384Weight loss can be induced by diet and exercise. Although weight loss resulting from the combination of diet and exercise can be significant (211.4%), compared to diet (211.1%) or exercise (23.5%) alone (1), the combination of diet and exercise does not always achieve the same level of weight loss as diet and exercise alone (2, 3). A study by Martin et al. (4) reported that diet restriction resulted in reduced energy expenditure by physical activity (PA). This report suggested that a combination of simultaneous diet and exercise might compensate the efficiency of exercise-induced weight loss. However studies by Fogelholm et al. (5) and recommended the use of a weight-loss program that incorporates exercise after diet-induced weight loss. This approach resulted in successful weight loss (men: 13.2 kg in 8 mo, women: 13.8 kg in 12 mo). As many obese individuals are sedentary and are at risk of knee or back injuries during exercise secondary to excess weight, the initiation of exercise after weight loss may be a better approach from both the weight-loss and safety standpoints (7-9).Although PA is well known to prevent obesity, all individuals do not lose the same amounts of weight in response to exercise. Bouchard et al. (10) reported the results from a highly controlled study in which participants were sequestered to an isolated research station. Energy intake was prescribed at a specific level to maintain baseline weight, and exercise was prescribed to create a 1,000 kcal daily energy deficit. Nevertheless, weight loss ranged from 23 to 212 kg. Donnelly et al. (11) conducted a randomised controlled exercise trial in which all exercises were performed under direct supervision, and total energy expenditure was measured according to the doubly labeled water (DLW) method. In this report, the range of weight change was 14 to 214 kg (12).
SummaryThe aim of the current study was to examine the efficiency of a free-living physical activity promotion (PAP) program following a diet modification program for fat loss. Fifty obese men, aged 51.467.0 y, received a 6-mo regimen consisting of 2 phases. Weekly 90-min free-living PAP sessions were provided for 3 mo immediately after a 3-mo diet modification phase. Fat mass (FM) was measured at baseline and at months 3 and 6 using dual energy X-ray absorptiometry. The time spent in moderate-vigorous physical activity (MVPA) was monitored by a validated single-axis accelerometer. The total energy intake of all participants was assessed at baseline and during weeks 9 and 10 of both the diet modification and PAP programs. The change (D) in FM was 21.461.9 kg (p,0.05) during the PAP program after the diet modification program (24.362.9 kg, p,0.01). Although there was no significant relationship between DFM and DMVPA during the PAP phase (p50.11), MVPA was significantly increased during the PAP phase (176.06146.5 min/wk, p,0.01). However, a significant correlation was observed between energy intake/weight and MVPA during the PAP program (r50.39). Our results suggest that the magn...