Why exercise by itself is often ineffective for weight loss but crucial for weight management
Document type:
Zeitschriftenaufsatz
Author(s):
Höchsmann, Christoph; Koehler, Karsten
Abstract:
The prevalence of obesity is increasing worldwide, and excess body weight is associated with a substantially increased risk of adverse health conditions. Exercise supports the prevention and management of obesity; however, when used for weight loss, exercise (even at high volumes) is usually relatively ineffective, frequently producing less weight loss than expected based on measured energy expenditure. The difference between observed and expected weight loss is called compensation and it is primarily caused by increases in energy intake in response to exercise (compensatory eating). On the other hand, it has been shown that energy balance and body weight are better regulated in individuals with moderate to high levels of physical activity (i.e., energy intake = energy expenditure) compared to those with a sedentary lifestyle (energy expenditure < energy intake), demonstrating that physical activity and exercise are crucial for long-term maintenance of a healthy weight. Weight loss approaches should combine dietary components (calorie restriction) and physical activity for increased success. Calorie restriction facilitates weight loss while physical activity can support the conservation of fat-free mass to avoid a state of increased hunger, often occurring following calorie restriction interventions due to the associated loss in fat-free mass, which ultimately encourages weight regain.
Dewey Decimal Classification:
610 Medizin und Gesundheit; 790 Sport, Spiele, Unterhaltung