Table 1.
Recommendations for physical activity in the management of obesity [13].
Evidence statements and recommendations on PA for weight loss and WL maintenance | Level of evidence | Evidence statements and recommendations on combined therapy (Diet + PA) for WL and WL maintenance | Level of evidence |
---|---|---|---|
(i) PA in overweight or obese adults results in modest WL independent of the effect of caloric restriction through diet | A | (i) The combination of a reduced calorie diet and increased PA produces greater WL than diet alone or PA alone | A |
(ii) PA in overweight or obese adults modestly reduces abdominal fat | B | (ii) The combination of a reduced calorie diet and increased PA produces greater reductions in abdominal fat than either diet alone or PA alone, although it has not been shown to be independent of WL | B |
(iii) PA in overweight or obese adults modestly increases cardio-respiratory fitness independent of WL | A | (iii) A combination of a reduced calorie diet and increased PA improves cardiorespiratory fitness as measured by VO2max when compared to diet alone | A |
Recommendation: PA is recommended as part of a comprehensive WL program because it: | Recommendation: The combination of a reduced calorie diet and increased PA is recommended, since it produces WL, decreases abdominal fat, and increases cardiorespiratory fitness | A | |
(i) modestly contributes to WL in overweight and obese adults | A | ||
(ii) may decrease abdominal fat | B | ||
(iii) increases cardiorespiratory fitness | A | ||
(iv) may help maintenance of WL | C |
PA, physical activity; WL, weight loss.