Actually, even cherry tomatoes were not allowed in the first 4 days ;-) |
I mean, the title of the study, "a time-efficient reduction of fat mass in 4 days with exercise and caloric restriction", sounds pretty harmless. Too harmless for what happened to the 15 subjects the researchers recruited for an experiment that was almost as extreme as its astonishing results.
Wake up, work out, starve and sleep
I would say the above summarizes pretty well what I was referring to, when I said "something happened to the subjects" in the first 4 days of the study, the 15 not exactly lean study participants (mean BMI ~30kg/m²; body fat 31%) started their days with 45min of an arm cranking exercise (at 15% maximal intensity; see Figure 1).
Figure 1: Schematic overview of the different phases of the diet + exercise intervention (Calbet. 2014) |
This cant really be the whey to go? Right?
What sounds like some mad survival program did, as you can see in Figure 1, produce quite impressive weight loss effects. Unfortunately, this is "weight", as in fat and muscle and that at an almost 1:1 ratio - certainly not the type of "weight loss" any of you should strive for.
Figure 2: Lean mass (left) and fat mass (right) development during the four phases of the intervention (Calbet. 2014) |
The latter obviously suggests that most of the "muscle loss" was actually water + glycogen and thus easy to restore (see Figure 3, right, as well).
Suggested Read: "Cell Swelling Keeps Muscles "Pumped" For More Than 52h - Could It Even Help You Build Muscle?" | read more |
Usually you would expect the subjects to jojo back up, right away - in the worst case to body fat levels that are higher than those nasty 31%, where they were initially coming from. If you take a look at Figure 3, its yet plain to see that the opposite was the case.
Figure 3: Progressive changes in body fat and lean mass (in kg) over the course of the study period (Calbet. 2014) |
Even if we take into consideration that the release (lipolysis) and oxidation of fats and the storage of glucose from dietary carbohydrates (its not impossible (Kaleta. 2012), but unlikely that the stored body fat is used as an energy source for glyconeogenesis) in form of glycogen are energetically costly, the 2,000kcal would equal no more than max. 300g of stored body fat, which is more than the additional 450g even the whey protein group dropped during the 4-day aftermath.
Thats quite astonishing: Would you have expected that this "4-days of madness" diet would generate a total fat loss of -3.8kg (2.8kg of those from the potentially life-threatening trunk fat) and thus produce an outcome of which the researchers rightly say that it "is better than several interventions combining low-calorie diets and exercise lasting from 12 weeks to 1 year (Garrow. 1995; Shaw. 2009)" and bet the largest randomized control trial for the response to 8-month resistance training, aerobic training, or combined aerobic and resistance training (Willis et al., 2012)? Certainly not, right?
Well, considering the fat that the mean fat loss here is greater than that achieved by the latest pharmacological intervention, i.e. the administration of glucagon-like peptide-1 (GLP-1) agonists for 20 weeks (which gave a weighted mean loss of 2.9 kg in 21 trials involving 6411 participants; Vilsboll. 2012), I am actually happy that there was a one year follow up to show that a short-term intervention can never replace permanent life-style changes... although, when you look at the whey protein group, who regained a meager 1.09kg in Phase V and thus significantly less than the 50-80% the average subject on a medically supervised weight loss diets (Anderson. 2001; see Figure 4), I do have to admit this is not just surprising.
This is damn impressive, even if the comparison is unfair, due to longer follow ups in the average study in Andersons meta-analysis. Still, there is one thing I would like to see before Id recommend this type of diet to anyone who doesnt have to lose another 2kg of fat before a physique show or photoshoot at the end of the week: A comparison of the health benefits of successful whey-based(!) crash dieting.
References:Figure 4: Weight loss (not fat loss!) maintenance in Calbet et al. and the average US dieter according to a meta-analysis by Anderson et al. (2001) |
This is damn impressive, even if the comparison is unfair, due to longer follow ups in the average study in Andersons meta-analysis. Still, there is one thing I would like to see before Id recommend this type of diet to anyone who doesnt have to lose another 2kg of fat before a physique show or photoshoot at the end of the week: A comparison of the health benefits of successful whey-based(!) crash dieting.
- Anderson, James W., et al. "Long-term weight-loss maintenance: a meta-analysis of US studies." The American journal of clinical nutrition 74.5 (2001): 579-584.
- Calbet, J. A. L., et al. "A time-efficient reduction of fat mass in 4 days with exercise and caloric restriction." Scandinavian Journal of Medicine & Science in Sports. (2014). Accepted Manuscript. doi: 10.1111/sms.12194
- Garrow, J. S., and C. D. Summerbell. "Meta-analysis: effect of exercise, with or without dieting, on the body composition of overweight subjects." European journal of clinical nutrition 49.1 (1995): 1-10.
- Kaleta, Christoph, Luís F. de Figueiredo, and Stefan Schuster. "Against the stream: relevance of gluconeogenesis from fatty acids for natives of the arctic regions." International journal of circumpolar health 71 (2012).
- Kreitzman, Stephen N., Ann Y. Coxon, and Kalman F. Szaz. "Glycogen storage: illusions of easy weight loss, excessive weight regain, and distortions in estimates of body composition." The American journal of clinical nutrition 56.1 (1992): 292S-293S.
- Persky, Adam M., and Gayle A. Brazeau. "Clinical pharmacology of the dietary supplement creatine monohydrate." Pharmacological Reviews 53.2 (2001): 161-176.
- Ribeiro, Alex S., et al. "Resistance training promotes increase in intracellular hydration in men and women." European journal of sport science ahead-of-print (2014): 1-8.
- Shaw, K., et al. "Exercise for overweight or obesity." Cochrane Database Syst Rev 4 (2006).
- Vilsbøll, Tina, et al. "Effects of glucagon-like peptide-1 receptor agonists on weight loss: systematic review and meta-analyses of randomised controlled trials." BMJ: British Medical Journal 344 (2012).
- Willis, Leslie H., et al. "Effects of aerobic and/or resistance training on body mass and fat mass in overweight or obese adults." Journal of Applied Physiology 113.12 (2012): 1831-1837.