Welcome to part four of The science behind weight loss, a Conversation series in which we separate the myths about dieting from the realities of exercise and nutrition. Here, Deakin University nutrition academic and dietician, Associate Professor Tim Crowe, explains the role exercise and nutrition play in weight loss:
Searching for the best way to lose weight? Should the emphasis be on diet, or can the solution be found in the gym?
Well, the answer lies somewhere in between.
In the red corner of the weight-loss title fight, sits the dieting contender. On the surface, dieting would appear to have the edge, because no matter what a person’s genetic makeup and metabolism, anyone who stops eating is guaranteed to lose weight.
Starvation, though, is not a dieting option to be recommended or one that is sustainable.

So should it be low-fat, low-carbohydrate, high-protein, low-GI, small meals or any one of a myriad other popular dieting approaches?
The scientific jury is now firmly in, with dozens of high-quality, randomised controlled trials showing that no one dieting option is the magic solution for everyone.
Apart from some short-term success for particular approaches – mostly low-carbohydrate diets – all of the popular dieting approaches fare poorly for weight loss and adherence once the six-month milestone has passed.
This was demonstrated in one of the largest and longest-run weight loss studies ever conducted, which investigated how diets with different fat, protein and carbohydrate content influenced weight loss.
Over 800 overweight adults took part in the study which ran for two years. Each person was randomly allocated to one of four different diets which ranged from high-carbohydrate/low-fat to low-carbohydrate/high-fat.
After six months, the average weight loss was 7% of the initial body weight, with negligible differences between the diets. Predictably, much of this lost weight was regained, with only half the respondents maintaining their new weight for two years.
As the study progressed, the differences in the nutrient mix between the diet groups became smaller, as fewer people met their diet goals for fat or carbohydrate intake.
If the participants of this research study found it difficult to stick to a diet, despite expert advice and ongoing follow-up and support, then the chances of success in the “real-world” are even more remote.
The rising rates of obesity in the face of continual best-selling “breakthrough” diet plans attest to that.
The significant number of clinical trials clearly and conclusively show that the fat, protein and carbohydrate composition of the diet matter little for achieving weight loss.
Following a sensible eating plan and sticking to it matters most.

So what about the contender in the blue corner: exercise?
Exercise has a modest, but consistent benefit on body fat reduction. And this benefit is independent of dieting.
But the benefit of exercise in weight loss may not be as great as we may have expected. For people who are already overweight, even 60 minutes of physical activity each day may not be enough to halt weight gain.
One recent high-quality study, which looked at the ability of people to hold onto hard-fought weight loss, found that 12 months after a weight-loss program ended, people who kept up more than 90 minutes of physical activity each day lost the most weight.
If you’re breaking out in a sweat just thinking about that much activity, don’t worry. What it really means is that more attention needs to be paid to the food side of the energy balance equation.
Here’s a simple example of the differences between eating and exercise. A 100g chocolate bar could easily be eaten in under one minute.

The amount of energy in that bar – 2200 kJ or 500 Calories – would be enough to fuel the body of a sedentary office worker for around five hours with no other food needed. Or you could try a 7km run or 90 minutes walk to burn off the energy from the chocolate bar.
So making some concerted changes to the “input” side of the energy balance equation can reap large benefits for weight loss.
The weight loss literature, though, is a minefield for diets that result in poor adherence and weight rebound. So instead let’s look at those who have been successful in losing weight and keeping it off.
Long-term successful “weight losers” make a conscious effort to adopt at least one weight-loss strategy from the list following:
- ↑ fruit and vegetables
- ↑ exercise
- ↓ kilojoules
- ↓ fat
- ↓ sweets and junk food
- ↓ portion sizes
- ↓ overall quantity of food
It’s not surprising that all of these behaviour changes are consistent with current recommendations by nutrition and health professionals for safe and appropriate weight loss.
For most people, dieting is not the way to achieve long-term weight loss. And hitting the gym alone seems to work for only the most dedicated of souls.
Small and realistic lifestyle changes will always be the best recipe for achieving and maintaining a healthy weight.
This is the fourth part of our series The science behind weight loss. To read the other instalments, follow the links below:
Part One: Diets and weight loss: separating facts from fiction
Part Two: Want to set up a weight loss scam? Here’s how …
Part Three: Feel manipulated? Anxious? Tune out the hype and learn to love your body
Part Five: An online tool to help achieve your weight-loss goal (no, it’s not a fad diet)
Part Six: Ignore the hype, real women don’t ‘bounce back’ to their pre-pregnant shape
Part Seven: Quick and easy, or painful and risky? The truth about liposuction
Part Eight: Weight loss and the brain: why it’s difficult to control our expanding waistlines
Part Nine: Are diet pills the silver bullet for obesity?
Part Ten: Want to try the latest fad diet? Just ask your local pharmacist
18 Comments
Tim Paton
Automotive Engineer
logged in via email @timpaton.net
How long does it take to drive to and from work each day?
show full commentHow long would it take to do the same trip on a bike?
Many people could get two ~30 minute aerobic exercise sessions by investing ~10 minutes at each end of the day. Or less.
Cycling for transport a lifestyle change that can be maintained. If you get into the habit of go_to_work = sit_on_bike rather than go_to_work = sit_in_car, it just becomes... habit. A simple change I made was to separate my work (including bike lock) keys and car keys…
Richard Monfries
logged in via Twitter
Hi Tim
Here I am: a 52-year-old male; 6' 3" tall; 110kgs; BMI 32; stomach measurement 118cm; however - resting heart rate 65bpm; fasting glucose regularly 3-4mmol; healthy cholesterol.
So, over the recent years I've been to gyms - lasted 3 months, on average. Tried the CSIRO diet on at least 2 occasions - lasted 3 weeks at most. Completed one or two fun-runs, 5 to 10kms. I completed a 210km Round The Bay In A Day ride, followed a week later with a half marathon. Crazy.
You're getting the picture…
show full commentAndrew Hassell
Mr
logged in via email @synaptec.com
Has anyone mentioned bicycles yet? They are hardly ever mentioned on this site.
Thanks for this series of articles. Ever since I gave up smoking cigarettes and ice I've been developing more and more of a weight problem.
Shane Nixon
logged in via Facebook
I recently heard of using BMR (basal metabolic rate) calculations for weight loss. It works by working out your sedentary basal metabolic rate for your weight. Basically how many calories are required to sustain your current weight. You then work out the BMR for your target weight and you eat that amount of calories and the weight drops away. No dieting and minimal exercise and the fat melts away. You can easily sustain half a kilo to a kilo a week loss.
show full commentFor example, using ball park figures, I wanted…
Tim Paton
Automotive Engineer
logged in via email @timpaton.net
Oh right, so you're going in a calorie-controlled "eating program" that doesn't involve dieting?
Would you care to disclose any interests you might have in that website you're so obviously shilling for?
Shane Nixon
logged in via Facebook
Shilling? I mentioned where I heard about this approach. I have no "interest" except I listen to their interesting, informative and FREE podcast.
show full commentNo one is selling a diet or a "program". Just offering free advice.
As I mentioned I'm aiming for about 2400 calories per day. Depending on what you eat that is a shit load of food. If you consider that dieting, fine.
Dieting, as far as I see it means restricting calories to level below your sedentary BMR. The only control I am imposing on myself is restricting…
John Wright
Director
logged in via email @energytesting.com.au
Shane certainly understanding your BMR helps take out some of the guesswork in understanding your energy needs. How did you get this measured?
The algorithms developed and used to estimate BMR have been shown to vary widely in accuracy for more information see Estimating resting energy expenditure in obesity.by G D Foster, B G McGuckin, Obesity Research (2001) Volume: 9 Suppl 5, Pages: 367S-372S; discussion 373S-374S. There are other references you can select, but most will conclude the same thing, estimating energy production is problematic.
Rachel Styles
logged in via Facebook
Most people think they can just starve themselves to lose weight but you can't do that because your body will go into something called starvation mode. What happens is your body will slowly eat itself. If you want to know why you can't starve yourself to lose weight, this article gives a great explanation on it.
http://explainlikeakid.blogspot.com/2011/10/why-you-cant-starve-yourself-to-lose.html
Luke Flood
creative director
logged in via email @gmail.com
Question for Tim: I am a complete amateur in your field, but I gather from other sources -- http://www.abc.net.au/rn/healthreport/stories/2007/1969924.htm -- that regular exercise changes the body's tolerance to insulin. This seems to be an extra benefit for exercising that doesn't get mentioned much. Is this a significant factor in the diet/exercise spectrum for weight loss?
Tim Crowe
Associate Professor in Nutrition at Deakin University
Hi Luke: even without weight loss, exercise has a myriad of health benefits and improving insulin sensitivity is one of those so is a great thing for people with type 2 diabetes to do more of. Most definitely there is a correlation between obesity (particularly central adiposity) and increasing insulin resistance and the insulin resistance is sometimes blamed for the weight gain, yet they both increase (and decrease) hand-in-hand as weight changes so we can't say definitively which is the chicken and which is the egg, but they certainly are related.
Leon Smith
logged in via email @gmail.com
Great to hear that from an automotive engineer TimP! That's an interesting observation you make about separating your car and bike keys. I've done that ever since I first owned a car (at age 29), but my motivation was just to keep the bundle of keys at a reasonable size.
show full commentCycling to school/uni/work has always been my habit and at 39 I still only drive to work if I need to carry something big, go to the blood bank or something similar.
Cycling is a great way to integrate exercise into your day, almost…
Tim Crowe
Associate Professor in Nutrition at Deakin University
Leon: the energy content of food already takes into account the metabolic cost of digesting, absorbing and metabolising it and our body does a very good job of absorbing the macronutrients. It is only in cases of malabsorption problems (coelic disease, severe GI infection, pancreatitis, cystic fibrosis etc) that you would 'lose' significant amounts of the available energy in foods so for a healthy person, eating more means absorbing more.
Leon Smith
logged in via email @gmail.com
Thanks for the response Tim. So the energy values on food labels reflect the net energy I should have available for exercise/growth/storage after chewing/digesting/absorbing? And if I put the same food item into a physical chemist's caloric bomb I'd actually get a significantly larger number of kilojoules as a reading?
Fascinating. I've often wondered...
Tim Crowe
Associate Professor in Nutrition at Deakin University
Correct Leon. Following is a paste from one of my student teaching resources to explain this.
Measuring energy in food
The bomb calorimeter is a scientific tool used primarily to determine the maximal
energy content of foods. The values derived are the gross energy content of food. In
true life some of the energy of food is lost in the urine and faeces. The available
energy or the proportion left after subtracting energy lost in the urine and faeces
termed the ‘metabolisable energy’.
The amount…
show full commentSarah Officer
Nutritionist, PhD student
logged in via email @hotmail.com
I just want to point out that eating 100g of chocolate in under a minute probably isn't that easy, nor typical of an average person's consumption- we're talking the equivalent of 2 Mars Bars or a whole regular-sized block of Lindt here. Energy-wise it's a good figure to keep in mind (just about anyone is capable of consuming that amount of chocolate over the course of one meal), but I don't think the time taken to consume it, as portrayed here, is realistic. Apart from this small point, good article.
John Wright
Director
logged in via email @energytesting.com.au
Luke if I could suggest an answer as it frames some of the comments that I wanted to make about the article.
The central problem with Tim's article and Rosemary's before that, as well researched as they both are, is they are population based, and cannot account for the myriad of physiological and phenotypical variations that affect us as individuals.
Insulin may well be a good example. In a healthy normal weight conditioned athlete, Insulin levels may drop as exercise intensity increases. The obese…
show full commentJohn Harland
bicycle technician
logged in via email @gmail.com
I am curious about the item:
↓ overall quantity of food
in the section on successful maintenance of body mass.
What is the measure of quality, or is the down arrow a typo?
Tim Crowe
Associate Professor in Nutrition at Deakin University
Hi John - you've misread the text in the article and also what you've written in the first part of your message: it's "quantity", not "quality"