As chronic obstructive pulmonary disease (COPD) advances, about 35% of patients experience severe weight loss called pulmonary cachexia, including diminished muscle mass.[31] Around 25% experience moderate to severe weight loss, and most others have some weight loss.[31] Greater weight loss is associated with poorer prognosis.[31] Theories about contributing factors include appetite loss related to reduced activity, additional energy required for breathing, and the difficulty of eating with dyspnea (labored breathing).[31]
To figure out how many calories you burn a day, calculate your resting metabolic rate—the number of calories you burn daily doing routine activities, not including formal exercise—using this formula: RMR = bodyweight (in lbs) x 13. Next, determine how many calories you burn through exercise—a half-hour of moderate-intensity aerobic exercise burns around 350 calories in the average man, and a half-hour of lifting burns around 200. Add your RMR to the calories you burn in the gym, and keep your daily calorie consumption below that total.
“This is a great way of eating that I highly recommend to many clients, and I even model in my own life,” says Elizabeth Shaw, RDN, who is in private practice in San Diego and is the co-author of Fertility Foods Cookbook. “Since the premise of the diet is designed to help people who have high blood pressure, low-sodium foods are recommended. But considering that most Americans exceed their daily sodium levels anyway, it’s not surprising that dietitians recommend this style of eating for treating many different conditions, such as heart disease and obesity.”

Flexibility. A flexible plan doesn't forbid certain foods or food groups, but instead includes a variety of foods from all the major food groups. A healthy diet includes vegetables and fruits, whole grains, low-fat dairy products, lean protein sources, and nuts and seeds. A flexible plan allows an occasional, reasonable indulgence if you like. It should feature foods you can find in your local grocery store and that you enjoy eating. However, the plan should limit alcohol, sugary drinks and high-sugar sweets because the calories in them don't provide enough nutrients.
Having so many diet options makes it difficult to know which ones to trust. For this reason, The Partnership for Healthy Weight Management has developed the "Voluntary Guidelines for Providers of Weight Loss Products or Services." The mission for these guidelines is to "promote sound guidance to the general public on strategies for achieving and maintaining a healthy weight." According to the guidelines, effective weight management involves:
You're more likely to stay at a healthy weight if the view out your window includes hills, water, a park, or a street that leads to one of those things. Research has found that counties with more natural amenities, including mountains and lakes, had lower obesity rates. "It could be that there's something healing and calming about simply being outside," says Stephanie Jilcott Pitts, Ph.D., an assistant professor at East Carolina University. (And that's the start of the health benefits of nature.)
This study took 16 overweight men and women and split them into 2 groups. They then had each person in each group create the same sized caloric deficit and then consume that same calorie intake every day for 8 weeks. HOWEVER, they had one group eat 3 meals a day, and the other group eat 6 meals a day. Guess what happened? They all lost the same amount of weight. In fact, the study showed that there was no difference at all in fat loss, appetite control, or anything similar. Why? Because meal frequency doesn’t affect your ability to lose fat or gain fat. Calories do.
Chronic stress may increase levels of stress hormones such as cortisol in your body. This can cause increased hunger and result in weight gain. If you’re looking to lose weight, you should review possible ways to decrease or better handle excessive stress in your life. Although this often demands substantial changes, even altering small things – such as posture – may immediately affect your stress hormone levels, and perhaps your weight.

When getting to grips with how to lose body fat there's plenty of food for thought. ‘Most women do perform better on a high protein, moderate fat and low carb diet,’ Vine says. ‘To maintain muscle, you typically need 0.5g protein per lb of body weight – this can be increased to 0.75g if you want to build more muscle (which will ultimately help to reduce body fat more quickly). For carbs, I suggest starting with 1g per pound of body weight then reducing down, if necessary, until it’s only fat coming off, not muscle.’
In this study, eating more protein helped overweight men preserve more lean mass when they lost weight. The men were put on a diet that gave them either 15% or 25% of energy from protein. But here’s a huge difference that you won’t see in the abstract: the low-protein group was vegetarian; the high-protein group got meat. (The study authors never explain why on earth they would do it like that).

We also love yoga, hula-hooping (yep, great for the abs) and the good standby “Abs of Steel” videos, and trust me the outfits in the 1990’s video will increase the cardio aspect just from laughter alone! There are also a slew of videos online, find one you love and can stick to every few days and you’ll be toning as you shed the unwanted belly fat.


Despite what most people think about how to lose fat, it's not just about exercise-it's just about moving more in general.In fact, the physical act of sitting or lying down may actually speed up your body's production of fat. When you lounge on a sofa or in a chair, you exert forces on your cells that cause them to become stretched out and to generate flab, researchers say.
Consuming too many starchy foods, such as potatoes, rice, pasta, and breads (especially at one sitting), provides your body with more than it needs for energy and glycogen stores; anything left over will be stored as fat. "You don't have to eliminate starchy carbs completely," says IFBB pro Mike Matarazzo. "But you should really cut back on them when trying to shed body fat." Limit total starch servings per day to 3-5, where a serving size is one cup of pasta, rice, or sliced potatoes.

If you want to lose weight, you’d better avoid special “low-carb” products that are full of carbs. This should be obvious, but creative marketers are doing all they can to fool you (and get your money). They will tell you that you can eat cookies, pasta, ice cream, bread and plenty of chocolate on a low-carb diet, as long as you buy their brand. They’re full of carbohydrates. Don’t be fooled.
Want to lose that belly fat fast? In your dreams! Seriously, though: a good night’s sleep is one of the best ways to get rid of that extra fat around your waist for good. Among the 60,000 women participating in the Nurses’ Health Study, those who snoozed for fewer than five hours a night were at the greatest risk of becoming obese and gaining 30 or more pounds over the course of the 16-year study period when compared to those who slept for seven or more hours.
Dieters often decrease the number of daily meals in an attempt to reduce calories—a big no-no. "If you eat six meals a day vs. three with the same total calories, you can lose more fat because more meals burn more calories [by increasing thermogenesis, the production of heat, in the body]," says Aceto. Calculate how many calories you want to consume per day (see tip 3), and spread them evenly across 5-6 meals.

If your goal is to get leaner and not lose muscle in the process, then I’d recommend sticking to slow consistent fat loss and not try to rush it (that will just impact strength even more, which increases the potential for muscle loss). Keep doing what you’re doing, and take 1-2 week diet breaks when needed (go back up to maintenance or possibly a very slight surplus).


Cancer, a very common and sometimes fatal cause of unexplained (idiopathic) weight loss. About one-third of unintentional weight loss cases are secondary to malignancy. Cancers to suspect in patients with unexplained weight loss include gastrointestinal, prostate, hepatobiliary (hepatocellular carcinoma, pancreatic cancer), ovarian, hematologic or lung malignancies.
What does a HIIT workout look like? You could jog for two minutes, sprint for one minute, jog for two minutes, sprint for one minute. Or you could do a HIIT workout on a bike, or by running up stairs and then jogging back down. The key is that you go relatively all out for a short period of time, then recover by maintaining a moderate level of intensity, then go again.
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