Weight Loss Strategies for Obese Adults: Personalized Weight Management Program vs. Standard Care

Abstract

) men and women (n ϭ 74) 38 Ϯ 5 years of age were randomly assigned into either PWMP (men ϭ 20, women ϭ 21) or SC (men ϭ 15, women ϭ 18). Both groups managed their own diet and exercise program after receiving the same standardized nutrition and physical activity advice. PWMP also received a weight management system with literature to enable the design of a personalized diet and exercise weight loss program. Body weight and body composition, waist circumference, and cardiorespiratory fitness were measured at weeks 0, 16, and 32. Results: Eighty percent of participants completed the 32-week intervention, with a greater proportion of the dropouts being women (PWMP: 2 men vs. 7 women; SC: 2 men vs. 4 women). At 32 weeks, PWMP completers had significantly (p Ͻ 0.001) greater losses in body weight [6.2 Ϯ 3.4 vs. 2.6 Ϯ 3.6 (standard deviation) kg], fat mass (5.9 Ϯ 3.4 vs. 2.2 Ϯ 3.6 kg), and waist circumference (4.4 Ϯ 4.5 vs. 1.0 Ϯ 3.6 cm). Weight loss and fat loss were explained by the exercise energy expenditure completed and not by weekly exercise duration. Discussion: More effective weight loss was achieved after treatment with the PWMP compared with SC. The results suggest that the PWMP enables effective weight loss through tools that support self-monitoring without the requirement of more costly approaches to program supervision.

Individual variability following 12 weeks of supervised exercise: identification and characterization of compensation for exercise-induced weight loss

“…14,45 Therefore, it is intuitive to assume that individuals who lose less than the predicted amount of body weight could be doing less exercise, hence not meeting their prescribed EE. However, one strength of the present study is that all the exercise sessions were supervised in the laboratory and the EE was measured.…”

Does tailoring make a difference? A systematic review of the long-term effectiveness of tailored nutrition education for adults

“…These additional outcomes were also excluded. Study characteristics and results for the 20 studies with excluded outcomes [18][19][20][21][22][23][24][25][26]28,31,33,34,[36][37][38][39][40][41][42] are summarized in Table 2.…”

Measurement and Physiological Relevance of the Maximal Lipid Oxidation Rate During Exercise (LIPOXmax)

“…A crucial issue is that the extent of fat loss in response to exercise training varies quite widely among individuals (Snyder et al, 1997;King et al, 2008;Byrne et al, 2006), even when differences in compliance to the exercise program and energy intake are accounted for. In other terms, exercise is very efficient to lose weight in some individuals while in others it fails to induce weight loss and even more may induce weight gain.…”