1. Exercise and Activity in Obesity Management Mark Young, Bkin, CK

2. Exercise and Calorie Expenditure -Average person burns ~ 5-10 calories / minute during exercise - Equals approximately 300-600 calories per hour of activity - 1 pound of fat = 3500 calories - To burn 1 pound of fat = 5.8-11.7 hours of exercise per week - This amounts to 50-100 minutes per day!!!

3. Exercise and Weight Loss Wing. Med Sci Sports Exerc 1999;31(suppl):S547. *P<0.05 vs control group Duration of each study ranged from 4 to 12 months. Stefanick 1998 Stefanick 1998a Anderssen 1995 Hammer 1989 Verity 1989 Rönnemaa 1988 Wood 1988 Wood 1983 Weight loss (kg) Control Group Exercise Group * * * *

4. Exercise and Weight Loss *P<0.05 vs diet-only group. Wadden 1997 Ross 1996 Marks 1995 Ross 1995 Blonk 1994 Sweeney 1993 Bertram 1990 Weight loss (kg) Diet Only Diet + Exercise * Wing RR. Med Sci Sports Exerc. 1999;31(suppl):S547-S552. Each study ranged from 4 to 6 months.

5. Exercise and Fat-Free Mass Diet Only Loss of Fat-Free Mass (% Total Weight Loss) Diet Plus Physical Activity Men Women *P<0.05 Reprinted with permission from Int J Obes Relat Metab Disord, Ballor and Poehlman;18:35. Copyright 1994 Macmillan Publishers Ltd.

6. Exercise and Weight Maintenance Not Maintained Subjects Exercising (%) P<0.001 Weight Loss Pattern Maintained Reprinted with permission by the American Journal of Clinical Nutrition. © Am J Clin Nutr. American Society for Clinical Nutrition.

7. But what if it isnt all just about weight?

8. Exercise and Visceral Fat

9. Exercise and Waist Circumference

10. Exercise and Body Composition

11. Exercise and Cardiovascular Risk

12. Exercise and Cardiovascular Fitness

13. Summary - Exercise has a modest effect on weight loss - Exercise plays a key role in maintenance of fat free mass and weight maintenance

14. Summary - Exercise (even with little weight loss) can have positive effects on Diabetes, hypertension, visceral fat, functional capacity, cardiovascular fitness, and other obesity related comorbidities. - These benefits can be had in as little as 150 minutes per week split between aerobic and resistance training.