University of Pittsburgh, Department of Health and Physical Activity, Physical Activity and Weight Management Research Center, Pittsburgh, Pennsylvania, USA.
Obesity (Silver Spring). 2009 Dec;17 Suppl 3:S34-8. doi: 10.1038/oby.2009.386.
There is evidence to support that low fitness and physical activity, excess body weight, and excess abdominal fatness are associated with increased health risk. Moreover, evidence exists to support that sufficient levels of physical activity can significantly improve body weight, fatness, and health risk. Physical activity has been shown to have a modest effect on body weight that is typically <3% of initial body weight, but has an additive effect when combined with dietary restriction. Moreover, physical activity has been shown to be an important behavioral factor for enhancing long-term weight loss and minimizing weight regain; however, this may require relatively high doses of physical activity that approach 300 min/week. Physical activity may concurrently reduce abdominal adiposity, and which may serve as a pathway by which there is also an improvement in health-related risk factors for various chronic diseases. There are important areas of research that require further investigation, with particular need to further examine the dose of physical activity that significantly affects these health outcomes. Moreover, there is a need for improved interventions to promote the adoption and long-term maintenance of physical activity, which can lead to improved weight control, abdominal adiposity, and chronic disease risk factors. Future research is also needed to understand the physiological/metabolic pathways and mechanisms that explain the influence of physical activity on long-term regulation of body weight.
有证据表明,低体质和身体活动量、超重和腹部肥胖与健康风险增加有关。此外,有证据表明,足够水平的身体活动可以显著改善体重、体脂和健康风险。身体活动对体重的影响适中,通常<初始体重的 3%,但与饮食限制相结合时具有附加效应。此外,身体活动已被证明是增强长期减肥效果和最大限度减少体重反弹的重要行为因素;然而,这可能需要相对较高剂量的身体活动,接近每周 300 分钟。身体活动可以同时减少腹部脂肪,这可能是改善各种慢性疾病相关健康风险因素的途径。还有一些重要的研究领域需要进一步调查,特别是需要进一步研究对这些健康结果有显著影响的身体活动剂量。此外,需要改进干预措施,以促进身体活动的采用和长期维持,从而改善体重控制、腹部肥胖和慢性病风险因素。还需要进一步研究来了解解释身体活动对体重长期调节影响的生理/代谢途径和机制。