DEAR DR. BLONZ: I am in relatively good shape for one in their 50s, and I eat well. I walk and exercise regularly, but not as much as I did earlier in life. Like many others in my group, I am annoyed by the weight around my middle. I can't improve my diet much more, and am frustrated at the bulge. Nothing has really changed except the shape of my body?! Any advice you can offer on aging, calories, and specific exercises would be appreciated. -- T.T., San Jose, California
DEAR T.T.: With aging, there is a natural decline in the energy (calories) the human body requires. There is also a tendency to decrease activity. Both contribute to changes in body shape, especially with individuals who continue to consume the same (or more) amount of calories, particularly if more processed foods with added sugars have entered the mix. There is also the fact that our body weight is packed into a smaller frame due to age-related loss of height from reductions in bone mass and increased spinal compression. (For more on the effects of aging on body shape, see b.link/2a3d3ay.)
There are three basic elements to our daily caloric demand. First and foremost is the resting metabolic rate (RMR). This is energy needed to keep the body alive, but not to fuel activities. Consider this our "cost of living," which represents about 60% to 75% of the daily caloric requirement. Next is the energy used for physical activity. For an average individual, this is about 15% to 30% of the calories we need. Finally, we have the thermic effect of food (TEF), also called thermogenesis, the energy released as heat as we eat and digest food. TEF accounts for about 5% to 10% of our daily calories, and tends to be higher in those with regular exercise habits. (More on thermogenesis at b.link/gls72y2.)
Fewer calories are burned by an aging body than its younger version, even if eating and physical activity remain the same. This age-associated decline is not solely attributable to the loss of lean body mass (muscle, organ and bone) that accompanies aging.
Muscles burn calories even when you are lying around, so do your best to maintain your muscle mass to help slow any age-related decline. (Think of the difference between the gas burned by a 4-cylinder engine idling at a stop light versus an 8-cylinder doing the same.)
The cumulative effect of stress can also contribute to that unwanted midline bulge. The body reacts to stress by bringing fuels into the blood to prepare for action. This occurs even if the stress is psychological and won't require a physical response. Ephedrine (adrenaline) and norepinephrine are the stress hormones that increase fuel levels. Cortisol is the stress hormone that helps calm things down and return blood fats to storage. Receptors in the abdominal area are more sensitive to cortisol, which can lead to greater fat accumulation in that area when stress is habitual.
Keep up with your activities. There should be elements of both aerobic workouts and resistance exercises to maintain your muscle mass. Consider speaking with a trainer to see if there are specific exercises to help with muscle tone in problem areas. Working on your core muscles is particularly helpful as it supports the back, another aging-associated issue we want to stay ahead of.
Send questions to: "On Nutrition," Ed Blonz, c/o Andrews McMeel Syndication, 1130 Walnut St., Kansas City, MO 64106. Send email inquiries to questions@blonz.com. Due to the volume of mail, personal replies cannot be provided.