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1.
BackgroundWeight-loss-induced fat loss improves cardiometabolic health in individuals with overweight and obesity; however, weight loss can also result in bone loss and increased fracture risk. Weight-loss-induced bone loss may be attenuated with exercise. Our aim was to compare changes in bone mineral density (BMD) in adults with overweight and obesity who undertook diet-induced weight loss alone or in combination with exercise.MethodsWe included randomized controlled trials (RCTs) in adults with overweight or obesity (aged ≥18 years; body mass index ≥25 kg/m2) that prescribed diet-induced weight loss alone or in combination with supervised exercise, and measured any bone structural parameters. Risk of bias was assessed using the Cochrane Risk of Bias tool. Random-effects meta-analyses determined mean changes and net mean differences (95% confidence intervals (95%CIs)) in the percentage of areal BMD (aBMD) change between groups.ResultsWe included 9 RCTs. Diet-induced weight loss led to significant losses in femoral neck aBMD (mean change: −1.73% (95%CI: −2.39% to −1.07%), p < 0.001) and total hip aBMD (−2.19% (95%CI: −3.84% to −0.54%), p = 0.009). Femoral neck aBMD losses were significantly greater in the diet-induced weight loss group compared to the exercise plus diet-induced weight loss group (net difference: −0.88% (95%CI: −1.73% to −0.03%)); however, there were no differences in aBMD changes at any other skeletal site: total hip (−1.96% (95%CI: −4.59% to 0.68%)) and lumbar spine (−0.48% (95%CI: −1.81% to 0.86%)). aBMD changes did not differ significantly according to exercise modality (resistance exercise, aerobic exercise, or a combination of the two) during diet-induced weight loss.ConclusionDiet-induced weight loss led to greater femoral neck bone loss compared to diet-induced weight loss plus exercise. Bone loss at the total hip and lumbar spine was not attenuated by exercise during diet-induced weight loss. The lack of consistent skeletal benefits may be due to the insufficient duration and/or training intensities of most exercise interventions. Additional RCTs with appropriate, targeted exercise interventions should be conducted.  相似文献   

2.
BackgroundThe aim of this study was to compare 6 weeks short-term moderate intensity aerobic exercise and dieting on serum metabolomics and cardio-metabolic risk factors in pre-menopausal women.MethodsNinety previously inactive overweight and obese (BMI 25–35 kg/m2) women (age 41.5 ± 7.6 years) were randomized to either a 6-week Nordic walking exercise program (EX, n = 45) or dietary counseling group (DI, n = 45). Body composition, serum glucose, insulin and lipids were measured. Serum low-molecular-weight metabolites and lipid constituents were analyzed by nuclear magnetic resonance spectroscopy. Measurements were done at baseline and 7 days after the last training session.ResultsSix weeks aerobic exercise program yielded reductions in serum free fatty acids (−34.7%, 95% confidence interval (CI), −50 to −18, p < 0.001), glucose (−9.6%, 95%CI, −15 to −4, p < 0.001) and homeostasis model assessment of insulin resistance (HOMA-IR) (−28.7%, 95%CI, −48 to −10, p = 0.005) without changes in body weight or fat mass. Diet counseling resulted in loss of body weight (1.5%, 95%CI, −2.3 to −0.7, p = 0.001) but no changes in free fatty acids, fasting glucose, or HOMA-IR were found.ConclusionOur results indicate that small weight loss does not produce measurable health benefits, whereas short-term regular aerobic exercise can improve glucose and lipid metabolism even in the absence of weight loss in previously sedentary overweight and obese women.  相似文献   

3.
目的运动干预对学生身体形态及素质有重要影响,为了更准确地了解有氧运动的强度不同是否有不同的监控体重的效果。方法采用两种不同有氧强度的运动干预方案探讨对超重、肥胖女大学生身体形态、身体循环机能和身体素质的影响。结果和结论运动干预前后,超重、肥胖女大学生各身体形态指标均值均有显著性下降。运动干预后,BMI指标下降最为明显(P<0.05),肥胖组女生WHR指标受大强度运动干预影响较大(P<0.05)。不同运动强度对超重、肥胖女大学生身体循环机能的显著性影响仅体现在大强度运动对各组内女生舒张压指标的影响(P<0.05)和中等强度运动干预对肥胖组女生舒张压的影响(P<0.05),对超重、肥胖学生减脂降重有一定的指导意义。  相似文献   

4.
ObjectiveResearch on methods of improving the affective experience of exercise remains limited, especially for low-active overweight adults. We investigated the effectiveness of a virtual-reality headset and headphones in improving affective responses over conventionally delivered audiovisual stimulation.MethodsLow-active, overweight adults (16 women, 5 men; age: 34.67 ± 9.62 years; body mass index: 28.56 ± 4.95 kg/m²; peak oxygen uptake for men: 29.14 ± 6.56 mL/kg/min, for women: 22.67 ± 4.52 mL/kg/min, mean ± SD) completed 15-min sessions of recumbent cycling at the ventilatory threshold: (a) high immersion (HI, virtual reality headset and headphones), (b) low immersion (LI, television screen and speakers), and (c) Control. During-exercise pleasure and post-exercise enjoyment were self-reported. Oxygenation of the right dorsolateral prefrontal cortex (dlPFC) was assessed with near infrared spectroscopy.ResultsHigher pleasure was reported during HI than during LI and Control (Condition × Time interaction; p < 0.001, ηp2 = 0.43). Participants who reported a preference for low exercise intensity showed higher dlPFC oxygenation during Control, but this difference diminished during LI and HI (Condition × Time × Preference interaction; p = 0.036, ηp2 = 0.10).ConclusionCompared with conventionally delivered audiovisual stimulation, using a virtual-reality headset strengthens the dissociative effect, further improving affective responses to exercise at the ventilatory threshold among overweight, low-active adults. Presumably by competing with interoceptive afferents at the level of sensory input, audiovisual stimulation may lessen reliance on cognitive efforts to attenuate declining affect, as indicated by lower right dlPFC activity, particularly among participants disinclined toward high exercise intensity.  相似文献   

5.
Abstract

It is currently unknown whether hypoxia training can effectively suppress overweight and hyperinsulinemia in genetically obese animals. In this study, both lean and obese Zucker rats were randomly assigned into the following groups: control (CON, n=7), exercise training (EX, n=7), hypoxia (HYP, n=7) and exercise training with hypoxia recovery (EX+HYP, n=7). During a 6-week training period, rats performed swimming exercise progressively from 30 to 180 min·day?1, and recovered under hypoxia (14% oxygen for 8 h·day?1). Obese Zucker rats exhibited substantially greater fasting insulin levels, and exaggerated glucose and insulin responses following an oral glucose challenge compared with lean rats. At the beginning of week 6, body weight, fasting glucose, fasting insulin, area under curve of glucose (GAUC) and insulin (IAUC) in the EX+HYP group were significantly lower than CON group among the obese rats. Meanwhile, only GAUC was significantly lower in the EX group compared to the CON group. At the end of week 6, capillaries to fibre ratio (C/F), capillary density (CD) and type IIa fibre proportion of the plantaris muscle in the EX group were significantly greater than the CON group (P<0.05), but no additive effect of hypoxia on exercise training was observed. Our data demonstrate that exercise training with prolonged hypoxia recovery offers better metabolic benefits than exercise training alone for the obese Zucker rats. This advantage was closely associated with effective weight reduction.  相似文献   

6.
Abstract

Body composition has become a major field of interest for many exercise and sport scientists as well as clinicians who specialize in the prevention of and rehabilitation from hypokinetic diseases. This review article discusses the state of the art within selected areas of body composition, including the following: exercise in appetite regulation, the use of body density to estimate relative body fat in selected populations, the use of anthropometric equations to estimate body composition, and alterations in body composition with exercise training. It was concluded that acute bouts of exercise may have short term anorexigenic effects, but that alterations in appetite with extended periods of training are less clearly defined. Exercise training does result in modest decreases in total and fat weight and in relative body fat, and small increases in lean body weight. However, these alterations are not substantial. Finally, major research efforts are needed to improve methodology in body composition assessment.  相似文献   

7.
Abstract

This study examined the effects of a 6-week intermittent exercise training, at different intensities, on body composition, functional walking and aerobic endurance in overweight children. Forty-eight overweight children (age: 10.4 ± 0.9 years) were randomly assigned to either intervention or control group. Lower and higher intensity intermittent exercise groups (LIIE and HIIE) performed intermittent running three times a week. LIIE performed more intervals at a lower intensity [16 intervals at 100% of individual maximal aerobic speed (MAS), 8 minutes in total], and HIIE performed fewer intervals at a higher intensity (12 intervals at 120% of MAS, 6 minutes in total). Each interval consisted of a 15-second run at the required speed, followed by a 15-second passive recovery. After 6 weeks, HIIE had a significantly (p < 0.05) higher percentage reduction in sum of skinfolds (i.e. calf and triceps), and significantly (p < 0.05) fewer steps during the functional obstacle performance, as compared with LIIE and control group. Significant improvement (p < 0.05) was found in intermittent aerobic endurance for HIIE as compared to the control group. Higher intensity intermittent training is an effective and time-efficient intervention for improving body composition, functional walking and aerobic endurance in overweight children.  相似文献   

8.
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9.
Purpose: To evaluate whether excess body mass influences the heart rate variability (HRV) indexes at rest, and to correlate adiposity indicators and the aerobic fitness with cardiac autonomic variables in metabolically healthy young adults. Method: In all, 41 untrained males (Mage = 21.80, SD = 2.14 years), 14 normal weight (MBMI = 22.28, SD = 1.86 kg?m?2), 11 overweight (MBMI = 26.95, SD = 1.43 kg?m?2), and 16 obese (MBMI = 33.58, SD = 3.06 kg?m?2) metabolically healthy (normal values of blood pressure, fasting blood glucose, triglycerides, and total cholesterol), underwent evaluations of the HRV at rest and of the peak oxygen consumption (VO2 peak) during maximal exercise on a cycle ergometer. Results: Blood pressure, heart rate, HRV indexes, casual blood glucose, oxidative stress, and antioxidant activity did not differ among the groups. The VO2 peak (mL?kg?1?min?1) was lower in the obese group compared with the normal weight and overweight groups. The body mass (r = ?.40 to ?.45) and abdominal circumference (r = ?.39 to ?.52) were slightly to moderately correlated with SD1, SD2, RMSSD, SDNN, pNN50, LF, and HF indexes and total power. The VO2 peak (mL?kg?1?min?1) was slightly to moderately correlated (r = .48 to .51) with SD2, SDNN, and LF indexes in the individuals with excess body mass. Conclusion: Cardiac autonomic modulation at rest was preserved in metabolically healthy obese young men. However, the indicators of adiposity, as well as the aerobic fitness were correlated with cardiac autonomic modulation in the individuals with excess body mass.  相似文献   

10.
Abstract

The purpose of this study was to determine which of three intensities of treadmill training produced changes in body composition in rats as evidenced by body weight, percentage of fat and specific gravity. Subjects were 60 male Wistar rats 25 to 30 days old when obtained. They were randomly assigned to one of five groups: sedentary controls, spontaneously active controls, and three groups of rats forced to exercise on a treadmill at intensities of 75, 125 and 175 fpm. Forced exercise was applied three times a week for 8 weeks, after which measures of body weight, specific gravity, and percentage of body fat were obtained. Results indicated that the sedentary controls had significantly higher mean body weights than did those which exercised. Rats forced to exercise at 75 fpm had significantly lower specific gravity measures than rats trained at 125 fpm. Sedentary controls had lower specific gravity values than did all rats allowed to exercise. Intensity of treadmill training had no effect on percentage of body fat as determined chemically. However, exercise was effective in reduction of body fat.  相似文献   

11.
Objectives: To analyse the associations between high screen time and overweight, poor dietary habits and physical activity in adolescents according to sex. Methods: The study comprised 515 boys and 716 girls aged 14–17 years from Londrina, Brazil. Nutritional status (normal weight or overweight/obese) was assessed by calculating the body mass index. Eating habits and time spent in physical activity were reported using a questionnaire. The measurement of screen time considered the time spent watching television, using a computer and playing video games during a normal week. Associations between high screen time and dependent variables (nutritional status, eating habits and physical activity levels) were assessed by binary logistic regression, adjusted for sociodemographic and lifestyle variables. Results: Most adolescents (93.8% of boys and 87.2% of girls) spent more than 2 hours per day in screen-time activities. After adjustments, an increasing trend in the prevalence of overweight and physical inactivity with increasing time spent on screen activities was observed for both sexes. Screen times of >4 hours/day compared with <2 hours/day were associated with physical inactivity, low consumption of vegetables and high consumption of sweets only in girls and the consumption of soft drinks in both sexes. Conclusions: The frequency of overweight and physical inactivity increased with increasing screen time in a trending manner and independently of the main confounders. The relationship between high screen time and poor eating habits was particularly relevant for adolescent girls.  相似文献   

12.
This study aimed at comparing the effectiveness of three lifestyle intervention programmes in health clubs “exercise only” (E), “exercise plus nutritional counselling” (E?+?NC), and “exercise plus weight loss program” (E?+?WLP) on weight loss under real-life conditions. An observational multicenter study including 788 overweight/obese new customers of 95 health clubs in Germany was performed. Participants chose E (n?=?512, 38?±?14?year, BMI 30.4?±?4.7?kg/m2), E?+?NC (n?=?179, 42?±?14?year, BMI 31.7?±?4.5?kg/m2), or E?+?WLP (n?=?97, 40?±?11?year, BMI 31.6?±?5.1?kg/m2). Anthropometric data, energy expenditure, and energy intake were assessed at baseline and after 3 months. All groups significantly reduced body weight (E: ?1.5?±?2.9?kg, E?+?NC: ?3.4?±?3.6?kg, E?+?WLP: ?5.5?±?4.3?kg, p?p?p?相似文献   

13.
Purpose:The present study aimed to examine the link between physical activity(PA)and life satisfaction in a large international study of adolescents.We also aimed to test whether overweight and underweight perceptions act as mediators and whether age and sex acted as moderators.Methods:For this purpose,we analyzed data from the Health Behavior in School-aged Children study,which comprises 727,865 observations from 44 nations at 4 measurement occasions.Results:Multilevel analyses revealed a positive link between PA and life satisfaction.In addition,underweight and overweight perceptions mediated the effect of PA on life satisfaction.We further found that age and sex acted as moderators.In older adolescents,stronger effects were found in the links between PA and life satisfaction,PA and overweight perception,and both weight perceptions and life satisfaction.In addition,in female adolescents,the link between overweight perception and life satisfaction was stronger.Conversely,the links between PA and both weight perceptions were stronger for boys.Conclusion:The results suggest that weight perception explains part of the relationship between PA and life satisfaction in adolescents and that these effects vary as a function of age and sex.  相似文献   

14.
Abstract

Eighteen women participated in a research project involving two phases: (a) an interview regarding weight history and exercise patterns, and (b) a series of exercise sessions followed by discussions of participants' reactions to them. The data were analyzed using inductive analysis techniques, and results of the analysis were discussed with participants for collaborative validation of the interpretation. Profiles of selected participants and themes that emerged are described. The participants varied in age and body size and had diverse backgrounds, interests, and abilities, but their shared experience of social disapproval based on body size was shown to affect their perceptions of exercise programs and their decisions about participation.  相似文献   

15.
Abstract

Omentin-1 is a newly discovered protein expressed and secreted from visceral adipose tissue that increases insulin sensitivity. We examined the effects of 12 weeks of aerobic training on serum omentin-1 concentrations together with cardiovascular risk factors in overweight and obese men. Eighteen overweight and obese participants (age 43.1 ± 4.7 years, BMI ≥25 kg · m?2) were assigned to exercise training (n = 9) and control (n = 9) groups. A matched control group of normal weight participants (n = 8; age 42.2 ± 3.8 years, BMI <25 kg · m?2) were also recruited for baseline comparison. The obese exercise group participated in 12 weeks of progressive aerobic training 5 days a week. Measures of serum omentin-1, insulin resistance, lipid profiles, blood pressure, and body composition were obtained before and after the 12 weeks. At baseline, normal weight participants had significantly higher serum omentin-1 concentrations than overweight and obese participants, and there were inverse correlations between omentin-1 and each of waist circumference, fasting glucose, insulin resistance, total cholesterol, triglyceride, and systolic blood pressure (P < 0.05). After the aerobic training, waist circumference, percent body fat, fasting glucose, insulin resistance, triglyceride, total cholesterol, low-density lipoprotein cholesterol, and systolic blood pressure were all significantly decreased (P < 0.05). In contrast, serum omentin-1 concentration was significantly increased after the aerobic programme (P < 0.05), and correlated with changes in insulin resistance (r = ?0.67, P = 0.04), glucose (r = ?0.65, P = 0.05), waist circumference (r = ?0.70, P = 0.03), and aerobic fitness r = ?0.68, P = 0.04). Aerobic training resulted in an improvement in cardiometabolic risk factors in obese participants, and this improvement was accompanied by increased omentin-1 concentrations.  相似文献   

16.
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17.
Purpose: Prenatal exercise is a health behavior that is receiving growing attention amid concern that women in Western societies are gaining excess weight during pregnancy and contributing to future obesity in both the mother and child. In this article, we draw on insights from the fields of social epidemiology and social theory of the body to examine existing prenatal exercise interventions and to propose a multidimensional framework intended to guide future theorizing and intervention design. Method: A scoping review of existing prenatal exercise programs and interventions focused on controlling gestational weight gain was conducted. Articles published prior to January 2017 were obtained from PubMed and CINAHL, and relevant articles were identified (n = 62) using specified inclusion and exclusion criteria. Identified articles were further analyzed to classify the level(s) of the socioecological model targeted in the intervention or program. Results: The majority of existing interventions target intrapersonal factors during pregnancy and do not attend to the role that cumulative exposure of social and structural disadvantage over the lifetime—not just during the prenatal period—plays in shaping health outcomes. In response, a multidimensional framework is proposed that includes key concepts that facilitate a life-course perspective, as well as attention to the integration of biological and social factors as they relate to health and health-related behaviors. Conclusion: Efforts to promote prenatal exercise and to improve maternal and infant health should attend to how systemic inequality impacts women’s health.  相似文献   

18.
Recently, there has been growing interest in high-intensity interval training (HIT) as a strategy to improve health. In this pilot study, we examined the feasibility of a 4-week low-volume HIT and its effects on cardiorespiratory fitness (CRF), blood pressure (BP) and enjoyment in overweight and obese youth. Twelve adolescents (body mass index (BMI): 34.8 ± 3.9 kg · m?2, 14.9 ± 1.5 years) participated in 12 sessions of HIT (10 × 60 s cycling bouts eliciting ~90% maximal heart rate, interspersed with 90 s recovery, 30 min/session, 3 sessions/week) over ~4 weeks. All the participants completed the study and exercise attendance averaged 92%. Despite no changes in body weight and total fat, HIT resulted in significant (P < 0.01) increases in CRF (pre: 20.1 versus post: 22.2 ml · kg?1 · min?1) and exercise time (pre: 425 versus post: 509 s) during peak oxygen uptake test, and a reduction in resting systolic BP (pre: 115.8 versus post: 107.6 mmHg). The majority of study participants (83%) enjoyed HIT and more than half of the participants (58%) reported that HIT is a more enjoyable form of exercise compared to other types of exercises. Low-volume HIT is a useful strategy to promote exercise participation and improve cardiovascular health in overweight and obese youth.  相似文献   

19.
张薇  张鸽 《体育科学》2005,25(3):40-43,51
身体质量指数与体脂肪率存在着较高的相关关系 ,是评估体脂肪率简便而实用的方法之一 ,但是在实际运用中应充分考虑性别和各年龄组之间的差异。甘肃省居民超重和肥胖现象已相当突出 ,男性 30岁、女性 4 0岁组以上超重比例已达三分之一左右 ;一般的身体锻炼对控制体重或去脂效果不甚明显。有效控制肥胖 ,一是教育人们养成良好的生活方式、注意合理饮食、加强锻炼、保持健康心态等 ;二是研究制定适宜的运动控制体重等处方进行健康干预。  相似文献   

20.
目的：描述上海市20～59岁成年人体脂率（BF%）、身体质量指数（BMI）、腰围（WC）等形态指标人群分布特征,探讨BF%、BMI、WC的异同点。方法：基于2020年第五次国民体质监测上海市20～59岁成年人数据库,纳入26 826名研究对象,分析不同性别、年龄组成年人BF%、BMI、WC特征以及相关人群分布。结论：上海市成年男性WC随年龄增长而增大,成年女性BF%和WC随年龄的增长而增长。以BF%、BMI、WC 3个指标评判上海市20～59岁成年人超重与肥胖情况时存在着一定的差异。上海市成年男性以WC为标准检出肥胖率最高,以BF%为标准检出超正常标准率最高;上海市成年女性以BF%为标准检出超正常标准率及肥胖率最高。BMI与BF%相结合,或与WC相结合,可以反映身体脂肪含量及比例,以及脂肪分布。  相似文献   

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