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SPORTS MEDICINE :
PHYSICAL EXERCISE AND FITNESS :
MEDICAL: ORGANIZATIONS: POLICY STATEMENTS AND POLICY POSITIONS:
American College of Sports Medicine.
Position Stand.
Appropriate Physical Activity Intervention Strategies
for Weight Loss and Prevention of Weight Regain for Adults
(PMID:19127177)
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American College of Sports Medicine.
Position Stand.
Appropriate Physical Activity Intervention Strategies
for Weight Loss and Prevention of Weight Regain for Adults
(PMID:19127177)
http://ukpmc.ac.uk/abstract/MED/19127177
Donnelly JE,
Blair SN,
Jakicic JM,
Manore MM,
Rankin JW,
Smith BK,
American College of Sports Medicine
Medicine and Science in Sports and Exercise [2009, 41(2):459-71]
Type: Journal Article, Practice Guideline
DOI: 10.1249/MSS.0b013e3181949333
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.
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Selected Sources Cited by This Source or Citing This Source:
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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
.
Mortality, Health Outcomes, and Body Mass Index in the Overweight Range:
A Science Advisory From the American Heart Association
Author: Lewis, C. E.
Journal:
Circulation (New York, N.Y.)
ISSN: 0009-7322 Date: 06/2009
Volume: 119 Issue: 25 Page: 3263
DOI: 10.1161/CIRCULATIONAHA.109.192574
.
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
.
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
.
Considering a frame of reference for physical activity research
related to the cardiometabolic risk profile in schizophrenia
Author: Vancampfort, D
Journal:
Psychiatry research
ISSN: 0165-1781 Date: 2010
Volume: 177 Issue: 3 Page: 271
.
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
.
Rest interval between sets in strength training
Author: de Salles, BF
Journal:
Sports medicine (Auckland)
ISSN: 0112-1642 Date: 2009
Volume: 39 Issue: 9 Page: 765
.
High-Intensity Training versus Traditional Exercise Interventions
for Promoting Health
Author: NYBO, LARS
Journal:
Medicine and science in sports and exercise
ISSN: 0195-9131 Date: 10/2010
Volume: 42 Issue: 10 Page: 1951
DOI: 10.1249/MSS.0b013e3181d99203
.
Quantity and Quality of Exercise
for Developing and Maintaining Cardiorespiratory,
Musculoskeletal, and Neuromotor Fitness
in Apparently Healthy Adults Guidance for Prescribing Exercise
Author: Garber, Carol Ewing
Journal:
Medicine and science in sports and exercise
ISSN: 0195-9131 Date: 07/2011
Volume: 43 Issue: 7 Page: 1334
DOI: 10.1249/MSS.0b013e318213fefb
.
Exercise and Type 2 Diabetes:
The American College of Sports Medicine and
the American Diabetes Association:
joint position statement executive
summary
Author: Colberg, S. R.
Journal:
Diabetes care
ISSN: 0149-5992 Date: 12/2010
Volume: 33 Issue: 12 Page: 2692
DOI: 10.2337/dc10-1548
.
Fitness versus fatness:
Moving beyond weight loss in nonalcoholic fatty
liver disease
Author: Johnson, Nathan A.
Journal: Hepatology (Baltimore, Md.)
ISSN: 0270-9139 Date: 07/2010
Volume: 52 Issue: 1 Page: 370
DOI: 10.1002/hep.23711
.
Behavioral and pharmacologic therapies for obesity
Author: Vetter, Marion L.
Journal:
Nature reviews. Endocrinology
ISSN: 1759-5029 Date: 08/2010
Volume: 6 Issue: 10 Page: 578
DOI: 10.1038/nrendo.2010.121
.
Lifestyle interventions for the treatment of class III obesity: a primary
target for nutrition medicine in the obesity epidemic
Author: Blackburn, G. L
Journal:
The American journal of clinical nutrition
ISSN: 0002-9165 Date: 01/2010
Volume: 91 Issue: 1 Page: 289S
DOI: 10.3945/ajcn.2009.28473D
.
=======================================================
Quantity and Quality of Exercise for Developing and Maintaining
Cardiorespiratory, Musculoskeletal, and Neuromotor Fitness
in Apparently Healthy Adults Guidance for Prescribing Exercise
Author: Garber, Carol Ewing
Journal:
Medicine and science in sports and exercise
ISSN: 0195-9131 Date: 07/2011
Volume: 43 Issue: 7 Page: 1334
DOI: 10.1249/MSS.0b013e318213fefb
=======================================================
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Walking and Cycling to Health:
A Comparative Analysis of City, State, and
International Data
Author: Pucher, John
Journal:
American journal of public health (1971)
ISSN: 0090-0036 Date: 10/2010
Volume: 100 Issue: 10 Page: 1986
DOI: 10.2105/AJPH.2009.189324
.
Objective quantification of physical activity
in bariatric surgery candidates and normal-weight controls
Author: Bond, Dale S.
Journal:
Surgery for obesity and related diseases
ISSN: 1550-7289 Date: 01/2010
Volume: 6 Issue: 1 Page: 72
DOI: 10.1016/j.soard.2009.08.012
.
Exercise Autonomous Motivation Predicts 3-yr Weight Loss in Women
Author: SILVA, MARLENE N.
Journal:
Medicine and science in sports and exercise
ISSN: 0195-9131 Date: 04/2011
Volume: 43 Issue: 4 Page: 728
DOI: 10.1249/MSS.0b013e3181f3818f
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Physical illness in patients with severe mental disorders. II. Barriers to
care, monitoring and treatment guidelines, plus recommendations at the
system and individual level
Author: De Hert, M
Journal:
World
ISSN: 0890-958X Date: 2011
Volume: 10 Issue: 2 Page: 138
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