Effect of exercise training on weight loss, body composition changes, and weight maintenance in adults with overweight or obesity: An overview of 12 systematic reviews and 149 studies

被引：168

作者：

Bellicha, Alic ^{[1
,2
]}

van Baak, Marleen A. ^{[3
]}

Battista, Francesca ^{[4
]}

Beaulieu, Kristine ^{[5
]}

Blundell, John E. ^{[5
]}

Busetto, Luca ^{[6
,7
]}

Carraca, Eliana V. ^{[8
]}

Dicker, Dror ^{[6
,9
]}

Encantado, Jorge ^{[10
]}

Ermolao, Andrea ^{[4
]}

Farpour-Lambert, Nathalie ^{[6
,11
,12
,13
]}

Pramono, Adriyan ^{[3
]}

Woodward, Euan ^{[6
]}

Oppert, Jean-Michel ^{[14
]}

机构：

[1] Sorbonne Univ, INSERM, Nutr & Obes Syst Approaches, NutriOm, Paris, France

[2] Univ Paris Est Creteil, UFR SESS STAPS, Creteil, France

[3] Maastricht Univ, Med Ctr, Dept Human Biol, NUTRIM Sch Nutr & Translat Res Metab, Maastricht, Netherlands

[4] Univ Padua, Dept Med, Sport & Exercise Med Div, Padua, Italy

[5] Univ Leeds, Fac Med & Hlth, Sch Psychol, Appetite Control & Energy Balance Grp ACEB, Leeds, W Yorkshire, England

[6] European Assoc Study Obes EASO, Obes Management Task Force OMTF, Teddington, Middx, England

[7] Univ Padua, Dept Med, Padua, Italy

[8] Univ Lusofona Humanidades & Tecnol, Fac Educ Fis & Desporto, CIDEFES, Lisbon, Portugal

[9] Tel Aviv Univ, Sackler Sch Med, Hasharon Hosp, Rabin Med Ctr,Dept Internal Med D, Tel Aviv, Israel

[10] ISPA Univ Inst, APPsyCI Appl Psychol Res Ctr Capabil & Inclus, Lisbon, Portugal

[11] Univ Hosp Geneva, Dept Internal Med, Obes Prevent & Care Program Contrepoids, Geneva, Switzerland

[12] Univ Hosp Geneva, Dept Internal Med, Serv Endocrinol Diabetol Nutr & Patient Educ, Geneva, Switzerland

[13] Univ Geneva, Geneva, Switzerland

[14] Sorbonne Univ, AP HP, Pitie Salpetriere Hosp, Dept Nutr,Inst Cardiometab & Nutr, Paris, France

来源：

OBESITY REVIEWS | 2021年 / 22卷

关键词：

body composition; exercise; weight loss; weight maintenance; FAT-FREE MASS; POSTMENOPAUSAL WOMEN; RESISTANCE EXERCISE; PHYSICAL-ACTIVITY; OLDER-ADULTS; METAANALYSIS; INTENSITY; INTERVENTIONS; DIET; PREVENTION;

D O I：

10.1111/obr.13256

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This overview of reviews aimed to summarize the effects of exercise training programs on weight loss, changes in body composition, and weight maintenance in adults with overweight or obesity. A systematic search of systematic reviews and meta-analyses (SR-MAs) published between 2010 and December 2019 was performed. Only SR-MAs of controlled trials were included. The mean difference (MD) or standardized MD (SMD) were extracted from SR-MAs. Twelve SR-MAs (149 studies) were included. Exercise led to a significant weight loss (4 SR-MAs, MDs ranging from -1.5 to -3.5 kg), fat loss (4 SR-MAs, MDs ranging from -1.3 to -2.6 kg) and visceral fat loss (3 SR-MAs, SMDs ranging from -0.33 to -0.56). No difference in weight, fat, and visceral loss was found between aerobic and high-intensity interval training as long as energy expenditure was equal. Resistance training reduced lean mass loss during weight loss (1 SR-MA, MD: 0.8 [95%CI: 0.4-1.3] kg). No significant effect of exercise was found on weight maintenance (1 SR-MA). These findings show favorable effects of exercise training on weight loss and body composition changes in adults with overweight or obesity. Visceral fat loss may lead to benefits for cardiometabolic health. More research is needed to identify training modalities that promote weight maintenance.

引用

页数：13

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