Pt contends that weight gain happened due to inability to adequately exercise due to prior failed spinal surgery leaving pain, radiculopathy and Lt drop foot. Evaluating MD said no and stated "there is a myth that exerecise is the most effective means of decreasing weight, when the effect is the opposite. Weight gain/Obesity is usually due to caloric intake" Who is correct?? Great arguement in the office what say you??
Hi Jeffrey,
there is a strong link between obesity and T2D and you'll well understand that obesity is an unbalanced spent to energy intake. so yes, controlling food intake and having some physical exercises can prevent from developing obesity and T2D.
there is an official link you can refer to if you need (https://www.diabetes.co.uk/diabetes-and-obesity.html).
fred
Many factors might predispose to diabetes including the diet, genetics, lack of exercise
of course genetics has a real impact on T2D onset, but think of great sport men and women who were healthy when doing their job and became T2D when retired...
fred
I thought the statement "there is a myth that exerecise is the most effective means of decreasing weight, when the effect is the opposite" if that were truth the multi-billion dollar fitness industry would be a farce and one would go to the gym and workout to gain weight not to lose weight?
by exercising your body you will loss fat and gain muscles...
in fact the important is to manage your food intakes, change type of meals and quantity of them, and get exercice...it's a long way, very long way and you'll need faith and courage.
FAT is linked to insulin resistance and muscles burn sugar, but I agree excess of everything is not good for health.
fred
"Insulin resistance" is the connecting link between obesity and T2DM. Physical activity reduces the insulin resistance and increases the insulin sensitivity via the action of adipokines. However, genetic predisposition is non-modifiable risk factor for both obesity and T2DM. So, it is essential to understand the mechanism of adipokines and impact of physical activity to control the blood sugar.
Epigenetics, the environmental or external impact on genetics, is modifiable and can be as important as genetics with reference to the processed foods one eats. Eliminate processed foods, excess carbohydrates, sugared drinks, even those
with sugar substitutes (block serotonin and can increase appetite) and the type 2 diabetic can reverse his/her diabetes with appropriate exercise.
Secretion of cytokines such as IL-6 and TNF-alfa from adipocytes, leading to increased macrophages recruitment, results in the incidence of insulin resistance and type 2 diabetes. Cytokines downregulate insulin signaling cascades in tissues that are sensitive to sensitive.
sugar, fatty acids and hormone responses are the most particular, fragile and complex metabolism in life.
fred
Obviously there is a connection between weight gain and Type 2 Diabetes so now lets focus on the second part of the question and the part that we are arguing over. This quote was used to rationalize the argument that weight gain and lack of exercise are not connected "there is a myth that exerecise is the most effective means of decreasing weight, when the effect is the opposite. Weight gain/Obesity is usually due to caloric intake"(PubMed) Is caloric intake reduction without exercise effective in weight loss? Will exercise increase weight?
Dear Jeffrey Bennett
Inactivity due to any reason + foods rich in non-healthy content + genetics all are culprits. Limiting discussion and blaming only one factor is no the answer here. So I believe the disease causation is multifactorial and be taken like this.
Regards
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