Elsevier

Behavior Therapy

Volume 13, Issue 5, November 1982, Pages 651-665
Behavior Therapy

A comparison of lifestyle change and programmed aerobic exercise on weight and fitness changes in obese children*

https://doi.org/10.1016/S0005-7894(82)80022-1Get rights and content

The effects of lifestyle or programmed aerobic exercise, with or without, a diet, on weight, fitness, and exercise adherence were assessed with 37 obese 8− to 12− year-old children over a 17-month period. The lifestyle program allowed the child to increase energy expenditure by engaging in a wide variety of daily games and activities, while the programmed aerobic alternative required the child to perform an aerobic exercise daily. The exercise programs differed in the flexibility of scheduling exercise, type of exercise, and intensity of exercise. Results showed equivalent weight and relative weight changes across all groups during the 8-week intensive treatment, with lifestyle subjects losing more additional weight and maintaining their wight loss better than the programmed exercise subjects during maintenance and follow-up. Fitness changes, as measured by heart rate during maintenance and follow-up. Fitness changes, as measured by heart rate during exercise and recovey, improved more during intensive treatment for the programmed than the lifestyle exercise groups. During maintenance, however, fitness of the programmed exercise group deteriorated, while fitness of the lifestyle group was maintained. The results suggest the utility of lifestyle exercise as a way to increase energy expenditure and long-term weight maintenance independent of diet.

Reference Note (1)

  • EpsteinL.H. et al.

    The effect of weight loss on fitness in obese children

    (1982)

Cited by (144)

  • Decision-making and goal-setting in chronic disease management: Baseline findings of a randomized controlled trial

    2017, Patient Education and Counseling
    Citation Excerpt :

    Finally, patients create concrete action plans for achieving this goal. Collaborative goal-setting has been shown to improve a number of chronic disease behaviors [10–14] and outcomes [15–19] and is now required by the National Committee for Quality Assurance Patient-Centered Medical Home recognition standards [20]. This growing interest has raised several unanswered questions about using collaborative goal-setting as a strategy for chronic disease management among low-SES patients.

  • Effectiveness of 2 methods of promoting physical activity, healthy eating, and emotional well-being with the americans in motion-Healthy interventions approach

    2013, Annals of Family Medicine
    Citation Excerpt :

    The AIM-HI program was developed around the transtheoretical model of behavioral change,4 which begins with identifying patients' readiness for lifestyle change. The interventional approach is based on changes within a person's current daily activities.5 Clinicians engage patients in a nonprescriptive approach by means of motivational interviewing6 to help patients develop goals that are feasible and personalized.

View all citing articles on Scopus
*

Appreciation is expressed to Barbara Dickson, John Heiser, Margaret Nuss, and John Zidansek for assistance in running the children's groups; to Chris Coborn, Camille Szparaga, John Wolfe, and Jorge Figueroa for assistance in data collection and exercise testing. This research is supported in part by Grant HDMH 12520-01 from the National Institutes of Child Health and Human Development and Mental Health

View full text