Setpoint: Understanding your setpoint and learning to STOP
The human body
is a wonderful, complicated machine.
Your
disgestive system, your brain and your fat stores all work together through a
highly complex biochemical interaction to help you maintain a stable weight.
These different parts of your body communicate with one another through various
feedback mechanisms in an effort to coordinate the various activities that
maintain your weight at a specific level. That level is known as the
setpoint.
Think of your
setpoint as a thermostat. In your home, you set your thermostat at the
temperature you most enjoy and expect your heating or air conditioning system to
respond to outside conditions and maintain your home at that termperature. By
the same token, your setpoint raises or lowers your appetite and metabolism-the
rate at which your body burns calories-in response to how much you eat.
You may now
ask the obvious question: "If my body is designed to maintain a stable weight,
then why did I gain weight and why is it so darn hard to lose it?
Back to our
thermostat analogy. Let's say that the outside temperature is 85 degrees and you
want your home's cooling system to maintain an indoor temperature of 72 degrees.
No problem. Your air conditioner won't have to work too hard to cool the outside
air by only 13 degrees.
But let's
throw in a heat wave when the outside temperature climbs to a sweltering 110. No
matter how hard your ASC struggles, it won't be able to maintain that desired 72
degree temperature. The gap is just too big. So what does it do? It maintains
the lowest temperature it can-but it will still be higher than 72 degrees!
That's what
happens with your
setpoint. If, over a long period of time, you develop a
greater gap between the calories you eat and those you use up in exercise, your
body's weight regulation system will adjust upward. Your body then
settles in to maintain that higher weight.
That answers
the first part of your question, but what about why it's so hard to the weight
back off?
When you start
to lose weight, your body's metabolic alarm goes off. It alerts your body-which
strives for equilibrium or that stable status quo-that you are not eating as
much as usual. In turn, your body demands more food. It's a survival mechanism,
built in eons ago, and not easily reprogrammed.
For years, I
have reassured my patients that dieters don't fail for lack of willpower but
because of cravings! As long as your setpoint remains evelvated, you will be
assaulted by those blasted cravings every time your body senses that you are not
eating enough to maintain your present weight.
Those
physiological hunger alarms thus make it extremely hard for overweight people to
lose weight, and even harder for them to keep it off. Your body is fighting to
hold on to whatever excess fat it has become accustomed to, and it does its best
to replace any weight you lose.
Last week, I
offered a number of strategies for dealing with cravings, but here's a little
framework for bringing them into play.
People who
know the phrase "lead us not into temptation" grow up thinking of temptation as
the first step down a slippery slope into some kind of disaster, and it often
is, if you yield to it.
But you can
also think of temptation as an early warning system. Sure, there are times when
it just doesn't bother you to be around a lovely plate of brownies, or French
fries, or some other treat that's just not on your dietary program. But
sometimes you are tempted. But instead of regarding that craving as the
first step toward actually eating the off-limits treats, regard it as the signal
to pull in reinforcements, just in case. Even before you start to feel really
compelled to go for the goodies.