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Forget #WLS – just exercise 4-6 hours a day says Dr. Huizenga

  • Exercising for four hours a day and following a strict diet can yield the same results as weight loss surgery, a leading doctor has claimed.
  • Dr Robert Huizenga, of UCLA, says his extreme diet and exercise plan should replace bariatric surgery as a treatment for obesity.
  • He says bariatric surgery is expensive and carries risks of death, muscle loss, bone thinning and mental health issues.
  • His 'Biggest Loser' weight loss plan, which was made famous by the hit TV show of the same name, helps people lose the same amount of weight and is cheaper than surgery, he claims

Dr. H says that "we" watch TV for four hours day, surely we have time to exercise that long, but FRANKLY, I DON'T WANT TO.  

I am LAZY.  

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Do you honestly think I would have even considered it at my former size at ALL?  NO freaking way.  I am in a normal body weight range right now and there is zero point zero chance of getting me to exercise aerobically four hours daily — at 320 lbs — I would have sooner had weight loss surgery — and I DID.   Eleven years ago.  LOL.  It worked.

<3, MM.

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New Treadmill Stress Test Spits Out Your Risk Of Dying

New Treadmill Stress Test Spits Out Your Risk Of Dying.  Hooray. 

 

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If there were any means to get my ass back to the gym and motivated it is reading things like THIS  and pushing through back pain and tearing up my stupid excuses.  BLAH BLAH BLAH BETH, I DON'T CARE THAT YOU CAN'T DRIVE YOU WILL WALK TO THE GYM AND DO IT …

The FIT Treadmill Score is calculated using the patient’s age, gender, fitness level measured by METs, and peak heart rate reached during exercise. Researchers found these four factors to be the greatest predictors of mortality risk. After the research team accounted for other important variables, such as diabetes and family history of premature deaths, they determined fitness level to be the single most important predictor of death and survival.

“The notion that being in good physical shape portends lower death risk is by no means new, but we wanted to quantify that risk precisely by age, gender, and fitness level, and do so with an elegantly simple equation that requires no additional fancy testing beyond the standard stress test,” said Dr. Haitham Ahmed, a cardiology fellow at the Johns Hopkins University School of Medicine.

FIT Treadmill Scores ranged from negative 200 to positive 200 — participants over 0 had a lower mortality risk while participants under 0 has a higher mortality risk. Participants with a score between negative 100 and 0 had an 11 percent risk for dying in the next 10 years compared to three percent among participants with a scare between 0 and positive 100. Participants with a score lower than negative 100 had a 38 percent mortality risk compared to two percent among those who scored positive 100 or higher.

The study abstract

Objective

To determine which routinely collected exercise test variables most strongly correlate with survival and to derive a fitness risk score that can be used to predict 10-year survival.

Patients and Methods

This was a retrospective cohort study of 58,020 adults aged 18 to 96 years who were free of established heart disease and were referred for an exercise stress test from January 1, 1991, through May 31, 2009. Demographic, clinical, exercise, and mortality data were collected on all patients as part of the Henry Ford ExercIse Testing (FIT) Project. Cox proportional hazards models were used to identify exercise test variables most predictive of survival. A “FIT Treadmill Score” was then derived from the β coefficients of the model with the highest survival discrimination.

Results

The median age of the 58,020 participants was 53 years (interquartile range, 45-62 years), and 28,201 (49%) were female. Over a median of 10 years (interquartile range, 8-14 years), 6456 patients (11%) died. After age and sex, peak metabolic equivalents of task and percentage of maximum predicted heart rate achieved were most highly predictive of survival (P<.001). Subsequent addition of baseline blood pressure and heart rate, change in vital signs, double product, and risk factor data did not further improve survival discrimination. The FIT Treadmill Score, calculated as [percentage of maximum predicted heart rate + 12(metabolic equivalents of task) – 4(age) + 43 if female], ranged from −200 to 200 across the cohort, was near normally distributed, and was found to be highly predictive of 10-year survival (Harrell C statistic, 0.811).

Conclusion

The FIT Treadmill Score is easily attainable from any standard exercise test and translates basic treadmill performance measures into a fitness-related mortality risk score. The FIT Treadmill Score should be validated in external populations.

 Now do it. 

But.  But.  But.

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On getting old.

As many of you — I have had lower back pain for years, and in my normal Beth way I have ignored it or (…don't tell anyone!) medicated it with NSAIDS off and on, and heat, and exercise, and stretching.  AND GOD DAMN IT, IT HURTS.

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Source – Healio 

NSAID use is contraindicated in gastric bypass patients as it can cause serious ulcers.  I started popping them like candy recently.  No. good.

ibuprofen

The back pain comes  in cycles and never really goes away.  It gets to the point where I cannot ignore it and I am currently in a Flare Of I Cannot Sit Down Or Sleep Or Lay Down And Nothing Feels Right EXCEPT getting on my knees in 'downward dog' position.  When I describe it to other people they chime in with "Yep.  I live this." 

I had my husband take me to the urgent care MD on the weekend for X-Rays.  They show disc degeneration. No surprise. I suppose after ignoring it — plus a few years of massive obesity, plus four pregnancies, losing all of the weight plus eating haphazardly and vitamin-deficiencies, it shouldn't be a surprise.  

Hooray.

I was prescribed an anti-epileptic drug instead of a pain-medicine, at my request because I do not want to be sedated, and that I am epileptic.  

Although as the doctor was describing the medication's side effects to me, he explained that it might cause "sedation, dizziness," and I stated, "… that it isn't like I do anything important anyway, I'm not using heavy machinery as it is."  

I do not know that he got my seizure humor. 

I don't feel much relief from a few days of this added medication — and I do not feel that it will be of help to the pain, but there are more options.  I think that I will need to use exercise somehow, because this, just isn't working.  

I can't sit.  I can't sleep.  

Osteoporosis

I have a broken ass.  I. am. old.

Go You Chicken Fat, GO!

I have two sides to my feelings on this ad:

I am oddly intrigued by the fact that I do not utilize my own iPhone this way. I just throw my music on at the gym and GO and it is not as nice and edited as the Apple advert makes it seem.

The other half of me wants to scream and yell at whomever THOUGHT THIS WAS A GOOD IDEA — honestly by tugging-at-the-childhood-fears of the fat kid who heard this little song you added to the edit as a kid in elementary school?  I am too young to have known about it, but I am that fat kid who failed the Presidential Physical Fitness Test. The "kids" that would recognize it are not the "kids" shown in the ad — clearly.  They are the next generation maybe.  

Because what the hell is CHICKEN FAT?

Barbell Denim for people WITH ASS!

I HAVE A Mighty NEED for these jeans.

-Signed, the girl who is constantly yanking her jeans UP.

Barbell Denim uses technologically superior denim designed to move in complete sync with your body. With our jeans it almost feels like you’re wearing nothing. Designed for athletes, these jeans are made to fit comfortably over muscular legs by accommodating your quads and butt without forcing you to buy larger sizes for the small waist you work so hard for. However, Barbell Denim will accommodate any body type. Even if your legs aren't particularly muscular, Barbell Denim will still look amazing on you and feel even more amazing as you move in them. Our hybrid denim stretches both ways so that it can compliment smaller legs, while still easily stretching to accommodate larger legs as well.

excess arm skin

That time I shamefully admit I was lazy.

excess arm skin

December 2013
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February 2014
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Current

This is that moment where I put my tail between my legs and come to you and say it — because this is what I Need To See – Proof That A Thing Works?

I have a very literal type brain.  (More on that later this year.  I promise you. My next appointment is Valentine's Day.)

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Figure out where Beth's seizure focus is?

I must have proof of a thing in order to believe it.  I do not blindly follow anything without seeing results, documents, charts that show me "IF YOU DO X, Y will be yours."  This is why I am a hard "sell" and you rarely see reviews here anymore.  (More on that, coming, too.)

In 2012 I was in a regain pattern and found myself hitting a high weight that I could not imagine after RNY.

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Regain, 2012

I refused to allow it although I know realistically it is possible.  I've been there before.  And knowing that I need to eat food  – I realised I needed to do something different because obviously eating as much food as I want/need to and not moving my ass was no longer working.

I added a little bit of exercise — and I saw a little bit of endurance increase.  And I struggled to keep going, and keep at it and now I finally see body results.  

The scale is in solid maintenance mode.  I see range of up 5 lbs down 5 lbs up 5 lbs down lbs every single month.  But I guarantee my muscle mass is increasing.  I will get a new assessment done at some point to ensure this — and see because I am interested in knowing the percentage of change.

This is where those people who used to scream at me to MOVE MY ASS get to say, "WE TOLD YOU SO."  I did not listen.  I was (…somewhat, but not really) lazy.  I thought I could get away with just "eating okay" and being relatively active.  

Nope.  I am proof it (…sitting on your ass) doesn't work.