Anthropometry and Exercise in Obesity

  • Fusun ARDIC


This chapter aims to review the effects of exercise on body measurements in overweight and obese people. Firstly, obesity is described in detail with regard to frequently associated medical problems and weight-related health risk. The necessity of the inclusion of an exercise training program in obesity management is underlined, and exercise training and exercise prescription for obese patients described. An overview of the anthropometric measurements used in assessing body fat distribution and monitoring the changes in body composition over an exercise training program in obese people is presented. The most commonly used body measurement methods in obesity outcome studies include simple anthropometric measurements and body composition measurement techniques. The outcome of body composition alterations with exercise is summarized as a slight decrease in total body weight, prevention of decrease in fat-free mass and relative increase in visceral fat-mass loss. The magnitude of these changes varies directly with the intensity, duration, and type of the exercise, e.g., aerobic versus strength training. The implementation of resistance exercise improves body composition by increasing fat-free mass. Dissimilar results of exercises on genders should be taken into consideration in obese men and women. Studies with a longer follow-up duration would provide further information regarding the effects of regular exercise in overweight or obese people.


Cholesterol Fatigue Obesity Degenerative Joint Disease Triglyceride 
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The World Health Organization


Body mass index


Waist circumference


Cardiovascular disease


Maximum heart rate


Heart rate reserve


Metabolic equivalents


Rating of perceived exertion


Maximum oxygen consumption


Bioelectrical impedance analysis


Computerized tomography


Magnetic resonance imaging


Dual-energy X-ray absorptiometry


Aerobic exercise


Resistance exercise


Combined aerobic resistance training


Waist-to-hip ratio


Fat mass


Fat free mass


Calorie restriction


Lean body mass


Percent body fat


  1. Alberti KG, Zimmet P, Shaw J. Lancet. 2005;366:1059–62.PubMedCrossRefGoogle Scholar
  2. Andersen RE, Wadden TA, Bartlett SJ, Zemel B, Verde TJ, Franckowiak SC. JAMA. 1999;27;281:335–40.CrossRefGoogle Scholar
  3. Andersson B, Xu XF, Rebuffé-Scrive M, Terning K, Krotkiewski M, Björntorp P. Int J Obes. 1991;15:75–81.PubMedGoogle Scholar
  4. Aslam M, Eckhauser AW, Dorminy CA, Dossett CM, Choic L, Buchowski MS. Obes Res Clin Pract. 2009;3:209–19.PubMedCrossRefGoogle Scholar
  5. Ballor DL, Keesey RE. Int J Obes. 1991;15:717–26.PubMedGoogle Scholar
  6. Ballor DL, Poehlman ET. Int J Obes Relat Metab Disord. 1994;18:35–40.PubMedGoogle Scholar
  7. Bethesda MD. The practical guide: Identification, evaluation and treatment of overweight and obesity in adults. NIH NHLBI National Institutes of Health pub number 00-4084, 2000. Available:
  8. Boudou P, Sobngwi E, Mauvais-Jarvis F, Vexiau P, Gautier J-F. Eur J Endocrinol. 2003;149:421–4.PubMedCrossRefGoogle Scholar
  9. Castaneda C, Layne JE, Munoz-Orians L, Gordon PL, Walsmiyh J. Foldvari M, Roubenoff R, Tucker KL, Nelson ME. Diabetes Care. 2002;25:2335–41.PubMedCrossRefGoogle Scholar
  10. Donnelly JE, Pronk NP, Jacobsen DJ, Pronk SJ, Jakicic JM. Am J Clin Nutr. 1991;54:56–61.PubMedGoogle Scholar
  11. Fenkci S, Sarsan A, Rota S, Ardic F. Adv Ther. 2006;23:404–13.PubMedCrossRefGoogle Scholar
  12. Geer EB, Shen W. Gend Med. 2009;6:60–75.PubMedCrossRefGoogle Scholar
  13. Garaulet M, Hernandez-Morante JJ, Tebar FJ, Zamora S, Canteras M. Obesity. 2006;14:1181–91.PubMedCrossRefGoogle Scholar
  14. Garrow J, Summerbell C. Euro J Clin Nutr. 1995;49:1–10.Google Scholar
  15. Geliebter A, Maher MM, Gerace L, Gutin B, Heymsfield SB, Hashim SA. Am J Clin Nutr. 1997;66:557–63.PubMedGoogle Scholar
  16. Ghroubi S, Elleuch H, Chikh T, Kaffel N, Abid M, Elleuch MH. Ann Phys Rehabil Med. 2009;52:394–413.PubMedGoogle Scholar
  17. Hansen D, Dendale P, Berger J, Luc J.C. van Loon, Meeusen R. Sports Med. 2007;37:31–46.PubMedCrossRefGoogle Scholar
  18. Institute of Medicine. Dietary reference intakes for energy, carbohydrates, fiber, fat, protein, and amino acids (macronutrients). Washington, DC: National Academy of Sciences; 2002.Google Scholar
  19. Irwin M, Yasui Y, Ulrich C, Bowen D, Rudolph R, Schwartz RS, Yukawa M, Ailello E, Potter JD, Mc Tiernan A. JAMA. 2003;289:323–30.PubMedCrossRefGoogle Scholar
  20. Johnson NA, Sachinwalla T, Walton DW, Smith K, Armstrong A, Thompson MW, George J. Hepatology. 2009;50:1105–12.PubMedCrossRefGoogle Scholar
  21. Kay SJ, Fiatarone Singh MA. Obes Rev. 2006;7:183–200.PubMedCrossRefGoogle Scholar
  22. Kuk JL, Ross R. Int J Obes. 2009;33:629–34.CrossRefGoogle Scholar
  23. Lambers S, Van Laethem C, Van Acker K, Calders P. Clin Rehabil. 2008;22:483–92.PubMedCrossRefGoogle Scholar
  24. Mayo MJ, Grantham JR, Balasekaran G. Med Sci Sports Exerc. 2003;35:207–13.PubMedCrossRefGoogle Scholar
  25. Miller WC, Koceja DM, Hamilton EJ. Int J Obes. 1997;21:941–7.CrossRefGoogle Scholar
  26. Mourier A, Gautier J, DeKerviler E, Bigard AX, Vilette J, Garnier J, Duvallet A, Guezennec CY, Cathelineau G. Diabetes Care. 1997 ;20:385–91.PubMedCrossRefGoogle Scholar
  27. Nicklas BJ, Wang X, You T, Lyles MF, Demons J, Easter L, Berry MJ, Lenchik L, Carr JJ. Am J Clin Nutr. 2009;89:1043–52.PubMedCrossRefGoogle Scholar
  28. Ohkawara K, Tanaka S, Miyachi M, Ishikawa-Takata K, Tabata I. Int J Obes. 2007;31:1786–97.CrossRefGoogle Scholar
  29. Park SK, Park JH, Kwon YC, Kim HS, Yoon MS, Park HT. J Physiol Anthropol Appl Human Sci. 2003;22:129–35.PubMedCrossRefGoogle Scholar
  30. Pritchard JE, Nowson CA, Wark JD. J Am Diet Assoc. 1997;97:37–42.PubMedCrossRefGoogle Scholar
  31. Ross R, Jansessen I. Med Sci Sports Exerc. 1999;31:568–72.CrossRefGoogle Scholar
  32. Ross R, Pedwell H, Rissanen J. Int J Obes Relat Metab Disord. 1995;19:781–7.PubMedGoogle Scholar
  33. Ross R, Rissanen J, Pedwell H, Clifford J, Shragge P. J Appl Physiol. 1996;81:2445–55.PubMedGoogle Scholar
  34. Ross R, Dagnone D, Jones PJ, Smith H, Paddags A, Hudson R, Janssen I. Ann Intern Med. 2000;133:92–103.PubMedGoogle Scholar
  35. Ross R, Janssen I, Dawson J, Kungl A, Kuk J, Wong S, Nguyen-Duy T, Lee S, Kilpatrick K, Hudson R. Obes Res. 2004;12:789–98.PubMedCrossRefGoogle Scholar
  36. Sanal E, Ardic F, Kıraç S, Sarsan A, Yildiz N, Atalay N, Topuz O, Findikoglu G. 5th World Congress of the International Society of Physical and Rehabilitation Medicine (ISPRM), Istanbul, Turkey; 2009, June 13–17.Google Scholar
  37. Saris WH, Blair SN, van Baak MA, Eaton SB, Davies PS, Di Pietro L, Fogelholm M, Rissanen A, Schoeller D, Swinburn B, Tremblay A, Westerterp KR, Wyatt H (2003) Obes Rev. 4: 101–14.PubMedCrossRefGoogle Scholar
  38. Sarsan A, Ardic F, Ozgen M, Topuz O, Sermez Y. Clin Rehabil. 2006;20:773–82.PubMedCrossRefGoogle Scholar
  39. Sasai H, Katayama Y, Nakata Y, Ohkubo H, Tanaka K. Diabetes Res Clin Pract. 2009;84:230–8.PubMedCrossRefGoogle Scholar
  40. Shaw KA, Gennat HC, O’Rourke P, Del Mar C. Exercise for overweight or obesity. Cochrane Database of Systematic Reviews; 2006. Issue 4. Art. No: CD003817. DOI: 10.1002/14651858.CD003817.pub3.Google Scholar
  41. Sillanpaa E, Hakkinken A, Nyman K, Mattila M, Cheng S, Karavirta L, Laaksonen DE, Huuhka N, Kraemer WJ, Hakkinen K. Med Sci Sports Exerc. 2008;40:950–8.PubMedCrossRefGoogle Scholar
  42. Thompson W, Gordon N, Pescatello LS, editors. ACSM’s guidelines for exercise testing and prescription. 8th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2009. pp. 253–5.Google Scholar
  43. U.S. Department of Health and Human Services. Physical activity guidelines for Americans. ODPHP Publication No. U0036 ; 2008,
  44. Wadden TA, Vogt RA, Andersen RE, Bartlett SJ, Foster GD. J Consult Clin Psychol. 1997;65:269–77.PubMedCrossRefGoogle Scholar
  45. Wilmore JH, Despres JP, Stanforth PR, Mandel S, Rice T, Gagnon J, Leon AS, Rao DC, Skinner JS, Bouchard C. Am J Clin Nutr. 1999;70:346–52.PubMedGoogle Scholar
  46. World Health Organization. Obesity and overweight. Global strategy on diet, Physical Activity and Health. Fact sheet No. 311; 2006.Google Scholar
  47. Wu T, Gao X, Chen M, van Dam RM. Obes Rev. 2009;10:313–23.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Physical Medicine and RehabilitationPamukkale University Medical SchoolKinikli/DenizliTurkey

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