Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Short Communication
  • Published:

Maintenance of improvements in fitness and fatness 1 year after a 3-month lifestyle intervention in overweight men

Abstract

Sustained improvements in cardiovascular fitness and body composition after lifestyle interventions are challenging. The present study investigated whether changes in cardiovascular fitness and body composition were maintained for up to 1 year after similar exercise-induced (T) or diet-induced weight loss (D) or exercise without weight loss (T-iD) in overweight sedentary men. Six and 12 months after the interventions, we measured cardiovascular fitness and body composition. Cardiovascular fitness was higher at both 6- (3.2±1.5 ml O2/kg/min, P=0.053) and 12-month follow-up (3.9±1.4 ml O2/kg/min, P=0.049) compared with pre-intervention in T. Fat mass (−3.0±1.2 kg, P=0.04) and abdominal fat (−3.6±1.5%, P=0.04) were lower within T at 12-month follow-up compared with pre-intervention. This did not occur in D (P>0.13) or T-iD (P>0.14), although body weight was lower in D (−2.5±2.2 kg, P=0.09). This study showed that fitness and fatness were not returned to pre-intervention levels 1 year after a 3-month exercise-induced weight-loss intervention.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Shaw K, Gennat H, O'Rourke P, Del MC . Exercise for overweight or obesity. Cochrane Database Syst Rev 2006; CD003817.

  2. Dombrowski SU, Knittle K, Avenell A, Araujo-Soares V, Sniehotta FF . Long term maintenance of weight loss with non-surgical interventions in obese adults: systematic review and meta-analyses of randomised controlled trials. BMJ 2014; 348: g2646.

    Article  CAS  Google Scholar 

  3. Lindstrom J, Ilanne-Parikka P, Peltonen M, Aunola S, Eriksson JG, Hemio K et al. Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention Study. Lancet 2006; 368: 1673–1679.

    Article  Google Scholar 

  4. Ross R, Dagnone D, Jones PJ, Smith H, Paddags A, Hudson R et al. Reduction in obesity and related comorbid conditions after diet-induced weight loss or exercise-induced weight loss in men. A randomized, controlled trial. Ann Intern Med 2000; 133: 92–103.

    Article  CAS  Google Scholar 

  5. Ross R, Blair S, de LL, Despres JP, Lavie CJ . Changing the endpoints for determining effective obesity management. Prog Cardiovasc Dis 2015; 57: 330–336.

    Article  Google Scholar 

  6. Nordby P, Auerbach PL, Rosenkilde M, Kristiansen L, Thomasen JR, Rygaard L et al. Endurance training per se increases metabolic health in young, moderately overweight men. Obesity (Silver Spring) 2012; 20: 2202–2212.

    Article  CAS  Google Scholar 

  7. Myers J, McAuley P, Lavie CJ, Despres JP, Arena R, Kokkinos P . Physical activity and cardiorespiratory fitness as major markers of cardiovascular risk: their independent and interwoven importance to health status. Prog Cardiovasc Dis 2015; 57: 306–314.

    Article  Google Scholar 

  8. Ostergaard JN, Gronbaek M, Schnohr P, Sorensen TI, Heitmann BL . Combined effects of weight loss and physical activity on all-cause mortality of overweight men and women. Int J Obes (Lond) 2010; 34: 760–769.

    Article  CAS  Google Scholar 

  9. Jakicic JM, Jaramillo SA, Balasubramanyam A, Bancroft B, Curtis JM, Mathews A et al. Effect of a lifestyle intervention on change in cardiorespiratory fitness in adults with type 2 diabetes: results from the Look AHEAD Study. Int J Obes (Lond) 2009; 33: 305–316.

    Article  CAS  Google Scholar 

  10. Wing RR, Phelan S . Long-term weight loss maintenance. Am J Clin Nutr 2005; 82: 222S–225S.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

Danish National Research Council; the Ministry of Culture, Committee on Sports Research; the Academy of Muscle Biology, Exercise and Health Research (AMBEHR); the Novo Nordisk Foundation; the Danish Diabetes Association; Aase og Ejnar Danielsens Fond; Oda og Hans Svenningsens Fond; Fonden til Lægevidenskabens Fremme; Else og Mogens Wedell-Wedellsborgs Fond, Fonden af 17.12.1981; Beckett-Fonden and Direktør J. Madsen og hustru O. Madsens Fond and Fitness.dk. Salary of Mads Rosenkilde was funded by the University of Copenhagen Excellence Programme for Interdisciplinary Research through the research program ‘Governing Obesity’ (www.go.ku.dk).

Disclaimer

The financial sponsors had no role in designing or conducting of the study, in the collection, analysis or interpretation of data, or in the preparation of the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M Rosenkilde.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rosenkilde, M., Nordby, P. & Stallknecht, B. Maintenance of improvements in fitness and fatness 1 year after a 3-month lifestyle intervention in overweight men. Eur J Clin Nutr 70, 1212–1214 (2016). https://doi.org/10.1038/ejcn.2016.64

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ejcn.2016.64

This article is cited by

Search

Quick links