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SPORTS MEDICINE : MEDICAL: CONDITIONS: OBESITY :
PHYSICAL EXERCISE AND FITNESS:
Appropriate Physical Activity Intervention Strategies
for Weight Loss and Prevention of Weight Regain for Adults
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Appropriate Physical Activity Intervention Strategies
for Weight Loss and Prevention of Weight Regain for Adults
DONNELLY, JOSEPHE.
Journal: Medicine and science in sports and exercise
ISSN: 0195-9131
Date: 02/2009 Volume: 41 Issue: 2 Page: 459
DOI: 10.1249/MSS.0b013e3181949333
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Abstract
Overweight and obesity affects more than 66% of the adult population and
is associated with a variety of chronic diseases. Weight reduction reduces
health risks associated with chronic diseases and is therefore encouraged
by major health agencies. Guidelines of the National Heart, Lung, and
Blood Institute (NHLBI) encourage a 10% reduction in weight, although
considerable literature indicates reduction in health risk with 3% to 5%
reduction in weight. Physical activity (PA) is recommended as a component
of weight management for prevention of weight gain, for weight loss, and
for prevention of weight regain after weight loss. In 2001, the American
College of Sports Medicine (ACSM) published a Position Stand that
recommended a minimum of 150 min wk(-1) of moderate-intensity PA for
overweight and obese adults to improve health; however, 200-300 min wk(-1)
was recommended for long-term weight loss. More recent evidence has
supported this recommendation and has indicated more PA may be necessary
to prevent weight regain after weight loss. To this end, we have
reexamined the evidence from 1999 to determine whether there is a level at
which PA is effective for prevention of weight gain, for weight loss, and
prevention of weight regain. Evidence supports moderate-intensity PA
between 150 and 250 min wk(-1) to be effective to prevent weight gain.
Moderate-intensity PA between 150 and 250 min wk(-1) will provide only
modest weight loss. Greater amounts of PA (>250 min wk(-1)) have been
associated with clinically significant weight loss. Moderate-intensity PA
between 150 and 250 min wk(-1) will improve weight loss in studies that
use moderate diet restriction but not severe diet restriction.
Cross-sectional and prospective studies indicate that after weight loss,
weight maintenance is improved with PA >250 min wk(-1). However, no
evidence from well-designed randomized controlled trials exists to judge
the effectiveness of PA for prevention of weight regain after weight loss.
Resistance training does not enhance weight loss but may increase fat-free
mass and increase loss of fat mass and is associated with reductions in
health risk. Existing evidence indicates that endurance PA or resistance
training without weight loss improves health risk. There is inadequate
evidence to determine whether PA prevents or attenuates detrimental
changes in chronic disease risk during weight gain.
http://www.ncbi.nlm.nih.gov/pubmed/19127177
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More about the article here
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Content Sample:
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Saris WH, Blair SN, van Baak MA, Eaton SB, Davies PS, Di Pietro L,
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Clinical Crossroads Weight Loss Strategies for Adolescents: A 14-Year-Old
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David S. Ludwig
JAMA. 2012;307(5):498-508.Published online January 3, 2012.
doi:10.1001/jama.2011.2011
http://jama.ama-assn.org/content/307/5/498/reply
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A selection of publications citing
Appropriate Physical Activity Intervention Strategies for Weight Loss and
Prevention of Weight Regain for Adults
Author: DONNELLY, JOSEPH E.
Journal: Medicine and science in sports and exercise
ISSN: 0195-9131 Date: 02/2009
Volume: 41 Issue: 2 Page: 459
DOI: 10.1249/MSS.0b013e3181949333
.
.
Effects of Diet and Physical Activity Interventions on Weight Loss and
Cardiometabolic Risk Factors in Severely Obese Adults: A Randomized Trial
Author: Goodpaster, B. H.
Journal: JAMA : the journal of the American Medical Association
ISSN: 0098-7484 Date: 10/2010
Volume: 304 Issue: 16 Page: 1795
DOI: 10.1001/jama.2010.1505
.
Physical Activity and Exercise in the Regulation of Human Adipose Tissue
Physiology
Author: Thompson, D.
Journal: Physiological reviews
ISSN: 0031-9333 Date: 01/2012
Volume: 92 Issue: 1 Page: 157
DOI: 10.1152/physrev.00012.2011
.
Combined Resistance and Aerobic Exercise Program Reverses Muscle Loss in
Men Undergoing Androgen Suppression Therapy for Prostate Cancer Without
Bone Metastases: A Randomized Controlled Trial
Author: Galvao, D. A.
Journal: Journal of clinical oncology
ISSN: 0732-183X Date: 01/2010
Volume: 28 Issue: 2 Page: 340
DOI: 10.1200/JCO.2009.23.2488
.
Core Competencies for Cardiac Rehabilitation/Secondary Prevention
Professionals: 2010 Update: Position Statement of the American Association
of Cardiovascular and Pulmonary Rehabilitation
Author: Hamm, LF
Journal: Journal of cardiopulmonary rehabilitation and prevention
ISSN: 1932-7501 Date: 2011
Volume: 31 Issue: 1 Page: 2
.
Acute and long-term effects of exercise on appetite control: is there any
benefit for weight control?
Author: Hopkins, Mark
Journal: Current opinion in clinical nutrition and metabolic care
ISSN: 1363-1950 Date: 11/2010
Volume: 13 Issue: 6 Page: 635
DOI: 10.1097/MCO.0b013e32833e343b
.
Differential Acylated Ghrelin, Peptide YY3-36, Appetite, and Food Intake
Responses to Equivalent Energy Deficits Created by Exercise and Food
Restriction
Author: King, J. A.
Journal: The journal of clinical endocrinology and metabolism
ISSN: 0021-972X Date: 04/2011
Volume: 96 Issue: 4 Page: 1114
DOI: 10.1210/jc.2010-2735
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Exercise and Type 2 Diabetes: The American College of Sports Medicine and
the American Diabetes Association: joint position statement
Author: Colberg, S. R.
Journal: Diabetes care
ISSN: 0149-5992 Date: 12/2010
Volume: 33 Issue: 12 Page: e147
DOI: 10.2337/dc10-9990
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Using self-determination theory to promote physical activity and weight
control: a randomized controlled trial in women
Author: Silva, Marlene N.
Journal: Journal of behavioral medicine
ISSN: 0160-7715 Date: 04/2010
Volume: 33 Issue: 2 Page: 110
DOI: 10.1007/s10865-009-9239-y
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AACVPR Statement: Core Competencies for Cardiac Rehabilitation/Secondary
Prevention Professionals: Position Statement of the American Association
of Cardiovascular and Pulmonary Rehabilitation
Author: Ades, PA
Journal: Journal of cardiopulmonary rehabilitation and prevention
ISSN: 1932-7501 Date: 2011
Volume: 31 Issue: 1 Page: 2
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