Multidisciplinary Approach to Obesity: Aerobic or Resistance Physical Exercise?

Overview

Journal J Exerc Sci Fit

Date 2019 Jan 22

PMID 30662505

Citations 11

Authors

Mohamed Ahmed Said

Mohamed Abdelmoneem

Abdullah Almaqhawi

Ahmad Abdel Hamid Kotob

Mohammed Chaab Alibrahim

Iheb Bougmiza

Affiliations

Soon will be listed here.

Abstract

Background: An integrated treatment based on dieting, physical training and cognitive-behavioural psychotherapy is an effective tool to reduce obesity and its consequences. However, the feasibility of this approach is problematic. This study aims to compare two multidisciplinary programs used to improve weight loss.

Methods: Fifty-two obese individuals were subjected to an Enhanced Lifestyle Counselling associated with, according to their own choice, dieting (N = 11), or dieting + aerobic training (n = 18), or dieting + resistance training program (n = 23). The study experiment spanned 16 weeks divided into two phases. The first phase lasted 04 weeks and was oriented to enhance motivation and establishing changes in behaviours related to dietary and sedentary lifestyle. The second phase lasted 12 weeks and was oriented to add aerobic or resistance training. Body compositions, cardiovascular disease risk factors, and cardio-respiratory fitness were assessed.

Results: Data demonstrated that all obesity treatment programs were able to improve all studied variables. Weight loss levels were -6.03 ± 2.08, -10.5 ± 2.33, and -9.37 ± 1.99 kg in Dieting, DAT and DRT groups, respectively. Our results noted also that exercise training could play an important role in reducing obesity and its consequences. Nevertheless, modifications were more important in DRT at the explosivity and muscle strength and in DAT at fat percentage, aerobic capacity, SA, and CVR factors.

Conclusion: The current evidence noted that both multidisciplinary weight loss programs were efficient in the treatment of obesity and its comorbidity. Moreover, the use of aerobic exercises was more effective in reducing body fat and improving cardiorespiratory fitness. However, using resistance exercises appeared to be more appropriate to enhance the muscle potential.

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References

Boddington M, Lambert M, St Clair Gibson A, Noakes T . Reliability of a 5-m multiple shuttle test. J Sports Sci. 2001; 19(3):223-8. DOI: 10.1080/026404101750095394. View

. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002; 166(1):111-7. DOI: 10.1164/ajrccm.166.1.at1102. View

Davison K, Birch L . Childhood overweight: a contextual model and recommendations for future research. Obes Rev. 2002; 2(3):159-71. PMC: 2530932. DOI: 10.1046/j.1467-789x.2001.00036.x. View

Kang H, Gutin B, Barbeau P, Owens S, Lemmon C, Allison J . Physical training improves insulin resistance syndrome markers in obese adolescents. Med Sci Sports Exerc. 2002; 34(12):1920-7. DOI: 10.1097/00005768-200212000-00010. View

Dao H, Frelut M, Peres G, Bourgeois P, Navarro J . Effects of a multidisciplinary weight loss intervention on anaerobic and aerobic aptitudes in severely obese adolescents. Int J Obes Relat Metab Disord. 2004; 28(7):870-8. DOI: 10.1038/sj.ijo.0802535. View

Watts K, Jones T, Davis E, Green D . Exercise training in obese children and adolescents: current concepts. Sports Med. 2005; 35(5):375-92. DOI: 10.2165/00007256-200535050-00002. View

Johnson J, Summer W, Cutler R, Martin B, Hyun D, Dixit V . Alternate day calorie restriction improves clinical findings and reduces markers of oxidative stress and inflammation in overweight adults with moderate asthma. Free Radic Biol Med. 2007; 42(5):665-74. PMC: 1859864. DOI: 10.1016/j.freeradbiomed.2006.12.005. View

Tapper K, Shaw C, Ilsley J, Hill A, Bond F, Moore L . Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite. 2008; 52(2):396-404. DOI: 10.1016/j.appet.2008.11.012. View

. Physical Activity Guidelines Advisory Committee report, 2008. To the Secretary of Health and Human Services. Part A: executive summary. Nutr Rev. 2009; 67(2):114-20. DOI: 10.1111/j.1753-4887.2008.00136.x. View

10.

. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2009; 41(3):687-708. DOI: 10.1249/MSS.0b013e3181915670. View

11.

Johnston C, Tyler C, Fullerton G, McFARLIN B, Poston W, Haddock C . Effects of a school-based weight maintenance program for Mexican-American children: results at 2 years. Obesity (Silver Spring). 2009; 18(3):542-7. DOI: 10.1038/oby.2009.241. View

12.

Duren D, Sherwood R, Czerwinski S, Lee M, Choh A, Siervogel R . Body composition methods: comparisons and interpretation. J Diabetes Sci Technol. 2009; 2(6):1139-46. PMC: 2769821. DOI: 10.1177/193229680800200623. View

13.

Varady K . Intermittent versus daily calorie restriction: which diet regimen is more effective for weight loss?. Obes Rev. 2011; 12(7):e593-601. DOI: 10.1111/j.1467-789X.2011.00873.x. View

14.

Wadden T, Volger S, Sarwer D, Vetter M, Tsai A, Berkowitz R . A two-year randomized trial of obesity treatment in primary care practice. N Engl J Med. 2011; 365(21):1969-79. PMC: 3282598. DOI: 10.1056/NEJMoa1109220. View

15.

Drake K, Beach M, Longacre M, MacKenzie T, Titus L, Rundle A . Influence of sports, physical education, and active commuting to school on adolescent weight status. Pediatrics. 2012; 130(2):e296-304. PMC: 3408684. DOI: 10.1542/peds.2011-2898. View

16.

Forman E, Butryn M, Juarascio A, Bradley L, Lowe M, Herbert J . The mind your health project: a randomized controlled trial of an innovative behavioral treatment for obesity. Obesity (Silver Spring). 2013; 21(6):1119-26. PMC: 3735809. DOI: 10.1002/oby.20169. View

17.

Atashak S, Peeri M, Azarbayjani M, Stannard S, Haghighi M . Obesity-related cardiovascular risk factors after long- term resistance training and ginger supplementation. J Sports Sci Med. 2013; 10(4):685-91. PMC: 3761505. View

18.

Schwingshackl L, Dias S, Strasser B, Hoffmann G . Impact of different training modalities on anthropometric and metabolic characteristics in overweight/obese subjects: a systematic review and network meta-analysis. PLoS One. 2013; 8(12):e82853. PMC: 3866267. DOI: 10.1371/journal.pone.0082853. View

19.

Miller C, Fraser S, Levinger I, Straznicky N, Dixon J, Reynolds J . The effects of exercise training in addition to energy restriction on functional capacities and body composition in obese adults during weight loss: a systematic review. PLoS One. 2014; 8(11):e81692. PMC: 3884087. DOI: 10.1371/journal.pone.0081692. View

20.

Vasconcellos F, Seabra A, Katzmarzyk P, Kraemer-Aguiar L, Bouskela E, Farinatti P . Physical activity in overweight and obese adolescents: systematic review of the effects on physical fitness components and cardiovascular risk factors. Sports Med. 2014; 44(8):1139-52. DOI: 10.1007/s40279-014-0193-7. View