Does the method of weight loss effect long-term changes in weight, body composition or chronic disease risk factors in overweight or obese adults? A systematic review.

Does the method of weight loss effect long-term changes in weight, body composition or chronic disease risk factors in overweight or obese adults? A systematic review.
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DOI:
10.1371/journal.pone.0109849
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发表时间:
2014
期刊:
影响因子:
3.7
通讯作者:
Donnelly JE
Donnelly JE
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Washburn RA;Szabo AN;Lambourne K;Willis EA;Ptomey LT;Honas JJ;Herrmann SD;Donnelly JE

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通过限制能量和/或运动来减肥的生物变化的差异可能与长期体重减轻/恢复的差异有关。评价减肥方法对体重、体成分和慢性病危险因素长期变化的影响。PubMed和Embase被检索(1990年1月至2013年10月),以获取有关能量限制、运动(有氧运动和阻力)对长期减肥的影响的数据。本综述共收录20篇文献。主要资料来源:以英文发表的同行评议随机试验,其有效减肥期为>6个月,或在超重或肥胖成人中进行的积极减肥期为任意持续时间的随访期。对于重要的研究参数,试验之间存在着相当大的异质性,因此荟萃分析被认为是不合适的。结果被综合并通过比较(例如,饮食与有氧运动、饮食与饮食+有氧运动等)进行分组。和研究设计(长期或减肥/随访)。40%的试验报告称,与有氧运动相比,节食的长期体重减轻幅度明显更大,而体重恢复的差异结果尚不确定。在50%的试验中,饮食+有氧运动导致的减肥效果明显高于单独饮食。然而,在节食组和节食+有氧运动组中,体重恢复(∼为减重的55%)相似。当干预措施包括锻炼时,脱脂质量往往被保留下来。
Differences in biological changes from weight loss by energy restriction and/or exercise may be associated with differences in long-term weight loss/regain. To assess the effect of weight loss method on long-term changes in weight, body composition and chronic disease risk factors. PubMed and Embase were searched (January 1990-October 2013) for studies with data on the effect of energy restriction, exercise (aerobic and resistance) on long-term weight loss. Twenty articles were included in this review. Primary source, peer reviewed randomized trials published in English with an active weight loss period of >6 months, or active weight loss with a follow-up period of any duration, conducted in overweight or obese adults were included. Considerable heterogeneity across trials existed for important study parameters, therefore a meta-analysis was considered inappropriate. Results were synthesized and grouped by comparisons (e.g. diet vs. aerobic exercise, diet vs. diet + aerobic exercise etc.) and study design (long-term or weight loss/follow-up). Forty percent of trials reported significantly greater long-term weight loss with diet compared with aerobic exercise, while results for differences in weight regain were inconclusive. Diet+aerobic exercise resulted in significantly greater weight loss than diet alone in 50% of trials. However, weight regain (∼55% of loss) was similar in diet and diet+aerobic exercise groups. Fat-free mass tended to be preserved when interventions included exercise.
DOI: 10.1159/000334755
发表时间: 2011-01-01
影响因子: 3.9
作者:
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期刊: Obesity reviews : an official journal of the International Association for the Study of Obesity
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发表时间: 2013-03-21
期刊: PLOS ONE
影响因子: 3.7
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通讯作者: Westerterp, Klaas R.