scholarly journals Is It Time to Rethink Our Weight Loss Paradigms?

Biology ◽  
2020 ◽  
Vol 9 (4) ◽  
pp. 70 ◽  
Author(s):  
Paulo Gentil ◽  
Ricardo Borges Viana ◽  
João Pedro Naves ◽  
Fabrício Boscolo Del Vecchio ◽  
Victor Coswig ◽  
...  
Keyword(s):  
Weight Loss ◽  
Interval Training ◽  
Current Evidence ◽  
Physiological Changes ◽  
Exercise Interventions ◽  
High Intensity Training ◽  
Sustained Weight Loss ◽  
Intensity Of Exercise ◽  
Intensity Training

Strategies aiming to promote weight loss usually include anything that results in an increase in energy expenditure (exercise) or a decrease in energy intake (diet). However, the probability of losing weight is low and the probability of sustained weight loss is even lower. Herein, we bring some questions and suggestions about the topic, with a focus on exercise interventions. Based on the current evidence, we should look at how metabolism changes in response to interventions instead of counting calories, so we can choose more efficient models that can account for the complexity of human organisms. In this regard, high-intensity training might be particularly interesting as a strategy to promote fat loss since it seems to promote many physiological changes that might favor long-term weight loss. However, it is important to recognize the controversy of the results regarding interval training (IT), which might be explained by the large variations in its application. For this reason, we have to be more judicious about how exercise is planned and performed and some factors, like supervision, might be important for the results. The intensity of exercise seems to modulate not only how many calories are expended after exercise, but also where they came from. Instead of only estimating the number of calories ingested and expended, it seems that we have to act positively in order to create an adequate environment for promoting healthy and sustainable weight loss.

scholarly journals Effect of four different forms of high intensity training on BDNF response to Wingate and Graded Exercise Test

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Eugenia Murawska-Ciałowicz ◽  
Gilmara Gomes de Assis ◽  
Filipe Manuel Clemente ◽  
Yuri Feito ◽  
Petr Stastny ◽  
...  
Keyword(s):  
Exercise Test ◽  
High Intensity ◽  
Minute Ventilation ◽  
Interval Training ◽  
Wingate Anaerobic Test ◽  
High Intensity Training ◽  
Graded Exercise Test ◽  
Graded Exercise ◽  
Group 2 ◽  
Intensity Training

AbstractThis study examined the effects of a nine-week intervention of four different high-intensity training modalities [high-intensity functional training (HIFT), high-intensity interval training (HIIT), high-intensity power training (HIPT), and high-intensity endurance training (HIET)] on the resting concentration of brain-derived neurotropic factor (BDNF). In addition, we evaluated the BDNF responses to Graded Exercise Test (GXT) and Wingate Anaerobic Test (WAnT) in men. Thirty-five healthy individuals with body mass index 25.55 ± 2.35 kg/m2 voluntarily participated in this study and were randomly assigned into four training groups. During nine-weeks they completed three exercise sessions per week for one-hour. BDNF was analyzed before and after a GXT and WAnT in two stages: (stage 0—before training and stage 9—after nine weeks of training). At stage 0, an increase in BDNF concentration was observed in HIFT (33%; p < 0.05), HIPT (36%; p < 0.05) and HIIT (38%; p < 0.05) after GXT. Even though HIET showed an increase in BDNF (10%) this was not statistically significant (p > 0.05). At stage 9, higher BDNF levels after GXT were seen only for the HIFT (30%; p < 0.05) and HIIT (18%; p < 0.05) groups. Reduction in BDNF levels were noted after the WAnT in stage 0 for HIFT (− 47%; p < 0.01), HIPT (− 49%; p < 0.001), HIET (− 18%; p < 0.05)], with no changes in the HIIT group (− 2%). At stage 9, BDNF was also reduced after WAnT, although these changes were lower compared to stage 0. The reduced level of BDNF was noted in the HIFT (− 28%; p < 0.05), and HIPT (− 19%;p < 0.05) groups. Additionally, all groups saw an improvement in VO2max (8%; p < 0.001), while BDNF was also correlated with lactate and minute ventilation and selected WAnT parameters. Our research has shown that resting values of BDNF after nine weeks of different forms of high-intensity training (HIT) have not changed or were reduced. Resting BDNF measured at 3th (before GXT at stage 9) and 6th day after long lasting HITs (before WAnT at stage 9) did not differed (before GXT), but in comparison to the resting value before WAnT at the baseline state, was lower in three groups. It appears that BDNF levels after one bout of exercise is depended on duration time, intensity and type of test/exercise.

Neuroendocrine regulation of energy balance: Implications on the development and surgical treatment of obesity

2017 ◽  
Vol 23 (3) ◽  
pp. 131-146 ◽  
Author(s):  
Gisele Farias ◽  
Bárbara Dal Molin Netto ◽  
Solange Cravo Bettini ◽  
Ana Raimunda Dâmaso ◽  
Alexandre Coutinho Teixeira de Freitas
Keyword(s):  
Weight Loss ◽  
Adipose Tissue ◽  
Gastrointestinal Tract ◽  
Energy Balance ◽  
Public Health Problem ◽  
Neuroendocrine Regulation ◽  
Calorie Intake ◽  
Hormone Signaling ◽  
Sustained Weight Loss

Introduction: Obesity, a serious public health problem, occurs mainly when food consumption exceeds energy expenditure. Therefore, energy balance depends on the regulation of the hunger–satiety mechanism, which involves interconnection of the central nervous system and peripheral signals from the adipose tissue, pancreas and gastrointestinal tract, generating responses in short-term food intake and long-term energy balance. Increased body fat alters the gut- and adipose-tissue-derived hormone signaling, which promotes modifications in appetite-regulating hormones, decreasing satiety and increasing hunger senses. With the failure of conventional weight loss interventions (dietary treatment, exercise, drugs and lifestyle modifications), bariatric surgeries are well-accepted tools for the treatment of severe obesity, with long-term and sustained weight loss. Bariatric surgeries may cause weight loss due to restriction/malabsorption of nutrients from the anatomical alteration of the gastrointestinal tract that decreases energy intake, but also by other physiological factors associated with better results of the surgical procedure. Objective: This review discusses the neuroendocrine regulation of energy balance, with description of the predominant hormones and peptides involved in the control of energy balance in obesity and all currently available bariatric surgeries. Conclusions: According to the findings of our review, bariatric surgeries promote effective and sustained weight loss not only by reducing calorie intake, but also by precipitating changes in appetite control, satiation and satiety, and physiological changes in gut-, neuro- and adipose-tissue-derived hormone signaling.

scholarly journals Evaluation of the Effects of Bariatric Surgery in Terms of Weight Loss and Diabetes Remission in the Indian Population

2021 ◽  
pp. 1-7
Author(s):  
Manish Khaitan ◽  
Riddhish Gadani ◽  
Koshish Nandan Pokharel
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Complete Remission ◽  
Predictive Factors ◽  
Indian Population ◽  
Diabetes Remission ◽  
Obese Patients ◽  
Sustained Weight Loss

<b><i>Objectives:</i></b> The growing prevalence of obesity rates worldwide is associated with an upsurge in its comorbidities, particularly type 2 diabetes mellitus (T2DM). Bariatric surgery is a proven treatment modality for producing sustained weight loss and resolution of associated T2DM providing marked improvement in quality of life with rapid recovery. This study aims to investigate the effects of laparoscopic sleeve gastrectomy (LSG), Roux-en-Y gastric bypass (RYGB), and mini-gastric bypass (MGB) on obese patients suffering from T2DM in the Indian population and their long-term association with regard to diabetes remission, resolution of comorbidities, and percentage EWL. <b><i>Methods:</i></b> Retrospective data of obese patients with T2DM (preoperative BMI 45.37 ± 8.1) who underwent bariatric surgery (RYGB, LSG, and MGB) were analyzed in this study over a period of 9 years. The mean follow-up period was 2.2 years. Following surgery, the clinical outcome on BMI, resolution of percentage weight loss, and T2DM were studied. The predictive factors of diabetic remission after surgery were determined. Student’s <i>t</i> test and ANOVA and McNemar’s test were applied. <b><i>Results:</i></b> Out of a total of 274 patients, complete remission of T2DM was achieved in 52.9% (<i>n</i> = 145) with mean fasting blood glucose and glycated hemoglobin values being 6.1 ± 0.769 (<i>p</i> = 0.00) at 1 year after surgery. The independent predictive factors of remission were age, gender, BMI, preoperative comorbidities, and % EWL. Gender had no correlation with the chance of achieving disease remission. <b><i>Conclusion:</i></b> Based on our results, bariatric surgery proves to be a successful treatment option resulting in sustained weight loss in obese patients suffering from T2DM. It is found to be beneficial for the long-term resolution of T2DM and improving comorbidities such as hypertension and dyslipidemia. The outcome of the different surgical methods is found to be similar for all patients irrespective of the independent predictors of complete remission.

Abstract 12368: Impact of Weight Trends on Long-term Outcomes After Atrial Fibrillation Ablation in Obese Patients

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
T J Bunch ◽  
Heidi T May ◽  
Tami L Bair ◽  
Victoria Jacobs ◽  
Brian G Crandall ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Weight Loss ◽  
Catheter Ablation ◽  
Obese Patients ◽  
Long Term Outcomes ◽  
Sustained Weight Loss ◽  
Index Weight ◽  
Af Recurrence

Introduction: Catheter ablation of atrial fibrillation (AF) is an established therapeutic rhythm approach in symptomatic patients. Obesity is a dominant driver of AF recurrence after ablation. Weight reduction strategies lower general AF burden and as such may be critical to long-term success rates after ablation. Hypothesis: Long-term outcomes after AF ablation will be better in obese patients with sustained weight loss. Methods: All patients that underwent an index ablation with a BMI recorded and >30 kg/m 2 and at least 3 years of follow-up were included (n=407). The group was separated and compared by weight trends over the 3 years (1. Lost >3% of index weight, n=141; 2. Maintained index weight ±3%, n=147; 3. Gained >3% of index weight at 3 years, n=119). Long-term outcomes included AF recurrence and a composite defined as major adverse clinical events, MACE (stroke/TIA, heart failure (HF) hospitalization, and death). Results: The average age was 63.6±10.4 years, 59.3% were male and 51.7% had paroxysmal AF. AF comorbidities include: hypertension (79.5%), heart failure (36.0%), sleep apnea (35.2%), diabetes (28.9%), and stroke/TIA (5.9%). Those that maintained their weight (HR: 1.45, p=0.05) and those that gained weight (HR 1.54, p=0.07) were more likely to have AF recurrence compared to those that lost weight. Similarly, MACE increased from 18.4% in those that lost weight at 3 years compared to 18.6% (HR 1.32, p=0.29) in those that maintained their weight and 26.5% in those that gained weight (HR 2.01, p=0.02). A small group of patients (n=5), lost >3% then gained it back and ultimately increased their weight by 3%. This group had the highest rates of AF recurrence (100%). Conclusion: Maintained weight loss is a critical component in reducing AF recurrence rates after index catheter ablation in obese patients. Sustained weight loss also results in a reduction in AF-related comorbidities and mortality.

High-Intensity Training versus Traditional Exercise Interventions for Promoting Health

2010 ◽  
Vol 42 (10) ◽  
pp. 1951-1958 ◽  
Author(s):  
LARS NYBO ◽  
EMIL SUNDSTRUP ◽  
MARKUS D. JAKOBSEN ◽  
MAGNI MOHR ◽  
THERESE HORNSTRUP ◽  
...  
Keyword(s):  
High Intensity ◽  
Exercise Interventions ◽  
High Intensity Training ◽  
Intensity Training

scholarly journals Comparison of Long and Short High-Intensity Interval Exercise Bouts on Running Performance, Physiological and Perceptual Responses

2017 ◽  
Vol 02 (01) ◽  
pp. E20-E27 ◽  
Author(s):  
Sverre Valstad ◽  
Erna von Heimburg ◽  
Boye Welde ◽  
Roland van den Tillaar
Keyword(s):  
High Intensity ◽  
Short Interval ◽  
Total Duration ◽  
Interval Training ◽  
Running Performance ◽  
Interval Exercise ◽  
Short Intervals ◽  
High Intensity Training ◽  
High Intensity Interval ◽  
Intensity Training

AbstractThis study compared the effects of long (4×4 min) and short intervals (4×8×20 s) of high-intensity interval exercise bouts (HIIT) on running performance, physiological and perceptual responses, and excess postexercise oxygen consumption (EPOC). Twelve healthy college students (8 men, 4 women; mean age=22±2 years) performed long (90–95% of peak heart rate) and short intervals (maximal intensity) of high-intensity training (running on a non-motorized treadmill) with the same total duration on separate days. The total volume of consumed oxygen during recovery was the same in both cases (P=0.21), whereas the short intervals of high-intensity training were performed at a faster mean running velocity (3.5±0.18 vs. 2.95±0.07 m/s) and at a lower RPEbreath compared with the long intervals of high-intensity training. The blood lactate concentration also tended to be lower during the short intervals of high-intensity training, indicating that short-interval training was perceived to be easier than long-interval training, even though the cardiovascular and metabolic responses are similar. Furthermore, EPOC lasted significantly longer (83.4±3.2 vs. 61.3±27.9 min, P=0.016) and tended to be higher (8.02±4.22=vs. 5.70±3.75 L O2, P=0.053) after short intervals than after long intervals of training.

scholarly journals Long‐term treatment of hypogonadal men with testosterone produces substantial and sustained weight loss

Obesity ◽  
2013 ◽  
Vol 21 (10) ◽  
pp. 1975-1981 ◽  
Author(s):  
Farid Saad ◽  
Ahmad Haider ◽  
Gheorghe Doros ◽  
Abdulmaged Traish
Keyword(s):  
Weight Loss ◽  
Term Treatment ◽  
Sustained Weight Loss ◽  
Long Term Treatment

Using Profile of Mood States (POMS) to Monitor High-Intensity Training in Cyclists: Group versus Case Studies

2000 ◽  
Vol 14 (2) ◽  
pp. 138-156 ◽  
Author(s):  
David T. Martin ◽  
Mark B. Andersen ◽  
Ward Gates
Keyword(s):  
High Intensity ◽  
Group Versus ◽  
Interval Training ◽  
Cycling Performance ◽  
Mood States ◽  
Profile Of Mood States ◽  
High Intensity Training ◽  
High Intensity Interval ◽  
The One ◽  
Intensity Training

This study examined whether the Profile of Mood States questionnaire (POMS) is a useful tool for monitoring training stress in cycling athletes. Participants (n = 11) completed the POMS weekly during six weeks of high-intensity interval cycling and a one-week taper. Cycling performance improved over the first three weeks of training, plateaued during Weeks 4 and 5, decreased slightly following Week 6, and then significantly increased during the one-week taper. Neither the high-intensity interval training nor the one-week taper significantly affected total mood or specific mood states. POMS data from two cyclists who did not show improved performance capabilities during the taper (overtraining) were not distinctly unique when compared to cyclists who did improve. Also, one cyclist, who on some days had the highest total mood disturbance, responded well to the taper and produced his best personal effort during this time period. These findings raise questions about the usefulness of POMS to distinguish, at an individual level, between periods of productive and counterproductive high-intensity training.

scholarly journals High-Intensity Interval Training and Sprint-Interval Training in National-Level Rowers

2021 ◽  
Vol 12 ◽  
Author(s):  
Kirstie Jodie Turner ◽  
David Bruce Pyne ◽  
Julien D. Périard ◽  
Anthony John Rice
Keyword(s):  
High Intensity ◽  
National Level ◽  
Time Trial ◽  
Interval Training ◽  
Training Methods ◽  
Incremental Test ◽  
High Intensity Training ◽  
Significant Difference ◽  
High Intensity Interval ◽  
Intensity Training

Purpose: The effects of two different high-intensity training methods on 2,000 m rowing ergometer performance were examined in a feasibility study of 24 national-level rowers aged 18–27 years (17 males, 2,000 m ergometer time trial 6:21.7 ± 0:14.6 (min:s) and seven females, 2,000 m ergometer 7:20.3 ± 0:12.1. Habitual training for all participants was ~12–16 h per week).Methods: 16 high-intensity ergometer sessions were completed across two 3-week periods. Participants were allocated into two groups according to baseline 2,000 m time. High-intensity interval session-sprint-interval session (HIIT-SIT) completed eight HIIT (8 × 2.5 min intervals; 95% of 2,000 m wattage) followed by eight SIT (three sets of 7 × 30 s intervals; maximum effort). SIT-HIIT completed eight SIT sessions followed by eight HIIT sessions. Both a 2,000-m time trial and a progressive incremental test finishing with 4 min “all-out” performance were completed before and after each 3-week phase.Results: Both groups showed similar improvements in 2,000 m time and 4 min “all-out” distance after the first 3 weeks (2,000 m time: HIIT-SIT: −2.0 ± 0.6%, mean ± 90% CL, p = 0.01; SIT-HIIT: −1.5 ± 0.3%, p = 0.01) with no significant difference between groups. HIIT-SIT demonstrated the greatest improvements in submaximal heart rate (HR) during the progressive incremental test with eight sessions of HIIT showing a greater reduction in submaximal HR than eight sessions of SIT. The net improvement of 16 high-intensity sessions on 2,000 m time was −2.5% for HIIT-SIT (−10.6 ± 3.9 s, p = 0.01) and − 2.2% for SIT-HIIT (−9.0 ± 5.7 s, p = 0.01) and for 4 min “all-out” performance was 3.1% for HIIT-SIT (36 ± 25 m, p = 0.01) and 2.8% for SIT-HIIT (33 ± 27 m, p = 0.01).Conclusion: Eight sessions of high-intensity training can improve 2,000 m ergometer rowing performance in national-level rowers, with a further eight sessions producing minimal additional improvement. The method of high-intensity training appears less important than the dose.

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