Exercise as an adjunct to weight loss and maintenance in moderately obese subjects

Pavlou, Konstantin N.; Krey, Suzanna; Steffee, William P.

doi:10.1093/ajcn/49.5.1115

Cited by 298 publications

(184 citation statements)

References 40 publications

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“…14 Alternative groups with a more supportive approach were proposed. Another survey of obese adults showed that important factors to aim weight loss were exercise and self-motivation.…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional survey of the opinions on weight loss treatments of adult obese patients attending a dietetic clinic

Thompson

Thomas²

2000

Int J Obes

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OBJECTIVE: To investigate the views and opinions on weight loss treatments of adult obese patients attending a dietetic clinic. DESIGN: Cross-sectional survey. SUBJECTS: 161 adults attending dietetic outpatients clinics in Portsmouth for obesity with a body mass index of at least 30 kgam 2 . MEASUREMENTS: Self-administered questionnaire developed from a series of focus groups with obese adults. Key topics were previous attempts to lose weight, methods used, the role of physical activity and patients' views about treatment from health professionals. RESULTS: The preferences and usefulness of different methods to lose weight varied according to the number of attempts to lose weight, gender, age, body mass index and medical condition of the patient. Men were less likely to use special slimming products, attend slimming groups and swimming than women (odds ratios (95% con®dence interval), 0.1 (0.03 ± 0.6) for slimming groups other than Weight Watchers, 0.3 (0.1 ± 0.80) for special slimming products and 0.3 (0.1 ± 0.6) for swimming). Men were more likely to use physical activity (2.6 (1.1 ± 6.2)) and in particular walking (3.7 (1.0 ± 13.6)) and cycling (2.8 (1.0 ± 7.6)) and were more likely to see the dietitian (3.8 (1.4 ± 9.9)) than women. Those with more than 10 attempts to lose weight were more likely to see the dietitian (3.6(1.6 ± 8.2)), use Weight Watchers (2.5 (1.1 ± 5.6)) and newspapers and magazines (4.4 (1.8 ± 10.9)) than those with fewer attempts. The younger age group were more likely to use more vigorous forms of exercise (4.2 (1.6 ± 11.2) for keep ®t and 3.7 (1.5 ± 9.6) for cycling) than the older subjects. The most obese were more likely to have negative views on their treatment by health professionals (4.4 (1.9 ± 9.8)`chairs are never big enough' and 4.0 (1.8 ± 8.8)`I am regarded as a second class citizen') than those who were less obese. Those without a medical condition were more likely to exercise (2.8 (1.3 ± 6.3)) and use books (4.8 (2.0 ± 11.2)) than those with a medical condition. CONCLUSION: The views of obese people should be considered when planning services for the treatment of obesity and a variety of options should be available.

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“…14 Alternative groups with a more supportive approach were proposed. Another survey of obese adults showed that important factors to aim weight loss were exercise and self-motivation.…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional survey of the opinions on weight loss treatments of adult obese patients attending a dietetic clinic

Thompson

Thomas²

2000

Int J Obes

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“…Exercise is to be encouraged, but like behavioral therapies, may be most useful as an adjunct to other weight-loss strategies, such as dietary fat reduction. Exercise is, however, important in longterm maintenance of weight loss (325,326).…”

Section: Energy Balance and Obesitymentioning

confidence: 99%

Evidence-Based Nutrition Principles and Recommendations for the Treatment and Prevention of Diabetes and Related Complications

et al. 2002

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“…For some individuals, even those who are overweight, this may be current weight or a weight 5 to 10 kg less than the current weight. 104 Other strategies such as spacing of meals throughout the day, 105,106 regular exercise, 107 and learning new behaviors 108 can facilitate weight management and metabolic control. No one meal-planning method can be uniformly recommended for all people with type II diabetes.…”

Section: Diet and Meal Plansmentioning

confidence: 99%

Screening, prevention, counseling, and treatment for the complications of type II diabetes mellitus

et al. 1997

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PURPOSE:To summarize current knowledge of interventions that should improve the care of patients with type II diabetes mellitus. Interventions lie within the realms of prevention, screening, and treatment, all of which are focused on office practice. METHODS:Review of the literature by a multidisciplinary team involved in the care of patients with diabetes, followed by synthesis of the literature into a clinical care guideline. Literature was identified through consultation with experts and a focused MEDLINE search. MAIN RESULTS:An algorithm-based guideline for screening and treatment of the complications of diabetes was developed. The emphasis is on prevention of atherosclerotic disease, and prevention, screening, and early treatment of microvascular disease. Implementation of these practices has the potential to significantly improve quality of life and increase life expectancy in patients with type II diabetes mellitus. ype II diabetes is a common condition, affecting 2% to 3% of the adult population, and up to 20% to 25% of the elderly population. 1 Type II diabetes typically occurs in patients who are over 30 years old and weigh more than 120% of ideal body weight, and accounts for 90% of all cases of diabetes mellitus diagnosed in the United States. 1 Minorities have a prevalence of type II diabetes mellitus that is 2 to 6 times greater than that of white persons. The morbidity and mortality are higher for minorities than for white persons, and the rate is increasing. 2 The reasons for this disparity remain unclear, but could include differences in disease severity, comorbidities, or access to care.Diabetes has significant associated morbidity. Prevention and treatment of the complications of diabetes mellitus have the potential to improve quality of life and increase life expectancy. 3 The rate of cardiovascular disease is markedly elevated among patients with type II diabetes, leading to an increased mortality rate compared with the general population. 4,5 In addition, microvascular complications, which include retinopathy, nephropathy, and neuropathy, can progress to end-stage outcomes such as blindness, end-stage renal disease (ESRD), and amputation. Screening and early treatment for diabetic complications have been shown to be effective in reducing the incidence of end-stage disease 6,7 ; despite this evidence, implementation rates of recommended interventions are low. 8 This frequently leads to ineffective or delayed treatment of complications. 9-11 Because optimal diabetes care is a complex process, we developed a clinical care guideline to help busy clinicians incorporate prevention, screening, and treatment recommendations into practice. METHODSA multidisciplinary team was assembled to develop an evidence-based guideline for the prevention and treatment of complications of type II diabetes. The multidisciplinary team included members from endocrinology, family practice, general internal medicine, obstetrics-gyncecology, nursing, and postgraduate medicine departments. Team members have an interest ...

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Exercise as an adjunct to weight loss and maintenance in moderately obese subjects

Cited by 298 publications

References 40 publications

A cross-sectional survey of the opinions on weight loss treatments of adult obese patients attending a dietetic clinic

A cross-sectional survey of the opinions on weight loss treatments of adult obese patients attending a dietetic clinic

Evidence-Based Nutrition Principles and Recommendations for the Treatment and Prevention of Diabetes and Related Complications

Screening, prevention, counseling, and treatment for the complications of type II diabetes mellitus

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