The DOI matches its Crossref record; 147 of the 147 references it cites were found in a registry or an index.
The Role of Diet and Exercise for the Maintenance of Fat-Free Mass and Resting Metabolic Rate During Weight Loss
Abstract
The incidence of obesity is increasing rapidly. Research efforts for effective treatment strategies still focus on diet and exercise programmes, the individual components of which have been investigated in intervention trials in order to determine the most effective recommendations for sustained changes in bodyweight. The foremost objective of a weight-loss trial has to be the reduction in body fat leading to a decrease in risk factors for metabolic syndrome. However, a concomitant decline in lean tissue can frequently be observed. Given that fat-free mass (FFM) represents a key determinant of the magnitude of resting metabolic rate (RMR), it follows that a decrease in lean tissue could hinder the progress of weight loss. Therefore, with respect to long-term effectiveness of weight-loss programmes, the loss of fat mass while maintaining FFM and RMR seems desirable. Diet intervention studies suggest spontaneous losses in bodyweight following low-fat diets, and current data on a reduction of the carbohydrate-to-protein ratio of the diet show promising outcomes. Exercise training is associated with an increase in energy expenditure, thus promoting changes in body composition and bodyweight while keeping dietary intake constant. The advantages of strength training may have greater implications than initially proposed with respect to decreasing percentage body fat and sustaining FFM. Research to date suggests that the addition of exercise programmes to dietary restriction can promote more favourable changes in body composition than diet or physical activity on its own. Moreover, recent research indicates that the macronutrient content of the energy-restricted diet may influence body compositional alterations following exercise regimens. Protein emerges as an important factor for the maintenance of or increase in FFM induced by exercise training. Changes in RMR can only partly be accounted for by alterations in respiring tissues, and other yet-undefined mechanisms have to be explored. These outcomes provide the scientific rationale to justify further randomised intervention trials on the synergies between diet and exercise approaches to yield favourable modifications in body composition.
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“For instance, sufficient protein intake is considered crucial for maintaining lean mass in low-calorie dietary regimens (21, 22).”
From Diet and physical exercise as key players to tackle MASLD through improvement of insulin resistance and metabolic flexibility (2024) · cites this paper as [22]
Citations
Cites
1 retracted
Poehlman, É. T., Gardner, A. W., & Goran, M. I. (1992) · Metabolism · doi:10.1016/0026-0495(92)90118-t · Cited by 61
Retracted‘Small Changes' to Diet and Physical Activity Behaviors for Weight Management
Hills, A. P., Byrne, N. M., Lindstrom, R. C., & Hill, J. O. (2013) · Obesity Facts · doi:10.1159/000345030 · Cited by 9,526
Diet, lifestyle, and the risk of type 2 diabetes mellitus in women.
Hu, F. B., Manson, J. E., Stampfer, M. J., Colditz, G., Liu, S., Solomon, C. G., & Willett, W. C. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa010492 · Cited by 2,901
The Finnish Diabetes Prevention Study (DPS)
Lindström, J., Louheranta, A., Mannelin, M., Rastas, M., Salminen, V., Eriksson, J., Uusitupa, M., Tuomilehto, J., & for the Finnish Diabetes Prevention Study Group (2003) · Diabetes Care · doi:10.2337/diacare.26.12.3230 · Cited by 1,848
A Randomized Trial of a Low-Carbohydrate Diet for Obesity
Foster, G. D., Wyatt, H. R., Hill, J. O., McGuckin, B. G., Brill, C., Mohammed, B. S., Szapary, P. O., Rader, D. J., Edman, J. S., & Klein, S. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa022207 · Cited by 1,794
Pi‐Sunyer, F. X. (1993) · Annals of Internal Medicine · doi:10.7326/0003-4819-119-7_part_2-199310011-00006 · Cited by 1,366
A Low-Carbohydrate as Compared with a Low-Fat Diet in Severe Obesity
Samaha, F. F., Iqbal, N., Seshadri, P., Chicano, K. L., Daily, D. A., McGrory, J., Williams, T., Williams, M., Gracely, E. J., & Stern, L. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa022637 · Cited by 1,267 · cited 2×
“Although weight reduction following rious effects on blood pressure,[74] total cholesterol, physical activity is mainly brought about by the triglycerides[29,30,58,74,75] and bone turnover[30,57] have energy expended during the exercise bout, additionbeen reported.”
BackgroundReduced Rate of Energy Expenditure as a Risk Factor for Body-Weight Gain
Ravussin, E., Lillioja, S., Knowler, W. C., Christin, L., Freymond, D., Abbott, W. G. H., Boyce, V., Howard, B. V., & Bogardus, C. (1988) · New England Journal of Medicine · doi:10.1056/nejm198802253180802 · Cited by 1,215
Skov, A., Toubro, S., Rønn, B., Holm, L., & Astrup, A. (1999) · International Journal of Obesity · doi:10.1038/sj.ijo.0800867 · Cited by 743
Physical Activity, Obesity, Height, and the Risk of Pancreatic Cancer
Michaud, D. S. (2001) · JAMA · doi:10.1001/jama.286.8.921 · Cited by 678
Research works printed but not linked: 15
- Mazansky, 1975, S Afr Med J, 49, 1955
- Glass, 2002, J Sports Med Phys Fitness, 42, 56
- Seidell, 1992, Int J Obes, 16, 667
- Belko, 1987, Int J Obes, 11, 93
- Schwartz, 1990, Int J Obes, 14, 1
- Doucet, 2000, J Clin Endocrinol Metab, 85, 1550
- Whitehead, 1996, Int J Obes, 20, 727
- Schlundt, 1993, Int J Obes, 17, 623
- Stubbs, 1996, Eur J Clin Nutr, 50, 409
- Warwick, 1981, Int J Obes, 5, 25
- Frey-Hewitt, 1990, Int J Obes, 14, 327
- Doi, 2001, Asia Pacific J Clin Nutr, 10, 226, 10.1046/j.1440-6047.2001.00247.x · DOI
- Lennon, 1985, Int J Obes, 9, 39
- Osterberg, 2000, Int J Sport Nutr, 10, 71
- Schrauwen, 1998, Am J Physiol, 37, E1027
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Metadata
- Authors
- Stiegler, P., & Cunliffe, A.
- Affiliations
- University of Westminster (GB)
- Corresponding author
- Stiegler, Petra
- Venue
- Sports Medicine
- Published
- 2006
- Volume
- 36
- Issue
- 3
- Pages
- 239-262
- ISSN
- 0112-1642 (ISSN-L)
- OpenAlex
- W2087948696
- Cited by
- 474
- References
- 147
- Citations by year
- 2026: 10 · 2025: 23 · 2024: 15 · 2023: 20 · 2022: 31 · 2021: 27 · 2020: 28 · 2019: 15 · 2018: 20 · 2017: 34 · 2016: 25 · 2015: 33 · 2014: 30 · 2013: 28 · 2012: 30
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
- 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
- weight loss, fat-free mass, resting metabolic rate, diet, exercise training, resistance training, caloric restriction, low-fat diet, protein-carbohydrate ratio, protein intake, body composition, obesity, metabolic syndrome, energy expenditure
- MeSH terms
- Adaptation, Physiological, Adult, Basal Metabolism, Body Composition, Diet, Energy Metabolism, Female, United Kingdom, Humans, Male, Middle Aged, Weight Loss, Exercise, Randomized Controlled Trials as Topic
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