Exercise training in the management of overweight and obesity in adults: Synthesis of the evidence and recommendations from the European Association for the Study of Obesity Physical Activity Working Group.

Autor: Oppert JM; Assistance Publique-Hôpitaux de Paris (AP-HP), Pitié-Salpêtrière hospital, Department of Nutrition, Institute of Cardiometabolism and Nutrition, Sorbonne University, Paris, France., Bellicha A; INSERM, Nutrition and Obesities: Systemic Approaches, NutriOmics, Sorbonne University, Paris, France.; University Paris-Est Créteil, UFR SESS-STAPS, Créteil, France., van Baak MA; Department of Human Biology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, Maastricht, The Netherlands., Battista F; Sport and Exercise Medicine Division, Department of Medicine, University of Padova, Padova, Italy., Beaulieu K; Appetite Control and Energy Balance Group (ACEB), School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, UK., Blundell JE; Appetite Control and Energy Balance Group (ACEB), School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, UK., Carraça EV; Faculdade de Educação Física e Desporto, CIDEFES, Universidade Lusófona de Humanidades e Tecnologias, Lisbon, Portugal., Encantado J; APPsyCI-Applied Psychology Research Center Capabilities and Inclusion, ISPA-University Institute, Lisbon, Portugal., Ermolao A; Sport and Exercise Medicine Division, Department of Medicine, University of Padova, Padova, Italy., Pramono A; Department of Human Biology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, Maastricht, The Netherlands., Farpour-Lambert N; Obesity Management Task Force (OMTF), European Association for the Study of Obesity (EASO), Middlesex, UK.; Obesity Prevention and Care Program Contrepoids; Service of Endocrinology, Diabetology, Nutrition and Patient Education, Department of Internal Medicine, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland., Woodward E; Obesity Management Task Force (OMTF), European Association for the Study of Obesity (EASO), Middlesex, UK., Dicker D; Obesity Management Task Force (OMTF), European Association for the Study of Obesity (EASO), Middlesex, UK.; Department of Internal Medicine D, Hasharon Hospital, Rabin Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel., Busetto L; Obesity Management Task Force (OMTF), European Association for the Study of Obesity (EASO), Middlesex, UK.; Department of Medicine, University of Padova, Padova, Italy.
Jazyk: angličtina
Zdroj: Obesity reviews : an official journal of the International Association for the Study of Obesity [Obes Rev] 2021 Jul; Vol. 22 Suppl 4, pp. e13273. Date of Electronic Publication: 2021 Jun 02.
DOI: 10.1111/obr.13273
Abstrakt: There is a need for updated practice recommendations on exercise in the management of overweight and obesity in adults. We summarize the evidence provided by a series of seven systematic literature reviews performed by a group of experts from across Europe. The following recommendations with highest strength (Grade A) were derived. For loss in body weight, total fat, visceral fat, intra-hepatic fat, and for improvement in blood pressure, an exercise training program based on aerobic exercise at moderate intensity is preferentially advised. Expected weight loss is however on average not more than 2 to 3 kg. For preservation of lean mass during weight loss, an exercise training program based on resistance training at moderate-to-high intensity is advised. For improvement in insulin sensitivity and for increasing cardiorespiratory fitness, any type of exercise training (aerobic, resistance, and combined aerobic or resistance) or high-intensity interval training (after thorough assessment of cardiovascular risk and under supervision) can be advised. For increasing muscular fitness, an exercise training program based preferentially on resistance training alone or combined with aerobic training is advised. Other recommendations deal with the beneficial effects of exercise training programs on energy intake and appetite control, bariatric surgery outcomes, and quality of life and psychological outcomes in management of overweight and obesity.
(© 2021 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.)
Databáze: MEDLINE
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