Weight Loss

Nutritional Pearls: Why Exercise Alone May Not Help You Lose Weight

  • If you're working on your weight (or even if you're not), chances are you've been told to "eat less and exercise more."

    Those who follow this advice often find themselves frustrated and not losing as much weight as they had expected, given the number of calories they had burned. Often the explanation for this is that "muscle weighs more than fat."

    While this is true in the sense that the same volume of human muscle weighs about 20% more than the same volume of human fat, the truth seems to be rather more boring than metaphorically turning muscle to fat.

    The Research

    Researchers at Louisiana State University in Baton Rouge, Louisiana designed a study to see if those who exercised more frequently as part of their usual routine, before joining an exercise-focused weight loss program, would lose more or less weight than their peers who habitually exercised less frequently.

    Over 100 men and women (average age of about 49 years, average body mass index 31) participated in their controlled trial. Each participant was randomly assigned to 1 of 3 groups, which as appropriate provided structured exercise classes for the participants:

    1. A moderate exercise group, with the goal of burning at least 8 calories per kilogram of body weight per week, or at least 725 calories per week for a person weighing 200 pounds.
    2. A high-dose exercise group, with the goal of burning 20 calories per kilogram of body weight per week, or 1814 calories per week for a person weighing 200 pounds.
    3. A control group of those who did not customarily exercise and were not directed to change their level of exercise.

    The participants attended group exercise classes (or not, according to their randomization) for 24 weeks. At the start and end of the study, the participants had their overall body fat measured using a bioimpedance scale and their waist and hip measurements taken by trained professionals. Their actual energy intake (the number of calories they consumed) and expenditures (the number of calories they burned) were measured on multiple occasions using the gold standard of doubly labeled water.

    Regardless of which group they were assigned to, the participants kept track of their food intake and wore highly sensitive motion-sensing armbands to estimate the number of steps they took each day as well as how much they moved overall.

    The Results

    You might expect that those who were not used to exercising frequently or intensely would lose more weight than those participants who were more used to frequent exercise. After all, they're suddenly burning far more calories than they're used to, right?

    You'd be wrong.

    The authors found that those who usually exercised less frequently or intensively lost less weight than those of their peers who were more accustomed to regular exercise.

    It seems, from the data gathered regarding each participant's caloric intake, that those who were not used to regular, intensive exercise were more likely to increase their caloric consumption (that is, to eat more) once they started a more intense exercising program than those who were already used to regular exercise.

    What’s the Take Home?

    If you've started an exercise regime but are disappointed in how little weight you have lost, you might want to take a look at what you're eating. It's normal to be hungrier when you burn more calories, but if you're working on your weight that is a reason to be careful. If you are hungry after a workout, have a palmful of plain or dry roasted nuts or a piece of fruit as a snack. They'll help keep you satisfied, you'll improve your Mediterranean Diet score, and you'll likely tide yourself over until your next meal without consuming too many extra calories.

    Reference: Hochsmann C, Dorling JL, Apolzan JW, et al. Baseline habitual physical activity predicts weight loss, weight compensation, and energy intake during aerobic exercise. Obesity 2020(28); 882-892. DOI: 10.1002/oby.22766 


    Dr. Gourmet is the definitive health and nutrition web resource for both physicians and patients with evidence-based resources including special diets for coumadin users, patients with GERD/acid reflux, celiac disease, type 2 diabetes, low sodium diets (1500 mg/d), and lactose intolerance.

    Timothy S. Harlan, MD, is a board-certified internist and professional chef who translates the Mediterranean diet for the American kitchen with familiar, healthy recipes. He is an assistant dean for clinical services, executive director of The Goldring Center for Culinary Medicine, associate professor of medicine at Tulane University in New Orleans, and faculty chair of the Certified Culinary Medicine Specialist program.