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Aging and weight gain

Aging and Weight Gain  
I turned 40 last year. I exercise as much as I ever did 
(walking or bicycling about a half-hour four or five days a 
week), and my eating habits haven’t changed, but I’ve 
gained one whole dress size. What can I do to stave off 
this creeping weight gain? 
As I am sure you know, gaining weight as we 
age–particularly after the age of 40–is very common. The 
unfortunate part of this process is that as the scale is 
creeping up, the amount of body fat is increasing while the 
amount of muscle is decreasing. This makes weight loss even 
more challenging, because the less muscle we have, the 
fewer calories we burn. 
While aerobic exercise has been shown to improve 
cardiovascular fitness and burn calories, it does not seem 
to influence muscle mass or strength. Strength training, on 
the other hand, has been shown to increase both muscle mass 
and muscle strength. Strength training also has been shown 
to increase bone mass, which is extremely important for 
women because of the increased risk of developing 
osteoporosis. 
Given the details of your exercise program, there are three 
areas of your fitness and nutrition where adjustments may 
help: 
• Strength training  
• Daily physical activities  
• Getting the most from the food you eat  
Strength training 
As people age, especially after age 40, they lose one-third 
to one-half of a pound of muscle each year and gain that 
much in body fat. Although this may seem minuscule, in fact 
it is quite significant as it translates to about a 1 to 2 
percent loss of strength each year. With this loss of 
muscle strength, we tend to spontaneously become less 
active because daily activities become more difficult and 
exhausting to perform. But strength training has the power 
to maintain your muscle mass, your strength, and keep daily 
activities doable and fun! 
How strength training will help you lose and maintain 
weight 
When discussing strength training and lean body mass, we 
are primarily talking about the amount of muscle in your 
body. As strength training helps you build new muscle, you 
will enjoy a boost in your metabolism. The more muscle you 
have, the more calories you burn throughout the day—whether 
you are walking, vacuuming, or sleeping. This is because 
muscle is metabolically active. Stored fat, on the other 
hand, is not metabolically active, uses very little energy, 
and therefore burns minimal calories. 
Daily physical activities 
As you gain muscle mass, you get two real boosts for weight 
control. First, your metabolism will increase so that you 
can eat more and burn calories more effectively. Secondly, 
because you are stronger, physical activity becomes easier 
and more fun. 
To burn more calories throughout the day, tack on an extra 
five to 10 minutes to your regular aerobic exercise. Also, 
try to get at least 30 minutes or more of physical activity 
on most if not all days of the week. With time constraints, 
it can be difficult to incorporate more structured 
exercise; instead, get more daily physical activity by: 
• Walk or take public transit rather than driving whenever 
possible  
• Throw away the remote controls  
• Use the stairs rather than the elevator or escalator  
Remember, every little bit helps! 
Get the most from the food you eat 
It is so important to get the most vitamins, minerals, and 
satisfaction as possible from the food you eat. 
• Try to eliminate white breads and rice from your diet and 
replace with whole grains — like whole wheat bread, bran, 
oats, and brown rice. These products contain many more 
nutrients, will fill you up more, and keep your hunger away 
longer.  
• Load up on fruits and vegetables — things like cucumbers, 
carrots, jicama, apples, and grapefruits make great snacks. 
 
• Try keeping food logs — you may be eating more than you 
think.  
• Drink a tall glass of water before assuming you are 
hungry. Thirst is often mistaken for hunger. And remember 
to drink at least eight glasses of water each day  
• Adapted from Tufts University 
 
 
Vitamin D Level May Be Low Despite Adequate Sun Exposure  
 
News Author: Will BoggsRelease Date: June 29, 2007;  
June 29, 2007 — In many individuals, vitamin D level can 
remain low despite abundant sun exposure, according to a 
report in the June issue of The Journal of Clinical 
Endocrinology & Metabolism. Inadequate sun exposure is 
often blamed for the high prevalence of low vitamin D 
status, the authors explain, but the truth of this has been 
unclear. Dr. Neil Binkley with the University of Wisconsin 
Osteoporosis Clinical Research Program, Madison, and 
colleagues investigated the vitamin D status of people 
living in Hawaii with high amounts of sun exposure. The 93 
participants in the study spent an average 22.4 hours per 
week outside without sunscreen and 28.9 hours per week 
outside with and without sunscreen, the authors report. 
This translates to a mean of 11.1 hours per week of total 
body skin exposure with no sunscreen used, the results 
indicate. Despite this abundant sun exposure, 51% of the 
subjects had serum 25-hydroxyvitamin D concentrations below 
30 ng/mL, defined as "low vitamin D status," the 
researchers report. The highest observed level was 62 
ng/mL. "This implies that the common clinical 
recommendation to allow sun exposure to the hands and face 
for 15 minutes may not ensure vitamin D sufficiency," the 
investigators say. Overall, vitamin D level did not 
correlate with age, skin color, or sun exposure, the report 
indicates. However, participants in the lowest vitamin D 
quartile compared to the rest of the participants had 
higher parathyroid hormone levels and lower sun exposure 
scores. "Clinicians should not assume that individuals with 
abundant sun exposure have adequate vitamin D status," the 
authors conclude. They recommend that in treating vitamin D 
deficiency with vitamin D supplementation, "it seems 
prudent" to aim for a serum 25-hydroxyvitamin D 
concentration no greater than the maximum produced by 
natural UV exposure; i.e., approximately 60 ng/mL. J Clin 
Endocrinol Metab. 2007;92:2130-2135. Reuters Health 
Information 2007. © 2007 Reuters Ltd. 
 
Testing for Vitamin D status is simple and can be done in 
the office. Schedule your test today as low vitamin D is 
associated with cancer, autoimmune diseases, depression and 
a myriad of other conditions. 
~~~

Dr. Jennifer Reid
27530 SE Division Drive, Gresham, OR 97030 Telephone: (503)492-9427

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