Abstract
Background and aim
Worldwide, the number of overweight and obese people has increased significantly and thus also so-called noncommunicable diseases, especially of the type 2 diabetes mellitus. In the prevention and treatment of obesity, physical activity plays an important role. As a target in prevention, 10,000 steps/day are recommended or 150 min of moderate exercise/week; in patients undergoing therapy, at least 300 min/week or 13,000 steps/day are indicated. However, the number of barriers for obese patients is high, and there is also a lack of structured offers. Thus, morbidly obese patients are excluded in most “conventional” exercise therapy programs because of the possible impact on the musculoskeletal system and/or cardiovascular comorbidities. For this reason, few reliable data exist in terms of possibilities, feasibility, and risks for this clientele. Basically, the health benefits of physical activity is undoubted: increased energy consumption, metabolic effects, changes in body composition, favorable influence on body composition, weight loss, reduced impact on the musculoskeletal system, and an enhanced quality of life. The importance is even more evident when recent research in the context of adipocytokines/myokines as a marker of fat and muscle mass as well as epigenetic regulation are considered. Thus, the obese fit and thus metabolically healthy person is not considered a risk patient.
Discussion
In this article, recommendations and a possible transfer into practice especially of the above-mentioned effects are discussed.
Körperliche Aktivität, Sport und Bewegungstherapie bei (morbider) Adipositas. Available from: https://www.researchgate.net/publication/282836840_Korperliche_Aktivitat_Sport_und_Bewegungstherapie_bei_morbider_Adipositas [accessed Dec 18, 2015].
Worldwide, the number of overweight and obese people has increased significantly and thus also so-called noncommunicable diseases, especially of the type 2 diabetes mellitus. In the prevention and treatment of obesity, physical activity plays an important role. As a target in prevention, 10,000 steps/day are recommended or 150 min of moderate exercise/week; in patients undergoing therapy, at least 300 min/week or 13,000 steps/day are indicated. However, the number of barriers for obese patients is high, and there is also a lack of structured offers. Thus, morbidly obese patients are excluded in most “conventional” exercise therapy programs because of the possible impact on the musculoskeletal system and/or cardiovascular comorbidities. For this reason, few reliable data exist in terms of possibilities, feasibility, and risks for this clientele. Basically, the health benefits of physical activity is undoubted: increased energy consumption, metabolic effects, changes in body composition, favorable influence on body composition, weight loss, reduced impact on the musculoskeletal system, and an enhanced quality of life. The importance is even more evident when recent research in the context of adipocytokines/myokines as a marker of fat and muscle mass as well as epigenetic regulation are considered. Thus, the obese fit and thus metabolically healthy person is not considered a risk patient.
Discussion
In this article, recommendations and a possible transfer into practice especially of the above-mentioned effects are discussed.
Körperliche Aktivität, Sport und Bewegungstherapie bei (morbider) Adipositas. Available from: https://www.researchgate.net/publication/282836840_Korperliche_Aktivitat_Sport_und_Bewegungstherapie_bei_morbider_Adipositas [accessed Dec 18, 2015].
| Originalsprache | Deutsch |
|---|---|
| Zeitschrift | Der Diabetologe |
| Jahrgang | 11 |
| Ausgabenummer | 6 |
| Seiten (von - bis) | 457-463 |
| Seitenumfang | 7 |
| ISSN | 1860-9716 |
| DOIs | |
| Publikationsstatus | Veröffentlicht - 09.2015 |