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Physical activity and obesity prevention: a review of the current evidence

  • Nicholas J. Wareham (a1), Esther M. F. van Sluijs (a1) and Ulf Ekelund (a1)
Abstract

Ecological data on temporal trends suggest that the rising prevalence of obesity is, at least in part, attributable to declining population energy expenditure. However, population-level data on trends in physical activity are scarce. In longitudinal cohort studies individuals who report higher levels of leisure-time physical activity tend to be less likely to gain weight, but studies vary in their conclusions because of issues of confounding, reverse causality and measurement error. The majority of studies suggest that low levels of activity are only weakly associated with future weight gain. Questions about dose–response can only be properly addressed by studies including objective measures of activity with known measurement error. The observational studies leave uncertainties about the direction of causality, as individuals who are overweight are less likely to stay active. Adjustment for confounding can diminish the impact of known confounders, but only randomisation can deal with issues of unmeasured confounding. Although there are a large number of clinical trials on the treatment of individuals with obesity or the prevention of weight regain among weight losers, the updated review of trials to prevent weight gain de novo only reveals six trials published since 2000 in adults and eleven in children. Not only are these trials relatively few in number but, for various methodological reasons, they are uncertain in their conclusions about whether increasing activity will be effective in preventing obesity. Whilst efforts should continue to enhance the evidence base it is wise, in the meantime, to stick to the consensus public health advice of advocating 45–60 min moderate intensity activity daily to prevent obesity.

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Corresponding author
Corresponding author: Dr Nicholas J. Wareham, fax +44 1223 330316, email nick.wareham@mrc-epid.cam.ac.uk
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K Ball , W Brown & D Crawford (2002) Who does not gain weight? Prevalence and predictors of weight maintenance in young women. International Journal of Obesity and Related Metabolic Disorders 26, 15701578.

AC Bell , K Ge & BM Popkin (2001) Weight gain and its predictors in Chinese adults. International Journal of Obesity and Related Metabolic Disorders 25, 10791086.

CS Berkey , HR Rockett , AE Field , MW Gillman , AL Frazier , CA Camargo Jr & GA Colditz (2000) Activity, dietary intake, and weight changes in a longitudinal study of preadolescent and adolescent boys and girls. Pediatrics 105 E56.

CS Berkey , HR Rockett , MW Gillman & GA Colditz (2003) One-year changes in activity and in inactivity among 10- to 15-year-old boys and girls: relationship to change in body mass index. Pediatrics 111, 836843.

N Bogaert , KS Steinbeck , LA Baur , K Brock & MA Bermingham (2003) Food, activity and family – environmental vs biochemical predictors of weight gain in children. European Journal of Clinical Nutrition 57, 12421249.

V Burke , N Giangiulio , HF Gillam , LJ Beilin & S Houghton (2003) Physical activity and nutrition programs for couples: a randomized controlled trial. Journal of Clinical Epidemiology 56, 421432.

K Campbell , E Waters , S O'Meara & C Summerbell (2001) Interventions for preventing obesity in childhood. A systematic review. Obesity Reviews 2, 149157.

KK Davison & LL Birch (2001) Child and parent characteristics as predictors of change in girls' body mass index. International Journal of Obesity and Related Metabolic Disorders 25, 18341842.

BA Dennison , TJ Russo , PA Burdick & PL Jenkins (2004) An intervention to reduce television viewing by preschool children. Archives of Pediatric and Adolescent Medicine 158, 170176.

WB Droyvold , J Holmen , K Midthjell & S Lydersen (2004) BMI change and leisure time physical activity (LTPA): an 11-y follow-up study in apparently healthy men aged 20–69 y with normal weight at baseline. International Journal of Obesity and Related Metabolic Disorders 28, 410417.

U Ekelund , E Poortvliet , A Nilsson , A Yngve , A Holmberg , M Sjöström (2001) Physical activity in relation to aerobic fitness and body fat in 14- to 15-year-old boys and girls. European Journal of Applied Physiology 85, 195201.

M Fogelholm , K Kukkonen-Harjula (2000) Does physical activity prevent weight gain – a systematic review. Obesity Reviews 1, 95111.

LA Francis , Y Lee & LL Birch (2003) Parental weight status and girls' television viewing, snacking, and body mass indexes. Obesity Research 11, 143151.

RJ Hancox , BJ Milne & R Poulton (2004) Association between child and adolescent television viewing and adult health: a longitudinal birth cohort study. Lancet 364, 257262.

W Hardeman , S Griffin , M Johnston , A Kinmonth & NJ Wareham (2000) Interventions to prevent weight gain: a systematic review of psychological models and behaviour change methods. International Journal of Obesity and Related Metabolic Disorders 24, 131143.

OK Horn , G Paradis , L Potvin , AC Macaulay & S Desrosiers (2001) Correlates and predictors of adiposity among Mohawk children. Preventive Medicine 33, 274281.

FB Hu , TY Li , GA Colditz , WC Willett & JE Manson (2003) Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. Journal of the American Medical Association 289, 17851791.

MS Johnson , R Figueroa-Colon , SL Herd , DA Fields , M Sun , GR Hunter & MI Goran (2000) Aerobic fitness, not energy expenditure, influences subsequent increase in adiposity in black and white children. Pediatrics 106 E50.

J Kain , R Uauy , F Albala Vio , R Cerda , B Leyton (2004) School-based obesity prevention in Chilean primary school children: methodology and evaluation of a controlled study. International Journal of Obesity and Related Metabolic Disorders 28, 483493.

SY Kimm , BA Barton , E Obarzanek , RP McMahon , ZI Sabry , MA Waclawiw , GB Schreiber , JA Morrison , S Similo & SR Daniels (2001) Racial divergence in adiposity during adolescence: The NHLBI Growth and Health Study. Pediatrics 107 E34.

K Litterell , N Hilligoss , C Kirshner , R Petty & C Johnson (2003) The effects of an educational intervention on antipsychotic-induced weight gain. Journal of Nursing Scholarship 35, 237241.

HM Macdonald , SA New , MK Campbell & DM Reid (2003) Longitudinal changes in weight in perimenopausal and early postmenopausal women: effects of dietary energy intake, energy expenditure, dietary calcium intake and hormone replacement therapy. International Journal of Obesity and Related Metabolic Disorders 27, 669676.

RG McMurray , JS Harrell , SI Bangdiwala , CB Bradley , S Deng & A Levine (2002) A school-based intervention can reduce body fat and blood pressure in young adolescents. Journal of Adolescent Health 31, 125132.

G Mamalakis , A Kafatos , Y Manios , T Anagnostopoulou & I Apostolaki (2000) Obesity indices in a cohort of primary school children in Crete: a six year prospective study. International Journal of Obesity and Related Metabolic Disorders 24, 765771.

D Molnar & B Livingstone (2000) Physical activity in relation to overweight and obesity in children and adolescents. European Journal of Pediatrics 159 Suppl. 1, S45S55.

LL Moore , D Gao , ML Bradlee , LA Cupples , A Sundarajan-Ramamurti , MH Proctor , MY Hood , MR Singer & RC Ellison (2003) Does early physical activity predict body fat change throughout childhood. Preventive Medicine 37, 1017.

T Muto & K Yamauchi (2001) Evaluation of a multicomponent workplace health promotion program conducted in Japan for improving employees' cardiovascular disease risk factors. Preventive Medicine 33, 571577.

D Neumark-Sztainer , M Story , PJ Hannan & J Rex (2003) New Moves: a school-based obesity prevention program for adolescent girls. Preventive Medicine 37, 4151.

J O'Loughlin , K Gray-Donald , G Paradis & G Meshefedjian (2000) One- and two-year predictors of excess weight gain among elementary schoolchildren in multiethnic, low-income, inner-city neighborhoods. American Journal of Epidemiology 152, 739746.

RP Pangrazi , A Beighle , T Vehige & C Vack (2003) Impact of Promoting Lifestyle Activity for Youth (PLAY) on children's physical activity. Journal of School Health 73, 317321.

L Petersen , P Schnohr & TI Sorensen (2004) Longitudinal study of the long-term relation between physical activity and obesity in adults. International Journal of Obesity and Related Metabolic Disorders 28, 105112.

BA Polley , RR Wing & CJ Sims (2002) Randomized controlled trial to prevent excessive weight gain in pregnant women. International Journal of Obesity and Related Metabolic Disorders 26, 14941502.

MH Proctor , LL Moore , D Gao , LA Cupples , ML Bradlee , MY Hood & RC Ellison (2003) Television viewing and change in body fat from preschool to early adolescence: The Framingham Children's Study. International Journal of Obesity and Related Metabolic Disorders 27, 827833.

KI Proper , VH Hildebrandt , Beek Van der , Twisk AJ , Van JW & W Mechelen (2003) Effect of individual counseling on physical activity fitness and health: a randomized controlled trial in a workplace setting. American Journal of Preventive Medicine 24, 218226.

DL Rainwater , BD Mitchell , AG Comuzzie , JL VandeBerg , MP Stern & JW MacCluer (2000) Association among 5-year changes in weight, physical activity, and cardiovascular disease risk factors in Mexican Americans. American Journal of Epidemiology 152, 974982.

P Sahota , MC Rudolf , R Dixey , AJ Hill , JH Barth & J Cade (2001) Randomised controlled trial of primary school based intervention to reduce risk factors for obesity. British Medical Journal 323, 10291032.

JF Sallis , TL McKenzie , TL Conway , JP Elder , JJ Prochaska , M Brown , MM Zive , SJ Marshall & JE Alcaraz (2003) Environmental interventions for eating and physical activity: a randomized controlled trial in middle schools. American Journal of Preventive Medicine 24, 209217.

WH Saris , SN Blair , MA van Baak , SB Eaton , PS Davies , L Di Pietro (2003) How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement. Obesity Reviews 4, 101114.

KH Schmitz , DR Jacobs Jr, AS Leon , PJ Schreiner & B Sternfeld (2000) Physical activity and body weight: associations over ten years in the CARDIA study. Coronary Artery Risk Development in Young Adults. International Journal of Obesity and Related Metabolic Disorders 24, 14751487.

NE Sherwood , RW Jeffery , SA French , PJ Hannan & DM Murray (2000) Predictors of weight gain in the Pound of Prevention study. International Journal of Obesity and Related Metabolic Disorders 24, 395403.

LR Simkin-Silverman , RR Wing , MA Boraz & LH Kuller (2003) Lifestyle intervention can prevent weight gain during menopause: results from a 5-year randomized clinical trial. Annals of Behavioral Medicine 26, 212220.

T Tammelin , J Laitinen & S Nayha (2004) Change in the level of physical activity from adolescence into adulthood and obesity at the age of 31 years. International Journal of Obesity and Related Metabolic Disorders 28, 775782.

PA Tataranni , IT Harper , S Snitker , Parigi Del , Vozarova A , Bunt B , Bogardus J , E Ravussin (2003) Body weight gain in free-living Pima Indians: effect of energy intake vs expenditure. International Journal of Obesity and Related Metabolic Disorders 27, 15781583.

A Wagner , C Simon , P Ducimetiere , M Montaye , V Bongard , J Yarnell et al. (2001) Leisure-time physical activity and regular walking or cycling to work are associated with adiposity and 5 y weight gain in middle-aged men: the PRIME Study. International Journal of Obesity and Related Metabolic Disorders 25, 940948.

NJ Wareham , RW Jakes , KL Rennie , J Mitchell , S Hennings & NE Day (2002) Validity and repeatability of the EPIC-Norfolk Physical Activity Questionnaire. International Journal of Epidemiology 31, 168174.

JM Warren , CJ Henry , HJ Lightowler , SM Bradshaw & S Perwaiz (2003) Evaluation of a pilot school programme aimed at the prevention of obesity in children. Health Promotion International 18, 287296.

JC Wells & P Ritz (2001) Physical activity at 9–12 months and fatness at 2 years of age. American Journal of Human Biology 13, 384389.

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Proceedings of the Nutrition Society
  • ISSN: 0029-6651
  • EISSN: 1475-2719
  • URL: /core/journals/proceedings-of-the-nutrition-society
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