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The simple science of calories in vs. calories out

How to lose weight has been and remains to be a big topic of conversation in the health and fitness industry. “You need to DO this!” or “You need to STOP doing that!” are often what the online fitness “experts” on social media proclaim.

They make the topic seem simple and easy to do, yet, weight loss and weight management is complex, and despite years of extensive study, there are still unanswered questions
(1–8). Recently, “calorie counting” to achieve “calorie deficits” appears to be the main trend for weight loss. But what does this mean? Is it helpful? Where should I start? Let’s discuss!

 

When talking about calories, we are talking about energy and energy balance. A calorie is a unit of measurement for energy in foods. The food we eat provides energy for our bodies to function daily (7). Energy balance refers to the relationship between the energy we are eating compared to the energy we use during the day (i.e., calories in versus calories out). When the calories we consume are equal to that which we burn during the day, we are said to be in a neutral energy balance. When we eat more than we use, this is a calorie surplus. Finally, when we use more than we eat, we are in a calorie deficit. So why the obsession with calorie deficits? Well, research shows that being in a calorie deficit is an effective tool for losing weight (2–4,7,8). 

Studies show that, depending on your daily energy expenditure, a deficit of around 500 calories a day can help you lose weight (2–4,9). If your daily energy expenditure is low, a smaller deficit is advised as having a very low-calorie diet is not recommended (2–4,9). Similarly, to increase weight a 200-500 calorie surplus seems to be effective (7). For example, if someone’s daily energy expenditure is 1800 calories, eating 1300 calories would likely lead to weight loss and eating 2000 to 2300 would likely cause weight gain. Similarly, eating around 1800 would help weight maintenance. We can clearly see that knowing how much energy we use during the day is important. How do we do this?

Upon starting your journey in achieving a calorie deficit, it’s important to highlight that fact that everyone’s body is different (9)! This means that most of the online calorie calculators cannot be used for everyone (5). Therefore, we suggest going to a registered dietician to help you with the process, as its no easy task.

Total daily energy expenditure (TDEE) is made up of our basal (or resting) metabolic rate, physical activity, and food (no, that’s not a typo). Basal metabolic rate (or BMR) accounts for 60-70% of your TDEE and is the energy that the body uses to do all the necessary metabolic functions throughout the day (7). For example, the contractions of the heart that pump blood around the body or your immune system fighting foreign cells all require energy. BMR is related to several factors including your height, weight, age, gender, and muscle mass (7). There are several methods for estimating BMR. The most common method used in research is called indirect calorimetry. This measures your metabolic gases while resting which can be converted into energy expenditure. Apart from this method there are many equations that predict BMR (9). These equations use different variables from height and weight to fat-free mass. A commonly used technology is bioimpedance devices, which is a technology shown to be the most viable and affordable option for the general public (9), that can be found in most dieticians practice rooms. While these are easier to implement, they are specific to populations and do show a large degree of variability (9).  

Apart from BMR, physical activity also contributes toward our TDEE. This includes all our normal physical movements of our daily life, such as brushing teeth, walking around the house or washing dishes. The more active you are in your day-to-day life, the higher the number of calories you use throughout the day. Simple activities like walking up the stairs, washing your car, parking further away from the entrance and getting off your chair to walk around the office for 5 minutes every hour can drastically increase your daily calorie use. The addition to daily movements, is exercise (7). There are a lot of misconceptions to exercise for achieving weight loss. Studies show that very high intensity exercise, such as HITT interval type workouts may result in higher calorie usage, but the substrate (stored food group in our body that we use to provide energy) being used for those calories is mainly carbohydrates. Low to moderate intensity, steady state type exercise, such as walking, hiking or light jogging, is the best for breaking down fat (10). Therefore, when it comes to increasing your daily exercise expenditure, instead of killing yourself every day with very high intensity exercise, rather slow down a bit by incorporating daily 30 – 40 minutes fast paced walks.

The last thing that uses energy, is our food. The energy required to digest food is known as the thermic effect of food and contributes about 10% of our calorie expenditure per day (7). Studies show that protein has a higher thermic effect than carbohydrates and fats (7), so your body uses more energy to digest a chicken breast than it does an avocado.

Now that we understand a bit more about our TDEE, let’s talk about our energy intake!

Unfortunately, not all calories are equal. Calories come from the different foods that we eat, which are broken down into three macronutrients: protein, carbohydrates, and fats. Although they are all equally important, they each contain different amounts of calories per gram, as seen below (11–13).

Macronutrient

Calories per gram

Protein

4 calories per gram

Carbohydrates

4 calories per gram

Fats

7 calories per gram

Therefore, you can eat a larger amount of protein and carbohydrates (in grams) than you can fats, for the same number of calories. With regards to creating a calorie deficit, studies comparing the same calorie consumption, with different amounts of fats or carbs (for example high fat and low carb, or vice versa) found no difference, and concluded that the weight loss was due to a calorie deficit only (10,14). Any additional increases in weight loss between diets were commonly from water loss (15). Additionally, similar studies concluded that eating a diet high in fat does not result in an increase in fat oxidation (or breakdown) when compared to a diet high in carbohydrates (6,7). In addition to efficacy, traditional weight management programs have followed low fat, higher in carbohydrates options because of the positive effect carbohydrates have on feeling full and satisfied (8). The research clearly shows that calorie deficits are the most effective method of any weight loss program, irrespective of the distribution of macronutrients (6–8). The most important thing when changing your eating habits, is to adapt to an eating plan that is achievable for you that you can maintain over time (8).

** a tip for calorie counting, food products in South Africa are commonly quantified in kilojoules, which can be divided by 4.2 to equal calories. Eg: 800 kilojoules = 190 calories.

 

To bring you the most evidence-based and cutting information in the fields of sports and exercise science and health, SSISA works alongside the UCT Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS) to disseminate the latest research.  HPALS research focuses on optimizing human performance and promoting health and well-being through physical activity, sports participation, healthy eating and good sleep hygiene.  Their work begins at the DNA, to the human performance laboratory and ultimately to the community. To read more about the Health through Physical Activity, Lifestyle and Research Centre, Division of Physiological Sciences at the University of Cape Town, please see the HPALS website or email Ayesha Hendricks for more information about applications for MSc/PhD research programmes.

To get in touch with the Sports Science Institute of South Africa Group for Research Implementation and Translation (GRIT) Research Consultants, get in touch with Warren Lucas at research@ssisa.com or call 021 650 5728 for enquiries. Read more about the SSISA GRIT Team here.

 

Yours in Sports Science,

Sports Science Institute of South Africa

 

References

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  2. Iqbal N, Vetter ML, Moore RH, Chittams JL, Dalton-Bakes C v., Dowd M, et al. Effects of a low-intensity intervention that prescribed a low-carbohydrate vs. a low-fat diet in obese, diabetic participants. Obesity. 2010 Sep;18(9):1733–8.
  3. Barnard ND, Levin SM, Gloede L, Flores R. Turning the Waiting Room into a Classroom: Weekly Classes Using a Vegan or a Portion-Controlled Eating Plan Improve Diabetes Control in a Randomized Translational Study. J Acad Nutr Diet. 2018 Jun 1;118(6):1072–9.
  4. Westman EC, Yancy WS, Mavropoulos JC, Marquart M, McDuffie JR. The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus. Nutr Metab (Lond). 2008;5(1).
  5. Whitcomb Isobel. The Truth about calorie counting. 2022.
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  7. Howell S, Kones R. “Calories in, calories out” and macronutrient intake: the hope, hype, and science of calories. Am J Physiol Endo-crinol Metab [Internet]. 2017;313:608–12. Available from: http://www.ajpendo.orgE608
  8. Thom G, Lean M. Is There an Optimal Diet for Weight Management and Metabolic Health? Gastroenterology. 2017 May 1;152(7):1739–51.
  9. Lemos T, Gallagher D. Current body composition measurement techniques.
  10. Kolnes KJ, Petersen MH, Lien-Iversen T, Højlund K, Jensen J. Effect of Exercise Training on Fat Loss—Energetic Perspectives and the Role of Improved Adipose Tissue Function and Body Fat Distribution. Vol. 12, Frontiers in Physiology. Frontiers Media S.A.; 2021.
  11. Gov D. Dietary Guidelines for Americans Make Every Bite Count With the Dietary Guidelines [Internet].
  12. Seagle HM, Strain GW, Makris A, Reeves RS. Position of the American Dietetic Association: weight management. J Am Diet Assoc. 2009;109(2):330–46.
  13. Department of Veterans Affairs U, Health Administration V, Care Services P, Center for Health Promotion N, Prevention D. MOVE! Nutrition Handout N14: Carbohydrate [Internet]. Available from: www.move.va.gov
  14. Hall KD, Bemis T, Brychta R, Chen KY, Courville A, Crayner EJ, et al. Calorie for calorie, dietary fat restriction results in more body fat loss than carbohydrate restriction in people with obesity. Cell Metab. 2015 Sep 1;22(3):427–36.
  15. Hall KD, Chen KY, Guo J, Lam YY, Leibel RL, Mayer LES, et al. Energy expenditure and body composition changes after an isocaloric ketogenic diet in overweight and obese men. American Journal of Clinical Nutrition. 2016 Aug 1;104(2):324–33.