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insulin resistance

Weight Loss Exercise Plan: How Long is a Good Cardio Workout?

February 25, 2013 by James Bogash

We know that exercise is a critical part of a good cardio workout, but how much do we need? 45 minutes at least 3 times per week is the dogma we all follow.

You have to love our viewpoint here in the United States.  We don’t want to spend money on research to determine how much exercise is too much.  Nope.  We want to know just how little we have to do and still get a benefit.

Now, I’m not saying we shouldn’t be efficient with how we spend our time exercising, but this article begins to push the limits of efficiency.

For those who are patients of the clinic, read this blog regularly or have heard me speak at an event know I am a very big fan of short burst interval training.  For most, this means 30 seconds of high intensity exercise on something like a stationary bike or treadmill.  Perform 4, 6 or even 10 of these sessions with rest times in between and you have likely just met the demands for what you need to keep your heart healthy.

Most often, when I present this information to patients and groups I am speaking to, they are very happy to hear that hopping on the treadmill for 45 to 60 minutes and running through an entire album on your Walkman may be way overkill.  (Ok..so maybe it’s NOT your Walkman, but you can tell how long it’s been since I’ve been on a treadmill….).

This approach has been holding its own in the medical literature for the past few years (you can read up on the latest research in a previous article that can be read by clicking here) and I feel confident sharing this concept with others.  So, in summary, YES–5 minutes worth of actual exercise may be enough.

Keep in mind that this is NOT jogging for 30 seconds and taking a break.  This is a darn near all out burst for 30 seconds.  The rest time between sets is basically however long it takes your heart rate to return back to normal.  Overall, it’s pretty simple and could reasonably be completed in 20 minutes (shorter if your rest time improves).

But, as I mentioned in the beginning of this article, what if we could shorten this time even further?

I’m not ready to promote this as a standard approach to exercise for all of my patients, but this particular study certainly makes one ponder.  In this small study, researchers took 10 overweight or obese men and had them perform 3 2-day trials.  Here were the 3 types of exercise:

  1. None.  Full blown couch potato.
  2. 4 all out 30 second sprints, followed by 4 1/2 minute breaks.
  3. 1 single intense exercise burst, matched in the amount of calories burned in group #2 (average 198 seconds).

Sounds pretty simple as far as designs go.  So what did they find?

  • Insulin sensitivity was improved by 44.6%  in the single burst exercise compared to the couch potato.
  • There was not much of a difference in insulin sensitivity between the short burst and couch potato.
  • In the day following the interval training, fat oxidation was improved by 38%.
  • Most striking, the day following exercise fat oxidation increased by 63% in the single burst (Tweet this).

Wow.

A mere 3 1/2 minutes of straight high intensity exercise led to a huge increase in fat burning the next day.  That’s under 4 minutes and slightly more than 3 minutes.

Granted, this study was done on a group of men who were arguably out of shape to begin with, but this is likely the population that needs the most help anyway.  So I don’t know if I’m ready to cut patients down to 3.5 minutes of exercise a day, but I will definitely keep my radar up on this one.

How much do YOU exercise per day?

Filed Under: Diabetes (Type 2), Heart Disease, Insulin, Obesity and Weight Loss, Prediabetes Tagged With: Burst Exercise, Cardio Workout, Exercise Plan, Good Cardio Workouts, high intensity interval training, High Intensity Training, insulin, insulin resistance, interval training, Weight Loss Exercise Plan

Insulin resistance – The metabolic syndrome – (07-21-03)

February 20, 2013 by James Bogash

The metabolic syndrome

Okay. Insulin resistance finally makes it to the editorial section of the British Medical Journal. This physiological abnormality has been linked to increased rates of diabetes, obesity, certain types of cancer,and a horde of other chronic diseases. So why is something that is literally the scourge of Western civilization; something that is readily amenable with lifestyle changes–still virtually unknown in clinical practice???? This is one answer that I do not have the answer for. And quite frankly, even if there were an answer, there is no excuse that would suffice.

bmj.com Meigs 327 (7406): 61

Read entire article here

Filed Under: Diabetes (Type 2), Diabetes and Obesity Tips, Insulin, Obesity and Weight Loss Tagged With: diabetes, hypertension, insulin resistance, obesity and weight loss

Risk factors for non-alcoholic fatty liver disease – (06-10-04)

February 17, 2013 by James Bogash

Insulin resistance and CRP as independent risk factors for non-alcoholic fatty liver disease

I just thought I would use this article to tie in with the new documentary “Supersize Me.” This is exactly what happened to the star of this film. He ended up with elevated liver enzymes just 3 weeks into his program. The fast food had induced insulin resistance and elevated inflammation in this short a period of time.

Insulin resistance and C-reactive protein as independent risk factors for non-alcoholic fatty liver disease in non-obese Asia.

Read entire article here

Filed Under: Fatty Liver Tagged With: CRP, fatty liver disease, inflammation, insulin resistance, non-alcoholic

Hypofibrinolysis in insulin resistance – (04-08-04)

February 17, 2013 by James Bogash

Hypofibrinolysis in insulin resistance: implication in cardiovascular diseases

The research linking poor insulin sensitivity is now so strong as to be unquestionable. One of the problems, however, is a good, solid lab test that can be used to diagnosis and monitor insulin resistance. Plasminogen activator inhibitor-1 (PAI-1) may turn out to be the marker we are looking for. Stay tuned…

Hypofibrinolysis in the insulin resistance syndrome: implication in cardiovascular diseases – J Intern Med, Vol 255, Issue 4,..

Read entire article here

Filed Under: Heart Disease, Insulin Tagged With: Cardiovascular Diseases, Hypofibrinolysis, insulin resistance, PAI-1

Resistin is a hormone that worsens insulin resistance – (04-08-04)

December 23, 2012 by James Bogash

Modulation of Resistin Expression by Retinoic Acid and Vitamin A Status

Speaking of Vit A’s bad rap…

Resistin is a hormone secreted by the fat cells that has been shown to worsen insulin resistance and overall make the obesity problem worse.

In this interesting article we see that retinoic acid (the acid form of Vit A) and Vitamin A given to mice actually lowers the genetic expression of resistin, thus improving insulin resistance and resulting in weight loss. What I would consider interesting here is that, given that Vitamin A is a fat soluble vitamin, it’s absorption would be impaired with gastric bypass surgery as well as patients will non-surgical digestion problems. Might poor digestion contribute to weight gain at least in part by reducing Vit A absoprtion? Just some food for thought…

Diabetes — Abstracts: Felipe et al. 53 (4): 882

Read entire article here

Filed Under: Hormone, Vitamins and Supplements 101 Tagged With: insulin resistance, resistin, Retinoic Acid, vitamin A, weight loss

Prevention of Obesity and Insulin Resistance – (01-29-04)

December 2, 2012 by James Bogash

Prevention of Obesity and Insulin Resistance in Mice Lacking Plasminogen Activator Inhibitor 1

Don’t feel bad–I’m new to the concept of PAI-1 being used as a marker for insulin resistance/Syndrome X as well. Research is still ongoing, but PAI-1 is a compound that increases the “stickiness” of platelets and this make be associated with (some think a causative factor in) Syndrome X. We really do need a solid, accurate method to assess presence and degree of insulin resistance. It would be nice if this compound turns out to be our answer.

Diabetes — Abstracts: Ma et al. 53 (2): 336 –

Read entire article here

Filed Under: Obesity and Weight Loss Tagged With: insulin resistance, obesity and weight loss, Plasminogen, Syndrome X

INSULIN RESISTANCE PLAYS ROLE IN NEURODEGENERATIVE DISEASE – (03-15-04)

November 21, 2012 by James Bogash

Role for neuronal insulin resistance in neurodegenerative diseases

Okay. Chalk up another one on the list that insulin resistance contributes to. I’m just wondering how long the list has to be before mainstream medicine decides insulin resistance is important enough to address.

PNAS — Abstracts: Schubert et al. 101 (9): 3100 –

Read entire article here

Filed Under: Insulin Tagged With: insulin resistance, neurodegenerative diseases

DAIRY CONSUMPTION LEADS TO OBESITY AND INSULIN RESISTANCE – (05-02-02)

November 18, 2012 by James Bogash

Dairy Consumption, Obesity, and Insulin Resistance in Young Adults

This article suggests that dairy consumption is protective for diabetes and insulin resistance. Now, although the author does not mention it, dairy does contain conjugated linoleic acid, a compound actually formed from the bacteria in the lumen of the cow, which does act as a PPAR-gamma ligand, similar to the thiazodiazone class of diabetic drugs. However, being that dairy is still a common allergen and is loaded with hormones and chemicals that may increase your risk of many other types of diseases, you are welcome to substitute dairy for a healthy lifestyle with plenty of exercise (aerobic and resistive), whole grains and lots of fruits and veggies.

The CARDIA Study.

Read entire article here

Filed Under: Insulin Tagged With: dairy consumption, insulin resistance, obesity and weight loss

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