Björntorp P
Department of Heart and Lung Diseases, Sahlgren's Hospital, University of Göteborg, Sweden.
Int J Obes Relat Metab Disord. 1995 Oct;19 Suppl 4:S1-4.
Exercise is often added to energy intake restriction in treatment programs for obesity. The effects of exercise alone on body fat mass is highly variable, and less efficient than diminishing energy intake. However, exercise has additional, beneficial effects on most of the metabolic risk factors for cardiovascular disease and non-insulin dependent diabetes mellitus. A problem is the feasibility of training programs. Conventional, aerobic type of interventions are difficult to adhere to because of their strenuous character and because of boredom. Recent findings of essentially similar effects of low intensity programs, creating Metabolic Fitness appear more attractive and useful. The final proof of a potential protective effects of exercise against cardiovascular disease and diabetes needs very difficult, time-consuming and expensive studies, if at all feasible to perform. The current evidence for protective effects is highly suggestive, and the beneficial effects on the risk factors for these diseases have been demonstrated. Provided that feasible methods and motivation are available we can therefore now probably recommend increased physical activity.
在肥胖治疗方案中，运动常常与能量摄入限制相结合。单独运动对身体脂肪量的影响差异很大，且不如减少能量摄入有效。然而，运动对心血管疾病和非胰岛素依赖型糖尿病的大多数代谢危险因素具有额外的有益作用。一个问题是训练计划的可行性。传统的有氧运动干预因其强度大且枯燥而难以坚持。低强度运动计划产生代谢适应性，近期发现其效果基本相似，这似乎更具吸引力和实用性。运动对心血管疾病和糖尿病潜在保护作用的最终证据，如果可行的话，需要非常困难、耗时且昂贵的研究。目前关于保护作用的证据极具启发性，且已证明运动对这些疾病的危险因素具有有益作用。因此，只要有可行的方法和动力，我们现在或许可以建议增加身体活动。
