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Cited by 93Obesity, Physical Activity, DietDietary Effects on HealthEating Disorders and Behaviors

Evaluation of an alternating-calorie diet with and without exercise in the treatment of obesity

Hill, J O, Schlundt, D G, Sbrocco, T, Sharp, T, Pope-Cordle, J, Stetson, B, Kaler, M, Heim, C·1989·The American Journal of Clinical Nutrition
DOI 10.1093/ajcn/50.2.248
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Abstract

This study examined the effects of calorie alternation and exercise on weight loss. Moderately obese women (130-160% of ideal body weight) were randomly assigned to an alternating- or constant-calorie diet with or without aerobic exercise. Both diets provided an average of 1200 kcal/d over a 12-wk period; daily intake of subjects in the alternating-diet condition varied in a prescribed pattern from 600 to 1800 kcal/d. Exercising subjects walked 5 d/wk. All subjects participated in an intensive outpatient behavior-modification program. At the end of the study, exercised subjects had greater reductions in body weight and body fat percentage than did nonexercised subjects. The type of caloric restriction did not affect weight or fat loss. Changes in resting metabolic rate did not differ among groups. Alternating calories was neither beneficial nor detrimental as a weight-loss strategy whereas exercise was clearly beneficial in weight-loss therapy.

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  • Simply alternating between different levels of energy intake (while still maintaining a degree of ER) during a dietary intervention appears to be no more effective than using a continuous fixed level of ER.

    “On the other hand, simply alternating between different levels of energy intake (while still maintaining a degree of ER) during a dietary intervention appears to be no more effective than using a continuous fixed level of ER.50, 51”

    From Intermittent energy restriction improves weight loss efficiency in obese men: the MATADOR study (2018) · cites this paper as [50]

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Authors
Hill, J. O., Schlundt, D. G., Sbrocco, T., Sharp, T., Pope-Cordle, J., Stetson, B., Kaler, M., & Heim, C.
Affiliations
Vanderbilt University (US)
ORCID
Venue
The American Journal of Clinical Nutrition
Publisher
Elsevier BV
Published
1989-08
Volume
50
Issue
2
Pages
248-254
ISSN
0002-9165 (ISSN-L)
DOI
10.1093/ajcn/50.2.248
OpenAlex
W2133850287
Cited by
93
References
0
Citations by year
2023: 1 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 5 · 2018: 3 · 2017: 7 · 2016: 9 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 5
FWCI
2.12
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • American Journal of Clinical Nutrition (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute of Diabetes and Digestive and Kidney Diseases (DK-26657)
  • National Center for Research Resources (RR00095)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Physiology › Dietary Effects on Health
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords
caloric restriction, weight loss, obesity, aerobic exercise, body fat percentage, resting metabolic rate, behavior modification, women
MeSH terms
Adult, Behavior Therapy, Blood Glucose, Blood Pressure, Body Composition, Body Weight, Energy Intake, Cholesterol, Energy Metabolism, Follow-Up Studies, Humans, Insulin, Lipids, Middle Aged, Obesity, Triglycerides, Exercise

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