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Physical Activity and Training Prescription

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Multidisciplinary Approach to Obesity

Abstract

Obesity is a widespread public health problem for health. A better understanding of exercise prescription can be helpful for the development of effective interventions for the treatment of excessive body weight and the prevention of health-related diseases in adults. Physical activity in terms of structured exercise is associated with prevention of weight gain, long-term weight loss, and health benefits, if prescribed in an adequate duration and intensity. Moderately vigorous physical activity of 150–250 min a week with an energy equivalent of about 1,200–2,000 kcal per week may be enough to prevent a weight gain greater than 3 % in most adults. However, it is clear that physical activity combined with dietary energy restrictions is more effective to prevent weight gain and promote weight loss in overweight and obese adults. Given that adults in excess of body weight are more prone to drop out from a physical activity program in comparison with their normal-weight peers, interventions that may lead them to feel better and improve adherence, such as self-paced protocols, should be taken into consideration by health professionals.

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References

  1. World Health Organization Western Pacific Region (2000) Redefining obesity and its treatment. Health communications Australia, Melbourne

    Google Scholar 

  2. Ness-Abramof R, Apovian CM (2006) Diet modification for treatment and prevention of obesity. Endocrine 29:5–9

    Article  CAS  PubMed  Google Scholar 

  3. Yaemsiri S, Slining MM, Agarwal SK (2010) Perceived weight status, overweight diagnosis, and weight control among US adults: the NHANES 2003–2008 Study. Int J Obes 35:1063–1070

    Article  Google Scholar 

  4. Tsai AG, Wadden TA (2005) Systematic review: an evaluation of major commercial weight loss programs in the United States. Ann Intern Med 142:56–66

    Article  PubMed  Google Scholar 

  5. Hill JO, Wyatt HR, Peters JC (2012) Energy balance and obesity. Circulation 126:126–132

    Article  PubMed  PubMed Central  Google Scholar 

  6. Donini LM, Cuzzolaro M, Gnessi L et al (2014) Obesity treatment: results after 4 years of a nutritional and psycho-physical rehabilitation program in an outpatient setting. Eat Weight Disord. doi:10.1007/s40519-014-0107-6

    Google Scholar 

  7. Hagan RD, Upon SJ, Wong L et al (1986) The effects of aerobic conditioning and/or calorie restriction in overweight men and women. Med Sci Sports Exerc 18:87–94

    Article  CAS  PubMed  Google Scholar 

  8. Jakicic JM, Otto AD (2005) Physical activity considerations for the treatment and prevention of obesity. Am J Clin Nutr 82:226S–229S

    CAS  PubMed  Google Scholar 

  9. Expert Panel on the Identification, Evaluation, and Treatment of Overweight in Adults (1998) Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: executive summary (1-3). Am J Clin Nutr 68:899–917

    Google Scholar 

  10. Haskell WL, Lee IM, Pate RR et al (2007) Physical activity and health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 39:1423–1434

    Article  PubMed  Google Scholar 

  11. Donnelly JE, Blair SN, Jakicic JM et al (2009) Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sport Exerc 41:459–471

    Article  Google Scholar 

  12. Garrow JS, Summerbell CD (1995) Meta-analysis: effect of exercise, with or without dieting, on the body composition of overweight subjects. Eur J Clin Nutr 49:1–10

    CAS  PubMed  Google Scholar 

  13. Ross R, Dagnone D, Jones PJH et al (2000) Reduction in obesity and related comorbid conditions after diet-induced weight loss or exercise-induced weight loss in men and women. Ann Inter Med 133:92–103

    Article  CAS  Google Scholar 

  14. Wood PD, Stephanick ML, Dreon DM et al (1988) Changes in plasma lipids and lipoproteins in overweight men during weight loss through dieting as compared with exercise. N Engl J Med 319:1173–1179

    Article  CAS  PubMed  Google Scholar 

  15. Lee C, Ory MG, Yoon J et al (2013) Neighborhood walking among overweight and obese adults: age variations in barriers and motivators. J Community Health 38:12–22

    Article  PubMed  Google Scholar 

  16. Fencki S, Sarsan A, Rota S et al (2006) Effects of resistance or aerobic exercises on metabolic parameters in obese women who are not on a diet. Adv Ther 23:404–413

    Article  Google Scholar 

  17. Wadden TA, Vogt RA, Andersen RE (1997) Exercise in the treatment of obesity: effects of four interventions on body composition, resting energy expenditure, appetite, and mood. J Consult Clin Psychol 65(269–277):1831–1837

    Google Scholar 

  18. Willis LH, Slentz CA, Baterman LA et al (2012) Effects of aerobic and/or resistance training on body mass and fat mass in overweight or obese adults. J Appl Physiol 12:1381–1387

    Google Scholar 

  19. Ball K, Owen N, Salmon J et al (2001) Associations of physical activity with body weight and fat in men and women. Int J Obes 25:914–919

    Article  CAS  Google Scholar 

  20. Martinez JA, Kearney JM, Kafatos A et al (1999) Variables independently associated with self-reported obesity in the European Union. Public Health Nutr 2:125–133

    Article  CAS  PubMed  Google Scholar 

  21. McTiernan A, Sorensen B, Irwin ML et al (1997) Exercise effect on weight and body fat in men and women. Obesity 15:1496–1512

    Article  Google Scholar 

  22. Jakicic JM, Marcus BH, Gallagher KL et al (2003) Effect of exercise duration and intensity on weight loss in overweight, sedentary women. JAMA 290:1323–1330

    Article  CAS  PubMed  Google Scholar 

  23. Jakicic JM, Marcus BH, Lang W et al (2008) Effect of exercise on 24-month weight loss maintenance in overweight women. Arch Intern Med 168:1550–1559

    Article  PubMed  PubMed Central  Google Scholar 

  24. Emerenziani GP, Migliaccio S, Gallotta MC et al (2013) Physical exercise intensity prescription to improve health and fitness in overweight and obese subjects: a review of the literature. Health 5:113–121

    Article  Google Scholar 

  25. Pinet GM, Prud’Homme D, Gallant CA et al (2008) Exercise intensity prescription in obese individuals. Obesity 16:2088–2095

    Article  PubMed  Google Scholar 

  26. Williams DM, Dunsiger S, Ciccolo JT et al (2008) Acute affective response to a moderate-intensity exercise stimulus predicts physical activity participation 6 and 12 months later. Psychol Sport Exerc 9:231–245

    Article  PubMed  PubMed Central  Google Scholar 

  27. Ekkekakis P, Lind E (2006) Exercise does not feel the same when you are overweight: the impact of self-selected and imposed intensity on affect and exertion. Int J Obes 30:652–660

    Article  CAS  Google Scholar 

  28. Parfitt G, Rose EA, Burgess WM (2006) The psychological and physiological responses of sedentary individuals to prescribed and preferred intensity exercise. Br J Health Psychol 11:39–53

    Article  PubMed  Google Scholar 

  29. DaSilva SG, Guidetti L, Buzzachera CF et al (2011) Psychophysiological responses to self-paced treadmill and overground exercise. Med Sci Sports Exerc 43:1114–1124

    Article  PubMed  Google Scholar 

  30. DaSilva SG, Guidetti L, Buzzachera CF et al (2009) The influence of adiposity on physiological, perceptual, and affective responses during walking at a self-selected pace. Percept Mot Skills 109:41–60

    Article  PubMed  Google Scholar 

  31. Lloyd-Jones DM, Liu K, Colangelo LA et al (2007) Consistently stable or decreased body mass index in young adulthood and longitudinal changes in metabolic syndrome components: the Coronary Artery Risk Development in Young Adults Study. Circulation 115:1004–1011

    Article  PubMed  Google Scholar 

  32. Norman JE, Bild D, Liu K et al (2003) The impact of weight change on cardiovascular disease risk factors in young black and white adults: the CARDIA study. Int J Obes 27:369–376

    Article  CAS  Google Scholar 

  33. Wei M, Kampert J, Barlow CE et al (1999) Relationship between low cardiorespiratory fitness and mortality in normal weight, overweight, and obese men. JAMA 282:1547–1553

    Article  CAS  PubMed  Google Scholar 

  34. Donnelly JE, Jacobsen DJ, Snyder Heelan KA et al (2000) The effects of 18 month of intermittent vs continuous exercise on aerobic capacity, body weight and composition, and metabolic fitness in previously sedentary, moderately obese females. Int J Obes 24:566–572

    Article  CAS  Google Scholar 

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Correspondence to Carlo Baldari .

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Buzzachera, C.F., Meucci, M., Baldari, C. (2015). Physical Activity and Training Prescription. In: Lenzi, A., Migliaccio, S., Donini, L. (eds) Multidisciplinary Approach to Obesity. Springer, Cham. https://doi.org/10.1007/978-3-319-09045-0_22

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  • DOI: https://doi.org/10.1007/978-3-319-09045-0_22

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