J Korean Med Assoc.  2011 Jul;54(7):685-696.

Sports medicine in the management of obesity and related disorders

Affiliations
  • 1Department of Family Medicine, Hanyang University College of Medicine, Seoul, Korea. hoonkp@hanyang.ac.kr

Abstract

In 2009, obesity affected 32% of the adult population of Korea. Obesity is associated with a variety of chronic diseases. Weight reduction reduces health risks associated with chronic diseases and is therefore encouraged by the Korean health plan 2020. Aerobic activities should be performed in periods of at least 10 minutes and, ideally, should be performed five or more days a week. Evidence supports moderate-intensity physical activity (PA) for 150 and 250 min/wk to be effective in preventing weight gain. Moderate-intensity PA between 150 and 250 min/wk will provide only modest weight loss. Greater amounts of PA (>250 min/wk) have been associated with clinically significant weight loss and weight maintenance after weight loss. Moderate-intensity PA between 150 and 250 min/wk will improve weight loss in studies that use moderate diet restriction, but not severe diet restriction. Resistance training does not enhance weight loss, but may increase fat-free mass and increase loss of fat mass, and is associated with reductions in health risk. Existing evidence indicates that endurance PA or resistance training without weight loss reduces health risk. All adults including obese people should also perform muscle-strengthening activities two or more days a week. Experts in sports medicine should participate in creating the Korean guidelines for physical activity and clinical services for patients with obesity.

Keyword

Motor activity; Exercise; Obesity; Sports medicine

MeSH Terms

Adult
Chronic Disease
Diet
Humans
Korea
Motor Activity
Obesity
Resistance Training
Sports
Sports Medicine
Weight Gain
Weight Loss

Figure

  • Figure 1 Prevalence of obesity defined by body mass index 25+kg/m2.


Reference

1. Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995. 273:402–407.
Article
2. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A. American College of Sports Medicine. American Heart Association. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007. 116:1081–1093.
3. O'Donovan G, Blazevich AJ, Boreham C, Cooper AR, Crank H, Ekelund U, Fox KR, Gately P, Giles-Corti B, Gill JM, Hamer M, McDermott I, Murphy M, Mutrie N, Reilly JJ, Saxton JM, Stamatakis E. The ABC of Physical Activity for Health: a consensus statement from the British Association of Sport and Exercise Sciences. J Sports Sci. 2010. 28:573–591.
4. Jakicic JM, Clark K, Coleman E, Donnelly JE, Foreyt J, Melanson E, Volek J, Volpe SL. American College of Sports Medicine. American College of Sports Medicine position stand. Appropriate intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2001. 33:2145–2156.
5. Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK. American College of Sports Medicine. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009. 41:459–471.
Article
6. Korean National Health & Nutrition Examination Survey Report, 2009 [Internet]. cited 2011 May 28. Seoul: Korean Centers for Disease Control and Prevention;Available from: http://knhanes.cdc.go.kr/.
7. Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O'Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000. 32:9 Suppl. S498–S504.
Article
8. Strath SJ, Holleman RG, Ronis DL, Swartz AM, Richardson CR. Objective physical activity accumulation in bouts and nonbouts and relation to markers of obesity in US adults. Prev Chronic Dis. 2008. 5:A131.
9. Miyashita M, Burns SF, Stensel DJ. Accumulating short bouts of brisk walking reduces postprandial plasma triacylglycerol concentrations and resting blood pressure in healthy young men. Am J Clin Nutr. 2008. 88:1225–1231.
10. Brown WJ, Williams L, Ford JH, Ball K, Dobson AJ. Identifying the energy gap: magnitude and determinants of 5-year weight gain in midage women. Obes Res. 2005. 13:1431–1441.
Article
11. Ford ES, Li C, Zhao G, Pearson WS, Tsai J, Churilla JR. Sedentary behavior, physical activity, and concentrations of insulin among US adults. Metabolism. 2010. 59:1268–1275.
Article
12. Persinger R, Foster C, Gibson M, Fater DC, Porcari JP. Consistency of the talk test for exercise prescription. Med Sci Sports Exerc. 2004. 36:1632–1636.
13. Stevens J, Truesdale KP, McClain JE, Cai J. The definition of weight maintenance. Int J Obes (Lond). 2006. 30:391–399.
Article
14. Lloyd-Jones DM, Liu K, Colangelo LA, Yan LL, Klein L, Loria CM, Lewis CE, Savage P. Consistently stable or decreased body mass index in young adulthood and longitudinal changes in metabolic syndrome components: the Coronary Artery Risk Development in Young Adults Study. Circulation. 2007. 115:1004–1011.
Article
15. Ball K, Owen N, Salmon J, Bauman A, Gore CJ. Associations of physical activity with body weight and fat in men and women. Int J Obes Relat Metab Disord. 2001. 25:914–919.
Article
16. Martinez JA, Kearney JM, Kafatos A, Paquet S, Martinez-Gonzalez MA. Variables independently associated with self-reported obesity in the European Union. Public Health Nutr. 1999. 2:125–133.
Article
17. Kavouras SA, Panagiotakos DB, Pitsavos C, Chrysohoou C, Anastasiou CA, Lentzas Y, Stefanadis C. Physical activity, obesity status, and glycemic control: the ATTICA study. Med Sci Sports Exerc. 2007. 39:606–611.
18. Berk DR, Hubert HB, Fries JF. Associations of changes in exercise level with subsequent disability among seniors: a 16-year longitudinal study. J Gerontol A Biol Sci Med Sci. 2006. 61:97–102.
Article
19. McTiernan A, Sorensen B, Irwin ML, Morgan A, Yasui Y, Rudolph RE, Surawicz C, Lampe JW, Lampe PD, Ayub K, Potter JD. Exercise effect on weight and body fat in men and women. Obesity (Silver Spring). 2007. 15:1496–1512.
Article
20. Seagle HM, Strain GW, Makris A, Reeves RS. American Dietetic Association. Position of the American Dietetic Association: weight management. J Am Diet Assoc. 2009. 109:330–346.
Article
21. Donnelly JE, Jacobsen DJ, Heelan KS, Seip R, Smith S. The effects of 18 months of intermittent vs. continuous exercise on aerobic capacity, body weight and composition, and metabolic fitness in previously sedentary, moderately obese females. Int J Obes Relat Metab Disord. 2000. 24:566–572.
Article
22. Ross R, Pedwell H, Rissanen J. Effects of energy restriction and exercise on skeletal muscle and adipose tissue in women as measured by magnetic resonance imaging. Am J Clin Nutr. 1995. 61:1179–1185.
Article
23. Donnelly JE, Hill JO, Jacobsen DJ, Potteiger J, Sullivan DK, Johnson SL, Heelan K, Hise M, Fennessey PV, Sonko B, Sharp T, Jakicic JM, Blair SN, Tran ZV, Mayo M, Gibson C, Washburn RA. Effects of a 16-month randomized controlled exercise trial on body weight and composition in young, overweight men and women: the Midwest Exercise Trial. Arch Intern Med. 2003. 163:1343–1350.
Article
24. Slentz CA, Duscha BD, Johnson JL, Ketchum K, Aiken LB, Samsa GP, Houmard JA, Bales CW, Kraus WE. Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE. A randomized controlled study. Arch Intern Med. 2004. 164:31–39.
Article
25. Fogelholm M, Kukkonen-Harjula K. Does physical activity prevent weight gain: a systematic review. Obes Rev. 2000. 1:95–111.
26. Jakicic JM, Marcus BH, Lang W, Janney C. Effect of exercise on 24-month weight loss maintenance in overweight women. Arch Intern Med. 2008. 168:1550–1559.
Article
27. Jeffery RW, Wing RR, Sherwood NE, Tate DF. Physical activity and weight loss: does prescribing higher physical activity goals improve outcome? Am J Clin Nutr. 2003. 78:684–689.
Article
28. Manini TM, Everhart JE, Patel KV, Schoeller DA, Colbert LH, Visser M, Tylavsky F, Bauer DC, Goodpaster BH, Harris TB. Daily activity energy expenditure and mortality among older adults. JAMA. 2006. 296:171–179.
Article
29. Blanc S, Colligan AS, Trabulsi J, Harris T, Everhart JE, Bauer D, Schoeller DA. Influence of delayed isotopic equilibration in urine on the accuracy of the (2)H(2)(18)O method in the elderly. J Appl Physiol. 2002. 92:1036–1044.
Article
30. Tudor-Locke C, Bassett DR Jr. How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med. 2004. 34:1–8.
31. Veerman JL, Barendregt JJ, van Beeck EF, Seidell JC, Mackenbach JP. Stemming the obesity epidemic: a tantalizing prospect. Obesity (Silver Spring). 2007. 15:2365–2370.
Article
32. Chan CB, Ryan DA, Tudor-Locke C. Health benefits of a pedometer-based physical activity intervention in sedentary workers. Prev Med. 2004. 39:1215–1222.
Article
33. Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL, Lin N, Lewis R, Stave CD, Olkin I, Sirard JR. Using pedometers to increase physical activity and improve health: a systematic review. JAMA. 2007. 298:2296–2304.
Article
34. Tudor-Locke C, Lutes L. Why do pedometers work? A reflection upon the factors related to successfully increasing physical activity. Sports Med. 2009. 39:981–993.
35. Tudor-Locke C, Hatano Y, Pangrazi RP, Kang M. Revisiting "how many steps are enough?". Med Sci Sports Exerc. 2008. 40:7 Suppl. S537–S543.
Article
36. Shaw K, Gennat H, O'Rourke P, Del Mar C. Exercise for overweight or obesity. Cochrane Database Syst Rev. 2006. (4):CD003817.
Article
37. Janssen I, Fortier A, Hudson R, Ross R. Effects of an energy-restrictive diet with or without exercise on abdominal fat, intermuscular fat, and metabolic risk factors in obese women. Diabetes Care. 2002. 25:431–438.
Article
38. Campbell WW, Kruskall LJ, Evans WJ. Lower body versus whole body resistive exercise training and energy requirements of older men and women. Metabolism. 2002. 51:989–997.
Article
39. Delecluse C, Colman V, Roelants M, Verschueren S, Derave W, Ceux T, Eijnde BO, Seghers J, Pardaens K, Brumagne S, Goris M, Buekers M, Spaepen A, Swinnen S, Stijnen V. Exercise programs for older men: mode and intensity to induce the highest possible health-related benefits. Prev Med. 2004. 39:823–833.
Article
40. American College of Sports Medicine. ACSM's resource manual for guidelines for exercise testing and prescription. 2006. 5th ed. Philadelphia: Lippincott Williams & Wilkins.
41. American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription. 2006. 7th ed. Philadelphia: Lippincott Williams & Wilkins.
42. Wilder RP, Cicchetti M. Common injuries in athletes with obesity and diabetes. Clin Sports Med. 2009. 28:441–453.
Article
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