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Cited by 950Obesity, Physical Activity, DietPhysical Activity and HealthCardiovascular and exercise physiology

The DOI matches its Crossref record; 137 of the 139 references it cites were found in a registry or an index.

Exercise for overweight or obesity

Open access
Shaw, Kelly A, Gennat, Hanni C, O'Rourke, Peter, Del Mar, Chris·2006·Cochrane Database of Systematic Reviews
DOI 10.1002/14651858.cd003817.pub3PMC PMC9017288
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Abstract

BACKGROUND: Clinical trials have shown that exercise in adults with overweight or obesity can reduce bodyweight. There has been no quantitative systematic review of this in The Cochrane Library. OBJECTIVES: To assess exercise as a means of achieving weight loss in people with overweight or obesity, using randomised controlled clinical trials. SEARCH STRATEGY: Studies were obtained from computerised searches of multiple electronic bibliographic databases. The last search was conducted in January 2006. SELECTION CRITERIA: Studies were included if they were randomised controlled trials that examined body weight change using one or more physical activity intervention in adults with overweight or obesity at baseline and loss to follow-up of participants of less than 15%. DATA COLLECTION AND ANALYSIS: Two authors independently assessed trial quality and extracted data. MAIN RESULTS: The 43 studies included 3476 participants. Although significant heterogeneity in some of the main effects' analyses limited ability to pool effect sizes across some studies, a number of pooled effect sizes were calculated. When compared with no treatment, exercise resulted in small weight losses across studies. Exercise combined with diet resulted in a greater weight reduction than diet alone (WMD -1.1 kg; 95% confidence interval (CI) -1.5 to -0.6). Increasing exercise intensity increased the magnitude of weight loss (WMD -1.5 kg; 95% CI -2.3 to -0.7). There were significant differences in other outcome measures such as serum lipids, blood pressure and fasting plasma glucose. Exercise as a sole weight loss intervention resulted in significant reductions in diastolic blood pressure (WMD -2 mmHg; 95% CI -4 to -1), triglycerides (WMD -0.2 mmol/L; 95% CI -0.3 to -0.1) and fasting glucose (WMD -0.2 mmol/L; 95% CI -0.3 to -0.1). Higher intensity exercise resulted in greater reduction in fasting serum glucose than lower intensity exercise (WMD -0.3 mmol/L; 95% CI -0.5 to -0.2). No data were identified on adverse events, quality of life, morbidity, costs or on mortality. AUTHORS' CONCLUSIONS: The results of this review support the use of exercise as a weight loss intervention, particularly when combined with dietary change. Exercise is associated with improved cardiovascular disease risk factors even if no weight is lost.

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  1. Cox, 2003, The independent and combined effects of 16 weeks of vigorous exercise and energy restriction on body mass and composition in free-living overweight men--a randomized controlled trial, Metabolism: clinical and experimental, 52, 107, 10.1053/meta.2003.50017 · DOI
  2. WHO, 2003, Report of a Joint WHO/FAO Expert Consultation Report of a Joint WHO/FAO Expert Consultation Joint WHO / FAO Expert Report on Diet, Nutrition and the Prevention of Chronic Disease.

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Metadata

Authors
Shaw, K. A., Gennat, H. C., O'Rourke, P., & Del Mar, C.
Affiliations
  • Menzies Institute for Medical Research (AU)
  • University of Tasmania (AU)
  • The University of Queensland (AU)
  • Bond University; Faculty of Health Sciences and Medicine; University Pde Robina Gold Coast Queensland Australia 4229
ORCID
Venue
Cochrane Database of Systematic Reviews
Publisher
Wiley
Published
2006-10-18
Volume
2010
Issue
1
Pages
CD003817-CD003817
ISSN
  • 1361-6137 (ISSN-L)
  • 1465-1858
DOI
10.1002/14651858.cd003817.pub3
PMC
PMC9017288
OpenAlex
W1556618881
Cited by
950
References
139
Citations by year
2026: 9 · 2025: 15 · 2024: 21 · 2023: 29 · 2022: 61 · 2021: 46 · 2020: 45 · 2019: 45 · 2018: 48 · 2017: 65 · 2016: 49 · 2015: 64 · 2014: 74 · 2013: 79 · 2012: 68
FWCI
5.01
Type
journal article
Language
en
Open access
Locations
  • Cochrane Database of Systematic Reviews (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Bond University Research Portal (Bond University) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
  • Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
Keywords
physical activity, overweight, obesity, weight loss, physical activity interventions, exercise intensity, blood pressure, triglycerides, fasting blood glucose, cardiovascular risk factors, adults
MeSH terms
Adult, Diet, Reducing, Humans, Obesity, Weight Loss, Exercise, Randomized Controlled Trials as Topic, Overweight

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