Effect of exercise duration and intensity on weight loss in overweight, sedentary women: A Randomized trial

作者: John M. Jakicic , Bess H. Marcus , Kara I. Gallagher , Melissa Napolitano , Wei Lang

DOI: 10.1001/JAMA.290.10.1323

关键词:

摘要: ContextA higher duration and intensity of exercise may improve long-term weight loss.ObjectiveTo compare the effects different durations intensities exercise on 12-month weight loss cardiorespiratory fitness.Design, Setting, ParticipantsRandomized trial conducted from January 2000 through December 2001 involving 201 sedentary women (mean [SD] age, 37.0 [5.7] years; mean body mass index, 32.6 [4.2]) in a university-based control program.InterventionParticipants were randomly assigned to 1 4 groups (vigorous intensity/high duration; moderate intensity/high intensity/moderate duration; or vigorous intensity/moderate duration) based on estimated energy expenditure (1000 kcal/wk vs kcal/wk) (moderate vs vigorous). All instructed reduce intake energy between 1200 1500 kcal/d dietary fat between 20% 30% total energy intake.Main Outcome MeasuresBody weight, fitness, participation.ResultsAfter exclusions, 184 196 randomized participants completed 12 months of treatment (94%). In intention-to-treat analysis, (SD) loss following months was statistically significant (P <.001) all (vigorous duration = 8.9 [7.3] kg; = 8.2 [7.6] moderate intensity/moderate 6.3 [5.6] 7.0 [6.4] kg), with no difference groups. Mean (SD) cardiorespiratory fitness levels also increased significantly .04) 22.0% [19.9%]; moderate 14.9% [18.6%]; intensity/moderate duration 13.5% [16.9%]; 18.9% [16.9%]), with Post hoc analysis revealed that percentage weight at associated level physical activity performed 6 months. Women reporting less than 150 min/wk had mean (SD) 4.7% [6.0%]; inconsistent (other) pattern physical activity, 7.0% [6.9%]; more, 9.5% [7.9%]; 200 or more exercise, 13.6% [7.8%].ConclusionsSignificant improved were achieved combination diet during months, although no differences found intensities in this group sedentary, overweight women.

参考文章(18)
STEVEN N. BLAIR, WILLIAM L. HASKELL, PING HO, RALPH S. PAFFENBARGER, KAREN M. VRANIZAN, JOHN W. FARQUHAR, PETER D. WOOD, Assessment of habitual physical activity by a seven-day recall in a community survey and controlled experiments. American Journal of Epidemiology. ,vol. 122, pp. 794- 804 ,(1985) , 10.1093/OXFORDJOURNALS.AJE.A114163
D A Schoeller, K Shay, R F Kushner, How much physical activity is needed to minimize weight gain in previously obese women The American Journal of Clinical Nutrition. ,vol. 66, pp. 551- 556 ,(1997) , 10.1093/AJCN/66.3.551
Gladys Block, Margo Woods, Arnold Potosky, Carolyn Clifford, Validation of a self-administered diet history questionnaire using multiple diet records Journal of Clinical Epidemiology. ,vol. 43, pp. 1327- 1335 ,(1990) , 10.1016/0895-4356(90)90099-B
MAJ ANN GREDIAGIN, MILDRED CODY, JEFFREY RUPP, DAN BENARDOT, ROBIN SHERN, Exercise Intensity Does Not Effect Body Composition Change in Untrained, Moderately Overfat Women Journal of The American Dietetic Association. ,vol. 95, pp. 661- 665 ,(1995) , 10.1016/S0002-8223(95)00181-6
Ming Wei, James B Kampert, Carolyn E Barlow, Milton Z Nichaman, Larry W Gibbons, Ralph S Paffenbarger Jr, Steven N Blair, Relationship Between Low Cardiorespiratory Fitness and Mortality in Normal-Weight, Overweight, and Obese Men JAMA. ,vol. 282, pp. 1547- 1553 ,(1999) , 10.1001/JAMA.282.16.1547
Nicolaas P. Pronk, Rena R. Wing, Physical activity and long-term maintenance of weight loss. Obesity Research. ,vol. 2, pp. 587- 599 ,(1994) , 10.1002/J.1550-8528.1994.TB00110.X
JOHN M. JAKICIC, RENA R. WING, CARENA WINTERS-HART, Relationship of physical activity to eating behaviors and weight loss in women Medicine and Science in Sports and Exercise. ,vol. 34, pp. 1653- 1659 ,(2002) , 10.1097/00005768-200210000-00018