Exercise is Not the Foundation of Weight Loss

doi:10.12114/j.issn.1007-9572.2023.0104

Chinese General Practice ›› 2023, Vol. 26 ›› Issue (28): 3477-3481.DOI: 10.12114/j.issn.1007-9572.2023.0104

Special Issue: 运动相关研究最新文章合辑；肥胖/减重最新文章合辑

• Speculation and Controversy • Previous Articles Next Articles

Exercise is Not the Foundation of Weight Loss

1. Department of Clinical Medicine, Fujian Medical University, Fuzhou 350000, China
2. Department of Endocrinology and Diabetes, the First Affiliated Hospital of Xiamen University, Xiamen 361000, China
3. School of Medicine, Xiamen University, Xiamen 361102, China

Received:2023-03-16 Revised:2023-05-05 Published:2023-10-05 Online:2023-05-08
Contact: LI Xuejun

运动不是减重之本

1．350000　福建省福州市，福建医科大学临床医学部
2．361000　福建省厦门市，厦门大学附属第一医院内分泌糖尿病科
3．361102　福建省厦门市，厦门大学医学院

通讯作者: 李学军

作者简介:

【通信作者简介】　李学军，医学博士，主任医师、教授、博士生导师。现任厦门大学附属第一医院内分泌糖尿病科主任、厦门市糖尿病研究所所长，兼任中华医学会糖尿病学分会委员、中华医学会糖尿病学分会糖尿病与肥胖学组委员、中华医学会糖尿病学分会糖尿病与相关内分泌疾病学组委员、中华中医药学会糖尿病分会副主任委员。从事医教研工作20余年，近年来的研究方向为表观遗传学在2型糖尿病及其慢性并发症发生发展中的作用、生活方式干预代谢性疾病的作用及机制研究、2型糖尿病的优化治疗研究等。

作者贡献：蒋秋惠负责文献资料的收集与整理、论文撰写；李学军负责论文的框架构思及最终版本修订，对文章负责。

基金资助:
国家自然科学基金资助项目(81870606)

Abstract

Abstract:

Obesity is an increasingly prevalent and costly public health problem. Many people regard exercise as an effective weight loss strategy, even superior to dieting. However, the effectiveness and safety of exercise for weight loss in obese individuals need to be carefully weighed. This paper briefly discusses the view that "Exercise is not the foundation of weight loss" in the combination of evidence-based medicine, from the aspects of mild effect of exercise on weight loss, poor adherence to long-term high-intensity exercise, safety of high-intensity exercise in obese individuals, and the mechanism of poor weight loss effect of exercise.

Key words: Obesity, Exercise, Weight loss, Treatment adherence and compliance, Dissent and disputes

摘要：

肥胖是日益普遍和代价高昂的公共卫生问题。不少人认为运动是一种有效的减重策略，甚至比控制饮食更有效。然而，肥胖个体运动减重的有效性和安全性需仔细权衡。本文结合循证医学证据，从运动的减重效果轻微、长期坚持高强度运动的依从性差、肥胖者从事高强度运动的安全性及运动减重效果不佳的机制探讨等方面简要阐述"运动不是减重之本"的观点。

关键词: 肥胖症, 运动, 减重, 治疗依从性, 异议和争论

JIANG Qiuhui,LI Xuejun. Exercise is Not the Foundation of Weight Loss[J]. Chinese General Practice, 2023, 26(28): 3477-3481. DOI: 10.12114/j.issn.1007-9572.2023.0104.
蒋秋惠,李学军. 运动不是减重之本[J]. 中国全科医学, 2023, 26(28): 3477-3481. DOI: 10.12114/j.issn.1007-9572.2023.0104.

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Exercise is Not the Foundation of Weight Loss

运动不是减重之本

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