wilmore jh, research quarterly for exercise and sport 54:415-425, 1983. changes in lean & fat...
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Total weight, fat mass & lean mass changes with diet and exercise Miller, WC et al International Journal of Obesity 21: , 1997TRANSCRIPT
Wilmore JH, Research Quarterly for Exercise and Sport 54:415-425, 1983.Pre Post
50
55
60
65
70
75
80
85
90
Fat MassLean Mass
Kilo
gram
s
Changes in Lean & Fat Mass with Training - Men
Wilmore JH, Research Quarterly for Exercise and Sport 54:415-425, 1983.Pre Post
30
35
40
45
50
55
60
65
70
Fat MassLean Mass
Kilo
gram
s
Changes in Lean & Fat Mass with Training - Women
Diet Exercise Diet + Exercise-12
-10
-8
-6
-4
-2
0
2
Total WtFat WtLean WtKi
logr
ams
Total weight, fat mass & lean mass changes with diet and exercise
Miller, WC et al International Journal of Obesity 21:941-947, 1997
Diet Exercise Diet + Ex-14-12-10-8-6-4-2024
Lean
Fat
Zuti & Golding, Physician & SportsMedicine 4:49-55, 1978
Wei
ght C
hang
e (lb
s)
Lean vs. Fat Mass Loss with Diet & Exercise
Normal Wt Overweight-6-5-4-3-2-1012
LeanFat
Franklin, B., et al. Research Quarterly 1976.
Wei
ght C
hang
e (lb
s)
Lean vs. Fat Mass Loss In Overweight Adults
MORBID OBESITY
Reduce body fat in obese: Hill JO et al Physical Activity, Fitness, and Health: International Proceedings and Consensus statement, p 684-694, 1994.
No Wt LossTrend
Wt Loss
Jakicic, et al. JAMA 282:1554-1560, 1999
SHORT vs. LONG BOUTS OF EXERICSE
Jakicic, et al. JAMA 282:1554-1560, 1999
1-4 wks 5-8 wks 9-24 wks 7-12 Mo 13-18 Mo0
50
100
150
200
250
ShortLongShort Eq
ADHERENCEM
inut
es p
er w
eek
Jakicic, et al. JAMA 282:1554-1560, 1999
0 6 12 18
-12
-10
-8
-6
-4
-2
0
Months
Wei
ght C
hang
e (k
g)
Weight Loss
Weight % Fat-3
-2.5
-2
-1.5
-1
-0.5
0
0.5
1
ExercisePhysical Activity
Wei
ght (
kg)o
r Per
cent
Fat
(%)
Lifestyle Activity vs. Exercise is Weight Loss
Dunn, A.L. et al JAMA 281:327-334, 1999
OBESITY
Oscai et al J Lipid Research 13:588-592, 1972.
Sedentary Free Eaters
Sedentary Pair
WeightedExercise
0
10
20
30
40
50
60
Calo
ries p
er
Day
OBESITY
0
5
10
15
20
25
Sed-Free Sed-Pair Exercise0
50100150200250300350400
Sed-Free Sed-Pair Exercise
Percent Fat (%)Body Weight (g)
OBESITY
00.050.1
0.150.2
0.250.3
0.350.4
0.45
Sed-Free Sed-Pair Exercise0
1
2
3
4
5
6
7
Sed-Free Sed-Pair Exercise
Fat Cell Size Fat Cell Number
0
10
20
30
40
50
60
70
80
90
% Fat Fat Cell Size
Ex ObeseEliteSed Control
Tremblay, A., Int J Obesity 8:641-648, 1984.
EXERCISE & THE FAT CELL
NUTRITION IN OBESITY
440460480500520540560580600
Control Hi F & S Hi FAT Hi Sugar0
10
20
30
40
50
Control Hi F & S Hi Fat Hi Sugar
Caloric Intake Percent Fat
EXERCISE & NUTRITION
05
10152025303540
Sed-Low Sed-High Ex-High
Perc
ent B
o dy
Fat (
%)
Pitts, et al Am J Physiol 246:R495, 1984
EXERCISE & FOOD INTAKE
Neiman, D.C., J A, Dietetic Assoc 90: 1557-1562, 1990
1400
1600
1800
2000
2200
0 3 5 9 12 15
Kcal
intak
e
ControlExercise
EXERCISE & FOOD INTAKE
2000
2100
2200
2300
2400
2500
2600
2700
2800
Sedentary Mild Moderate
Kcal Expenditure
Intake
Woo, R., Am J. Cln Nutr 36:470-477, 1982
EXERCISE & METABOLIC RATE
0102030405060708090
0.8 0.9 1 1.1 1.2RMR/kg hr
VO2 m
ax (m
l/min
kg)
Poehlman, E.T., Med Sci Sports Exerc 21:515-525, 1989
Wal
den
et a
l, Am
J Cl
in N
utr 4
7:22
9-23
4,
1988
.
N= 20 upperN= 20 lower
LOWER:• Lost Abd & Glut
UPPER:• Lost more on WHR• Lost only from Abd• Lost more weight