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

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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.

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Acknowledgements

We would like to thank Dr Massa Guy for his kind assistance in reviewing this article and offering textual suggestions.

No sources of funding were used to assist in the preparation of this review. The authors have no conflicts of interest that are directly relevant to the content of this review.

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Authors and Affiliations

  1. Department of Human Physiology and Sports Medicine, Vrije Universiteit Brussel (VUB), Faculty LK, Pleinlaan 2, 1050, Brussels, Belgium

    Dominique Hansen &  Romain Meeusen

  2. Rehabilitation and Health Centre, Virga Jesse Hospital, Hasselt, Belgium

    Dominique Hansen, Paul Dendale & Jan Berger

  3. Human Biology and Movement Sciences, Nutrition Research Institute Maastricht (NUTRIM), Maastricht University, Maastricht, The Netherlands

    Luc J. C. van Loon

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  1. Dominique Hansen
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Correspondence to Romain Meeusen.

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Hansen, D., Dendale, P., Berger, J. et al. The Effects of Exercise Training on Fat-Mass Loss in Obese Patients During Energy Intake Restriction. Sports Med 37, 31–46 (2007). https://doi.org/10.2165/00007256-200737010-00003

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