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    http://www.bodyrecomposition.com/fat-loss/the-energy-balance-equation.html

    The Energy Balance Equation

    Recently on the Internet, a common meme is that the application of thermodynamics to the human body isincorrect. This usually comes out of people talking about something that they clearly do not understand in

    any way shape or form which is the energy balance equation.

    This is usually used as a lead in to the idea that the Calorie theory of weight gain and weight loss is

    incorrect or what have you. This leads to even more abjectly stupid ideas that Im not getting into here.

    Today, Im going to do my best to clear things up about what the energy balance equation does and

    doesnt mean and why people, who dont really have a clue what theyre talking about, dont understand it.

    Hopefully by the time youve gotten to the end of this, youll understand it.

    What is the Energy Balance Equation?In its simplest form, the energy balance equation is meant to represent what does (or at least should)

    happen to the body by looking at the difference between energy intake (from food) and energy output.

    In its exceedingly simplest form, the energy balance equation is this:

    Energy in = Energy out + Change in Body Stores

    This is essentially just a restatement of basic thermodynamics, since energy cant be created or destroyed,

    it all has to be accounted for in some form or fashion. In this case, differences between intake and output

    show up as changes in the energy stores of the body.

    Now, in the case of the human body, changes in energy stores will show up as changes in the amount of

    different tissues in the body. Excess energy is converted or stored via conversion into body tissue (e.g.

    body fat, muscle tissue, etc.). Since excess energy is stored in the body as tissues that contain mass, I

    will (marginally incorrectly) refer to changes in body mass throughout this article.

    Im doing this as people tend to fixate on c hanges in mass/weight rather than on energy per se (we can

    measure changes in weight on the scale, or changes in fat or muscle mass; you cant readily measure

    changes in energy stores of the body). As youll see below, this confusion about the energy value of

    different tissues is a big part of the confusion and claims regarding the equation itself.

    By the same token, if energy intake is less than output, the body will pull on stored energy within the body

    and there will be some loss of tissue (e.g. fat, muscle, etc.). Again, Ill refer to changes in mass in thisarticle, just realize that, for technical accuracy, the real changes is in the energy store of the body.

    Now, the above is a very simplified version of the energy balance equation and this is part of where folks

    get into problems.

    But we have three basic bits of the equation: Energy In, Energy Out and Change in Body Stores. I want to

    look at each including some of the places that people make some really flawed arguments and draw some

    really flawed conclusions based on their misunderstanding of whats going on.

    A More Detailed Look at the Equation: Energy InNow, energy in is actually the simplest aspect of all of this, this represents the number of calories that you

    ingest each day from the nutrients protein, carbs, fat, fiber and alcohol.

    Of course, even that is not so simple. First and foremost, not all foods are digested with identical

    efficiency. On average, high quality animal-source proteins are digested with roughly 90-95% efficiency

    with vegetable source proteins coming in lower than that (80-85%), fats digest with about 97% efficiency

    and carbs can be as low as 80% depending on fiber content.

    There can be some variance between different sources of the same nutrient as well. For example, a

    recently developed carbohydrate called resistant starch (it resists digestion) is absorbed with poor

    efficiency, more calories are lost in the stool compared to other carbs; some sugar alcohols share this

    effect (although they can just as readily cause massive stomach upset and diarrhea because of it). You

    dont generally see massive differences in proteins or fats although there can be slight differences.

    Put differently, some energy is lost prior to digestion (and shows up in the feces), never to be absorbed by

    the body. But strictly speaking you can make an adjustment on the energy in side of the equation to take

    digestibility into account with a correction factor (which would vary depending on the nutrient in question)

    But I think you get the idea: the point is that the calorie in value can vary a bit depending on the specific

    nutrient and source of that nutrient. The amount of calories listed on the side of the food youre eating may

    not be exactly the number of calories that make it through digestion and into the body. If anything, the

    value will be slightly less.

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    High-fiber diets tend to have this effect generally, as soluble fiber binds a small amount of protein and fat

    in the stomach carrying it out without digestion. So if you jack up soluble fiber intake, you end up

    absorbing less of the calories that went into your mouth; more are lost in your poop.

    There is also some evidence that based on differences in the bacteria in the gut, there may be small

    differences in how well or poorly people extract energy from food during digestion, the most recent paper

    Ive seen suggests that this can vary by roughly 100 calories per day. So thats another place where the

    equation might be modified for any given individual.Id mention that, currently, no-one knows how to modify this in any useful fashion (although weight loss per

    se appears to cause the gut bacteria to shift to a different type) but that technology (through the use of pre-

    or pro-biotics) will likely come through in a few years.

    Please note: This doesnt deny the validity of the energy balance equation, it just means that its

    more complicated than people realize.

    A More Detailed Look at the Equation: Energy OutThe energy out part of the equation is more complicated than people understand and Id recommend my

    articleMetabolic Rate Overviewfor a detailed look at the different components of the out part of the

    equation and their determinants.

    Summing up, there are 4 primary aspects of the energy out part of the equation which are Resting/Basal

    Metabolic Rate (RMR/BMR), the Thermic effect of food (TEF), the Thermic Effect of Activity (TEA) and a

    more recent addition which is Spontaneous Physical Activity/Non-Exercise Activity Thermogenesis(SPA/NEAT). Essentially TEA refers to calories burned through formal exercise/activity, SPA/NEAT is

    more subconscious and represents daily movement, going from seated to standing, fidgeting and a host of

    other stuff that isnt conscious voluntary exercise.

    Im going to come back to this below but something that is VERY important to remember is that no ne of

    the above is static: it all changes based on what the person is doing and their diet, activity, environment,

    etc.

    A Mid-Article ReviewSo Ive looked at some of the factors that can modify both the energy in and energy out part of the

    equation. Now we can rewrite the equation a bit more usefully as:

    Energy In (corrected for digestion) = (BMR/RMR + TEF + TEA + SPA/NEAT) + Change in Body Stores

    Even thats not complete and there are other things that can go on the energy out side of it, various

    inefficiencies in biochemical pathways (that basically waste calories through heat) and such things. Idnote that most of these dont appear to contribute terribly significantly to the energy out side of things but

    they are worth noting since they modify the overall equation.

    Id also note that people often make comments about the above equation which shows just how utterly

    clueless they are about it. For example, people will point out that replacing carbs with protein leads to

    greater weight loss although they have the same calories; ergo the equation is wrong. What they fail to

    realize is that protein has a higher thermogenic effect and this modifies the TEF value of the equation; the

    energy OUT side of the equation changes if you replace carbs with protein. But they seem to try to treat

    the sides of the equation independently in this case; which is wrong.

    Now, even with the above, a commonly made argument that the energy balance equation is wrong is that,

    invariably, changes in either intake or expenditure dont seem to scale with predicted or expected changes

    in body mass. That is, armed with the above, if you know intake and output, you should be able to know

    exactly how much body mass will change, right?

    Put differently, its commonly stated that if you reduce food intake by 500 calories/day you will lose onepound per week. Yet when people do that very thing, this never happens in the real world. Or if you add

    500 calories/day of food, you should gain a pound, and that pretty much never happens either in the real

    world.

    Hence the equation is invalid, right? Wrong.

    There are three different reasons why the expectations of most people in terms of changes in the energy

    balance are incorrect and, again, its based on their own simplistic understanding of whats going on.

    Those three reasons are

    1. Water balance

    2. Muscle and fat are not identical

    3. The fact that the energy balance equation is not static

    Lets look at each.

    Water BalanceThis is the easiest to explain so Ill tackle it first. First note that water contains zero energy and zerocalories. I can add a billion gallons of water to either side of the equation and it doesnt affect the equation

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    itself (quick note: some work suggested that ingestion of water, or cold water, could increase energy

    expenditure so that is an indirect way that water might impact on the equation, but this is not what Im

    talking about).

    However, water balance issues completely screw up expectations about changes in body mass. Every

    woman reading this knows that she can swing some amount of body weight (could be a couple pounds,

    could be 10 pounds) across a menstrual cycle and carbohydrate intake has a massive impact on water

    balance. But those changes dont mean anything in terms of the energy balance equation. Early studies of very-low carb diets (all discussed in detail in my first book The Ketogenic Diet) reported

    water loss ranging from like 1-15 pounds in the first few days. Im fairly little and I can drop 7 lbs of water

    in 3 days of carbohydrate restriction (it comes right back with carb-loading).

    Similarly, if you add a bunch of sodium to someones diet after a period of low -sodium intake, they will gain

    several pounds of water. But it doesnt affect the energy balance equation in any way because water has

    no caloric/energy value.

    Ive talked about this on the site in various contexts, in the articleOf Whooshes and Squishy Fat, I talk

    about how water retention can mask true fat loss in some people. The deficit is there, the activity is there

    and nothing is happening. Then boom, overnight, 5 pounds drops off. Its not a thermodynamic miracle,

    nor does it defy the energy balance equation, water shifts just screw things up.

    I discussed this in a different context in the article Not Losing Fat at a 20% Deficit, What Should I Do?,

    some people seem prone to retaining water (they tend to be a little bit tightly wound mentally in my

    experience), they overproduce cortisol (which shows cross-reactivity with the mineralocorticoid receptor)

    and this causes water retention, especially when they diet and train too hard. They maintain a nice deficit,

    etc. but nothing is happening. Energy balance equation is wrong, right? Nope, its just water.

    The same thing works in the other direction, early studies (invariably lasting 4-7 days) on very low carb

    diets found greater WEIGHT loss for the lowcarb vs. high-carb diets. Aha, theres a metabolic advantage.

    Nope, its just water loss (due to a variety of mechanisms) and water doesnt have calories on either end of

    the equation. So this doesnt disprove the energy balance equation because water has no calories.

    So thats reason one while the expected change in body mass often doesnt scale with the deficit or

    expectations: water loss throws everything off. This doesnt invalidate the energy balance equation

    though, because water doesnt have energy on either side.

    Muscle and Fat are Not IdenticalThe next wrench that throws people into confusion about the energy balance equation has to do with the

    difference in gaining or losing fat and muscle. Weve all heard for decades that if you create a 3,500cal/week deficit, you will lose one pound and this is what people expect to happen exactly without fail, and

    if it doesnt, clearly the energy balance equation is invalid.

    Did you ever wonder where that value of 3,500 cal per pound comes from?

    Quoting fromThe Stubborn Fat Solution:

    WAT in humans is composed primarily (anywhere from 80 to 95%) of lipid. By lipid, I

    mean stored triglycerides (TG) which are simply a glycerol molecule bound to three free

    fatty acid (FFA) chains. The remaining part of the fat cell is comprised of a little bit of

    water as well as all of the cellular machinery needed to produce the various enzymes,

    proteins, and products that fat cells need to do their duty. As its turning out, fat cells

    produce quite a bit of stuff, some good, some bad, that affects your overall metabolism.

    For the record, one pound of fat is 454 grams and lets assume 90% lipid on ave rage. So

    about 400 or so grams are actual stored TG. When burned by the body, one gram of fat

    provides 9 calories so 400 grams of fat contains about 3600 calories of stored energy. Now

    you know where the old axiom of ~3,500 calories to lose a pound of fat comes from.

    Note: WAT = white adipose tissue, the primary type of fat in the human body. So there ya go, create a 3,500 cal/week deficit and you should lose one pound of fat, right? Again, wrong.

    There is a built in assumption in the above that turns out to not be necessarily correct but also throws a

    wrench into expectations about the energy balance equation. That assumption is that 100% fat is being

    lost when a deficit is created. Now, if you diet correctly (e.g. the way I describe in my books), this is a

    pretty good assumption but its not universally true. Often people also lose muscle and connective tissue

    on a diet.

    And the issue is that muscle and connective tissue doesnt provide as much energy to the body as a

    pound of fat. Rather than 3,500 calories to break down a pound of fat, a pound of muscle provides about

    600 calories to the body when its broken down for energy.

    Let me put this in mathematical terms, to show you how the identical 3,500 calorie/week deficit can yielddrastically different changes in body mass depending on what percentage of tissue youre losing. Im

    going to use the extremes of 100% fat, 50/50 fat and muscle, and 100% muscle.

    http://www.bodyrecomposition.com/the-ketogenic-diethttp://www.bodyrecomposition.com/the-ketogenic-diethttp://www.bodyrecomposition.com/the-ketogenic-diethttp://www.bodyrecomposition.com/fat-loss/of-whooshes-and-squishy-fat.htmlhttp://www.bodyrecomposition.com/fat-loss/of-whooshes-and-squishy-fat.htmlhttp://www.bodyrecomposition.com/fat-loss/of-whooshes-and-squishy-fat.htmlhttp://www.bodyrecomposition.com/fat-loss/not-losing-fat-at-20-deficit-what-should-i-do-qa.htmlhttp://www.bodyrecomposition.com/fat-loss/not-losing-fat-at-20-deficit-what-should-i-do-qa.htmlhttp://www.bodyrecomposition.com/fat-loss/not-losing-fat-at-20-deficit-what-should-i-do-qa.htmlhttp://www.bodyrecomposition.com/the-stubborn-fat-solutionhttp://www.bodyrecomposition.com/the-stubborn-fat-solutionhttp://www.bodyrecomposition.com/the-stubborn-fat-solutionhttp://www.bodyrecomposition.com/the-stubborn-fat-solutionhttp://www.bodyrecomposition.com/fat-loss/not-losing-fat-at-20-deficit-what-should-i-do-qa.htmlhttp://www.bodyrecomposition.com/fat-loss/of-whooshes-and-squishy-fat.htmlhttp://www.bodyrecomposition.com/the-ketogenic-diet
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    Condition Energy Yield Total Weight Lost

    100% Fat 3500 cal/lb 1 pound

    50%Fat/50% Muscle 2050 cal/lb 1.7 pounds

    100% Muscle 600 cal/lb 5.8 pounds

    See whats going on? The assumption of one pound per week (3,500 cal/week deficit) is only valid for the

    condition where you lose 100% fat. If you lose 50% fat and 50% muscle, you will lose 1.7 pounds in a

    week for the same 3,500 calorie deficit. Lose 100% muscle (this never happens, mind you, its just for

    illustration) and you lose 5.8 pounds per week.

    Id note that I suspect this is why many rapid weight loss centers advise against exercise: exercise limits

    muscle loss on a diet and the simple fact is that you will lose MORE TOTAL WEIGHT faster if you lose

    muscle.

    Finally, Id note that most obesity researchers assume a loss for obese individuals of roughly 25% lean

    body mass and 75% fat which would put the true expected weight loss somewhere between the 1 lb/week

    and 1.7 pounds per week. But I dont feel like doing the math.

    I should note that the above numbers arent the same as for weight gain but there are differences in the

    amount of energy required to store one pound of muscle vs. one pound of fat. So there are still differences

    and this means that the predicted weight gain and actual weigh gain wont be identical; the math just isnt

    quite the same as what I presented above.

    But the critics say, it still never works out that way. Even if you account for water and the above, the math

    still never works out. The calorie hypothesis is still incorrect.

    But they always seem to steadfastly ignore the final factor.

    The Energy Balance Equation Isnt StaticThis is the real biggie which is why I saved it for last. As noted above, the energy balance equation can be

    written a bit more complexly as:

    Energy In (corrected for digestion) = (BMR/RMR + TEF + TEA + SPA/NEAT) + Change in Body Stores

    Heres what I want to talk about now: every factor on the right hand side, BMR/RMR, TEF, TEA and

    SPA/NEAT can change based on environment. Please read that sentence again a couple of times.

    People have this weird tendency to assume that if their maintenance caloric intake is exactly 2500 calories

    (at calorie balance); therefore if they start eating 2000 calories (or increase activity to burn 500

    calories/day) they should lose exactly 1 pound of fat per week. Or that that 2,500 calorie/day maintenance

    will not change.

    Ignoring the water balance and muscle vs. fat thing, this is still incorrect and heres why: the equation isnt

    static. It changes. Sometimes considerably. And this makes predicted and actual changes in body mass

    different.

    Some examples:

    When you lose weight, BMR/RMR goes down. Some of this is simply due to reduced body weight (a

    smaller body burns less calories) but there is also an adaptive component due to changes in hormones

    like leptin, insulin, nervous system output and thyroid hormones (this topic is discussed in detail in

    bothThe Rapid Fat Loss HandbookandA Guide to Flexible Dieting). This lessens the actual deficit that is

    being created because the previously estimated maintenance value is no longer correct (to keep losing fat

    at anywhere near the same rate, calories have to be reduced further to take this reduction into account).

    The Thermic effect of food is related directly to the amount of food that youre eating. Now, TEF is usuallyrough-estimated at 10% of total food intake (this is just an average value for average diets). But that

    means that if you reduce food intake by 500 cal/day, you will be burning 50 cal/day less via TEF. Your

    previous maintenance of 2500 has already been reduced to 2450 cal/day. So the assumption of a static

    2500 cal/day maintenance is already made invalid simply by the act of reducing food intake (albeit slightly).

    Ok, you say, what if I add exercise instead? Well, some research has found that (and this usually happens

    in older people) excessive amounts of activity burned during exercise causes people to move around less

    later in the day. For example, say you put yourself through 500 calories of hard activity but, due to fatigue,

    you sit on the couch more later that night, burning 300 calories less than you expended before training.

    The supposed 500 calorie deficit youre creating is really only 200 calories because your SPA/NEAT has

    adjusted itself. You might expect one pound per week fat loss but the deficit is actually less than half of

    that (200 cal/day * 7 days = 1,400 calories = 0.4 pounds fat per week).

    As well, people often get lethargic on a diet, they move around less. The 2500 cal/day maintenance level

    goes down because SPA/NEAT goes down because they have less energy. The amount of daily

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    movement that occurred at caloric balance (or surplus) drops. So the expected deficit (and hence change

    in body mass) is no longer accurate since parts of the energy out equation have changed.

    Id note that all of this goes for weight gain and overeating as well. All of the components can change,

    sometimes considerably. So the predicted or expected weight gain in response to a given change in

    energy intake is rarely exactly what is seen. Thats in addition to water balance issues and the difference

    in caloric value of muscle and fat.

    BMR/RMR goes up a bit when people overeat, of course gaining weight raises RMR/BMR because alarger body burns more calories. Since TEF is directly related to energy intake, if you increase food intake,

    TEF goes up slightly (and this depends on the nutrient in question with protein having the largest effect).

    Changes in SPA/NEAT can vary hugely and explain most of the discrepancies in expected vs. actual

    weight gain. In the earliest study, when overfed nearly 1000 calories/day weight/fat gain varied almost 10

    fold but this was explained by massive variance in NEAT; some people increased their spontaneous

    movement by 700 cal/day (making the true surplus 300 cal/day) while one poor person (a woman) had her

    NEAT go down a little bit (she gained the most fat). This is mostly genetic, unfortunately.

    The point of all of this is this: When people say that the energy balance equation is invalid, this is simply

    not the case. The equation is completely valid, what is invalid are the assumptions that people are making

    about what the equation means or says.

    Summing Up

    I think when you read articles decrying the energy balance equation as invalid or incorrect, youll find thatthey ignore (or simply are unaware) of all of the above. The equation is perfectly valid and humans are as

    subject to the laws of thermodynamics as anything else in the universe. Physics is not just a good idea,

    kids, its the law.

    Most claims that the energy balance equation is invalid are due to people simply not knowing what they

    are talking about. The equation is valid, it has to be, whats invalid are peoples assumptions about how

    things should work.

    Final note, Im turning off comments on this article for reasons I think people will find obvious.

    On that note, dont try to sneak in comments (good or bad) in the comments section of other articles, they

    will be deleted. And that goes for both positive AND negative comments. I just deleted one positive

    comment because it would be intellectually dishonest of me to allow positive ones to get through and

    delete negative ones. None of them are getting through on this piece.

    Also, if you want a quick review on the topic, Id suggest the following paper:

    Schoeller DA. The energy balance equation: looking back and looking forward are two very differentviews. Nutr Rev. 2009 May;67(5):249-54.

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