-routing my brain for this long term. It is not impossible, but certainly a lot more difficult than losing the 240 pounds I have to.

    CICO and calorie tracking was, is and will forever be a part of diet culture. No buts or ifs. They may also be the only way though that I can lose my excess weight, and possibly keep that weight away for good.

    All I know is that it's currently working. And "listening to my body" - for now - certainly doesn't (it is after all what brought me to this condition in the first place). :|