The Role of Exercise: Physical Fitness Changes Caused by Hypocaloric Diet and Exercise in Men Who Are Overweight.

IF 6.8 4区 医学 Q1 NUTRITION & DIETETICS Journal of the American Nutrition Association Pub Date : 2024-11-01 Epub Date: 2024-07-03 DOI:10.1080/27697061.2024.2370983
Melek Gülem Sarıoğlu, Mustafa Akıl
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Abstract

Objective: There is evidence showing the effect of hypocaloric diet and increasing physical activity on weight loss. However, the effect of these factors on body composition and functional capacity remains unclear. Also, it is not clear which type of exercise (aerobic, resistance) has effective health benefits for men who are overweight. The aim of this study is to investigate whether a 12-week combined exercise or walking intervention combined with a hypocaloric diet provides improvements in body composition and functional capacity of men who are overweight compared to those who do not exercise.

Methods: 60 healthy adult men who are overweight were randomized and divided into 3 groups: 1: Hypocaloric Diet + Combined Exercise; 2: Hypocaloric Diet + Walking; 3: Hypocaloric Diet. The exercise groups were trained for 12 wk, 3 days a week and 60 min (60 min\3 days\12 wk). Body composition was determined with Bioelectrical Impedance Analysis (BIA) device, strength parameters with MicroFet 2, functional capacity with 6-min walking test.

Results: Improvement was observed in all groups at the end of 12 wk. The greatest improvement was in the combined exercise group. While the values of the combined exercise group increased in Skeletal Muscle Mass, there was a decline in the walking and non-exercising group. Basal Metabolism was maintained in combined exercise, but a decrease occurred in the non-exercising group. Muscle force increased in combined exercise; however, it was maintained in the legs in the walking group. Cardiorespiratory fitness was at best level in walking group, but there was no difference between combined exercise.

Conclusions: As a result, a hypocaloric diet without an exercise prescription is sufficient to lose weight in the short term (12 wk) at a certain level. But exercise is more important for body composition, weight management and functional capacity. Long-term and in-depth studies should be conducted to interpret the results better.

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运动的作用:低热量饮食和运动给超重男性带来的体能变化。
目的:有证据表明,低热量饮食和增加体育锻炼对减轻体重有效果。然而,这些因素对身体成分和功能能力的影响仍不清楚。此外,哪种类型的运动(有氧运动、阻力运动)对超重男性的健康有益也不清楚。本研究旨在探讨与不运动的男性相比,为期 12 周的运动或步行结合低热量饮食的综合干预是否能改善超重男性的身体成分和功能能力。方法:将 60 名超重的健康成年男性随机分为 3 组:1:低热量饮食 + 综合运动组;2:低热量饮食 + 步行组;3:低热量饮食组。运动组的训练时间为 12 周,每周 3 天,每次 60 分钟(60 分钟/3 天/12 周)。用生物电阻抗分析仪(BIA)测定身体成分,用MicroFet 2测定力量参数,用6分钟步行测试测定功能能力:结果:12 周结束时,所有组别均有改善。综合锻炼组的改善幅度最大。虽然综合运动组的骨骼肌质量值有所增加,但步行组和非运动组的骨骼肌质量值却有所下降。综合运动组的基础代谢率保持不变,但非运动组的基础代谢率有所下降。肌肉力量在综合运动中有所增加,但步行组的腿部肌肉力量保持不变。步行组的心肺功能达到最佳水平,但综合运动组之间没有差异:结论:因此,在没有运动处方的情况下,低热量饮食足以在短期内(12 周)在一定程度上减轻体重。但运动对身体成分、体重管理和功能能力更为重要。为了更好地解释结果,应进行长期和深入的研究。
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