Changes in body composition with a hypocaloric diet combined with sedentary, moderate and high-intense physical activity: a randomized controlled trial.

Background: There is evidence showing the effectiveness of a hypocaloric diet and the increase in physical activity on weight loss. However, the combined role of these factors, not only on weight loss but also body composition, remains unclear. The purpose of this study was to investigate the effect...

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Publicado en:BMC Women's Health Vol. 19; no. 1; pp. 1 - 13
Autores principales: Hernández-Reyes, A., Cámara-Martos, F., Molina-Luque, R., Romero-Saldaña, M., Molina-Recio, G., Moreno-Rojas, R.
Formato: research randomized controlled trial Journal Article
Publicado: BioMed Central 12/27/2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 12/27/2019
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      pub: BioMed Central
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        atl: Changes in body composition with a hypocaloric diet combined with sedentary, moderate and high-intense physical activity: a randomized controlled trial.
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          Hernández-Reyes, A.
          Cámara-Martos, F.
          Molina-Luque, R.
          Romero-Saldaña, M.
          Molina-Recio, G.
          Moreno-Rojas, R.
        affil: Department of Bromatology and Food Technology, University of Córdoba, Campus Rabanales, ed. Darwin - annex. Office of Dr. Rafael Moreno, 14071, Córdoba, ES, Spain
      sug:
        subj:
          Physical Fitness Methods
          Body Composition Physiology
          Diet, Reducing Methods
          Weight Reduction Programs Methods
          Obesity Therapy
          Exercise
          Obesity Physiopathology
          Retrospective Design
          Treatment Outcomes
          Middle Age
          Adult
          Human
          Weight Loss
          Time Factors
          Body Weight
          Female
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Randomized Controlled Trials
          Exercise of Self-Care Agency Scale
          Short Portable Mental Status Questionnaire
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Female
      ab: Background: There is evidence showing the effectiveness of a hypocaloric diet and the increase in physical activity on weight loss. However, the combined role of these factors, not only on weight loss but also body composition, remains unclear. The purpose of this study was to investigate the effect of a hypocaloric diet on the body composition of obese adult women throughout different degrees of physical activity during a weight loss program.Methods: One hundred and seventeen healthy female volunteers were randomly assigned to one of the experimental groups: a control group with a low-level prescription of physical activity (1-4 METs), moderate physical activity group that performed 10.000 steps walking (5-8 METs) and intense physical activity group that trained exercises by at least 70% of VO2max three times a week (> 8 METs). All subjects followed a hypocaloric diet designed with a reduction of 500 kcal/day. Nutritional counseling was provided throughout the study period to help ensure dietary adherence.Results: We found no differences in body weight compared to moderate and intense physical activity (ßstand. = - 0.138 vs. ßstand. = - 0.139). Body fat was lower in women following an intense activity (ßstand. = - 0.436) than those with moderate exercise (ßstand. = - 0.231). The high-intense activity also increased muscle mass at the end of the intervention, standing out above the moderate activity (ßstand. = 0.182 vs. ßstand. = 0.008).Conclusions: These findings indicate that a hypocaloric diet, without prescription of physical activity, is adequate to lose weight in the short term (12 weeks), but physical activity is vital to modify the body composition in women with obesity. Body fat was lower when women practiced a moderate exercise compared to hypocaloric diet only, but an intense physical activity was the most effective protocol to obtain a reduction of body fat and maintain muscle mass.Trial Registration: The study protocol complied with the Declaration of Helsinki for medical studies, it was approved by the bioethical committee of Córdoba University, in the Department of Health at the Regional Government of Andalusia (Act n°284, ref.4156) and retrospectively registered in clinicaltrials.gov (NCT03833791). Registered 2 January 2019.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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