본문 바로가기
KERD
논문KCI 등재

비만인의 체중감량을 위한 운동중재 방법에 대한 고찰

Review on Exercise Intervention Methods for Weight Loss in Obese Individuals

김일영|신윤아|최명동
한국운동생리학회|2016.11|운동과학 (Exercise Science)|제25권 제4호|pp. 219-229|DOI https://doi.org/10.15857/ksep.2016.25.4.219

1

조회

0

다운로드

5

인용

0

참고문헌

키워드

비만ObesityWeight loss운동량체중감량운동강도Exercise typeExercise intensityExercise volume운동종류

초록

PURPOSE: The prevalence of obesity in South Korea has been greatly increased over the past decades despite increases in one’s participation in weight reduction programs including exercise intervention. While it has been repeatedly shown that exercise has positive impacts on many health outcomes including lean body mass, fat mass, and insulin sensitivity, its effect on weight reduction is largely unclear. The purpose of this review was to summarize available data on the effect of exercise intervention on weight reduction and provide guidelines for developing effective exercise intervention, applicable to clinical practice. METHODS: In this review, we reviewed currently available data mainly from meta-analytic studies and other available literature on the effect of therapeutic exercise intervention on weight loss. RESULTS: Studies have generally shown that exercise intervention alone may not be effective in weight reduction due in part to insufficient exercise volume, compensatory increases in food intake, and so on. CONCLUSIONS: It seems that exercise, especially when combined with other interventions such as diet, may enhance effectiveness of the weight loss intervention through increases in lean body mass and/or decreases in fat mass in an exercise volume dependent manner.

Abstract

PURPOSE: The prevalence of obesity in South Korea has been greatly increased over the past decades despite increases in one’s participation in weight reduction programs including exercise intervention. While it has been repeatedly shown that exercise has positive impacts on many health outcomes including lean body mass, fat mass, and insulin sensitivity, its effect on weight reduction is largely unclear. The purpose of this review was to summarize available data on the effect of exercise intervention on weight reduction and provide guidelines for developing effective exercise intervention, applicable to clinical practice. METHODS: In this review, we reviewed currently available data mainly from meta-analytic studies and other available literature on the effect of therapeutic exercise intervention on weight loss. RESULTS: Studies have generally shown that exercise intervention alone may not be effective in weight reduction due in part to insufficient exercise volume, compensatory increases in food intake, and so on. CONCLUSIONS: It seems that exercise, especially when combined with other interventions such as diet, may enhance effectiveness of the weight loss intervention through increases in lean body mass and/or decreases in fat mass in an exercise volume dependent manner.

참고문헌 (89)

  1. Korea Centers for Disease Control & Prevention, "Chronic disease status and issues: Chronic disease Factbook 2015", Korea Center for Disease Control & Prevention, ~ (2015)
  2. Leone N, "Abdominal obesity and late-onset asthma: cross-sectional and longitudinal results: the 3C Study", Obesity (Silver Spring), 20, pp.628~635 (2012)
  3. Socio-economic costs calculation report of Obesity, "National Health Insurance Service", National Health Insurance Service, ~ (2008)
  4. Franz MJ, "Weight loss outcomes: a systematic review and meta-analysis of weightloss clinical trials with a minimum 1 year follow-up", Journal of the American Dietetic Association, 107(10), pp.1755~1767 (2007)
  5. Lakka TA, "Physical activity in prevention and treatment of the metabolic syndrome", Applied Physiology, Nutrition, and Metabolism, 32(1), pp.76~88 (2007)
  6. Ströhle A, "Physical activity, exercise, depression and anxiety disorders", Journal of Neural Transmission, 116(6), pp.777~784 (2009)
  7. Klein S, "Clinical implications of obesity with specific focus on cardiovascular disease. A statement for professionals from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism", Circulation, 110(18), pp.2952~2967 (2004)
  8. Wing RR, "Long-term weight loss maintenance", The American Journal of Clinical Nutrition, 82(1), pp.222~225 (2005)
  9. American College of Sports Medicine, "ACSM’s guidelines for exercise testing and prescription" (2014), Lippincott & Wilkins
  10. Donnelly JE, "Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults", Medicine & Science in Sports &Exercise, 41(7), pp.459~471 (2009)
  11. Haskell WL, "Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association", Medicine & Science in Sports & Exercise, 116(9), pp.1081~ (2007)
  12. Church TS, "Effects of different doses of physical activity on cardiorespiratory fitness among sedentary, overweight or obese postmenopausal women with elevated blood pressure", The Journal of the American Medical Association, 297(19), pp.2081~2091 (2007)
  13. Johannsen NM, "Categorical analysis of the impact of aerobic and resistance exercise training, alone and in combination, on cardiorespiratory fitness levels in patients with type 2 diabetes mellitus: results from the HART-D study", Diabetes Care, 36(10), pp.3305~3312 (2013)
  14. Susanne B, "The role of exercise in the treatment of obesity", Nutrition, 16(3), pp.179~188 (2000)
  15. Garrow JS, "Meta-analysis: effect of exercise, with or without dieting, on the body composition of overweight subjects", European Journal of Clinical Nutrition, 49(1), pp.1~10 (1995)
  16. Catenacci VA, "The role of physical activity in producing and maintaining weight loss", Nature Clinical Practice Endocrinology & Metabolism, 3(7), pp.518~529 (2007)
  17. Murphy MH, "The effect of walking on fitness, fatness and resting blood pressure: a meta-analysis of randomised, controlled trials", Preventive Medicine, 44(5), pp.377~385 (2007)
  18. Jakicic JM, "American College of Sports Medicine position stand. Appropriate intervention strategies for weight loss and prevention of weight regain for adults", Medicine & Science in Sports & Exercise, 33(12), pp.2145~2156 (2001)
  19. Donnelly JE, "American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults", Medicine & Science in Sports & Exercise, 41(2), pp.459~471 (2009)
  20. Wang J, "Waist circumference: a simple, inexpensive, and reliable tool that should be included as part of physical examinations in the doctor’s office", American Journal of Clinical Nutrition, 78(5), pp.902~903 (2003)
  21. Willis LH, "Effects of aerobic and", or resistance training on body mass and fat mass in overweight or obese adults, 2012, pp.113(12), 1831~1837
  22. Ho SS, "The effect of 12 weeks of aerobic, resistance or combination exercise training on cardiovascular risk factors in the overweight and obese in a randomized trial", BMC Public Health, 28(12), pp.704~714 (2012)
  23. Church TS, "Exercise without weight loss does not reduce C-reactive protein: The INFLAME study", Medicine & Science in Sports & Exercise, 42(4), pp.708~716 (2010)
  24. Yavari A, "Effect of aerobic exercise, resistance training or combined training on glycaemic control and cardiovascular risk factors in patients with type 2 diabetes", Biology of Sports, 29(2), pp.135~143 (2012)
  25. Slentz CA, "Effects of aerobic vs. resistance training on visceral and liver fat stores, liver enzymes, and insulin resistance by HOMA in overweight adults from STRRIDE AT", RT. American journal of physiology, 2011, pp.301(5), 1033~1039
  26. 김종경, "저강도 걷기 운동 프로그램이 고도비만여성의 체력, 신체구성 및 혈중 지질에 미치는 영향", 한국발육발달학회지, 18(1), pp.19~24 (2010), 한국발육발달학회
  27. Lemmer JT, "Effect of strength training on resting metabolic rate and physical activity: age and gender comparisons", Medicine & Science in Sports & Exercise, 33(4), pp.532~541 (2001)
  28. Pollock ML, "AHA Science Advisory. Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription:an advisory from the Committee on Exercise, Rehabilitation, and Prevention, Council on Clinical Cardiology, American Heart Association;Position paper endorsed by the American College of Sports Medicine", Circulation, 101(7), pp.828~833 (2000)
  29. Davidson LE, "Effects of exercise modality on insulin resistance and functional limitation in older adults: a randomized controlled trial", Archives of Internal Medicine Journal, 169(2), pp.122~131 (2009)
  30. Ballor DL, "Resistance weight training during caloric restriction enhances lean body maintenance", The American Journal of Clinical Nutrition, 47(1), pp.19~25 (1988)
  31. Jeukendrup AE, "Regulation of fat metabolism in skeletal muscle", Annals of the New York Academy of Sciences, 967(1), pp.217~235 (2002)
  32. Romijn JA, "Regulation of endogenous fat and carbohydrate metabolism in relation to exercise intensity and duration", American Journal of Physiology, 265(28), pp.E380~E391 (1993)
  33. Achten J, "Optimizing fat oxidation through exercise and diet", Nutrition, 20(7-8), pp.716~727 (2004)
  34. Martin WH, "Effects of acute and chronic exercise on fat metabolism", Exercise and Sport Sciences Reviews, 24(1), pp.203~232 (1996)
  35. Brandou F, "Impact of high- and low-intensity targeted exercise training on the type of substrate utilization in obese boys submitted to a hypocaloric diet", Diabetes & Metabolism, 31(4), pp.327~335 (2005)
  36. VanDale D, "Does exercise give an additional effect in weight reduction regimens?", International Journal of Obesity and related Metabolic Disorders, 11(4), pp.367~375 (1986)
  37. Lee L, "The impact of five-month basic military training on the body weight and body fat of 197 moderately to severely obese Singaporean males aged 17-19 years", International journal of obesity and related metabolic disorders, 18(2), pp.105~109 (1994)
  38. Van Loan MD, "The effects of endurance exercise with and without a reduction of energy intake on fatfree mass and the composition of fat-free mass in obese women", European Journal of Clinical Nutrition, 48(6), pp.408~415 (1994)
  39. Keim NL, "Energy expenditure and physical performance in overweight women: response to training with and without caloric restriction", Metabolism, 39(6), pp.651~658 (1990)
  40. Grediagin M, "Exercise intensity does not affect body composition changes in untrained, moderately overfat women", Journal of the American Dietetic Association, 95(6), pp.661~ (1995)
  41. Kraus WE, "Effects of the amount and intensity of exercise on plasma lipoproteins", The New England Journal of Medicine, 347(19), pp.1483~1492 (2002)
  42. Hill JO, "Evaluation of an alternating-calorie diet with and without exercise in the treatment of obesity", The American Journal of Clinical Nutrition, 50(2), pp.248~254 (1989)
  43. Kempen KP, "Energy balance during an 8-week restricted diet with and without exercise in obese women", The American Journal of Clinical Nutrition, 62(4), pp.722~729 (1995)
  44. Racette SB, "Exercise enhances dietary compliance during moderate energy restriction in obese women", The American Journal of Clinical Nutrition, 62(2), pp.345~349 (1995)
  45. Piirtola TM, "Leisure-time physical inactivity and association with body mass index:a Finnish Twin Study with a 35-year follow-up", International Journal of Epidemiology (2016)
  46. Frey-Hewitt B, "The effect of weight loss by dieting or exercise on resting metabolic rate in overweight men", International Journal of Obesity, 14(4), pp.327~334 (1990)
  47. Jakicic JM, "Effect of exercise on 24-month weight loss maintenance in overweight women", Archives of internal medicine, 168(14), pp.1550~1559 (2008)
  48. Huffman KM, "Relationships between adipose tissue and cytokine responses to a randomized controlled exercise training intervention", Metabolism, 57(4), pp.577~583 (2008)
  49. Byrne NM, "Weight loss strategies for obese adults: personalized weight management program vs. standard care", Obesity, 14(1), pp.177~188 (2006)
  50. Lee DC, "Changes in fitness and fatness on the development of cardiovascular disease risk factors hypertension, metabolic syndrome, and hypercholesterolemia", Journal of the American College of Cardiology, 59(7), pp.665~672 (2012)
  51. Garber CE, "Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise", Medicine & Science in Sports & Exercise, 43(7), pp.1334~1359 (2011)
  52. Egger G, "Helping patients lose weight—what works?", Australian Family Physician, 37(1-2), pp.20~23 (2008)
  53. Jakicic JM, "Effects of intermittent exercise and use of home exercise equipment on adherence, weight loss, and fitness in overweight women: a randomized trial", The Journal of the American Medical Association, 282(16), pp.1554~1560 (1999)
  54. Wing RR, "Exercise in a behavioral weight control programme for obese patients with Type 2 (non-insulin-dependent) diabetes", Diabetologia, 31(12), pp.902~909 (1988)
  55. Jakicic JM, "Effect of exercise duration and intensity on weight loss in overweight, sedentary women: a randomized trial", The Journal of the American Medical Association, 290(10), pp.1323~1330 (2003)
  56. Ross R, "Reduction in obesity and related comorbid conditions after diet-induced weight loss or exercise-induced weight loss in men", Annals of Internal Medicine, 133(2), pp.92~103 (2000)
  57. Hadjiolova I, "Physical working capacity in obese women after an exercise programme for body weight reduction", International Journal of Obesity, 6(4), pp.405~410 (1982)
  58. Rosenkilde M, "Body fat loss and compensatory mechanisms in response to different doses of aerobic exercise-a randomized controlled trial in overweight sedentary males", American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 303(6), pp.571~579 (2012)
  59. Church TS, "Changes in weight, waist circumference and comepnsatory responses with different doses of exercise among sedentary, overweight postmenoposaul women", PLOS ONE, 4(2), pp.e4515~ (2009)
  60. King NA, "Individual variability following 12 weeks of supervised exercise: identification and characterization of compensation for exercise-induced weight loss", International Journal of Obesity, 32(1), pp.177~184 (2008)
  61. Ross R, "The future of obesity reduction: beyond weight loss", Nature Reviews Endocrinology, 5, pp.319~325 (2009)
  62. Kelley GA, "Comparison of aerobic exercise, diet or both on lipids and lipoproteins in adults: a meta-analysis of randomized controlled trials", Clinical Nutrition, 31(2), pp.156~167 (2012)
  63. Martins C, "The effects of exercise-induced weight loss on appetite-related peptides and motivation to eat", Journal of Clinical Endocrinology & Metabolism, 95(4), pp.1609~1616 (2010)
  64. Gordon NF, "Comparison of single versus multiple lifestyle interventions: are the antihypertensive effects of exercise training and diet induced weight loss additive?", American Journal of Cardiology, 79(6), pp.763~770 (1997)
  65. Miller WC, "A meta-analysis of the past 25years of weight loss research using diet, exercise or diet plus exercise intervention", International journal of obesity and related metabolic disorders, 21(10), pp.941~947 (1997)
  66. Katzel LI, "Sequential effects of aerobic exercise training and weight loss on risk factors for coronary disease in healthy, obese middle-aged and older men", Metabolism, 46(12), pp.1441~1447 (1997)
  67. Lefevre M, "Caloric restriction alone and with exercise improves CVD risk in healthy non-obese individuals", Atherosclerosis, 203(1), pp.206~213 (2009)
  68. Morencos E, "Effects of dietary restriction combined with different exercise programs or physical activity recommendations on blood lipids in overweight adults", Nutricho Hospitol, 27(6), pp.1916~1927 (2012)
  69. Johns DJ, "Behavioural Weight Management Review Group. Diet or exercise interventions vs combined behavioral weight management programs: a systematic review and meta-analysis of direct comparisons", Journal of the Academy of Nutrition and Dietetics, 114(10), pp.1557~1568 (2014)
  70. MacLean PS, "Biology’s response to dieting: the impetus for weight regain", American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 301(3), pp.581~600 (2011)
  71. Sumithran P, "The defense of body weight: a physiological basis for weight regain after weight loss", Clinical Science(London), 124(4), pp.231~241 (2013)
  72. Camps SG, "Weight loss, weight maintenance, and adaptive thermogenesis", The American Journal of Clinical Nutrition, 97(5), pp.990~994 (2013)
  73. Schwartz A, "Greater than predicted decrease in resting energy expenditure and weight loss: results from a systematic review", Obesity (Silver Spring), 20(11), pp.2307~2310 (2012)
  74. Filozof CM, "Low plasma leptin concentration and low rates of fat oxidation in weight-stable post-obese subjects", Obesity research, 8(3), pp.205~210 (2000)
  75. Weiss EP, "Caloric restriction but not exercise-induced reductions in fat mass decrease plasma triiodothyronine concentrations: a randomized controlled trial", Rejuvenation Research, 11(3), pp.605~609 (2008)
  76. Tomiyama AJ, "Low calorie dieting increases cortisol", Psychosomatic Medicine, 72(4), pp.357~364 (2010)
  77. Cummings DE, "Plasma ghrelin levels after diet-induced weight loss or gastric bypass surgery", The New England Journal of Medicine, 346(21), pp.1623~1630 (2002)
  78. Sumithran P, "Long-term persistence of hormonal adaptations to weight loss", The New England Journal of Medicine, 365(17), pp.1597~1604 (2011)
  79. Pfluger PT, "Effect of human body weight changes on circulating levels of peptide YY and peptide YY3-36", The Journal of Clinical Endocrinology & Metabolism, 92(2), pp.583~588 (2007)
  80. Essah PA, "Effect of weight loss by a low-fat diet and a low-carbohydrate diet on peptide YY levels", International Journal of Obesity(London), 34(8), pp.1239~1242 (2010)
  81. Straznicky NE, "Neuroadrenergic dysfunction in obesity: an overview of the effects of weight loss", Current Opinion in Lipidology, 21(1), pp.21~30 (2010)
  82. Bonomi AG, "Weight-loss induced changes in physical activity and activity energy expenditure in overweight and obese subjects before and after energy restriction", PLOS ONE, 8(3), pp.e59641~ (2013)
  83. Broom DR, "Influence of resistance and aerobic exercise on hunger, circulating levels of acylated ghrelin, and peptice YY in healthy males", American Journal of Physiology, 296(1), pp.29~35 (2009)
  84. Martins C, "Effect of chronic exercise on appetite control in overweight and obese individuals", Medicine & Science in Sports & Exercise, 45(5), pp.805~812 (2013)
  85. Cornier MA, "The effects of exercise on the neuronal response to food cues", Physiology & Behavior, 105(4), pp.1028~1034 (2012)
  86. Hunter GR, "Exercise training prevents regain of visceral fat for 1 year following weight loss", Obesity, 18(4), pp.690~695 (2010)
  87. Foster-Schubert KE, "Effect of diet and exercise, alone or combined, on weight and body composition in overweight to obese postmenopausal women", Obesity (Silver Spring), 20(8), pp.1628~1638 (2012)
  88. Volpe SL, "Effect of diet and exercise on body composition, energy intake and leptin levels in overweight women and men", The Journal of the American College of Nutrition, 27(2), pp.195~208 (2008)
  89. Van Aggel-Leijssen DP, "Long-term effects of low-intensity exercise training on fat metabolism in weightreduced obese men", Metabolism, 51(8), pp.1003~1010 (2002)

관련 논문AI추천

정기적인 신체활동 참여의 효과 총론：건강증진을 위해 체중 조절을 할 것인가? 체력증진을 할 것인가?제갈윤석한국레저사이언스학회 · 한국레저사이언스학회지2011 · 제2권 제1호운동 중재가 성인 비만인의 혈중지질 변화에 미치는 효과 : 체계적 문헌고찰 및 메타분석김옥자대한체육학회 · 대한체육학회지2024 · 제22권 제3호비만의 식사 및 운동 요법배현옥, 정종화대한생물치료정신의학회 · 생물치료정신의학2002 · 제8권 제2호성인을 위한 신체활동 가이드라인 및 운동 강도에 대한 고찰김광준, 김창선, 박동호한국운동생리학회 · 운동과학2015 · 제24권 제2호비만 노쇠와 복합 운동김종희, 이해성한국운동생리학회 · 운동과학2021 · 제30권 제4호성인 초기 비만인을 대상으로 적용된 중재프로그램의 효과에 대한 메타분석이고운한국융합학회 · 한국융합학회논문지2021 · 제12권 제8호

이 간행물의 다른 논문 (8건)

1-RM 추정 문헌 고찰 및 향후 연구 제언이병근pp. 211-218태권도 경기 간 회복방법과 글루코스 섭취가 심박수와 에너지대사관련 혈액변인에 미치는 영향유덕수, 김형준, 이만균pp. 230-23924시간 식이제한 후 저항성 운동이 혈중 성장 호르몬, IGF-1, 코르티솔 및 테스토스테론에 미치는 영향정현령, 강호율pp. 240-247엘리트 배드민턴 선수의 복식경기 동안 활동량과 심박수 연구최민호, 성은숙, 성봉주pp. 248-255트레드밀 운동이 파킨슨 유도 모델 쥐의 α-synuclein 발현과 미토콘드리아 구조적 역동성에 미치는 영향구정훈pp. 256-264
원문 보기