Sports Medicine

, Volume 37, Issue 1, pp 31–46

The Effects of Exercise Training on Fat-Mass Loss in Obese Patients During Energy Intake Restriction

Authors

  • Dominique Hansen
    • Department of Human Physiology and Sports MedicineVrije Universiteit Brussel (VUB), Faculty LK
    • Rehabilitation and Health CentreVirga Jesse Hospital
  • Paul Dendale
    • Rehabilitation and Health CentreVirga Jesse Hospital
  • Jan Berger
    • Rehabilitation and Health CentreVirga Jesse Hospital
  • Luc J. C. van Loon
    • Human Biology and Movement SciencesNutrition Research Institute Maastricht (NUTRIM), Maastricht University
    • Department of Human Physiology and Sports MedicineVrije Universiteit Brussel (VUB), Faculty LK
Review Article

DOI: 10.2165/00007256-200737010-00003

Cite this article as:
Hansen, D., Dendale, P., Berger, J. et al. Sports Med (2007) 37: 31. doi:10.2165/00007256-200737010-00003

Abstract

Dietary restriction combined with endurance exercise training represents an effective strategy to promote weight loss and reduce fat mass in obese patients. Exercise programmes without dietary restriction are less efficient. However, addition of exercise to a dietary restriction programme does not induce a greater fat-mass loss than dietary restriction alone. The latter is likely attributed to a compensatory reduction in daily physical activity following the implementation of exercise training. Nonetheless, inclusion of an exercise training programme is important to prevent a decrease in fat-free mass, increase relative visceral fat-mass loss, improve dietary compliance and eventually maintain long-term weight control. Obese male patients with the highest fat mass are most likely to lose the largest amount of fat mass in such lifestyle intervention programmes. Influences of training modalities during energy intake restriction on fat-mass loss are reviewed. The relationship between total energy expenditure during exercise training and overall fat-mass loss has been firmly established. The amount of training forms a more important predictor of fat-mass loss than training intensity. The sort of exercise (e.g. walking, cycling, swimming) plays another important predictor of fat-mass loss in intervention programmes. The implementation of resistance training in such programmes does not augment fat-mass loss but improves body composition by increasing fat-free mass. Further studies are needed to define the optimal interventional programme for obese patients.

Copyright information

© Adis Data Information BV 2007