| > | | | | increased the life spans of animals allowed to eat |
| It must be admitted that while the risk factors | | | | as much as they desired, but decreased the |
| are certainly altered, conclusive long term follow | | | | other wise very extended life spans of the calorie |
| up studies confirming the positive effects of | | | | restricted animals. This means that the relationship |
| exercise training on susceptibility to coronary | | | | between diet and exercise is complex. They are |
| artery disease and heart attacks have been slow | | | | not simply additive. Exercise does not |
| to materialize. In the National Exercise and Heart | | | | automatically increase life span, as everyone |
| Disease Project, a supervised exercise program | | | | seems to think. A fine tuning between exercise |
| displayed only a marginal effect on 3 year | | | | and diet is necessary for the optimal effects. And |
| mortality and 3 year frequency of repeat heart | | | | people who do crash dieting, or nutritionally |
| attacks in patients who had already suffered one. | | | | unsound dieting, and couple it with vigorous |
| But a recent large follow up study of 16,936 | | | | exercise to "burn off" even more calories are |
| Harvard alumni from 1962 to 1978 did indicate | | | | doubling the harm of their bad dieting technique. |
| that habitual post college exercise rather than | | | | Detailed diet exercise experiments are being |
| amount of athletic participation as students | | | | performed by scientists at Washington University |
| coincided with a low death rate from heart | | | | in St. Louis, in the laboratory of Dr. John Holloszy, |
| disease. Sedentary alumni, even former varsity | | | | whom I consider one of the best exercise |
| athletes, were at higher risk. But while the death | | | | physiologists in the world. The studies compare |
| rates declined as the amount of exercise | | | | fully fed sedentary rats, fully fed and exercising |
| increased from less than 500 to more than 3,500 | | | | rats, and calorie restricted sedentary rats. At time |
| kilocalories per week, beyond 3,500 the death | | | | of writing, 50 percent of the fully fed exercising |
| rate increased slightly. The Pritikin group have | | | | rats were alive at months of age compared with |
| presented evidence that their program of diet and | | | | only percent of the fully fed sedentary rats. But |
| exercise inhibits the progression of peripheral | | | | again the calorie restricted non exercising rats |
| vascular disease, coronary arteriosclerosis, and | | | | were surviving the longest. The fat cells of fully |
| adult onset diabetes. But their studies do not | | | | fed sedentary rats were resistant to insulin, those |
| differentiate between the benefits of diet and | | | | of diet restricted animals sensitive to insulin, and |
| those of exercise. A common fallacy about | | | | those of exercisers still more sensitive . Blood |
| exercise and heart disease is that exercise is | | | | cholesterol levels followed the same patterns. So |
| more effective than diet in preventing an attack. | | | | in this important study the exercising rats seem |
| That's not true. The idea that diet is rather | | | | "fitter" than diet restricted sedentary rats, but |
| irrelevant as long as you exercise strenuously is a | | | | their survival is less. This can any mean, as I've |
| myth. Jim Fixx, author of the 1977 best seller The | | | | already indicated, that fitness biomarkers are not |
| Complete Book of Running, who transformed | | | | entirely equivalent to longevity biomarkers. But |
| himself from a chubby 2l4 pound, two pack a day | | | | we must await further studies from Holloszy's |
| smoker into a sleek 160 pound marathon runner, | | | | laboratory to clarify these important issues. |
| died at the age of 52 from .a heart attack while | | | | Recommendations |
| pounding the road in Vermont. He paid dearly for | | | | The overall evidence suggests that aerobic |
| his expressed belief that running all by itself would | | | | exercise considerably increases cardiovascular |
| suffice to prevent heart disease. Do not fall so | | | | fitness and substantially decreases the |
| deeply into the myth of exercise that you neglect | | | | susceptibility to heart attack and that it improves |
| other preventive health measures. Diet is the | | | | some features of carbohydrate metabolism. But |
| most important, even for heart disease, although | | | | at the same time possibly owing to an increased |
| exercise provides additional benefit. But there is | | | | generation of free radicals or a temporary |
| absolutely no evidence in either animals or humans | | | | increase in metabolic rateit may slightly |
| that exercise influences the rate of cancer, the | | | | accelerate the basic rate of aging. Exercise |
| second major cause of death after cardiovascular | | | | definitely has a good effect and possibly a mild |
| disease, and we know that cancer is very heavily | | | | bad effect. The fitness effect increases rapidly up |
| influenced by diet. | | | | to a certain point as you exercise more and |
| The Interplay Between Diet And Exercise | | | | more, but beyond that point the benefit may level |
| Let us consult a study made by scientists at the | | | | off. According to Dr. Kenneth Cooper of Dallas, |
| National Institute on Aging. They allowed one | | | | running tops out its aerobic benefits at 15 miles a |
| population of mice to eat as much as they | | | | week. He says, "If you run more than that, it's |
| wanted, but gave them no access to exercise | | | | for some thing other than fitness." Others agree |
| wheels; a second population ate as much as they | | | | with this assessment. My own view is that the |
| wanted but also exercised daily; a third population | | | | optimal combination for health and longevity is the |
| was calorie restricted and not allowed to exercise, | | | | high low diet plus the equivalent in aerobic |
| and a fourth, calorie restricted population was | | | | exercise of about 15 miles of jogging per week, |
| allowed to exercise. What were the life spans of | | | | coupled with a modest amount of weight |
| these populations? shows the results. Exercise | | | | resistance training . |