体育锻炼在肥胖治疗中的作用ppt课件.ppt

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1、TheRoleofPhysicalActivityinObesityTherapyBenefitsofRegularPhysicalActivityinObesePersonsDecreaseslossoffat-freemassassociatedwithweightlossImprovesmaintenanceofweightlossImprovescardiovascularandmetabolichealth,independentofweightlossPhysicalActivityHelpsPreserveFat-FreeMassDuringWeightLoss

2、DietOnlyLossofFat-FreeMass(%TotalWeightLoss)BallorandPoehlman.IntJObesRelatMetabDisord1994;18:35.DietPlusPhysicalActivityMenWomen*P<0.05EnergyExpenditureofPhysicalActivityEnergyExpenditure(kcal/h)Adaptedfrom:Alpers.UndergraduateTeachingProject.Nutrition:energyandprotein.AmericanGastroenter

3、ologicalAssociation,1978.AlloutcompetitivesportsRunning10mphRunning6mphClimbingstairsSexualintercourseGardeningWalking4mphBicyclingWalking2mphChewinggum(11kcal/h)40060010002008001200PhysicalActivityAloneResultsinMinimalWeightLossWing.MedSciSportsExerc1999;31(suppl):S547.*P<0.05vscontrolgroup

4、Durationofeachstudyrangedfrom4to12months.Stefanick1998Stefanick1998aAnderssen1995Hammer1989Verity1989Rönnemaa1988Wood1988Wood1983Weightloss(kg)ControlGroupExerciseGroup****Effectof16-monthSupervisedAerobicExerciseonBodyWeightinOverweightandObeseYoungAdultsDonnellyetal.ArchInternMed2003;163:1

5、343*p<0.05vscontrolWeightChange(kg)MenWomen*ControlExercise*PhysicalActivityUsuallyDoesNotIncreaseShort-TermDiet-InducedWeightLoss*P<0.05vsdiet-onlygroup.Wadden1997Ross1996Marks1995Ross1995Blonk1994Sweeney1993Bertram1990Weightloss(kg)DietOnlyDiet+Exercise*WingRR.MedSciSportsExerc.1999;31(sup

6、pl):S547-S552.Eachstudyrangedfrom4to6months.RelationshipBetweenPhysicalActivityandMaintenanceofWeightLossNotMaintainedSubjectsExercising(%)P<0.001Kaymanetal.AmJClinNutr1990;52:800.WeightLossPatternMaintainedConsiderablePhysicalActivityisNecessaryforWeightLossMaintenanceJakicicetal.JAMA1999;2

7、82:1554.ChangeinWeight(kg)Time(months)061218WeeklyBiweeklyMonthlyConcomitantBehaviorTherapy*P<0.05<150min/wk>150min/wk>200min/wkEffectofLow-Activity(1000kcal/wk)andHigh-Activity(2500kcal/wk)onBodyWeight0MonthsWeightChange(kg)61218Jefferyetal.AmJCli