If you want to lose weight and keep
it off, take a hike. In fact, take several.
Overweight people who lost and kept
off 25 to 30 pounds walked briskly for about 50 minutes
a day five days a week, according to the longest clinical
study ever done on exercise's effect on weight loss and
maintenance.
The study was presented here last week
at the annual meeting of the Obesity Society, an organization
of weight-loss professionals.
To evaluate the effect of exercise
on weight loss, John Jakicic and colleagues at the University
of Pittsburgh worked with 191 adult women, most of whom
were obese — roughly 30 or more pounds over a healthy
weight. The dieters were advised to follow a low-fat eating
program of 1,200 to 1,500 calories a day.
Participants were assigned different
amounts of activity and levels of intensity. About 80% of
them chose to walk briskly; some walked more quickly than
others. The findings after two years:
• The amount of time people exercised
varied from less than 150 minutes a week to more than 200
minutes a week.
• All participants lost weight,
an average of 7.2% of their starting body weight.
• Women who exercised the most
— more than 309 minutes a week by the end of the first
year and more than 270 minutes a week at the end of two
years — lost and kept off the most weight, about 13%
of their starting weight, or 25 to 30 pounds.
"It appears you need this amount of
activity to achieve and sustain weight loss of this magnitude,"
says Jakicic, chairman of the university's department of
health and physical activity.
Most people are going to have to work
up to this level of exercise, he says. "It's important to
walk with intensity like you're late for an important meeting."
Exercise as a weight-loss tool was
much on the mind of obesity researchers at the conference.
In another small pilot study, researchers at Fairleigh Dickinson
University in Teaneck, N.J., asked 41 women, who weighed
an average of 192 pounds, to follow a program that included
limiting calories, walking and attending weekly group meetings.
The sessions were followed by a group walk.
Half of the women were given portable
CD players with headsets and told to listen to the music
of their choice every time they walked. The other group
did so with no music.
Participants were expected to walk
at least three times a week. They followed a prescribed
program that gradually increased distance and speed. By
the end of the study, participants were doing 2 miles in
32 minutes. They were asked to keep daily records of their
exercise and food intake and reduce their calories to 1,200
to 1,500 calories a day.
The findings after six months:
•The music-listening group adhered
more closely to the walking program than the non-music group.
Its members lost an average of 16 pounds and 4% of their
body fat.
• The non-music group dropped
an average 8 pounds and 2% body fat.
"The big problem with a lot of exercise
programs is people don't adhere to them," says Christopher
Capuano, director of the school of psychology. "These data
suggest that listening to music while exercising enhances
adherence and weight loss."