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Cited by 865Physical Activity and HealthObesity, Physical Activity, DietRegulation of Appetite and Obesity

How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement

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Saris, W. H. M., Blair, S. N., Van Baak, M. A., Eaton, S. B., Davies, P. S. W., Di Pietro, L., Fogelholm, M., Rissanen, A. +5 more·2003·Obesity Reviews
DOI 10.1046/j.1467-789x.2003.00101.x
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Abstract

Summary: A consensus meeting was held in Bangkok, 21–23 May 2002, where experts and young scientists in the field of physical activity, energy expenditure and body‐weight regulation discussed the different aspects of physical activity in relation to the emerging problem of obesity worldwide. The following consensus statement was accepted unanimously. ‘The current physical activity guideline for adults of 30 minutes of moderate intensity activity daily, preferably all days of the week, is of importance for limiting health risks for a number of chronic diseases including coronary heart disease and diabetes. However for preventing weight gain or regain this guideline is likely to be insufficient for many individuals in the current environment. There is compelling evidence that prevention of weight regain in formerly obese individuals requires 60–90 minutes of moderate intensity activity or lesser amounts of vigorous intensity activity. Although definitive data are lacking, it seems likely that moderate intensity activity of approximately 45 to 60 minutes per day, or 1.7 PAL (Physical Activity Level) is required to prevent the transition to overweight or obesity. For children, even more activity time is recommended. A good approach for many individuals to obtain the recommended level of physical activity is to reduce sedentary behaviour by incorporating more incidental and leisure‐time activity into the daily routine. Political action is imperative to effect physical and social environmental changes to enable and encourage physical activity. Settings in which these environmental changes can be implemented include the urban and transportation infrastructure, schools, and workplaces.’

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  • In observational studies, individuals who successfully maintained large weight loss during at least a year typically engaged in approximately 7 h/week of moderate- to vigorous-intensity exercise.

    “In observational studies ( 234 , 235 , 274 ), individuals who successfully maintained large weight loss during at least a year typically engaged in ∼7 h/week of moderate- to vigorous-intensity exercise ( 62 ).”

    From Exercise and Type 2 Diabetes (2010) · cites this paper as [234]

    The ‘PAL recommendations and prevention of weight gain or regain’ section (page unavailable) describes registry participants who maintained substantial weight loss for at least a year and reports high physical activity. It calls 60 minutes per day—a total of 7 hours per week—a minimum estimate, but says 80–90 minutes per day of moderate activity is more likely. It therefore does not support 7 hours per week of moderate-to-vigorous exercise as the typical amount. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

  • The assumptions underlying METs do not hold for obese people because oxygen consumption expressed in relation to body weight is lower than in normal-weight individuals.

    “and it does not hold for other groups such as obese people in which oxygen consumption expressed in relation to body weight is lower than in normal-weight individuals [12]”

    From Assessment of physical activity – a review of methodologies with reference to epidemiological research: A report of the exercise physiology section of the European association of cardiovascular prevention and rehabilitation (2010) · cites this paper as [12]

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Research works printed but not linked: 2

  1. [7]7. Institute of Medicine. Dietary reference intake for energy, car- bohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. Washington National Academic Press 2002; 3: 3-5.
  2. [47]47. Wing RR, Hill JO. Successful weight loss maintenance. Annu Rev Nutr 2001; 21: 323-341.

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Authors
Saris, W. H. M., Blair, S. N., Van Baak, M. A., Eaton, S. B., Davies, P. S. W., Di Pietro, L., Fogelholm, M., Rissanen, A., Schoeller, D., Swinburn, B., Tremblay, A., Westerterp, K. R., & Wyatt, H.
Affiliations
  • Maastricht University (NL)
  • Cooper Institute (US)
  • Emory University (US)
  • The University of Queensland (AU)
  • Urho Kaleva Kekkonen Institute (FI)
  • Helsinki University Hospital (FI)
  • University of Wisconsin–Madison (US)
  • Deakin University (AU)
  • Université Laval (CA)
  • University of Colorado Health (US)
Corresponding author
Saris, W. H. M.
ORCID
Venue
Obesity Reviews
Publisher
Wiley
Published
2003-04-23
Volume
4
Issue
2
Pages
101-114
ISSN
  • 1467-7881 (ISSN-L)
  • 1467-789X
DOI
10.1046/j.1467-789x.2003.00101.x
OpenAlex
W1983730611
Cited by
865
References
87
Citations by year
2026: 5 · 2025: 5 · 2024: 10 · 2023: 11 · 2022: 17 · 2021: 33 · 2020: 16 · 2019: 26 · 2018: 27 · 2017: 30 · 2016: 37 · 2015: 37 · 2014: 42 · 2013: 63 · 2012: 50
FWCI
27.40
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Obesity Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
  • Scholar Commons (University of South Carolina) (submittedVersion)
Funders
Abbott Laboratories
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
Keywords
physical activity guidelines, weight gain prevention, weight regain, obesity prevention, energy expenditure, body weight regulation, moderate physical activity, vigorous-intensity activity, physical activity level, sedentary behavior, children's physical activity, physical activity environment
MeSH terms
Adult, Body Composition, Body Weight, Child, Child, Preschool, Energy Metabolism, Biological Evolution, Female, Humans, Infant, Male, Middle Aged, Motor Activity, Obesity, Thailand, Time Factors, Weight Gain, Weight Loss, Exercise

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