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YOU Docs Daily

If You're Fit, Does It Matter If You're Fat? New Findings

Does being fit neutralize the health risks of being fat? Until recently, research said yes -- giving the green light to many postworkout bowls of Chubby Hubby ice cream, we suspect.

Hold that spoon. Being physically active is important, and applause if you are (or you're trying). But a new 10-year study of nearly 39,000 women says that exercise by itself can't protect your heart against the dangers of extra pounds. Your body wants you active AND your weight healthy.

In the study, women who were overweight and active (walking about 10 miles a week) were 50% more likely to have a coronary event -- such as a heart attack or bypass surgery -- than women who were a normal weight and equally active. Being slender alone wasn't magic, either. Normal-weight couch potatoes were 88% more likely to have heart problems than normal-weight women who were active.

Is this a wake-up call if you're physically idle but munch carrots in front of the TV? Or if you walk everyday but then curl up with chips and dip (salsa, we hope)? You bet. To avoid dangerous effects on your genes, you need a normal waist and an active life -- both  keep genes that make you healthy turned on. Conversely, belly fat -- the killer intra-abdominal kind that wraps around your vital organs -- turns on genes that make you older. It also dumps chemicals into your bloodstream that harden arteries and promote heart-threatening blood clots.

Here are six remarkably simple ways to get your weight and activity in balance and make your RealAge (your physical age) younger. It's what we call a do-over. YOU can get one! It's not that hard, and it doesn't take that long. Here's what to do:

1. Be a stealthy, steady calorie cutter. Eat three meals plus snacks (hunger only encourages overeating!), but rein in calories by eating three-quarters as much as usual for 6 days. If you tend to eat because you're bored, mad, sad, or anything other than actually hungry, doing this will help you switch back to eating when you're hungry, not when you're moody. Alternatively, try simply cutting out 100 calories a day. Switch from sweetened applesauce to natural, and you'll save nearly 100 calories per cup. Use a tablespoon less of canola oil for salads or sautes and add herbs for flavor instead. You'll never miss the calories and can lose 12 pounds a year this way.

2. Avoid these like poison, because for your genes and body, they are: Don't buy anything that lists these among the first five ingredients on the label: saturated fat, hydrogenated oils (trans fats), syrups like high-fructose corn syrup, simple sugars (they end in ose, like sucrose and glucose), sugar alcohols (these end in ol, like mannitol), and enriched/bleached flour.

3. Eat plenty of these: fresh fruit, veggies, 100% whole grains. It's that simple -- and you'll find them mostly along the periphery of the supermarket, so shop mostly there. Dive into juicy peaches or crunchy corn in summer; crisp apples, pears, squash, and dried berries in fall and winter; tender asparagus and baby greens in spring.

4. Walk for 30 minutes every day. If you've been away from exercise longer than the Chicago Cubs have been waiting to win a World Series, your body will appreciate a half-hour walk every day. If you can't manage that, walk three times a day for 10 minutes. Don't worry about going longer or faster right away: In one study of significantly overweight women, those who walked for 30 minutes 5 days a week lost weight at a rate similar to women who walked for 60 minutes.

5. One month later: Show some resistance. After 30 days of regular walking, kick it up. Twice a week, build muscle by lifting weights for 20 minutes. You can lift a dumbbell, a gallon of milk, or a toddler . . . just lift! Need help? Download our free workout at the YOU: On a Diet center on www.realage.com.

6. Rely on a tape measure, not the scale. Measure your waist while you're sucking in (you will anyway) before you start step 1. Then, once a week, measure it again. Aim to get it into these ideal ranges: 32 1/2 inches or less if you're a woman, and 35 inches or less if you're a man. The less you need those elastic-waist jeans, the lower your risk for heart disease, diabetes, and other bad stuff.

Thoughts or comments? Post them to the YOU Docs Blog discussion forum.
General questions or feedback? Send an e-mail.

Michael F. Roizen, MD & Mehmet C. Oz, MD
Michael F. Roizen, MD & Mehmet C. Oz, MD
In their daily blog posts, Doctors Roizen and Oz offer the freshest and most powerful health advice presented with humor and expert knowledge.

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About This Blog
Which vitamins do you really need to take? What foods can supercharge your energy? What fitness trends are smart, or silly? When is medical news really urgent, or overhyped? Find out from the straight-talking YOU Docs, who answer today's trickiest health questions. More
About the Authors
Michael F. Roizen, MD
Michael F. Roizen, MD
Michael F. Roizen, MD, is cofounder of RealAge, chief wellness officer at the Cleveland Clinic, and chairman of the RealAge Scientific Advisory Board. More
Mehmet C. Oz, MD
Mehmet C. Oz, MD
Mehmet C. Oz, MD, is a member of the RealAge Scientific Advisory Board and vice chairman of cardiovascular services, Department of Surgery, Columbia University Medical Center. More
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