Clin Nutr Res.  2017 Jul;6(3):183-197. 10.7762/cnr.2017.6.3.183.

Effect on 12-week Intensive Dietary and Exercise Program on Weight Reduction and Maintenance in Obese Women with Weight Cycling History

• Kwon HN
• Nam SS
• Park YK

• KMID: 2385623
• DOI: http://doi.org/10.7762/cnr.2017.6.3.183

Abstract

This study examined the effect of 12-week intensive dietary and exercise intervention program on body composition and stress-related hormones in obese women and to examine the residual effect after the intervention. The participants of this study were 30 obese women who had a body mass index of over 25 kg/m² and over 30% in body fat. They were classified into 2 groups depending on the history of weight cycling (WC); the WC group (≥±5% of the original body weight) and the non-weight cycling (NWC) group. Both groups were subject to a nutritional intervention program every 2 weeks with a mandatory exercise intervention for 12 weeks. Thereafter, the nutrition/exercise interventions were ceased for 12 weeks, after which the participants' levels of the hormones relating to energy metabolism and stress, meal intakes, dietary habits, level of knowledge on sodium intake, frequency of sodium intake, and quality of life (QOL) were checked. The changes of body weight were 71.3 ± 5.5 kg (week 0) vs. 65.0 ± 6.6 kg (week 12) vs. 65.6 ± 7.1 kg (week 24) in WC group and 71.6 ± 8.6 kg (week 0) vs. 68.8 ± 9.7 kg (week 12) vs. 70.3 ± 9.4 kg (week 24) in the NWC group. The levels of hormones, meal intakes, and QOL scores were better in the WC group, as adherence to the nutritional intervention was higher. We suggest that that adherence to dietary habits heavily influences weight loss and maintenance in individuals who frequently attempt to lose weight and consequently go through a vicious cycle of weight recycling.

Keyword

Obesity; Weight loss; Yo-yo phenomenon; Adherence with dietary intake; Life-style improvement

MeSH Terms

Adipose Tissue
Body Composition
Body Mass Index
Body Weight
Energy Metabolism
Female
Food Habits
Humans
Meals
Obesity
Quality of Life
Recycling
Sodium
Weight Loss*
Sodium

Figure

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  Figure 1 Change in body weight, BMI, fat and skeletal muscle between NWC and WC. BMI, body mass index; NWC, non-weight cycling; WC, weight cycling. *Significant interaction effect and main effect between NWC and WC by time. †Significantly different from 12 week. ‡Significantly different from 24 weeks.

• 

  Figure 2 Proportions of carbohydrates, proteins, fats and energy intake by each group at baseline, 12 week, and 24 weeks. NWC, non-weight cycling; WC, weight cycling. *Significantly different from 12 week. †Significantly different from 24 weeks.

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  Figure 3 Change in Individual distribution percent of intake to RDA NWC during intervention. RNI, recommended nutrient intake; NWC, non-weight cycling; WC, weight cycling. *Significantly different between NWC and WC excluding time.

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  Figure 4 Degree of weight change between NWC and WC. NWC, non-weight cycling; WC, weight cycling; W0, baseline; W12, week 12; W24, week 24; Δ, changes. *Significantly different from 12 weeks.

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