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Physical Activity as a Weight Management Strategy

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Treatment of the Obese Patient

Abstract

Overweight and obesity have been linked to numerous negative health outcomes and to increased healthcare costs. Therefore, there is a need to develop and implement effective and sustainable interventions for the treatment of overweight and obesity. Lifestyle interventions that reduce energy intake and increase energy expenditure are the foundation of effective treatment for overweight and obesity. A cornerstone of these interventions is physical activity, which can contribute to both initial weight loss, and more important, sustained long-term weight loss and prevention of weight regain. Engagement in sufficient amounts of physical activity may also facilitate engagement in dietary behaviors that also enhance weight loss. Thus, it is important for healthcare professionals to understand the role of physical activity in body weight regulation and to promote engagement in sufficient amounts of physical activity to assist in weight loss efforts.

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References

  1. Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA. 2003;289:76–9.

    Article  PubMed  Google Scholar 

  2. National Institutes of Health National Heart Lung and Blood Institute. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence report. Obes Res. 1998;6 Suppl 2:464.

    Google Scholar 

  3. Cawley J, Meyerhoefer C. The medical care costs of obesity: an instrumental variables approach. J Health Econ. 2012;31(1):219–30.

    Article  PubMed  Google Scholar 

  4. Finkelstein EA, Trogdon JG, Cohen JW, Dietz W. Annual medical spending attributed to obesity: payer- and service-specific estimates. Health Aff. 2009;28:w822–31.

    Article  Google Scholar 

  5. Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. JAMA. 2012;307:491–7.

    Article  PubMed  Google Scholar 

  6. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA. 2012;307(5):491–7.

    Article  PubMed  Google Scholar 

  7. Ravussin E, Bogardus C. Relationship of genetics, age, and physical fitness to daily energy expenditure and fuel utilization. Am J Clin Nutr. 1989;49:968–75.

    CAS  PubMed  Google Scholar 

  8. US Department of Health and Human Services. Physical Activity Guidelines Advisory Committee report 2008. Washington, DC: US Department of Health and Human Services; 2008 [cited 2009 January 19, 2009]. Available from: http://www.health.gov/paguidelines/committeereport.aspx

  9. Wing RR. Physical activity in the treatment of adulthood overweight and obesity: current evidence and research issues. Med Sci Sports Exerc. 1999;31(11 Suppl):S547–52.

    Article  CAS  PubMed  Google Scholar 

  10. Hagan RD, Upton SJ, Wong L, Whittam J. The effects of aerobic conditioning and/or calorie restriction in overweight men and women. Med Sci Sports Exerc. 1986;18(1):87–94.

    Article  CAS  PubMed  Google Scholar 

  11. Wing RR, Venditti EM, Jakicic JM, Polley BA, Lang W. Lifestyle intervention in overweight individuals with a family history of diabetes. Diabetes Care. 1998;21(3):350–9.

    Article  CAS  PubMed  Google Scholar 

  12. Jakicic JM, Otto AD, Semler L, Polzien K, Lang W, Mohr K. Effect of physical activity on 18-month weight change in overweight adults. Obesity. 2011;19:100–9.

    Article  PubMed  Google Scholar 

  13. Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK. ACSM position stand on appropriate intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;42(2):459–71.

    Article  Google Scholar 

  14. Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, 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. J Am Coll Cardiol. 2013. doi:10.1016/jacc.2013.11.044.

  15. Goodpaster BH, DeLany JP, Otto AD, Kuller LH, Vockley J, South-Paul JE, et al. Effects of diet and physical activity interventions on weight loss and cardiometabolic risk factors in severely obese adults: a randomized trial. JAMA. 2010;304(16):1795–802.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  16. Curioni CC, Lourenco PM. Long-term weight loss after diet and exercise: systematic review. Int J Obes. 2005;29:1168–74.

    Article  CAS  Google Scholar 

  17. Wadden TA, West DS, Neiberg RH, Wing RR, Ryan DH, Johnson KC, et al. One-year weight losses in the Look AHEAD Study: factors associated with success. Obesity. 2009;17(4):713–22.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Unick JL, Jakicic JM, Marcus BH. Contribution of behavior intervention components to 24 month weight loss. Med Sci Sports Exerc. 2010;42(4):745–53.

    Article  PubMed Central  PubMed  Google Scholar 

  19. DeLany JP, Kelley DE, Hames KC, Jakicic JM, Goodpaster BH. Effect of physical activity on weight loss, energy expenditure and energy intake during diet induced weight loss. Obesity. 2014 Feb 23;22(2):363–70.

    Google Scholar 

  20. Jakicic JM, Marcus BH, Gallagher KI, Napolitano M, Lang W. Effect of exercise duration and intensity on weight loss in overweight, sedentary women. A randomized trial. JAMA. 2003;290:1323–30.

    Article  CAS  PubMed  Google Scholar 

  21. Jakicic JM, Marcus BH, Lang W, Janney C. Effect of exercise on 24-month weight loss in overweight women. Arch Intern Med. 2008;168(14):1550–9.

    Article  PubMed Central  PubMed  Google Scholar 

  22. Jakicic JM, Tate D, Lang W, Davis KK, Polzien K, Neiberg R, et al. Dose and pattern of objectively measured physical activity on long-term weight loss in adults: results from the Step-Up Study. In Press: Obesity.

    Google Scholar 

  23. Jakicic JM, Winters C, Lang W, Wing RR. Effects of intermittent exercise and use of home exercise equipment on adherence, weight loss, and fitness in overweight women: a randomized trial. JAMA. 1999;282(16):1554–60.

    Article  CAS  PubMed  Google Scholar 

  24. Jeffery RW, Wing RR, Sherwood NE, Tate DF. Physical activity and weight loss: does prescribing higher physical activity goals improve outcome? Am J Clin Nutr. 2003;78(4):684–9.

    CAS  PubMed  Google Scholar 

  25. Tate DF, Jeffery RW, Sherwood NE, Wing RR. Long-term weight losses associated with prescription of higher physical activity goals. Are higher levels of physical activity protective against weight regain? Am J Clin Nutr. 2007;85(4):954–9.

    CAS  PubMed  Google Scholar 

  26. Klem ML, Wing RR, McGuire MT, Seagle HM, Hill JO. A descriptive study of individuals successful at long-term maintenance of substantial weight loss. Am J Clin Nutr. 1997;66:239–46.

    CAS  PubMed  Google Scholar 

  27. Catenacci VA, Ogden LG, Stuht J, Phelan S, Wing RR, Hill JO, et al. Physical activity patterns in the National Weight Control Registry. Obesity. 2008;16:153–61.

    Article  PubMed  Google Scholar 

  28. Foster JA, Gore SA, West DS. Altering TV viewing habits: an unexplored strategy for adult obesity intervention? Am J Health Behav. 2006;30(1):3–14.

    Article  PubMed  Google Scholar 

  29. Ball K, Brown W, Crawford D. Who does not gain weight? Prevalence and predictors of weight maintenance in young women. Int J Obes Relat Metab Discord. 2002;26:1570–8.

    Article  CAS  Google Scholar 

  30. Hu FB, Li TY, Colditz GA, Willett WC, Manson JE. Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JAMA. 2003;289:1785–91.

    Article  PubMed  Google Scholar 

  31. Ekelund U, Brage S, Besson H, Sharp S, Wareham NJ. Time spent being sedentary and weight gain in healthy adults: reverse or bidirectional causality? Am J Clin Nutr. 2008;88(3):612–7.

    CAS  PubMed  Google Scholar 

  32. Jakicic JM, Wing RR, Winters-Hart C. Relationship of physical activity to eating behaviors and weight loss in women. Med Sci Sports Exerc. 2002;34(10):1653–9.

    Article  CAS  PubMed  Google Scholar 

  33. Michael JC. Acute affective responses to varying durations of physical activity in overweight and obese adults. Pittsburgh: University of Pittsburgh; 2012.

    Google Scholar 

  34. Unick JL, Michael JC, Jakicic JM. Affective responses to exercise in overweight women: initial insight and possible influence on energy intake. Psychol Sport Exerc. 2012;13:528–32.

    Article  PubMed Central  PubMed  Google Scholar 

  35. Bond DS, Evans RK, Wolfe LG, Meador JG, Sugerman HJ, Kellum JM, et al. Impact of self-reported physical activity participation on proportion of excess weight loss and BMI among gastric bypass surgery patients. Am Surg. 2004;70:811–4.

    PubMed  Google Scholar 

  36. Bond DS, Phelan S, Wolfe LG, Meador JG, Kellum JM, Maher JW, et al. Becoming physically activity after bariatric surgery is associated with improved weight loss and quality of life. Obesity. 2009;17:78–83.

    Article  PubMed  Google Scholar 

  37. Evans RK, Bond DS, Wolfe LG, Meador JG, Herrick JE, Kellum JM, et al. Participation in 150 minutes/week of moderate or higher intensity physical activity yields greater weight loss following gastric bypass surgery. Surg Obes Relat Dis. 2007;3:526–30.

    Article  PubMed  Google Scholar 

  38. Duncan JJ, Gordon NF, Scott CB. Women walking for health and fitness: how much is enough? JAMA. 1991;266(23):3295–9.

    Article  CAS  PubMed  Google Scholar 

  39. Barlow CE, Kohl HW, Gibbons LW, Blair SN. Physical activity, mortality, and obesity. Int J Obes. 1995;19:S41–4.

    Google Scholar 

  40. Farrell SW, Braun L, Barlow CE, Cheng YJ, Blair SN. The relation of body mass index, cardiorespiratory fitness, and all-cause mortality in women. Obes Res. 2002;10(6):417–23.

    Article  PubMed  Google Scholar 

  41. Lee CD, Blair SN, Jackson AS. Cardiorespiratory fitness, body composition, and all-cause and cardiovascular disease mortality in men. Am J Clin Nutr. 1999;69(3):373–80.

    CAS  PubMed  Google Scholar 

  42. Wei M, Kampert J, Barlow CE, Nichaman MZ, Gibbons LW, Paffenbarger RS, et al. Relationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men. JAMA. 1999;282(16):1547–53.

    Article  CAS  PubMed  Google Scholar 

  43. Jakicic JM, Wing RR, Butler BA, Robertson RJ. Prescribing exercise in multiple short bouts versus one continuous bout: effects on adherence, cardiorespiratory fitness, and weight loss in overweight women. Int J Obes (Lond). 1995;19:893–901.

    CAS  Google Scholar 

  44. DeBusk R, Stenestrand U, Sheehan M, Haskell W. Training effects of long versus short bouts of exercise in healthy subjects. Am J Cardiol. 1990;65:1010–3.

    Article  CAS  PubMed  Google Scholar 

  45. Ebisu T. Splitting the distances of endurance training: on cardiovascular endurance and blood lipids. Jpn J Phys Educ. 1985;30:37–43.

    Google Scholar 

  46. Donnelly JE, Jakicic JM, Pronk NP, Smith BK, Kirk EP, Jacobsen DJ, et al. Is resistance exercise effective for weight management? Evid Based Prev Med. 2004;1(1):21–9.

    Google Scholar 

  47. Hunter GR, Bryan DR, Wetzstein CJ, Zuckerman PA, Bamman MM. Resistance training and intra-abdominal adipose tissue in older men and women. Med Sci Sports Exerc. 2002;34(6):1023–8.

    Article  PubMed  Google Scholar 

  48. Hunter GR, Wetzstein CJ, Fields DA, Bamman MM. Resistance training increases total energy expenditure and free-living physical activity in older adults. J Appl Physiol. 2000;89:977–84.

    CAS  PubMed  Google Scholar 

  49. Olson TP, Dengel DR, Leon AS, Schmitz KH. Changes in inflammatory biomarkers following one-year of moderate resistance exercise in overweight women. Int J Obes (Lond). 2007;31:996–1003.

    Article  CAS  Google Scholar 

  50. Schmitz KH, Jensen MD, Kugler KC, Jeffery RW, Leon AS. Strength training for obesity prevention in midlife women. Int J Obes Relat Metab Disord. 2003;27:326–33.

    Article  CAS  PubMed  Google Scholar 

  51. Janssen I, Ross R. Effects of sex on the change in visceral, subcutaneous adipose tissue and skeletal muscle in response to weight loss. Int J Obes Relat Metab Disord. 1999;23:1035–46.

    Article  CAS  PubMed  Google Scholar 

  52. Kraemer WJ, Volek JS, Clark KL, Gordon SE, Incledon T, Puhl SM, et al. Physiological adaptations to a weight-loss dietary regimen and exercise programs in women. J Appl Physiol. 1997;83(1):270–9.

    CAS  PubMed  Google Scholar 

  53. Kraemer WJ, Volek JS, Clark KL, Gordon SE, Puhl SM, Koziris LP, et al. Influence of exercise training on physiological and performance changes with weight loss in men. Med Sci Sports Exerc. 1999;31:1320–9.

    Article  CAS  PubMed  Google Scholar 

  54. Jakicic JM. Physical activity considerations for the treatment and prevention of obesity. Am J Clin Nutr. 2005;82(1 Suppl):226S–9.

    CAS  PubMed  Google Scholar 

  55. Haskell WL, Lee I-M, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39(8):1423–34.

    Article  PubMed  Google Scholar 

  56. Oken BS, Zajdel D, Kishiyama S, Flegal KM, Dehen C, Haas M, et al. Randomized, controlled, six-month trial of yoga in healthy seniors: effects on cognition and quality of life. Altern Ther Health Med. 2006;12(1):40–7.

    PubMed Central  PubMed  Google Scholar 

  57. Williams KA, Petronis J, Smith D, Goodrich D, Wu J, Ravi N, et al. Effect of Iyengar yoga therapy for chronic low back pain. Pain. 2005;115:107–17.

    Article  PubMed  Google Scholar 

  58. Nagle EF, Robertson RJ, Jakicic JM, Otto AD, Ranalli JR, Chiapetta LB. Effects of aquatic exercise and walking in sedentary obese women undergoing a behavioral weight-loss intervention. Int J Aquat Res Educ. 2007;1:43–56.

    Google Scholar 

  59. Jakicic JM, Gallagher KI. Physical activity considerations for management of body weight. In: Bessesen DH, Kushner RF, editors. Evaluation & management of obesity. Philadelphia: Hanley & Belfus; 2002. p. 73–87.

    Google Scholar 

  60. American College of Sports Medicine, Pescatello LS, editor. ACSM’s guidelines for exercise testing and prescription. 9th ed. Baltimore: Wolters Kluwer/Lippincott Williams & Wilkins; 2014.

    Google Scholar 

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Correspondence to John M. Jakicic Ph.D. .

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Jakicic, J.M., Rogers, R.J. (2014). Physical Activity as a Weight Management Strategy. In: Kushner, R., Bessesen, D. (eds) Treatment of the Obese Patient. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1203-2_15

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  • DOI: https://doi.org/10.1007/978-1-4939-1203-2_15

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