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Physical Excercise in the Treatment of Obesity

Obesity

Part of the book series: Endocrinology ((ENDOCR))

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Abstract

Increasing physical activity through structured aerobic exercise should be a cornerstone of behavioral weight loss programs. Recently, numerous scientific and popular media pieces have discounted the role of exercise for weight loss, which may discourage those trying to lose weight from exercising. However, existing data clearly demonstrate that exercise – either alone or when combined with dietary energy restriction – promotes clinically meaningful weight loss in the majority of people and may be especially important for maintaining weight loss for the long-term. Therefore, the purpose of this chapter is to critically evaluate the role of exercise for weight loss and weight loss maintenance. Topics covered in this chapter include: a discussion of the direct and indirect influences of exercise on energy balance; a review of the impact of exercise on body weight during each stage of obesity treatment; recommendations for incorporating exercise into obesity treatment programs; the role of exercise in the prevention of weight gain; and a discussion of the challenges of making lasting changes in health behaviors.

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References

  • 2008 Physical Activity Guidelines for Americans [Internet]. Office of Disease Prevention and Health Promotion; 2008 [cited 22 Apr 2016]. Available from: http://health.gov/paguidelines/.

  • Astrup A, Hjorth MF. Low-fat or low carb for weight loss? It depends on your glucose metabolism. EBioMedicine. 2017;22:20–1.

    Article  PubMed  PubMed Central  Google Scholar 

  • Beaulieu K, Hopkins M, Blundell J, Finlayson G. Does habitual physical activity increase the sensitivity of the appetite control system? A systematic review. Sports Med. 2016;46:1897–919.

    Article  PubMed  PubMed Central  Google Scholar 

  • Belluz J, Zarracina J. Why you shouldn’t exercise to lose weight, explained with 60+ studies. Vox [Internet]. 2017 [cited 15 Dec 2017]. Available from: https://www.vox.com/2016/4/28/11518804/weight-loss-exercise-myth-burn-calories.

  • Bize R, Johnson JA, Plotnikoff RC. Physical activity level and health-related quality of life in the general adult population: a systematic review. Prev Med. 2007;45:401–15.

    Article  PubMed  Google Scholar 

  • Blundell JE. The contribution of behavioural science to nutrition: appetite control. Nutr Bull. 2017;42:236–45.

    Article  Google Scholar 

  • Blundell JE, Gibbons C, Caudwell P, Finlayson G, Hopkins M. Appetite control and energy balance: impact of exercise. Obes Rev. 2015;16(Suppl 1):67–76.

    Article  PubMed  Google Scholar 

  • Brown W, Bauman AE, Bull FC, Burton NW. Development of evidence-based physical activity recommendations for adults (18–64 years): report prepared for the Australian Government Department of Health. Canberra: Commonwealth of Australia; 2012. https://espace.library.uq.edu.au/view/UQ:342307

    Google Scholar 

  • Bryan AD, Jakicic JM, Hunter CM, Evans ME, Yanovski SZ, Epstein LH. Behavioral and psychological phenotyping of physical activity and sedentary behavior: implications for weight management. Obesity (Silver Spring). 2017;25:1653–9.

    Article  Google Scholar 

  • Butland B, Jebb S, Kopelman P, McPherson K, Thomas S, Mardell J, Parry V. Foresight. Tackling obesities: future choices. Project report. [Internet]. Government Office for Science; 2007 [cited 15 Dec 2017]. Available from: https://www.gov.uk/government/collections/tackling-obesities-future-choices.

  • Caldwell A, Masters KS, Peters JC, Bryan AD, Gribsby J, Hooker SA, Wyatt HR, Hill J. Harnessing centered identity transformation to reduce executive function burden for maintenance of health behavior change: the maintain IT model. Health Psychol Rev. 2018. https://doi.org/10.1080/17437199.2018.1437551.

  • Catenacci VA, Wyatt HR. The role of physical activity in producing and maintaining weight loss. Nat Clin Pract Endocrinol Metab. 2007;3:518–29.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chin S-H, Kahathuduwa CN, Binks M. Physical activity and obesity: what we know and what we need to know. Obes Rev. 2016;17:1226–44.

    Article  PubMed  Google Scholar 

  • Church T. Exercise and weight management. In: Bray GA, Bouchard C, editors. Handbook of obesity–volume 2: clinical applications. Boca Raton: CRC Press; 2014. p. 207–18.

    Google Scholar 

  • Church TS, Martin CK, Thompson AM, Earnest CP, Mikus CR, Blair SN. Changes in weight, waist circumference and compensatory responses with different doses of exercise among sedentary, overweight postmenopausal women. PLoS One. 2009;4:e4515.

    Article  PubMed  PubMed Central  Google Scholar 

  • Clark CCT, Barnes CM, Stratton G, McNarry MA, Mackintosh KA, Summers HD. A review of emerging analytical techniques for objective physical activity measurement in humans. Sports Med. 2017;47:439–47.

    Article  PubMed  Google Scholar 

  • Dawson JA, Hall KD, Thomas DM, Hardin JW, Allison DB, Heymsfield SB. Novel mathematical models for investigating topics in obesity. Adv Nutr. 2014;5:561–2.

    Article  PubMed  PubMed Central  Google Scholar 

  • Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK. American College of Sports Medicine position stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41:459–71.

    Article  PubMed  Google Scholar 

  • Erickson KI, Kramer AF. Aerobic exercise effects on cognitive and neural plasticity in older adults. Br J Sports Med. 2009;43:22–4.

    Article  CAS  PubMed  Google Scholar 

  • Foster GD, Wyatt HR, Hill JO, McGuckin BG, Brill C, Mohammed BS, Szapary PO, Rader DJ, Edman JS, Klein S. A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med. 2003;348(21):2082–90.

    Article  CAS  PubMed  Google Scholar 

  • Franz MJ, VanWormer JJ, Crain AL, Boucher JL, Histon T, Caplan W, Bowman JD, Pronk NP. Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc. 2007;107:1755–67.

    Article  PubMed  Google Scholar 

  • Freese J, Klement RJ, Ruiz-Núñez B, Schwarz S, Lötzerich H. The sedentary (r)evolution: have we lost our metabolic flexibility? F1000Res. 2017;6:1787.

    Article  PubMed  Google Scholar 

  • Goodpaster BH, Sparks LM. Metabolic flexibility in health and disease. Cell Metab. 2017;25:1027–36.

    Article  CAS  PubMed  Google Scholar 

  • Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity among adults and youth: United States, 2015–2016. NCHS Data Brief. 2017;10:1–8.

    Article  Google Scholar 

  • Herrmann SD, Willis EA, Honas JJ, Lee J, Washburn RA, Donnelly JE. Energy intake, nonexercise physical activity, and weight loss in responders and nonresponders: the Midwest Exercise Trial 2. Obesity (Silver Spring). 2015;23:1539–49.

    Article  Google Scholar 

  • Hill JO. Understanding and addressing the epidemic of obesity: an energy balance perspective. Endocr Rev. 2006;27:750–61.

    Article  PubMed  Google Scholar 

  • Hill JO, Wyatt HR, Reed GW, Peters JC. Obesity and the environment: where do we go from here? Science. 2003;299:853–5.

    Article  CAS  PubMed  Google Scholar 

  • Hill JO, Peters JC, Wyatt HR. Using the energy gap to address obesity: a commentary. J Am Diet Assoc. 2009;109:1848–53.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hill JO, Wyatt HR, Peters JC. Energy balance and obesity. Circulation. 2012;126:126–32.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hunter GR, Brock DW, Byrne NM, Chandler-Laney PC, Del Corral P, Gower BA. Exercise training prevents regain of visceral fat for 1 year following weight loss. Obesity (Silver Spring). 2010;18:690–5.

    Article  Google Scholar 

  • Jakicic JM, Otto AD. Physical activity considerations for the treatment and prevention of obesity. Am J Clin Nutr. 2005;82:226S–9S.

    Article  CAS  PubMed  Google Scholar 

  • Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, Hu FB, Hubbard VS, Jakicic JM, Kushner RF, et al. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association task force on practice guidelines and the obesity society. Circulation. 2014;129:S102–38.

    Article  PubMed  Google Scholar 

  • Kanosue K, Oshima S, Cao Z-B, Oka K. Physical activity, exercise, sedentary behavior and health. Tokyo: Springer; 2015.

    Book  Google Scholar 

  • King NA, Hopkins M, Caudwell P, Stubbs RJ, Blundell JE. Individual variability following 12 weeks of supervised exercise: identification and characterization of compensation for exercise-induced weight loss. Int J Obes. 2008;32:177–84.

    Article  CAS  Google Scholar 

  • Lee S, Kuk JL, Davidson LE, Hudson R, Kilpatrick K, Graham TE, Ross R. Exercise without weight loss is an effective strategy for obesity reduction in obese individuals with and without Type 2 diabetes. J Appl Physiol. 2005;99:1220–5.

    Article  PubMed  Google Scholar 

  • Leidy HJ, Clifton PM, Astrup A, Wycherley TP, Westerterp-Plantenga MS, Luscombe-Marsh ND, Woods SC, Mattes RD. The role of protein in weight loss and maintenance. Am J Clin Nutr [Internet]. 2015. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25926512

  • Mann T, Tomiyama AJ, Westling E, Lew A-M, Samuels B, Chatman J. Medicare’s search for effective obesity treatments: diets are not the answer. Am Psychol. 2007;62:220–33.

    Article  PubMed  Google Scholar 

  • Mayer J, Roy P, Mitra KP. Relation between caloric intake, body weight, and physical work: studies in an industrial male population in West Bengal. Am J Clin Nutr. 1956;4:169–75.

    Article  CAS  PubMed  Google Scholar 

  • Michie S, Fixsen D, Grimshaw JM, Eccles MP. Specifying and reporting complex behaviour change interventions: the need for a scientific method. Implement Sci. 2009;4:40.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ostendorf DM, Lyden K, Pan Z, Wyatt HR, Hill JO, Melanson EL, Catenacci VA. Objectively measured physical activity and sedentary behavior in successful weight loss maintainers. Obesity (Silver Spring). 2018;26:53–60.

    Article  Google Scholar 

  • Paluska SA, Schwenk TL. Physical activity and mental health: current concepts. Sports Med. 2000;29:167–80.

    Article  CAS  PubMed  Google Scholar 

  • Rolls BJ. Dietary energy density: applying behavioural science to weight management. Nutr Bull. 2017;42:246–53.

    Article  CAS  PubMed  Google Scholar 

  • Rynders CA, Blanc S, DeJong N, Bessesen DH, Bergouignan A. Sedentary behaviour is a key determinant of metabolic inflexibility. J Physiol. 2017:1–12. https://doi.org/10.1113/JP273282.

  • Simpson SA, Shaw C, McNamara R. What is the most effective way to maintain weight loss in adults? BMJ. 2011;343:d8042.

    Article  PubMed  Google Scholar 

  • Steig AJ, Jackman MR, Giles ED, Higgins JA, Johnson GC, Mahan C, Melanson EL, Wyatt HR, Eckel RH, Hill JO, et al. Exercise reduces appetite and traffics excess nutrients away from energetically efficient pathways of lipid deposition during the early stages of weight regain. Am J Phys Regul Integr Comp Phys. 2011;301:R656–67.

    CAS  Google Scholar 

  • Sumithran P, Prendergast LA, Delbridge E, Purcell K, Shulkes A, Kriketos A, Proietto J. Long-term persistence of hormonal adaptations to weight loss. N Engl J Med. 2011;365:1597–604.

    Article  CAS  PubMed  Google Scholar 

  • Swift DL, Johannsen NM, Lavie CJ, Earnest CP, Church TS. The role of exercise and physical activity in weight loss and maintenance. Prog Cardiovasc Dis. 2014;56:441–7.

    Article  PubMed  Google Scholar 

  • Thorogood A, Mottillo S, Shimony A, Filion KB, Joseph L, Genest J, Pilote L, Poirier P, Schiffrin EL, Eisenberg MJ. Isolated aerobic exercise and weight loss: a systematic review and meta-analysis of randomized controlled trials. Am J Med. 2011;124:747–55.

    Article  PubMed  Google Scholar 

  • van Ommen B, van der Greef J, Ordovas JM, Daniel H. Phenotypic flexibility as key factor in the human nutrition and health relationship. Genes Nutr. 2014;9:423.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wu T, Gao X, Chen M, van Dam RM. Long-term effectiveness of diet-plus-exercise interventions vs. diet-only interventions for weight loss: a meta-analysis. Obes Rev. 2009;10:313–23.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to James O. Hill .

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Sayer, R., Hill, J.O. (2018). Physical Excercise in the Treatment of Obesity. In: Sbraccia, P., Finer, N. (eds) Obesity. Endocrinology. Springer, Cham. https://doi.org/10.1007/978-3-319-47685-8_29-1

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  • DOI: https://doi.org/10.1007/978-3-319-47685-8_29-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-47685-8

  • Online ISBN: 978-3-319-47685-8

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Chapter history

  1. Latest

    Exercise in the Treatment of Obesity
    Published:
    16 April 2018

    DOI: https://doi.org/10.1007/978-3-319-47685-8_29-3

  2. Excercise in the Treatment of Obesity
    Published:
    28 March 2018

    DOI: https://doi.org/10.1007/978-3-319-47685-8_29-2

  3. Original

    Physical Excercise in the Treatment of Obesity
    Published:
    01 March 2018

    DOI: https://doi.org/10.1007/978-3-319-47685-8_29-1