Exercise and Activity in Obesity Management Mark Young, Bkin, CK.

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Exercise and Activity in Obesity Management Mark Young, Bkin, CK

Transcript of Exercise and Activity in Obesity Management Mark Young, Bkin, CK.

Page 1: Exercise and Activity in Obesity Management Mark Young, Bkin, CK.

Exercise and Activity in Obesity

ManagementMark Young, Bkin, CK

Page 2: Exercise and Activity in Obesity Management Mark Young, Bkin, CK.

Exercise and Calorie Expenditure

- Average person burns ~ 5-10 calories / minute during exercise

- Equals approximately 300-600 calories per hour of activity

- 1 pound of fat = 3500 calories

- To burn 1 pound of fat = 5.8-11.7 hours of exercise per week

- This amounts to 50-100 minutes per day!!!

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Exercise and Weight Loss

Wing. Med Sci Sports Exerc 1999;31(suppl):S547.

*P<0.05 vs control group

Duration of each study ranged from 4 to 12 months.

Stefanick 1998

Stefanick 1998a

Anderssen 1995

Hammer 1989

Verity 1989

Rönnemaa 1988

Wood 1988

Wood 1983

Weight loss (kg)

Control Group

Exercise Group

**

**

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Exercise and Weight Loss

*P<0.05 vs diet-only group.

Wadden 1997

Ross 1996

Marks 1995

Ross 1995

Blonk 1994

Sweeney 1993

Bertram 1990

Weight loss (kg) Diet Only

Diet + Exercise

*

Wing RR. Med Sci Sports Exerc. 1999;31(suppl):S547-S552.

Each study ranged from 4 to 6 months.

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Exercise and Fat-Free Mass

Diet Only

Loss

of F

at-F

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s(%

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Diet PlusPhysical Activity

Men

Women

*P<0.05

Reprinted with permission from Int J Obes Relat Metab Disord, Ballor and Poehlman;18:35. Copyright 1994 Macmillan Publishers Ltd.

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Exercise and Weight Maintenance

Not Maintained

Sub

ject

s E

xerc

isin

g (%

)

P<0.001

Weight Loss PatternMaintained

Reprinted with permission by the American Journal of Clinical Nutrition. © Am J Clin Nutr. American Society for Clinical Nutrition.

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But what if it isn’t all just about weight?

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Exercise and Visceral Fat

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Exercise and Waist Circumference

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Exercise and Body Composition

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Exercise and Cardiovascular Risk

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Exercise and Cardiovascular Fitness

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Summary

- Exercise has a modest effect on weight loss

- Exercise plays a key role in maintenance of fat free mass and weight maintenance

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Summary

- Exercise (even with little weight loss) can have positive effects on Diabetes, hypertension, visceral fat, functional capacity, cardiovascular fitness, and other obesity related comorbidities.

- These benefits can be had in as little as 150 minutes per week split between aerobic and resistance training.