Top 10 Mistakes Women Make With Exercise

1) Too much Cardio exercises: Too much can trigger the release of cortisol, the body’s stress hormone that actually in the long term seems to increase a person’s visceral fat- that is, the fat surrounding major organs that is particularly dangerous for our health
2) No weight training or not enough intense weight training: Women sometimes fear that weight lifting will make them more bulky. The truth is, a good relatively intense program is actually beneficial in developing more LEAN muscle and decreasing subcutaneous (under the skin) and visceral fat.
3) Spot reduction of fat: There is no scientific basis in spot training to reducing fat in a certain place. When the body needs calories for exercise, it first takes it from muscle creatinine (initial short lived burst of energy), then glycogen, the storage form of glucose in muscles, then fat from the WHOLE body.
4) Exercise is not a priority: Many women, especially mothers have many responsibilities and sadly, when push comes to shove, exercise is dropped first. This is poor prioritization because of all the health and well-being benefits of exercise. The key is to schedule one’s days so it is most efficient, freeing up time for an exercise block, and to incorporate exercise into the daily routine.
5) Total caloric intake is too high: Many patients come in with no sign of weight loss despite regular exercise. Much of the time, the culprit is a diet that is far too high in calories, specifically saturated fat and refined carbohydrates. The caloric balance is heavily weighted in favor of weight GAIN due to this pattern of eating. Many of these women say they “never eat” or they only eat one meal a day. This is a critical mistake. Ideally, you want to graze small healthy, less calorie dense snacks throughout the day as our ancestors did in hunter-gatherer societies. This will maintain the sensation of feeling full, reduce impulse eating of high calorie foods, and prevent insulin and other hormonal spikes that make you eat more. Studies show, despite eating more frequently, the total daily caloric intake is actually lower!
6) Poor nutritional support: Exercise is critically important for bone health in women. Weight bearing exercise like walking or weight lifting stimulates bone development and maintains or improves bone density. However, exercise is one half of the equation. The other half if nutritional support. The osteoblasts (cells that stimulate bone growth) need calcium and vitamin D to do their jobs. All women should get at least 1500mg of dietary calcium and 400 IU of Vitamin D daily. Protein requirements work out to 0.8-1.0 mg/kg/day. Sufficient calories are also needed for optimal health, including reproductive health in women. For example, a moderately active woman that is 140 pounds needs 2100 calories/day. 160 pounds needs 2200, and 180 pounds needs 2300 calories per day. See this link to estimate how much you need http://www.chartsgraphsdiagrams.com/HealthCharts/calorie-requirement.html
7) Doing the same exercise every day: Women love the elliptical and walking on the treadmill. I see women less on stationary bicycles, rowing machines, or stair steppers. Muscle confusion is a key concept in getting and maintaining fitness. Switch it up as much as possible so your body doesn’t get too efficient at doing one exercise.
8) Cardio at too low an intensity for weight loss: Many popular magazines perpetuate the myth that low intensity cardio at 50-70% is better for burning fat and losing weight. They are only partially correct. Yes fat is primarily burned at this intensity but weight loss and weight maintenance is more dependent on burning CALORIES, not fat. Higher intensity workouts at 70-85% are much better calorie burners and thus better for weight loss.
9) Too much, too soon: It’s great to be motivated to start an exercise program but some women ramp up too quickly, get sore, or injured, get discouraged and stop exercising. Start slow, especially if you have never exercised regularly before and ramp up a tiny amount weekly. This is much safer and more sustainable
10) No professional input: Most people don’t have all the health information needed to safely start or improve an exercise regimen. I highly suggest seeing a sports medicine physician to clear you medically first and to develop a program that fits each individuals goals and ability. Personal trainers are also very helpful in this process.
Bonus: Women tend to be social creatures. Buddy up with a partner that will help motivate you. Research shows, you will likely exercise more often, more intensely, lose more weight, and become more fit if you do so! Women, get out there and ShapeUp!


June 3rd, 2009 at 2:49 pm
Great list! I always hear that weight training is good for weight loss… but hard to believe. Do you have any recommendations for how many sets or reps for women?
June 4th, 2009 at 5:31 pm
Thank you Tracy. Many women are surprised and suspicious about weight training but the fact of the matter is that muscle has a higher metabolic rate than fat so it burns more calories even at rest. As for reps, it all depends on the day, the goal and the exercise but in general 8-12 reps are optimal. If you are doing body weight exercises like squats you can get similar benefit with 15-20 reps. I will do a post on this in the future. Good luck!
June 5th, 2009 at 5:11 pm
Thanks for the advice!
June 28th, 2009 at 6:13 pm
Wow, This is a great list. A friend of mine recommended your blog a while back to me and I only just now today took a chance to look at it. I just had a baby two weeks ago and while most of this advice is pretty common sense to me (I have been running for almost 12 years now) there were a few things in here that I wouldn’t have thought of doing. I am horrible at weight training but I do change up my exercise by swimming and rowing between my normal running.
July 6th, 2009 at 10:51 am
Ugh – guilty of too much cardio. I need to get back into the weight training, as I’m one of those moms who gave it up and stopped prioritizing exercise. If time is an issue, does it make sense to do a run for example one day, and then a weight training session the next? I used to have time for all of it in one gym visit but that’s no longer the case, and I work out at home now.
July 7th, 2009 at 12:58 pm
Stacey, it’s perfectly fine to alternate running and weight training sessions. If you’re squeezed for time you can do basic body weight exercises like push-ups and squats while cooking, while brushing your teeth or before you hop into bed. Good luck!
July 9th, 2009 at 10:49 am
I like the idea of squatting while I’m brushing my teeth, Rowan. Maybe I’ll lunge down the hallway tonight
August 9th, 2009 at 8:15 am
Great article, Dr. Paul. I have linked to it today from Wellness for Women, http://womenshealth.dailysite.com/info, a site devoted to women’s health.