3500 calories per pound

This looks set to be the concluding post in this particular little series on the subject of obesity and overweightness. So, to summarise where we’ve been so far- post 1: that there are a lot of slightly chubby people present in the western world leading to statistics supporting a massive obesity problem, and that even this mediocre degree of fatness can be seriously damaging to your health. Post 2: why we have spent recent history getting slightly chubby. And for today, post 3: how one can try to do your bit, especially following the Christmas excesses and the soon-broken promises of New Year, to lose some of that excess poundage.

It was Albert Einstein who first demonstrated that mass was nothing more than stored energy, and although the theory behind that precise idea doesn’t really correlate with biology the principle still stands; fat is your body’s way of storing energy. It’s also a vital body tissue, and is not a 100% bad and evil thing to ingest, but if you want to lose it then the aim should simply be one of ensuring that one’s energy output, in the form of exercise  exceeds one’s energy input, in the form of food. The body’s response to this is to use up some of its fat stores to replace this lost energy (although this process can take up to a week to run its full course; the body is a complicated thing), meaning that the amount of fat in/on your body will gradually decrease over time. Therefore, slimming down is a process that is best approached from two directions; restricting what’s going in, and increasing what’s going out (both at the same time is infinitely more effective than an either/or process). I’ll deal with what’s going in first.

The most important point to make about improving one’s diet, and when considering weight loss generally, is that there are no cheats. There are no wonder pills that will shed 20lb of body fat in a week, and no super-foods or nutritional supplements that will slim you down in a matter of months. Losing weight is always going to be a messy business that will take several months at a minimum (the title of this post refers to the calorie content of body fat, meaning that to lose one pound you must expend 3500 more calories than you ingest over a given period of time), and unfortunately prevention is better than cure; but moping won’t help anyone, so let’s just gather our resolve and move on.

There is currently a huge debate going on concerning the nation’s diet problems of amount versus content; whether people are eating too much, or just the wrong stuff. In most cases it’s probably going to be a mixture of the two, but I tend to favour the latter answer; and in any case, there’s not much I can say about the former beyond ‘eat less stuff’. I am not a good enough cook to offer any great advice on what foods you should or shouldn’t be avoiding, particularly since the consensus appears to change every fortnight, so instead I will concentrate on the one solid piece of advice that I can champion; cook your own stuff.

This is a piece of advice that many people find hard to cope with- as I said in my last post, our body doesn’t want to waste time cooking when it could be eating. When faced with the unknown product of one’s efforts in an hours time, and the surety of a ready meal or fast food within five minutes, the latter option and all the crap that goes in it starts to seem a lot more attractive. The trick is, therefore, to learn how to cook quickly- the best meals should either take less than 10-15 minutes of actual effort to prepare and make, or be able to be made in large amounts and last for a week or more. Or, even better, both. Skilled chefs achieve this by having their skills honed to a fine art and working at a furious rate, but then again they’re getting paid for it; for the layman, a better solution is to know the right dishes. I’m not going to include a full recipe list, but there are thousands online, and there is a skill to reading recipes; it can get easy to get lost between a long list of numbers and a complicated ordering system, but reading between the lines one can often identify which recipes mean ‘chop it all up and chuck in some water for half an hour’.

That’s a very brief touch on the issue, but now I want to move on and look at energy going out; exercise. I personally would recommend sport, particularly team sport, as the most reliably fun way to get fit and enjoy oneself on a weekend- rugby has always done me right. If you’re looking in the right place, age shouldn’t be an issue (I’ve seen a 50 year old play alongside a 19 year old student at a club rugby match near me), and neither should skill so long as you are willing to give it a decent go; but, sport’s not for everyone and can present injury issues so I’ll also look elsewhere.

The traditional form of fat-burning exercise is jogging, but that’s an idea to be taken with a large pinch of salt and caution. Regular joggers will lose weight it’s true, but jogging places an awful lot of stress on one’s joints (swimming, cycling and rowing are all good forms of ‘low-impact exercise’ that avoid this issue), and suffers the crowning flaw of being boring as hell. To me, anyway- it takes up a good chunk of time, during which one’s mind is so filled with the thump of footfalls and aching limbs that one is forced to endure the experience rather than enjoy it. I’ll put up with that for strength exercises, but not for weight loss when two far better techniques present themselves; intensity sessions and walking.

Intensity sessions is just a posh name for doing very, very tiring exercise for a short period of time; they’re great for burning fat & building fitness, but I’ll warn you now that they are not pleasant. As the name suggest, these involve very high-intensity exercise (as a general rule, you not be able to talk throughout high-intensity work) performed either continuously or next to continuously for relatively short periods of time- an 8 minute session a few times a week should be plenty. This exercise can take many forms; shuttle runs (sprinting back and forth as fast as possible between two marked points or lines), suicides (doing shuttle runs between one ‘base’ line and a number of different lines at different distances from the base, such that one’s runs change in length after each set) and tabata sets (picking an easily repeatable exercise, such as squats, performing them as fast as possible for 20 seconds, followed by 10 seconds of rest, then another 20 seconds of exercise, and so on for 4-8 minute) are just three examples. Effective though these are, it’s difficult to find an area of empty space to perform them without getting awkward looks and the odd spot of abuse from passers-by or neighbours, so they may not be ideal for many people (tabata sets or other exercises such as press ups are an exception, and can generally be done in a bedroom; Mark Lauren’s excellent ‘You Are Your Own Gym’ is a great place to start for anyone interested in pursuing this route to lose weight & build muscle). This leaves us with one more option; walking.

To my mind, if everyone ate properly and walked 10,000 steps per day, the scare stats behind the media’s obesity fix would disappear within a matter of months. 10,000 steps may seem a lot, and for many holding office jobs it may seem impossible, but walking is a wonderful form of exercise since it allows you to lose oneself in thought or music, whichever takes your fancy. Even if you don’t have time for a separate walk, with a pedometer in hand (they are built into many modern iPods, and free pedometer apps are available for both iPhone and Android) and a target in mind (10k is the standard) then after a couple of weeks it’s not unusual to find yourself subtly changing the tiny aspects of your day (stairs instead of lift, that sort of thing) to try and hit your target; and the results will follow. As car ownership, an office economy and lack of free time have all grown in the last few decades, we as a nation do not walk as much as we used to. It’s high time that changed.

Today

Today, as very few of you will I’m sure be aware (hey, I wasn’t until a few minutes ago) is World Mental Health Day. I have touched on my own personal experiences of mental health problems before, having spent the last few years suffering from depression, but I feel today is a suitably appropriate time to bring it up again, because this is an issue that, in the modern world, cannot be talked about enough.

Y’see, conservative estimates claim at least 1 in 4 of us will suffer from a mental health problem at some point in our lives, be it a relatively temporary one such as post-natal depression or a lifelong battle with the likes of manic depressive disorder or schizophrenia. Mental health is also in the top five biggest killers in the developed world, through a mixture of suicide, drug usage, self-harming or self-negligence, and as such there is next to zero chance that you will go through your life without somebody you know very closely suffering or even dying as a result of what’s going on in their upstairs. If mental health disorders were a disease in the traditional sense, this would be labelled a red alert, emergency level pandemic.

However, despite the prevalence and danger associated with mental health, the majority of sufferers do so in silence. Some have argued that the two correlate due to the mindset of sufferers, but this claim does not change the fact 9 out of 10 people suffering from a mental health problem say that they feel a degree of social stigma and discrimination against their disability (and yes that description is appropriate; a damaged mind is surely just as debilitating, if not more so, than a damaged body), and this prevents them from coming out to their friends about their suffering.

The reason for this is an all too human one; we humans rely heavily, perhaps more so than any other species, on our sense of sight to formulate our mental picture of the world around us, from the obviously there to the unsaid subtext. We are, therefore, easily able to identify with and relate to physical injuries and obvious behaviours that suggest something is ‘broken’ with another’s body and general being, and that they are injured or disabled is clear to us. However, a mental problem is confined to the unseen recesses of our brain, hiding away from the physical world and making it hard for us to identify with as a problem. We may see people acting down a lot, hanging their head and giving other hints through their body language that something’s up, but everybody looks that way from time to time and it is generally considered a regrettable but normal part of being human. If we see someone acting like that every day, our sympathy for what we perceive as a short-term issue may often turn into annoyance that people aren’t resolving it, creating a sense that they are in the wrong for being so unhappy the whole time and not taking a positive outlook on life.

Then we must also consider the fact that mental health problems tend to place a lot of emphasis on the self, rather than one’s surroundings. With a physical disability, such as a broken leg, the source of our problems, and our worry, is centred on the physical world around us; how can I get up that flight of stairs, will I be able to keep up with everyone, what if I slip or get knocked over, and so on. However, when one suffers from depression, anxiety or whatever, the source of our worry is generally to do with our own personal failings or problems, and less on the world around us. We might continually beat ourselves up over the most microscopic of failings and tell ourselves that we’re not good enough, or be filled by an overbearing, unidentifiable sense of dread that we can only identify as emanating from within ourselves. Thus, when suffering from mental issues we tend to focus our attention inwards, creating a barrier between our suffering and the outside world and making it hard to break through the wall and let others know of our suffering.

All this creates an environment surrounding mental health that it is a subject not to be broached in general conversation, that it just doesn’t get talked about; not so much because it is a taboo of any kind but more due to a sense that it will not fit into the real world that well. This is even a problem in the environment of counselling  specifically designed to try and address such issues, as people are naturally reluctant to let it out or even to ‘give in’ and admit there is something wrong. Many people who take a break from counselling, me included, confident that we’ve come a long way towards solving our various issues, are for this reason resistive to the idea of going back if things take a turn for the worse again.

And it’s not as simple as making people go to counselling either, because quite frequently that’s not the answer. For some people, they go to the wrong place and find their counsellor is not good at relating to and helping them; others may need medication or some such rather than words to get them through the worst times, and for others counselling just plain doesn’t work. But this does not detract from the fact that no mental health condition in no person, however serious, is so bad as to be untreatable, and the best treatment I’ve ever found for my depression has been those moments when people are just nice to me, and make me feel like I belong.

This then, is the two-part message of today, of World Mental Health Day, and of every day and every person across the world; if you have a mental health problem, talk. Get it out there, let people know. Tell your friends, tell your family, find a therapist and tell them, but break the walls of your own mental imprisonment and let the message out. This is not something that should be forever bottled up inside us.

And for the rest of you, those of us who do not suffer or are not at the moment, your task is perhaps even more important; be there. Be prepared to hear that someone has a mental health problem, be ready to offer them support, a shoulder to lean on, but most importantly, just be a nice human being. Share a little love wherever and to whoever you can, and help to make the world a better place for every silent sufferer out there.