Absolute Weight Loss, and Not Weight Loss Rate, Is Associated with Better Improvements in Metabolic Health

Kuk, Jennifer L.; Christensen, Rebecca; Wharton, Sean

doi:10.1155/2019/3609642

Cited by 4 publications

(1 citation statement)

References 17 publications

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“…Consequences associated with rapid body mass loss might include the worsening of specific health biomarkers (182) while the improvement of others (154,195) or detrimental body composition changes in athletes (70). However, because most of these studies are performed in obese or overweight individuals, it could be argued whether any of the benefits observed are because of the body mass loss rate or the absolute body mass loss per se (113). In a recent comprehensive systematic review on this topic (116), it was concluded that gradual rates of weight loss were associated with greater losses in FM and body fat percentage as well as an enhanced maintenance of REE.…”

Section: Rate Of Body Mass Lossmentioning

confidence: 99%

Metabolic Adaptations to Weight Loss: A Brief Review

Martínez-Gómez

Roberts

2021

Journal of Strength and Conditioning Research

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Martínez-G ómez, MG and Roberts, BM. Metabolic adaptations to weight loss: A brief review. J Strength Cond Res 36(10): 2970-2981, 2022-As the scientific literature has continuously shown, body mass loss attempts do not always follow a linear fashion nor always go as expected even when the intervention is calculated with precise tools. One of the main reasons why this tends to happen relies on our body's biological drive to regain the body mass we lose to survive. This phenomenon has been referred to as "metabolic adaptation" many times in the literature and plays a very relevant role in the management of obesity and human weight loss. This review will provide insights into some of the theoretical models for the etiology of metabolic adaptation as well as a quick look into the physiological and endocrine mechanisms that underlie it. Nutritional strategies and dietetic tools are thus necessary to confront these so-called adaptations to body mass loss. Among some of these strategies, we can highlight increasing protein needs, opting for high-fiber foods or programming-controlled diet refeeds, and diet breaks over a large body mass loss phase. Outside the nutritional aspects, it might be wise to increase the physical activity and thus the energy flux of an individual when possible to maintain diet-induced body mass loss in the long term. This review will examine these protocols and their viability in the context of adherence and sustainability for the individual toward successful body mass loss.

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Section: Rate Of Body Mass Lossmentioning

confidence: 99%

Metabolic Adaptations to Weight Loss: A Brief Review

Martínez-Gómez

Roberts

2021

Journal of Strength and Conditioning Research

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Effect of Diet versus Gastric Bypass on Metabolic Function in Diabetes

2020

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Assessing the utility of cardiorespiratory fitness, visceral fat, and liver fat in predicting changes in insulin sensitivity beyond simple changes in body weight after exercise training in adolescents

Kuk

Lee

2021

Appl. Physiol. Nutr. Metab.

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To examine the utility of changes in cardiorespiratory fitness (CRF) and body composition in response to exercise training in adolescents with obesity beyond simple measures of body weight change. This is a secondary analysis of our previously published randomized trials of aerobic, resistance and combined training. We included 104 adolescents (BMI >85th percentile) who had complete baseline and post-intervention data for CRF, regional body fat, insulin sensitivity and oral glucose tolerance. Associations between changes in body composition and CRF with cardiometabolic variables were examined adjusted for age, sex, Tanner stage, race, exercise group and weight loss. At baseline, CRF, visceral fat and liver fat were correlated with insulin sensitivity with and without adjustment for BMI percentile. Training-associated changes in CRF, visceral fat and liver fat were also correlated with insulin sensitivity changes, but not independent of body weight change. After accounting for body weight change, none of the body composition or CRF were associated with changes in insulin sensitivity, glucose tolerance, systolic blood pressure or HDL cholesterol. Although CRF and body composition were strong independent correlates of insulin sensitivity at baseline, changes in CRF and visceral fat were not associated with changes in insulin sensitivity after accounting for body weight change. Novelty Bullets: ∙With exercise training, changes in body weight, CRF, visceral fat and liver fat were correlated with changes in insulin sensitivity. ∙Changes in body composition or CRF generally did not remain significant correlates of changes in insulin sensitivity after adjusting for body weight changes. Clinicaltrials.gov registration numbers: NCT00739180, NCT01323088, NCT01938950

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Absolute Weight Loss, and Not Weight Loss Rate, Is Associated with Better Improvements in Metabolic Health

Cited by 4 publications

References 17 publications

Metabolic Adaptations to Weight Loss: A Brief Review

Metabolic Adaptations to Weight Loss: A Brief Review

Effect of Diet versus Gastric Bypass on Metabolic Function in Diabetes

Assessing the utility of cardiorespiratory fitness, visceral fat, and liver fat in predicting changes in insulin sensitivity beyond simple changes in body weight after exercise training in adolescents

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