The Effects of Exercise Training on Fat-Mass Loss in Obese Patients During Energy Intake Restriction

Hansen, Dominique; Dendale, Paul; Berger, Jan; van Loon, Luc J C; Meeusen, Romain

doi:10.2165/00007256-200737010-00003

Cited by 106Obesity, Physical Activity, DietCardiovascular and exercise physiologyPhysical Activity and Health

The Effects of Exercise Training on Fat-Mass Loss in Obese Patients During Energy Intake Restriction

Hansen, Dominique, Dendale, Paul, Berger, Jan, van Loon, Luc J C, Meeusen, Romain·2007·Sports Medicine

DOI 10.2165/00007256-200737010-00003

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Abstract

Dietary restriction combined with endurance exercise training represents an effective strategy to promote weight loss and reduce fat mass in obese patients. Exercise programmes without dietary restriction are less efficient. However, addition of exercise to a dietary restriction programme does not induce a greater fat-mass loss than dietary restriction alone. The latter is likely attributed to a compensatory reduction in daily physical activity following the implementation of exercise training. Nonetheless, inclusion of an exercise training programme is important to prevent a decrease in fat-free mass, increase relative visceral fat-mass loss, improve dietary compliance and eventually maintain long-term weight control. Obese male patients with the highest fat mass are most likely to lose the largest amount of fat mass in such lifestyle intervention programmes. Influences of training modalities during energy intake restriction on fat-mass loss are reviewed. The relationship between total energy expenditure during exercise training and overall fat-mass loss has been firmly established. The amount of training forms a more important predictor of fat-mass loss than training intensity. The sort of exercise (e.g. walking, cycling, swimming) plays another important predictor of fat-mass loss in intervention programmes. The implementation of resistance training in such programmes does not augment fat-mass loss but improves body composition by increasing fat-free mass. Further studies are needed to define the optimal interventional programme for obese patients.

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There are limited differences in results for absolute changes in body composition between various treatment methodologies for overfat individuals.
“several authors [4-9] have previously noted that there are limited differences in results for absolute changes in body composition with comparison between the various methodologies employed for treatment of weight issues for an individual who is overfat.”
From Diet, exercise or diet with exercise: comparing the effectiveness of treatment options for weight-loss and changes in fitness for adults (18–65 years old) who are overfat, or obese; systematic review and meta-analysis (2015) · cites this paper as [4]
Responses to treatment for overfat adults are more related to an energetic imbalance between dietary caloric load and expenditure from activity than to the actual intervention (diet, exercise, or combination).
“While others [4,9-12] have indicated the responses are more related to an energetic imbalance (e.g., kcal/day, kJ/day) between dietary caloric load and expenditure from activity that results from the intervention of choice (e.g., diet, exercise, or combination therein) than the actual intervention for the adult who is overfat.”
From Diet, exercise or diet with exercise: comparing the effectiveness of treatment options for weight-loss and changes in fitness for adults (18–65 years old) who are overfat, or obese; systematic review and meta-analysis (2015) · cites this paper as [4]

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Authors: Hansen, D., Dendale, P., Berger, J., van Loon, L. J. C., & Meeusen, R.
Affiliations: Vrije Universiteit Brussel (BE)
Corresponding author: Meeusen, Romain
ORCID: Hansen, Dominique
Dendale, Paul
Berger, Jan
Meeusen, Romain
Venue: Sports Medicine
Publisher: Springer Science and Business Media LLC
Published: 2007
Volume: 37
Issue: 1
Pages: 31-46
ISSN: 0112-1642 (ISSN-L)
DOI: 10.2165/00007256-200737010-00003
OpenAlex: W2005887695
Cited by: 106
References: 89
Citations by year: 2026: 2 · 2025: 3 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 6 · 2020: 8 · 2019: 4 · 2018: 5 · 2017: 1 · 2016: 6 · 2015: 7 · 2014: 6 · 2013: 6 · 2012: 9
FWCI: 9.65
Type: journal article
Language: en
Open access: closed
Locations: Sports Medicine (publishedVersion)
PubMed (publishedVersion)
Research Publications (Maastricht University) (publishedVersion)
Research Publications (Maastricht University) (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords: exercise training, fat loss, obesity, caloric restriction, dietary restriction, weight loss, visceral fat, fat-free mass, exercise intensity, training volume, resistance training, endurance exercise, lifestyle intervention, body composition, dietary adherence
MeSH terms: Adipose Tissue, Energy Intake, Humans, Netherlands, Obesity, Exercise

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The Effects of Exercise Training on Fat-Mass Loss in Obese Patients During Energy Intake Restriction

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