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Effects of dietary restraint vs exercise during weight maintenance in obese men

European Journal of Clinical Nutrition volume 57, pages 1338–1344 (2003)Cite this article

Abstract

Objective: To investigate the effect of dietary restraint with or without exercise during weight maintenance after energy restriction.

Subjects and methods: In total, 40 obese male subjects (mean BMI 32.3 kg/m2; mean age 39 y) were recruited and randomly divided into a diet (D; n=20) and a diet plus exercise (DE; n=20) group. Both groups participated in an energy restriction programme (ER), which was followed by a weight maintenance phase (WM). Subjects in the DE also participated in an exercise programme. Body mass (BM) and the scores on the three factor eating questionnaire (TFEQ) were measured before and after the ER and after WM.

Results: No significant differences between both groups were found. All data taken together showed that BM loss during ER was explained by initial BM (r2=0.3, P<0.0005) and inversely by initial cognitive restraint (F1) (r2=0.4, P<0.0005) in a stepwise regression. BM regain during WM was explained by BM loss (r2=0.5, P<0.001) and by increase in F1 during ER (r2=0.6, P<0.001), while the exercise intervention did not contribute further to the explained variation. Subjects with a relatively high diet frequency prior to the study had relatively significant higher initial F1 scores (P<0.05). During ER, increase in F1 was associated with decrease in general hunger (F3).

Conclusion: Successful BM loss was associated with higher initial BM and lower initial F1. Successful WM was explained by BM loss and increase in F1 during ER, irrespective of possible exercise training effects. Successful WM was reduced when F1 scores reach their limit, due to diet-frequency.

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References

  • Blundell JE (2000): What foods do people habitually eat? A dilemma for nutrition, an enigma for psychology. Am. J. Clin. Nutr. 71, 3–5.

    Article  CAS  Google Scholar 

  • Clark MM, Marcus BH, Pera V & Niaura RS (1994): Changes in eating inventory scores following obesity treatment. Int. J. Eat. Disord. 15, 401–405.

    Article  CAS  Google Scholar 

  • Fogelholm M & Kukkonen-Harjula K . (2000): Does physical activity prevent weight gain: a systematic review. Obes Rev 1, 95–111.

    Article  CAS  Google Scholar 

  • Fogelholm M, Kukkonen-Harjula K & Oja P (1999): Eating control and physical activity as determinants of short-term weight maintenance after a very-low-calorie diet among obese women. Int. J. Obes. Relat. Metab. Disord. 23, 203–210.

    Article  CAS  Google Scholar 

  • Froidevaux F, Schutz Y, Christin L & Jequier E (1993): Energy expenditure in obese women before and during weight loss, after refeeding, and in the weight-relapse period. Am. J. Clin. Nutr. 57, 35–42.

    Article  CAS  Google Scholar 

  • Garrow JS & Summerbell CD (1995): Meta-analysis: effect of exercise, with or without dieting, on the body composition of overweight subjects. Eur. J. Clin. Nutr. 49, 1–10.

    CAS  PubMed  Google Scholar 

  • Goris AH & Westerterp KR (1999): Underreporting of habitual food intake is explained by undereating in highly motivated lean women. J. Nutr. 129, 878–882.

    Article  CAS  Google Scholar 

  • Goris AH & Westerterp KR (2000): Improved reporting of habitual food intake after confrontation with earlier results on food reporting. Br. J. Nutr. 83, 363–369.

    CAS  PubMed  Google Scholar 

  • Goris AH, Westerterp-Plantenga MS & Westerterp KR (2000): Undereating and underrecording of habitual food intake in obese men: selective underreporting of fat intake. Am. J. Clin. Nutr. 71, 130–134.

    Article  CAS  Google Scholar 

  • Heini AF & Weinsier RL (1997): Divergent trends in obesity and fat intake patterns: the American paradox. Am. J. Med. 102, 259–264.

    Article  CAS  Google Scholar 

  • Hensrud DD, Weinsier RL, Darnell BE & Hunter GR (1994): A prospective study of weight maintenance in obese subjects reduced to normal body weight without weight-loss training. Am. J. Clin. Nutr. 60, 688–694.

    Article  CAS  Google Scholar 

  • Keesey RE & Hirvonen MD (1997): Body weight set-points: determination and adjustment. J. Nutr. 127, 1875S–1883S.

    Article  CAS  Google Scholar 

  • Kempen KP, Saris WH & Westerterp KR (1995): Energy balance during an 8-wk energy-restricted diet with and without exercise in obese women. Am. J. Clin. Nutr. 62, 722–729.

    Article  CAS  Google Scholar 

  • Miller WC, Koceja DM & Hamilton EJ (1997): A meta-analysis of the past 25 years of weight loss research using diet, exercise or diet plus exercise intervention. Int. J. Obes. Relat. Metab. Disord. 21, 941–947.

    Article  CAS  Google Scholar 

  • Muls E, Kempen K, Vansant G & Saris W (1995): Is weight cycling detrimental to health? A review of the literature in humans. Int. J. Obes. Relat. Metab. Disord. 19(Suppl), 3, S46–S50.

    PubMed  Google Scholar 

  • Pasman WJ, Saris WH & Westerterp-Plantenga MS (1999): Predictors of weight maintenance. Obes. Res. 7, 43–50.

    Article  CAS  Google Scholar 

  • Pekkarinen T, Takala I & Mustajoki P (1996): Two year maintenance of weight loss after a VLCD and behavioural therapy for obesity: correlations to the scores of questionnaires measuring eating behaviour. Int. J. Obes. Relat. Metab. Disord. 20, 332–337.

    CAS  PubMed  Google Scholar 

  • Ross R, Dagnone D, Jones PJ, Smith H, Paddags A, Hudson R & Janssen I (2000): 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. 133, 92–103.

    Article  CAS  Google Scholar 

  • Schulz LO & Schoeller DA (1994): A compilation of total daily energy expenditures and body weights in healthy adults. Am. J. Clin. Nutr. 60, 676–681.

    Article  CAS  Google Scholar 

  • Seidell JC (1998): Dietary fat and obesity: an epidemiologic perspective. Am. J. Clin. Nutr. 67, 546S–550S.

    Article  CAS  Google Scholar 

  • Siri WE (1956): The gross composition of the body. Adv. Biol. Med. Physiol. 4, 239–280.

    Article  CAS  Google Scholar 

  • Stunkard AJ & Messick S (1985): The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J. Psychosom. Res. 29, 71–83.

    Article  CAS  Google Scholar 

  • Van Aggel-Leijssen DPC, Saris WHM, Hul GB & Van Baak MA (2001): Short-term effects of weight loss with or without low-intensity exercise training on fat metabolism in obese men. Am. J. Clin. Nutr. 73, 523–531.

    Article  CAS  Google Scholar 

  • Van Aggel-Leijssen DPC, Saris WHM, Hul GB & Van Baak MA (2002): Long term effects of low intensity exercise training on fat metabolism in weight-reduced obese men. Metabolism 51, 1003–1010.

    Article  CAS  Google Scholar 

  • Van Dale D & Saris WH (1989): Repetitive weight loss and weight regain: effects on weight reduction, resting metabolic rate, and lipolytic activity before and after exercise and/or diet treatment. Am. J. Clin. Nutr. 49, 409–416.

    Article  CAS  Google Scholar 

  • Van Gemert WG, Westerterp KR, van Acker BA, Wagenmakers AJ, Halliday D, Greve JM & Soeters PB (2000): Energy, substrate and protein metabolism in morbid obesity before, during and after massive weight loss. Int. J. Obes. Relat. Metab. Disord. 24, 711–718.

    Article  CAS  Google Scholar 

  • Wadden TA, Stunkard AJ, Day SC, Gould RA & Rubin CJ (1987): Less food, less hunger: reports of appetite and symptoms in a controlled study of a protein-sparing modified fast. Int. J. Obes. Relat. Metab. Disord. 11, 239–249.

    CAS  Google Scholar 

  • Westerterp KR (1999): Obesity and physical activity. Int. J. Obes. Relat. Metab. Disord. 23(Suppl 1), 59–64.

    Article  Google Scholar 

  • Westerterp KR, Donkers JH, Fredix EW & Boekhoudt P (1995): Energy intake, physical activity and body weight: a simulation model. Br. J. Nutr. 73, 337–347.

    Article  CAS  Google Scholar 

  • Westerterp-Plantenga MS, Kempen KP & Saris WH (1998): Determinants of weight maintenance in women after diet-induced weight reduction. Int. J. Obes. Relat. Metab. Disord. 22, 1–6.

    Article  CAS  Google Scholar 

  • Westerterp-Plantenga MS, Rolland V, Wilson SA & Westerterp KR (1999): Satiety related to 24 h diet-induced thermogenesis during high protein/carbohydrate vs high fat diets measured in a respiration chamber. Eur. J. Clin. Nutr. 53, 495–502.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Human Biology, University of Maastricht, Maastricht, The Netherlands

    M P G M Lejeune, D P C van Aggel-Leijssen, M A van Baak & M S Westerterp-Plantenga

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  1. M P G M Lejeune
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  2. D P C van Aggel-Leijssen
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  3. M A van Baak
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  4. M S Westerterp-Plantenga
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Correspondence to M P G M Lejeune.

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Lejeune, M., van Aggel-Leijssen, D., van Baak, M. et al. Effects of dietary restraint vs exercise during weight maintenance in obese men. Eur J Clin Nutr 57, 1338–1344 (2003). https://doi.org/10.1038/sj.ejcn.1601697

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