Healthy eating and exercise must go hand in hand

If you doubt the extent of the obesity epidemic in the Western world, go find some winter sun. I am writing this a couple of days after a short break in Tenerife. Wherever I looked, there were people whose shorts were stretched over large buttocks and big tummies! It was not a pretty site. ‘Lean machines’ were in the minority! Despite the huge investment in public health we must remember that improvements in public health will take a long time. It is nearly 50 years since the health risks of smoking were first recognised but only recently that a smoking ban has been achieved in public places. So we just have to keep plugging away at it.


As predicted at this time of year, there have been a few articles promoting the view that exercise is not important in weight loss programmes. According to them, all you need to do is reduce your food intake but new to the argument is that exercise does not work if your goal is weight loss. True, if you eat less you will lose weight and it is possible to exercise without losing weight, but the issue is not simply about shedding a few kilograms. It is about being healthy and improving all the components of fitness with which we are familiar. For that to happen, healthy eating and exercise must go hand in hand.

Secondly, research is increasingly showing that fat people can be aerobically fit – the so-called ‘fit fat’. When overweight people embark on a programme of progressive aerobic exercise their VO2 max rises, several indicators of health and fitness improve and the risk of developing obesity associated illness falls. It is tempting to conclude therefore that people do not need to lose weight they just need to get on a treadmill or rower.

However, fitness is not only about aerobic fitness. Muscle strength and endurance, flexibility and motor function also need to improve if somebody is to achieve all round fitness. Being overweight has other complications. The musculoskeletal system is overburdened so arthritis of the hips, knees, ankles and spine are common. Weight loss plays a major part in its management and prevention.

Something else people are unaware of is that being overweight significantly increases the risk of surgical operations – and most of us will have atleast one major operation during our lives particularly after the age of 65. Not to mention the fact that Thrombosis, infection, slow rehabilitation and delays in wound healing are all serious risks when an obese person has major surgery.

So to be fat and fit is good but to be lean and fit is better. We need to go on measuring the waist circumference and helping clients to get it within the optimum range.

John Searle
Chief Medical Officer
Fitness Industry Association

LET THE PUBLIC SPEAK

‘Exercise in middle age can cause arthritis’ screamed the headline and sure enough, some PhD in California decided that after talking to 236 45-55 year olds, over exercising caused most damage to their knees – therefore“...a high risk factor...” for arthritis.


Walking, sports and even gardening could trigger osteoarthritis – the learned PhD went on to conclude.

The common sense rebuttal was as compelling as it was forthright “We have known for years that certain high impact sports and jobs are associated with an increased risk of osteoarthritis ...but for the vast majority of people exercise is good...it’s a matter of balance and sensible moderation .....The risk of developing osteoarthritis as a result of too much exercise is outweighed by the risk of being overweight and sedentary.”

Job done, the response came from ‘a spokesperson for the Arthritis Research Campaign’.

As I read this two things struck me:

- I am so sick of reading shock-horror claims, based on some spurious research, from a thesis-writing-publicity-hungry ‘expert’, based on counter-intuitive thinking ... such as exercise is bad for you..... Exercise has no effect on obese children..... Leisure centres should be banned from offering chips (even though they also offer lots of fruit & veg choices and their customers would just go down the road to buy their chips anyway!)

- Why do the media give these guys airtime/column inches?

I guess it’s the price we pay for democracy.

However, what was particularly pleasing about this article was that the rebuttal did not come from someone in our sector (and therefore be dismissed with the ‘well, you would say that wouldn’t you’ claim), but from a third party expert.

If ever I needed proof that we have to point our CMO at all the Royal Colleges and disease NGOs to ensure that they promote the benefits of exercise on our behalf, this was it. So John (Searle, our Chief Medical Officer), get on your bike and keep pedalling until all our ‘strategic partners’ do as good a job as the Arthritis Research Campaign.

The strongest and most compelling cases are often the case studies and real life changing stories that are common place in our industry. So with New Year approaching and the inevitable press backlash at all things fitness, please send in your stories and help your governing body drive forward the Fitness industry as the most important part of the UK’s health agenda.

David Stalker
Executive Director
Fitness Industry Association

Is the Fitness Industry coming of age?

Given the fact that blogs are meant to be a direct and informal communication between two people - the blogger and the reader - I have to tell you about the week I've just had because it is a testimony to how far we have come as an industry. To me, these were rays of hope which eclipsed the clouds of recession which haunt us.


In the last seven days, I have met with one of the oldest and most respected food brands in the world. This was followed by a meeting with one of the world's leading sports brands. The next day I met with a multi-million pound conglomerate which works with the Government at in a number of different sectors - from health and education to prisons. On Friday I have a meeting with a gold standard celebrity: what all these meetings have in common is the fact that every single one of them want to partner with our industry.

As I sat in a traffic jam yesterday, quietly fuming because I should have been at my weekly meeting with my management team, I had to take some comfort from the fact that 20 years ago, when I started as a trainer in our industry, these global stars would have not given us the time of day. I never dreamed I would one day be representing a multi-billion pound industry in meetings where the Secretary of State was promoting exercise as the way forward for the health of the nation. It never occurred to me, all those years ago, that the potential Government-in-waiting would invite us to contribute to their public health strategy process.

However, there is nothing quite like the cool sharp shock of reality when faced by the soul destroying prospect of sitting in stationary traffic (when you don’t want to be). As any manager of a sales team knows, the euphoria of salesmen has to be divided by two, and then by four in order to get to the truth. The truth for this salesman is that we have some very significant brands who want to do business with us, but we still need to close the deal.

That’s my job, so beware of COO’s blogs painting rosy pictures of the future.

Wait for the punchline.

David Stalker
COO
Fitness Industry Association

Letter to The Times

Helen Rumbelow's recent article on the role of exercise in the fight against obesity ('Exercise? A fat lot of good that is if you want to lose weight',19 0ctober) correctly outlines the health benefits of exercise in terms of reducing depression, heart disease, diabetes and a host of other lifestyle diseases, but it goes on to give credence to what many believe are misleading and distracting propositions which undermine the hard work of many parents, healthcare and exercise professionals.  

Weight loss should not be the only measure of health and wellbeing. If it was the Holy Grail (as suggested by some researchers quoted in the article), then a severely underweight adult or child would be considered healthy. The truth is eating the right food and taking regular exercise should be that Holy Grail for every man, woman and child. 

As a major contributor to the wellbeing debate and a successful Government delivery partner, we believe that it is erroneous to focus solely on either food/'calories in' or exercise/'calories out'. Every organisation, with a sincere interest in trying to help address problems associated with our health time bomb, now agrees that the focus should be on promoting the benefits of an integrated strategy which addresses both sides of the wellbeing equation, not on spurious monochromatic observations on a complex multi-coloured issue.

Everyone deserves the right to be heard, but sometimes the white noise can be distracting.

David Stalker

COO

Fitness Industry Association