Fitness, Strength and Body Composition during Weight Loss in Women with Clinically Severe Obesity: A Randomised Clinical Trial
Clint T. Miller, Steve F. Fraser, Steve E. Selig, Toni Rice, Mariee Grima, Daniel J. van den Hoek, Carolina Ika Sari, Gavin W. Lambert and John B. Dixon
obesity exercise training women fitness body composition
Introduction: To determine whether combined exercise training with an energy-restricted diet leads to improved physical fitness and body composition when compared to energy restriction alone in free-living premenopausal women with clinically severe obesity. Methods: Sixty premenopausal women (BMI of 40.4 ± 6.7) were randomised to energy restriction only (ER) or to exercise plus energy restriction (EXER) for 12 months. Body composition and fitness were measured at baseline, 3, 6 and 12 months. Results: VO2 peak improved more for EXER compared to ER at 3 (mean difference ± SEM 2.5 ± 0.9 mL ∙ kg–1 ∙ min–1, p = 0.006) and 6 (3.1 ± 1.2 mL ∙ kg–1 ∙ min–1, p = 0.007) but not 12 months (2.3 ± 1.6 mL ∙ kg–1 ∙ min–1, p = 0.15). Muscle strength improved more for EXER compared to ER at all time points. No differences between groups for lean mass were observed at 12 months. Conclusion: Combining exercise training with an energy-restricted diet did not lead to greater aerobic power, total body mass, fat mass or limit lean body mass loss at 12 months when compared to energy restriction alone for premenopausal women with clinically severe obesity in free-living situations. Future research should aim to determine an effective lifestyle approach which can be applied in the community setting for this high-risk group.
Details
Title
Fitness, Strength and Body Composition during Weight Loss in Women with Clinically Severe Obesity: A Randomised Clinical Trial
Authors
Clint T. Miller (Author) - Deakin University
Steve F. Fraser (Author) - Deakin University
Steve E. Selig (Author) - Deakin University
Toni Rice (Author) - Baker Heart and Diabetes Institute
Mariee Grima (Author) - Baker Heart and Diabetes Institute
Daniel J. van den Hoek (Author) - Deakin University
Carolina Ika Sari (Author) - Baker Heart and Diabetes Institute
Gavin W. Lambert (Author) - Baker Heart and Diabetes Institute
John B. Dixon (Author) - Baker Heart and Diabetes Institute
Publication details
Obesity Facts, Vol.13(4), pp.307-321
Publisher
S. Karger AG
Date published
2020
DOI
10.1159/000506643
ISSN
1662-4033; 1662-4025
PMID
32702706
Copyright note
This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission.
Grant note
Australian National Health and Medical Research Council
Victorian Government's Operational Infrastructure Support Program
Nestle Health Australia