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Cited by 54Obesity, Physical Activity, DietPhysical Activity and HealthNutrition, Health and Food Behavior

A Structured Diet and Exercise Program Promotes Favorable Changes in Weight Loss, Body Composition, and Weight Maintenance

Kreider, Richard B., Serra, Monica, Beavers, Kristen M., Moreillon, Jen, Kresta, Julie Y., Byrd, Mike, Oliver, Jonathan M., Gutierrez, Jean +11 more·2011·Journal of the American Dietetic Association
DOI 10.1016/j.jada.2011.03.013
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Abstract

Background A number of diet and exercise programs purport to help promote and maintain weight loss. However, few studies have compared the efficacy of different methods. Objective To determine whether adherence to a meal-replacement-based diet program (MRP) with encouragement to increase physical activity is as effective as following a more structured meal-plan-based diet and supervised exercise program (SDE) in sedentary obese women. Design Randomized comparative effectiveness trial. Participants/setting From July 2007 to October 2008, 90 obese and apparently healthy women completed a 10-week university-based weight loss trial while 77 women from this cohort also completed a 24-week weight maintenance phase. Intervention Participants were matched and randomized to participate in an MRP or SDE program. Main outcome measures Weight loss, health, and fitness-related data were assessed at 0 and 10 weeks on all subjects as well as at 14, 22, and 34 weeks on participants who completed the weight maintenance phase. Statistical analyses performed Data were analyzed by multivariate analysis of variance for repeated measures. Results During the 10-week weight loss phase, moderate and vigorous physical activity levels were significantly higher in the SDE group with no differences observed between groups in daily energy intake. The SDE group lost more weight (-3.1 ± 3.7 vs -1.6 ± 2.5 kg; P = 0.03); fat mass (-2.3 ± 3.5 vs -0.9 ± 1.6 kg; P = 0.02); centimeters from the hips (-4.6 ± 7 vs -0.2 ± 6 cm; P = 0.002) and waist (-2.9 ± 6 vs -0.6 ± 5 cm; P = 0.05); and, experienced a greater increase in peak aerobic capacity than participants in the MRP group. During the 24-week maintenance phase, participants in the SDE group maintained greater moderate and vigorous physical activity levels, weight loss, fat loss, and saw greater improvement in maximal aerobic capacity and strength. Conclusions In sedentary and obese women, an SDE-based program appears to be more efficacious in promoting and maintaining weight loss and improvements in markers of health and fitness compared to an MRP type program with encouragement to increase physical activity.

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  • Increasing dietary protein can promote loss of fat mass when higher intakes of daily protein (2-3× the RDA) are combined with an exercise program and a hypoenergetic diet.

    “can also promote the loss of fat mass when higher intakes of daily protein (2-3× the RDA) are combined with an exercise program and a hypoenergetic diet.”

    From International Society of Sports Nutrition Position Stand: protein and exercise (2017) · cites this paper as [45]

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Authors
Kreider, R. B., Serra, M., Beavers, K. M., Moreillon, J., Kresta, J. Y., Byrd, M., Oliver, J. M., Gutierrez, J., Hudson, G., Deike, E., Shelmadine, B., Leeke, P., Rasmussen, C., Greenwood, M., Cooke, M. B., Kerksick, C., Campbell, J. K., Beiseigel, J., & Jonnalagadda, S. S.
Affiliations
  • Texas A&M University (US)
  • University of Maryland, Baltimore (US)
  • Wake Forest University (US)
  • Baylor University (US)
  • George Washington University (US)
  • University of Southern Mississippi (US)
  • Wayland Baptist University (US)
  • Victoria University (AU)
  • University of Oklahoma (US)
  • General Mills (United States) (US)
Corresponding author
Kreider, Richard B.
ORCID
Venue
Journal of the American Dietetic Association
Publisher
Elsevier BV
Published
2011-06
Volume
111
Issue
6
Pages
828-843
ISSN
0002-8223 (ISSN-L)
DOI
10.1016/j.jada.2011.03.013
OpenAlex
W2138810984
Cited by
54
References
13
Citations by year
2026: 1 · 2025: 2 · 2024: 6 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 8 · 2019: 2 · 2018: 3 · 2017: 3 · 2015: 2 · 2014: 4 · 2013: 7 · 2012: 5
FWCI
6.60
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Dietetic Association (publishedVersion)
  • PubMed (publishedVersion)
  • Victoria University Research Repository (Victoria University) (submittedVersion)
  • Swinburne figshare (Swinburne University of Technology) (submittedVersion)
Funders
  • Curves International, Inc
  • National Institutes of Health
  • General Mills Bell Institute of Health and Nutrition
  • Curves International
  • Baylor University and Texas A&M University
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
weight loss, weight maintenance, obese women, supervised exercise, physical activity, body composition, fat mass, cardiorespiratory fitness, strength, sedentary women, energy intake
MeSH terms
Adult, Basal Metabolism, Body Composition, Diet, Energy Metabolism, Female, Food, Formulated, Health Promotion, Heart Rate, Humans, Obesity, Oxygen Consumption, Patient Compliance, Program Evaluation, Weight Loss, Exercise, Multivariate Analysis, Treatment Outcome, Lipid Metabolism, Sedentary Behavior

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