运动和身体活动在减肥和维持体重中的作用。
The role of exercise and physical activity in weight loss and maintenance.
机构信息
Department of Kinesiology, East Carolina University, Greenville, NC 27858; Center for Health Disparities, East Carolina University, Greenville, NC 27858.
Department of Preventive Medicine, Pennington Biomedical Research Center, Baton Rouge, LA 70808; School of Kinesiology, Louisiana State University, Baton Rouge, LA 70803.
出版信息
Prog Cardiovasc Dis. 2014 Jan-Feb;56(4):441-7. doi: 10.1016/j.pcad.2013.09.012. Epub 2013 Oct 11.
This review explores the role of physical activity (PA) and exercise training (ET) in the prevention of weight gain, initial weight loss, weight maintenance, and the obesity paradox. In particular, we will focus the discussion on the expected initial weight loss from different ET programs, and explore intensity/volume relationships. Based on the present literature, unless the overall volume of aerobic ET is very high, clinically significant weight loss is unlikely to occur. Also, ET also has an important role in weight regain after initial weight loss. Overall, aerobic ET programs consistent with public health recommendations may promote up to modest weight loss (~2 kg), however the weight loss on an individual level is highly heterogeneous. Clinicians should educate their patients on reasonable expectations of weight loss based on their physical activity program and emphasize that numerous health benefits occur from PA programs in the absence of weight loss.
本综述探讨了身体活动（PA）和运动训练（ET）在预防体重增加、初始体重减轻、体重维持和肥胖悖论中的作用。特别是，我们将重点讨论不同 ET 方案预期的初始体重减轻，并探讨强度/量的关系。根据目前的文献，除非有氧运动 ET 的总量非常高，否则不太可能出现临床显著的体重减轻。此外，ET 在初始体重减轻后体重反弹中也起着重要作用。总的来说，符合公共卫生建议的有氧运动方案可能会促进适度的体重减轻（约 2 公斤），但个体水平的体重减轻差异很大。临床医生应该根据患者的身体活动方案，教育他们有关体重减轻的合理预期，并强调在没有体重减轻的情况下，PA 方案会带来许多健康益处。
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