Obesity Clinical Trial
To examine the dose-response of exercise on long-term weight loss in overweight adult women.
BACKGROUND:
Exercise is a key component of behavioral weight loss programs because of its effect on
weight loss, body composition, cardiovascular disease risk factors, and other obesity
related diseases such as type 2 diabetes mellitus. Despite these benefits, it is unclear
whether there is an optimal exercise duration and/or intensity that will enhance long-term
weight loss. The current public health recommendation for physical activity is for
individuals to participate in at least 30 minutes of moderate intensity physical activity on
most days of the week (approximately 150 minutes per week total). However, it is unclear
whether this amount of exercise is adequate for long-term weight loss. Moreover,
cross-sectional studies have shown that individuals that have been successful at long-term
weight loss participate in levels of physical activity that are greater than the current
public health recommendations.
DESIGN NARRATIVE:
The researchers hypothesized that adopting higher levels of exercise duration and/or
intensity, coupled with a strong behavioral intervention would enhance long-term weight
loss. To test this hypothesis, they recruited 200 overweight women and randomly assigned
them to one of four treatment groups: (1) moderate intensity, moderate 1000cal/wk duration
exercise, (2) vigorous intensity moderate duration exercise, (3) moderate 2000cal/wk
intensity, high duration exercise, and (4) vigorous intensity, high duration exercise. All
subjects participated in a 24-month behavioral weight loss program, with subjects attending
group meetings and receiving periodic telephone contacts from the weight loss program, with
subjects attending group meetings and receiving periodic telephone contacts from the
interventionists. In addition, to facilitate the adoption of the exercise protocols, all
subjects were provided with a home treadmill. Assessment of body weight occured at 0, 6, 12,
and 24 months and exercise participation was measured throughout the program. In addition,
body composition, cardiorespiratory fitness, cardiovascular disease risk factors, and
mediators of behavior change were measured at 0, 6, 12, and 24 months.
The study completion date listed in this record was obtained from the "End Date" entered in
the Protocol Registration and Results System (PRS) record.
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