Educational Program on Moderate Intensity Activity Leading to a Significant Weight Loss in Sedentary People
written by Dmitriy Chernov, doctorate student, studies in kinesiology
Physical activity for weight loss is an essential tool (Apekey et al., 2012). However, there is much confusion when it comes to weight loss. Today, in the era of technology, educational advice about physical activity and the weight loss people gets from the various media platforms (Swift et al., 2014). This creates a lot of confusion and disappointments when people follow wrong advice and then fail. For people to live healthier lives, physical activity and weight control is essential and qualified professionals should provide their patients with realistic weight loss goals based on their physical activity program, emphasizing education and the fact that even if weight loss is not accomplished, physical activity program will still provide several health benefits (Estabrooks et al.,2011).
Sedentary life and increased body weight may lead to overweight, obesity, type 2 diabetes (T2D), cardiovascular disease (CVD), hypertension (HT), muscle atrophy, osteoporosis, and joint pain. Physical activity and nutrition regimens may help people live healthier lives, so proper education is fundamental (Bellicha et al., 2021).
Currently there is a gap in research that needs to be filled in. There are not that many past or current studies that involve an educational aspect that teaches people how to properly use physical activity as a tool that helps to lose weight properly. Most of the studies are geared toward just the benefits of physical activities. However, education on how to use those tools is rarely discussed. Most of these studies discuss the treatments, modalities, outcomes, the importance of lifestyle changes, key strategies, interventions, behavioral and mental support, public health recommendations, and hundreds of other programs and suggestions but almost none of them discusses the very basic educational approach and the step-by-step protocols. Protocols with steps that must be taken to succeed. Yes, all available data on past and current research is very important, which teaches us something. However, a study by Swift et al. explores the paradox of obesity regardless of physical activity and exercise training. The study seems to be very significant, but this study fails to discuss in detail how proper steps need to be taken to combat overweight, obesity, and other comorbidities (2014). Even in a very significant type of research like RCT by Brosseau et al. that discusses community-based aerobic training that helps sedentary individuals to lose weight, they briefly discuss an educational strategy (2012). The study methods in Brosseau et al. research is about a behavioral intervention, and they provide some educational pamphlets on the benefits of physical activity, but it is still not enough. Some studies, in their title, use phrases like education, but their educational protocol for people to follow is very basic and misleading. In a multi-center randomized controlled trial by Yates et al. (2015) “Promotion of Physical activity through structured Education with differing Levels of ongoing Support for people at high risk of type 2 diabetes: Study protocol for a randomized controlled trial” participants received detailed advice leaflet that they have to follow. However, that leaflet lacks the basic background information on why people need to perform those activities. It is clear, that there is an educational gap that needs to be filled in, and what is fascinating is that the financial effort to do that is not that expensive.
There is much confusion about which physical activity and nutrition modality to choose from for weight loss (Estabrooks et al., 2011). Most recent research has found that proper education in moderate-intensity activity for sedentary adults plays а pivotal role in weight loss (Bellicha et al., 2021). Many people who live sedentary lives are overweight or obese, and many have various pre-existing conditions that dictate the intensity of training (Hume et al., 2016). In order to promote different education modalities for weight loss, it is vital to review existing research and come up with the best educational program that health care professionals could use as a standard treatment. Therefore, there is a great need for a study to answer the question that sedentary people may achieve significant weight loss results with proper education about moderate-intensity exercise.
This study is significant because today, in the era of information technology, people receive news on how to lose weight from every media platform. Often, this information is not correct, and many people who try to lose weight fail and then become discouraged to start from the beginning. Also, some health conditions that many patients exhibit dictate the intensity of their training because the wrong type of exercise may lead to an injury (Swift et al., 2014). Proper education may help these people to achieve their goals without getting injured. A study where independent variables are different education modalities, and the dependent variable is knowledge gained by the participants should close the gap in needed research. If any health care professionals could provide proper education for weight loss to their patients, which would lead to great results, exercise for weight loss in their practice would be a game-changer.
written by Dmitriy Chernov, doctorate student, studies in kinesiology
References
Apekey, Morris, A., Fagbemi, S., & Griffiths, G. (2012). Benefits of moderate-intensity exercise during a calorie-restricted low-fat diet. Health Education Journal, 71(2), 154–164. https://doi.org/10.1177/0017896911398235
Aspers, P., & Corte, U. (2019). What is Qualitative in Qualitative Research. Qualitative sociology, 42(2), 139–160. https://doi.org/10.1007/s11133-019-9413-7
Bellicha, A., van Baak, M. A., Battista, F., Beaulieu, K., Blundell, J. E., Busetto, L., Carraça, E. V., Dicker, D., Encantado, J., Ermolao, A., Farpour-Lambert, N., Pramono, A., Woodward, E., & Oppert, J. M. (2021). Effect of exercise training on weight loss, body composition changes, and weight maintenance in adults with overweight or obesity: An overview of 12 systematic reviews and 149 studies. Obesity reviews : an official journal of the International Association for the Study of Obesity, 22 Suppl 4(Suppl 4), e13256. https://doi.org/10.1111/obr.13256
Besnier, Lenclume, V., Gérardin, P., Fianu, A., Martinez, J., Naty, N., Porcherat, S., Boussaid, K., Schneebeli, S., Jarlet, E., Hatia, S., Dalleau, G., Verkindt, C., Brun, J.-F., Gonthier, M.-P., & Favier, F. (2015). Individualized Exercise Training at Maximal Fat Oxidation Combined with Fruit and Vegetable-Rich Diet in Overweight or Obese Women: The LIPOXmax-Réunion Randomized Controlled Trial. PloS One, 10(11), e0139246–e0139246. https://doi.org/10.1371/journal.pone.0139246
Brosseau, Wells, G. A., Kenny, G. P., Reid, R., Maetzel, A., Tugwell, P., Huijbregts, M., McCullough, C., De Angelis, G., & Chen, L. (2012). The implementation of a community-based aerobic walking program for mild to moderate knee osteoarthritis: a knowledge translation randomized controlled trial: part II: clinical outcomes. BMC Public Health, 12(1), 1073–1073. https://doi.org/10.1186/1471-2458-12-1073
Burke, Lee, A. H., Jancey, J., Xiang, L., Kerr, D. A., Howat, P. A., Hills, A. P., & Anderson, A. S. (2013). Physical activity and nutrition behavioural outcomes of a home-based intervention program for seniors: a randomized controlled trial. The International Journal of Behavioral Nutrition and Physical Activity, 10(1), 14–14. https://doi.org/10.1186/1479-5868-10-14
de Rooij, van der Berg, J. D., van der Kallen, C. J. H., Schram, M. T., Savelberg, H. H. C. M., Schaper, N. C., Dagnelie, P. C., Henry, R. M. A., Kroon, A. A., Stehouwer, C. D. A., & Koster, A. (2016). Physical Activity and Sedentary Behavior in Metabolically Healthy versus Unhealthy Obese and Non-Obese Individuals - The Maastricht Study. PloS One, 11(5), e0154358–e0154358. https://doi.org/10.1371/journal.pone.0154358
Estabrooks PA, Glasgow RE, Xu S, Dzewaltowski DA, Lee RE, Thomas D, Almeida FA, Thayer AN, Smith-Ray RL. Building a multiple modality, theory-based physical activity intervention: The development of CardiACTION! Psychol Sport Exerc. 2011 Jan 1;12(1):46-53. doi: 10.1016/j.psychsport.2010.04.012. PMID: 22473308; PMCID: PMC3004469.
Hume, D. J., Yokum, S., & Stice, E. (2016). Low energy intake plus low energy expenditure (low energy flux), not energy surfeit, predicts future body fat gain. The American journal of clinical nutrition, 103(6), 1389–1396. https://doi.org/10.3945/ajcn.115.127753
Kaliyadan, F., & Kulkarni, V. (2019). Types of Variables, Descriptive Statistics, and Sample Size. Indian dermatology online journal, 10(1), 82–86. https://doi.org/10.4103/idoj.IDOJ_468_18
Kim T. K. (2017). Understanding one-way ANOVA using conceptual figures. Korean journal of anesthesiology, 70(1), 22–26. https://doi.org/10.4097/kjae.2017.70.1.22
Mendonça, Noll, M., Rodrigues, A. P. dos S., Vitorino, P. V. de O., Mendes, M. de A., & Silveira, E. A. (2020). Association of Pain, Severe Pain, and Multisite Pain with the Level of Physical Activity and Sedentary Behavior in Severely Obese Adults: Baseline Data from the DieTBra Trial. International Journal of Environmental Research and Public Health, 17(12), 4478–. https://doi.org/10.3390/ijerph17124478
Sciacqua A, Candigliota M, Ceravolo R, Scozzafava A, Sinopoli F, Corsonello A, Sesti G, Perticone F. Weight loss in combination with physical activity improves endothelial dysfunction in human obesity. Diabetes Care. 2003 Jun;26(6):1673-8. doi: 10.2337/diacare.26.6.1673. PMID: 12766092.
Swift, D. L., Johannsen, N. M., Lavie, C. J., Earnest, C. P., & Church, T. S. (2014). The role of exercise and physical activity in weight loss and maintenance. Progress in cardiovascular diseases, 56(4), 441–447. https://doi.org/10.1016/j.pcad.2013.09.012
von Allmen, R. S., Weiss, S., Tevaearai, H. T., Kuemmerli, C., Tinner, C., Carrel, T. P., Schmidli, J., & Dick, F. (2015). Completeness of Follow-Up Determines Validity of Study Findings: Results of a Prospective Repeated Measures Cohort Study. PloS one, 10(10), e0140817. https://doi.org/10.1371/journal.pone.0140817
Yates, Griffin, S., Bodicoat, D. H., Brierly, G., Dallosso, H., Davies, M. J., Eborall, H., Edwardson, C., Gillett, M., Gray, L., Hardeman, W., Hill, S., Morton, K., Sutton, S., Troughton, J., & Khunti, K. (2015). PRomotion Of Physical activity through structured Education with differing Levels of ongoing Support for people at high risk of type 2 diabetes (PROPELS): study protocol for a randomized controlled trial. Trials, 16(1), 289–289. https://doi.org/10.1186/s13063-015-0813-z