Beneficial effects of exercise: shifting the focus from body weight to other markers of health
Open accessAbstract
Background: Exercise is widely promoted as a method of weight management, while the other health benefits are often ignored. The purpose of this study was to examine whether exercise-induced improvements in health are influenced by changes in body weight. Methods: Fifty-eight sedentary overweight/obese men and women (BMI 31.8 (SD 4.5) kg/m 2) participated in a 12-week supervised aerobic exercise intervention (70% heart rate max, five times a week, 500 kcal per session). Body composition, anthropometric parameters, aerobic capacity, blood pressure and acute psychological response to exercise were measured at weeks 0 and 12. Results: The mean reduction in body weight was −3.3 (3.63) kg (p<0.01). However, 26 of the 58 participants failed to attain the predicted weight loss estimated from individuals’ exercise-induced energy expenditure. Their mean weight loss was only −0.9 (1.8) kg (p<0.01). Despite attaining a lower-than-predicted weight reduction, these individuals experienced significant increases in aerobic capacity (6.3 (6.0) ml/kg/min; p<0.01), and a decreased systolic (−6.00 (11.5) mm Hg; p<0.05) and diastolic blood pressure (−3.9 (5.8) mm Hg; p<0.01), waist circumference (−3.7 (2.7) cm; p<0.01) and resting heart rate (−4.8 (8.9) bpm, p<0.001). In addition, these individuals experienced an acute exercise-induced increase in positive mood. Conclusions: These data demonstrate that significant and meaningful health benefits can be achieved even in the presence of lower-than-expected exercise-induced weight loss. A less successful reduction in body weight does not undermine the beneficial effects of aerobic exercise. From a public health perspective, exercise should be encouraged and the emphasis on weight loss reduced.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The health benefits of regular exercise are independent of any changes in body weight.
“it is well established that the health benefits of regular exercise are independent of any changes in body weight [12].”
From Appetite control and energy balance: Impact of exercise (2015) · cites this paper as [12]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Development and validation of brief measures of positive and negative affect: The PANAS scales.
Watson, D., Clark, L. A., & Tellegen, A. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.6.1063 · Cited by 32,433 · see citing works
Tuomilehto, J., Lindström, J., Eriksson, J. G., Valle, T. T., Hämäläinen, H., Ilanne-Parikka, P., Keinänen-Kiukaanniemi, S., Laakso, M., Louheranta, A., Rastas, M., et al. (2001) · New England Journal of Medicine · doi:10.1056/nejm200105033441801 · Cited by 10,873 · see citing works
Blair, S. N. (1995) · JAMA · doi:10.1001/jama.273.14.1093 · Cited by 2,088 · see citing works
Changes in Energy Expenditure Resulting from Altered Body Weight
Leibel, R. L., Rosenbaum, M., & Hirsch, J. (1995) · New England Journal of Medicine · doi:10.1056/nejm199503093321001 · Cited by 2,012 · see citing works
Waist circumference and not body mass index explains obesity-related health risk
Janssen, I., Katzmarzyk, P. T., & Ross, R. (2004) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/79.3.379 · Cited by 2,009 · see citing works
Dvořák, J., McCrory, P. R., Aubry, M., Molloy, M. J., & Engebretsen, L. (2009) · British Journal of Sports Medicine · doi:10.1136/bjsm.2009.059360 · Cited by 907 · see citing works
Church, T. S., Earnest, C. P., Skinner, J. S., & Blair, S. N. (2007) · JAMA · doi:10.1001/jama.297.19.2081 · Cited by 756 · see citing works
61 Physical inactivity: the biggest public health problem of the 21st Century
Blair, S. N. (2007) · Journal of science and medicine in sport · doi:10.1016/s1440-2440(07)70066-x · Cited by 753 · see citing works
The epidemiology of overweight and obesity: public health crisis or moral panic?
Campos, P., Saguy, A. C., Ernsberger, P. R., Oliver, E., & Gaesser, G. A. (2005) · International Journal of Epidemiology · doi:10.1093/ije/dyi254 · Cited by 746 · see citing works
Foster, G. D., Wadden, T. A., Vogt, R. A., & Brewer, G. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.1.79 · Cited by 460 · see citing works
A review of psychosocial pre‐treatment predictors of weight control
Teixeira, P. J., Going, S. B., Sardinha, L. B., & Lohman, T. G. (2005) · Obesity Reviews · doi:10.1111/j.1467-789x.2005.00166.x · Cited by 449 · see citing works
Foster, G. D., Wadden, T. A., Vogt, R. A., & Brewer, G. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.65.1.79 · Cited by 447 · see citing works
King, N. A., Hopkins, M., Caudwell, P., Stubbs, R. J., & Blundell, J. E. (2008) · International Journal of Obesity · doi:10.1038/sj.ijo.0803712 · Cited by 429 · see citing works
Self-citationGarrow, J. S., & Summerbell, C. D. (1995) · PubMed · Cited by 420 · see citing works
Waist Circumference and Cardiometabolic Risk
Klein, S., Allison, D. B., Heymsfield, S. B., Kelley, D. E., Leibel, R. L., Nonas, C., & Kahn, R. (2007) · Diabetes Care · doi:10.2337/dc07-9921 · Cited by 387 · see citing works
Relation between Caloric Intake, Body Weight, and Physical Work
MAYER, J., ROY, P., & MITRA, K. P. (1956) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/4.2.169 · Cited by 378 · see citing works
Metabolic and Behavioral Compensatory Responses to Exercise Interventions: Barriers to Weight Loss
King, N. A., Caudwell, P., Hopkins, M., Byrne, N. M., Colley, R., Hills, A. P., Stubbs, J. R., & Blundell, J. E. (2007) · Obesity · doi:10.1038/oby.2007.164 · Cited by 322 · see citing works
Self-citation(1997) · PubMed · Cited by 302 · see citing works
Blumenthal, J. A., Sherwood, A., Gullette, E. C. D., Babyak, M., Waugh, R., Georgiades, A., Craighead, L. W., Tweedy, D., Feinglos, M., Appelbaum, M., et al. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.13.1947 · Cited by 289 · see citing works
The Importance of Waist Circumference in the Definition of Metabolic Syndrome
Katzmarzyk, P. T., Janssen, I., Ross, R., Church, T. S., & Blair, S. N. (2006) · Diabetes Care · doi:10.2337/diacare.29.02.06.dc05-1636 · Cited by 268 · see citing works
King, N. A., Caudwell, P. P., Hopkins, M., Stubbs, J. R., Naslund, E., & Blundell, J. E. (2009) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2009.27706 · Cited by 226 · see citing works
Self-citationExercise Motivation, Eating, and Body Image Variables as Predictors of Weight Control
TEIXEIRA, P. J., GOING, S. B., HOUTKOOPER, L. B., CUSSLER, E. C., METCALFE, L. L., BLEW, R. M., SARDINHA, L. B., & LOHMAN, T. G. (2006) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000180906.10445.8d · Cited by 200 · see citing works
Impact of Waist Circumference on the Relationship Between Blood Pressure and Insulin
Poirier, P., Lemieux, I., Mauriège, P., Dewailly, É., Blanchet, C., Bergeron, J., & Després, J. (2005) · Hypertension · doi:10.1161/01.hyp.0000155463.90018.dc · Cited by 189 · see citing works
Janiszewski, P. M., Janssen, I., & Ross, R. (2007) · Diabetes Care · doi:10.2337/dc07-0945 · Cited by 177 · see citing works
Dekker, M. J., Lee, S., HUDSON, R. W., Kilpatrick, K., Graham, T. E., Ross, R., & Robinson, L. E. (2007) · Metabolism · doi:10.1016/j.metabol.2006.10.015 · Cited by 176 · see citing works
Donnelly, J. E., & SMITH, B. K. (2005) · Exercise and Sport Sciences Reviews · doi:10.1097/00003677-200510000-00004 · Cited by 171 · see citing works
Is weight loss the optimal target for obesity-related cardiovascular disease risk reduction?
Ross, R., & Janiszewski, P. M. (2008) · Canadian Journal of Cardiology · doi:10.1016/s0828-282x(08)71046-8 · Cited by 141 · see citing works
Physical activity in the treatment of obesity: beyond body weight reduction
Janiszewski, P. M., & Ross, R. (2007) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/h07-018 · Cited by 96 · see citing works
Snyder, K. A., Donnelly, J., Jabobsen, D., Hertner, G., & Jakicic, J. (1997) · International Journal of Obesity · doi:10.1038/sj.ijo.0800533 · Cited by 85 · see citing works
Exercise alone is not enough: weight loss also needs a healthy (Mediterranean) diet?
Caudwell, P., Hopkins, M., King, N. A., Stubbs, R. J., & Blundell, J. E. (2009) · Public Health Nutrition · doi:10.1017/s1368980009990528 · Cited by 63 · see citing works
Self-citationCommentary: Current perspectives on obesity and health: black and white, or shades of grey?
Blair, S. N., & LaMonte, M. J. (2005) · International Journal of Epidemiology · doi:10.1093/ije/dyi259 · Cited by 40 · see citing works
Commentary: Counterpoint to Campos et al.
Rigby, N. J. (2005) · International Journal of Epidemiology · doi:10.1093/ije/dyi261 · Cited by 13 · see citing works
Klein, S., Allison, D. B., Heymsfield, S. B., Kelley, D. E., Leibel, R. L., Nonas, C., & Kahn, R. (2007) · Cited by 9 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Appetite control and energy balance: Impact of exercise
Blundell, J. E., Gibbons, C., Caudwell, P., Finlayson, G., & Hopkins, M. (2015) · Obesity Reviews · doi:10.1111/obr.12257 · Cited by 346 · see citing works
Self-citationAcute exercise and subsequent energy intake. A meta-analysis
Schubert, M. M., Desbrow, B., Sabapathy, S., & Leveritt, M. (2013) · Appetite · doi:10.1016/j.appet.2012.12.010 · Cited by 240 · see citing works
King, N. A., Horner, K., Hills, A. P., Byrne, N. M., Wood, R. E., Bryant, E., Caudwell, P., Finlayson, G., Gibbons, C., Hopkins, M., et al. (2012) · British Journal of Sports Medicine · doi:10.1136/bjsm.2010.082495 · Cited by 169 · see citing works
Self-citationHealthy lifestyle habits and mortality in overweight and obese individuals
Matheson, E. M., King, D. E., & Everett, C. J. (2012) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2012.01.110164 · Cited by 150 · see citing works
Is regular exercise an effective strategy for weight loss maintenance?
Foright, R. M., Presby, D. M., Sherk, V. D., Kahn, D., Checkley, L. A., Giles, E. D., Bergouignan, A., Higgins, J. A., Jackman, M. R., Hill, J. O., et al. (2018) · Physiology & Behavior · doi:10.1016/j.physbeh.2018.01.025 · Cited by 113 · see citing works
Hopkins, M., King, N. A., & Blundell, J. E. (2010) · Current Opinion in Clinical Nutrition and Metabolic Care · doi:10.1097/mco.0b013e32833e343b · Cited by 76 · see citing works
Self-citationBays, H. (2010) · Expert Review of Cardiovascular Therapy · doi:10.1586/erc.10.125 · Cited by 66 · see citing works
Ormsbee, M. J., Kinsey, A. W., Eddy, W. R., Madzima, T. A., Arciero, P. J., Figueroa, A., & Panton, L. B. (2015) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2014-0256 · Cited by 48 · see citing works
Exercise and Weight Loss: No Sex Differences in Body Weight Response to Exercise
Caudwell, P., Gibbons, C., Finlayson, G., Näslund, E., & Blundell, J. (2014) · Exercise and Sport Sciences Reviews · doi:10.1249/jes.0000000000000019 · Cited by 36 · see citing works
Self-citationObesity and Exercise: New Insights and Perspectives
James, N. M., & Stanford, K. I. (2025) · Endocrine Reviews · doi:10.1210/endrev/bnaf017 · Cited by 20 · see citing works
- Authors
- King, N. A., Hopkins, M., Caudwell, P., Stubbs, R. J., & Blundell, J. E.
- Affiliations
- Queensland University of Technology (AU)
- University of Leeds (GB)
- Corresponding author
- King, N A
- Venue
- British Journal of Sports Medicine
- Publisher
- BMJ
- Published
- 2009-09-29
- Volume
- 43
- Issue
- 12
- Pages
- 924-927
- ISSN
- 0306-3674 (ISSN-L)
- 1473-0480
- OpenAlex
- W2135355897
- Cited by
- 137
- References
- 33
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 3 · 2021: 11 · 2020: 4 · 2019: 4 · 2018: 14 · 2017: 4 · 2016: 9 · 2015: 9 · 2014: 10 · 2013: 16 · 2012: 13
- FWCI
- 8.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- QUT ePrints (Queensland University of Technology) (submittedVersion)
- Funders
- Directorate for Biological Sciences
- Biotechnology and Biological Sciences Research Council (BBS/B/05079)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- aerobic exercise, overweight and obesity, weight loss, body composition, cardiorespiratory fitness, blood pressure, waist circumference, resting heart rate, mood, sedentary adults, health benefits of exercise
- MeSH terms
- Affect, Blood Pressure, Body Weight, Energy Metabolism, Exercise Therapy, Female, Heart Rate, Humans, Male, Obesity, Weight Loss, Overweight, Sedentary Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review