Risk To Benefit Ratios of Extreme
And Controversial Fat Loss
Techniques
by Tom Venuto
Ken Kinakin recently wrote a book called "Optimal Muscle
Training," which is all about biomechanics, anatomy, muscle
testing, resistance training technique, and injury prevention. I
consider it groundbreaking, because Kikakin did something rarely
seen in the mainstream fitness literature: Rather than making
sweeping generalizations about exercise safety or usefulness, he
analyzed 125 popular weight training techniques and rated them
according to risk and benefit.
Understanding risks and benefits enhances your training
experience by giving you clearer distinctions, providing you with
more choices and helping you make better decisions. For example,
some exercises have low risk and high benefit, making them
excellent choices for almost anyone. Others have high risk and low
benefit, which usually indicates a poor technique best avoided.
There are also exercises with high risk and high benefit, which
means the exercise, while risky, could have high value to advanced
trainees under certain circumstances.
Here's an example: If you asked a typical personal trainer at a
health club whether it was okay to perform squats with your heels
elevated on a board or wedge, 99% of them would cringe and scream,
"That's terrible for you! You'll blow out your knees! NEVER do
squats with your heels elevated - always do them flat footed." This
is a typical "good or bad" judgement, which neglects to acknowledge
the risk to benefit ratio.
The risk is greater stress on the knees. The benefits include
greater quad development, less hip involvement, more emphasis
placed on the medialis portion of the quadriceps, a more
comfortable position for those who lack flexibility, and a more
upright torso with less stress on the lower back.
So what does all this have to do with losing fat? Well, I see
the same phenomenon among fitness professionals and practitioners
alike when it comes to judging the usefulness of fat loss
techniques (training or dietary), especially today with the
anti-aerobics pendulum having swung all the way to the right.
Many people take an all or none attitude, such as "You should
NEVER do cardio on an empty stomach because that causes you to lose
muscle" or, "cardio is completely worthless," or "Low carb diets
don't work because they deplete your glycogen and kill your energy
so you can't train hard. Always eat plenty of carbs."
A better approach would be to analyze each nutrition or training
technique according to its risk to benefit ratio (rather than
focusing only on risks, and denying that any benefits exist). Just
like all strength training activities carry a risk, so do most fat
loss techniques. What makes an exercise or nutrition technique
worth including in your program is whether the benefits outweigh
the risk given your goals and situation.
What I'd like to do is review a group of aggressive, extreme
and/or controversial techniques for fat loss which some
bodybuilders and fitness enthusiasts embrace as safe and highly
effective, while others claim they're worthless, dangerous or
counterproductive. By weighing the risks and benefits of each
technique, you'll be able to make a much more educated decision
about whether to use these techniques yourself.
THE RATING SYSTEM
In Kinakin's book, he outlined a simple three-point rating
system with low (1), medium (2) and high (3) risk-benefit ratings,
which I have adopted here for fat loss techniques. An exercise that
is low risk (1), low benefit (1) might safely provide benefits to a
beginner, but would do little for advanced trainees. An exercise
with high risk (3) and low benefit (1) shows poor technique with
high potential for negative effects (such as muscle loss,
overtraining or injury), which are not balanced by any substantial
benefits. Low risk (1) and high benefit (3) generally indicates an
all-around excellent method with great benefits and virtually no
downside. Techniques can also fall somewhere in the middle (medium
risk and medium benefit). After seeing how risks and benefits can
be weighed against each other, the lesson becomes clear: Many high
risk methods do have applications under the right circumstances -
provided the benefit is also high. Kinakin used the skiing analogy
to illustrate this point: Ski trails are marked with different
colors and labels; the green circle for the beginner trail offers
the lowest difficulty and lowest risk of injury, but offers the
least benefit or gratification during the experience. The black
diamond slopes are for expert skiers with the highest degree of
difficulty and highest risk of injury, but they also provide the
greatest benefit and gratification during the experience. A
beginner to exercise and dieting who hasn't even mastered
fundamentals would not be any wiser to use the high risk,
"advanced" fat loss or training technique any more than a novice
skier would to take a plunge down a black diamond ski slope.
With risk management and careful tracking of results, high-risk
fat loss techniques can often be used very successfully. The
ratings of each technique that follow will help you decide which
ones best apply to you.
THE TECHNIQUES
Fasted cardio in the morning
One of the most controversial fat loss techniques is performing
cardio first thing in the morning on an empty stomach. This method
is widely embraced by bodybuilders and recommended by many trainers
and nutritionists. Other experts claim that the risk of muscle loss
is too high and they argue whether workout timing makes any
difference in the overall scheme of 24 hour energy expenditure.
With low blood sugar and low glycogen levels on awakening, it
appears that the body is in a perfect state to burn fat
preferentially, but combined with high a.m. cortisol levels, it may
also be a perfect state to burn muscle. Therefore, the benefit is
high, but so is the risk. Body composition must be carefully
monitored when using this technique.
RISK: 3 (high)
BENEFIT: 3 (high)
Cardio in the morning after protein consumption
One of the biggest concerns brought up by opponents of fasted
morning cardio is the potential for losing lean body mass. One way
to help combat the possible loss of lean body mass is to eat a
small protein-only meal or to consume a protein drink (no carbs)
immediately upon awakening, then perform the cardio shortly
thereafter. This decreases the risk by suppressing cortisol and
preventing muscle breakdown, while maintaining the high benefit by
keeping your blood sugar and insulin levels low.
RISK: 2 (moderate)
BENEFIT: 3 (high)
Cardio at night
Many bodybuilders and weight loss seekers perform cardio late at
night and then do not eat afterward in an attempt to increase fat
loss. There are benefits to this method, but they are moderate at
best, and the risks are high. Late night training may also keep you
awake, disrupting your sleep cycle and recovery. Once you do fall
asleep, your metabolic rate decreases rapidly, so you don't reap
the full value of the post workout metabolic increase that is
achieved with exercise earlier in the day. Risk of muscle loss is
high, so body composition must be monitored very closely.
RISK: 3 (high)
BENEFIT: 2 (moderate)
Short duration, high intensity interval training
One of the most popular trends in fitness today is high
intensity interval training (HIIT). These workouts consist of short
periods of high intensity work intervals followed by short periods
of lower intensity recovery intervals. Generally, the intervals are
30 to 120 seconds in length and the total duration is in the 15-25
minute range. Research has shown that HIIT causes a larger increase
in post-exercise energy expenditure than moderate intensity,
steady-state exercise, which keeps you burning calories at an
elevated rate for an extended period even after the workout is
over. There are risks, especially to the beginner, the
deconditioned or the person unaware of his or her health status.
However, because intensity is relative to each individual, risk is
moderate and easily managed, while the benefits are high. For
someone who is already highly fit, the risks are lower.
RISK 2 (moderate)
BENEFIT 3 (high)
Moderate duration, moderate to moderately-high intensity
cardio
When cardio is performed for a moderate duration (approx 30 to
45 minutes per session) with the intensity held at the upper end of
the "target heart zone," (moderate to moderately-high), large
amounts of body fat can be burned during the session. There is also
a substantial post exercise elevation in metabolic rate, which,
although not as high as that experienced from HIIT, also has a
measurable impact on fat loss after the workout.
RISK: 2 (moderate)
BENEFIT: 3 (high)
Long duration, low intensity cardio
Long duration cardio (60 minutes per day or more) does carry the
benefit of more calories burned from fat and a moderately high
cumulative calorie burn. However, intensity and duration are
inversely related, therefore long duration cardio, by nature, is
low in intensity. Low intensity cardio, while having the benefit of
burning more fat relative to carbs, does not burn as many total
calories per unit of time, nor does it have much impact on post
exercise energy expenditure. This makes long duration, low
intensity cardio (such as walking) most appropriate as a fat loss
technique for beginners who can't achieve higher intensities yet.
Furthermore, this method is not time efficient. A long walk can be
a very good (if not ideal) fat loss method for someone who is
unfit, older, overweight, or has orthopedic problems. It also
provides great health and even mental benefits. But there is little
point in doing an hour or more per session when you can achieve
equal if not greater calorie burn and post exercise metabolic
increase by doing briefer sessions with higher intensity.
RISK: 1 (low)
BENEFIT: 2 (moderate)
High frequency cardio (5-7 days per week)
Daily cardio performed at a sufficient intensity is considered
by many to be a no-brainer fat loss technique for two reasons:
First, total caloric expenditure is increased over the course of
the week. Since fat loss is a function of calories burned versus
calories consumed, increasing cardio activity from three days per
week to six days per week, will in theory, double the rate of fat
loss in that period. Second, frequent cardio helps maintain
metabolic momentum and keeps the metabolism "spinning" by avoiding
long periods of inactivity, resulting in metabolic slowdown. These
two factors make the benefit of this technique high. There is
moderate risk, however, of overtraining or muscle loss. Risk of
aerobic adaptation also increases if the high frequency is
maintained over a prolonged period of time. Risks increase relative
to the duration of each session and the number of weeks the high
volume is maintained. Brief daily sessions have an even more
favorable risk to benefit ratio.
RISK: 2 (moderate)
BENEFIT: 3 (high)
High-density weight training (increased volume per unit of
time)
Ironically, one of the fat loss techniques with the best risk to
benefit ratio has nothing to do with dieting or aerobics. Most
bodybuilders decrease their rest intervals between sets and
exercises prior to competitions in order to boost intensity,
increase hypertrophy, release more growth hormone and
simultaneously burn more fat. This is known as high-density
training and the goal is to condense more work into less time. The
risks are low because even beginners can use the technique, they
simply need to adjust the amount of resistance to their strength
level. Strength gains are compromised on this type of program, but
assuming the goal is fat loss, not strength, that would not be
considered a risk. Benefits are highest when the majority of
exercises selected are multi-joint movements involving large muscle
groups, and/or activating the core and as much of the body as
possible. (Note: other forms of high density weight training
include supersets, tri sets and giant sets).
RISK: 1 (low)
BENEFIT: 3 (high)
High protein, very low carb, very low fat diets
A very high protein diet that is nearly devoid of carbs AND fat
can cause very rapid weight loss, but the risks are extremely high.
An example of this diet is the meat/fish and water diet or the
slightly less severe lean protein and green veggies diet. This can
cause weight and body fat to come off at an alarming rate, but the
benefits are moderate at best because much of the weight lost can
be lean tissue. Other risks include loss of strength, low energy
levels, nutritional deficiencies, impaired mental acuity,
dehydration, and rapid weight regain with the reintroduction of
carbohydrates
RISK 3 (high)
BENEFIT 2 (moderate)
Ketogenic dieting (very low carbs, moderate or high
fat)
By eating lean protein with high fat and keeping carbohydrates
so low that you enter ketosis (usually 30-70 grams of carbs a day
or less), many dieters report reaching levels of leanness they were
not able to achieve with any other method. Reducing carbs
drastically does seem to accelerate fat loss in virtually any body
type, but seems to have greater benefits for those who were
hypoglycemic and carb sensitive to begin with. Other people report
only moderate fat loss but great losses of energy, weakness, flat
muscles and loss of mental acuity. The benefits of low carb diets
in general seem to vary from person to person and a major risk, in
addition to those already mentioned, is the regain of lost weight
with rapid reintroduction of carbohydrates. A slow transitional
period into maintenance decreases the risks. Benefits may be higher
if some form of "re-feeding" is employed (such as cyclical
ketogenic dieting).
RISK: 2 (moderate)
BENEFIT: 2 (moderate)
Extreme calorie reductions
Many people still believe that severely cutting calories is the
best and fastest way to lose body fat. While sharp reductions in
calories may cause large and rapid losses of weight, much of the
weight loss is often muscle and water, and the risk of long term
damage to the metabolism, plateaus and weight re-gain is very high.
Some people are consciously aware of the risks, yet they choose to
employ severe calorie cutting anyway because they're under time
pressure to achieve a fat loss goal. However, the risks are so high
and the benefits are so low, it would be more advisable to use a
combination of other techniques that offer greater benefits
relative to the risks.
RISK: 3 (high)
BENEFIT: 1 (Low)
Avoiding food for 2 to 3 hours before bedtime
Another controversial technique for accelerating fat loss is the
avoidance of food for at least two to three hours before bedtime.
Increased fat loss is achieved by increasing the length of the
nighttime fast (which is broken by "break-fast"). Fat loss is also
believed to be increased by avoiding food at a time when activity
levels will be low (and the body will not be burning many
calories), when glycogen may be topped off from a full day of
eating, and when insulin sensitivity is lower. The potential
benefit is high, but so is the risk. Body composition must be
carefully monitored when using this technique.
RISK: 3 (high)
BENEFIT: 3 (high)
Tapering calories and or carbohydrates
Calorie or carbohydrate tapering involves decreasing
carbohydrate portions and or total meal size as the day goes on.
This technique works for the same reasons and carries the same
benefits as the previous technique. Risk of muscle loss can be
reduced by eating a protein-only or protein and fat meal close to
bedtime. It's also worth noting that carbs eaten before bedtime
have also been shown to blunt the nocturnal release of growth
hormone.
RISK: 2 (moderate)
BENEFIT: 3 (high)
Not eating after training
Some popular fat loss programs specifically advise not eating
for a specified period of time (usually one to two hours) after
cardio (and or weight training) in order to "maximize the
post-exercise fat burning effects of the cardio." While this may
accelerate fat loss slightly, the risk of inadequate recovery and
loss of lean tissue is very high. The research is very clear on
this point: There is a "window of opportunity" after training and
the post workout meal (protein at the very least), should not be
delayed, regardless of whether the activity is strength training or
cardio training.
RISK: 3 (high)
BENEFIT: 1 (low)
CONCLUSION
The key to achieving optimal results seems to be risk
management, rather than risk avoidance. An important point to
realize is that high risk doesn't automatically mean that you will
definitely get injured or overtrained, only that the probability is
higher. Without the ability to make distinctions between risk and
benefit, and the guts to take risks, you may be missing out on much
greater fat loss than you are capable of achieving. All else being
equal, the man or woman with the most choices and possibilities for
action is the one who is most likely to succeed - not the person
who always plays it safe.
This article was provided courtesy of Tom Venuto and www.burnthefat.com.
Tom is a lifetime natural bodybuilder, personal trainer, gym owner,
freelance writer and author of "Burn the Fat, Feed The Muscle"
(BFFM): Fat Burning Secrets of the World's Best Bodybuilders and
Fitness Models.

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