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Методы снижения веса и эффективность каждого в цифрах (результаты исследований)

Оглавление

Чтобы не тратить свое время зря и не использовать методы, которые не работают, есть смысл понимать какие методы снижения веса существуют, и какого результата и при каких условиях мы вправе ожидать от каждого метода. К счастью, на эту тему существует множество исследований, в таблице ниже представлены результаты этих исследований (ссылки на них в конце статьи) 📉:

ПИТАНИЕ

По исследованиям и практике питание - наиболее эффективный метод снижения веса, и может успешно применяться как единственный и самодостаточный метод снижения веса 🛩

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ФИЗИЧЕСКАЯ АКТИВНОСТЬ

Что касается физической активности, - она действительно способна улучшить результаты в снижении веса, но примерно на ∼20%, и только если применяется вместе со сниженным питанием. 🍴В одиночку» (без сниженного питания), обычно не дает ощутимые результатов в снижении веса, в том числе и в тех исследованиях, где посещаемость и программа тренировок строго контролировались.

Вероятно, потому что 1 час спорта, даже ежедневного, не может компенсировать весь «сидячий» день и обеспечить достаточный расход энергии для заметного снижения веса.

Также спорт не способен компенсировать переедания, - при регулярном переедании (питание выше потребностей тела 🔺) вес набирается даже на фоне занятий спортом.

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Однако спорт имеет другие уникальные (которые может дать только спорт) для тела полезные свойства. Так все виды спорта условно можно разделить на три вида, и преимущества спорта не столько в снижении веса, сколько в развития тела, при чем каждый вид развивает свое качество -

🔵 силовые тренировки 💪 (бодибилдинг, занятия с гантелями и штангой) – способны сделать мышцы и кости крепкими, а тело более «рельефным»;

🔴 аэробные тренировки (в том числе бег 🏃🏃‍♀️, ходьба, активная и быстрая езда на велосипеде) –

укрепят сердечно-сосудистую систему;

⚪️ упражнения на гибкость (йога, пилатес, гимнастика) – улучшат подвижность суставов ⚙️

В этом состоят уникальные и основные преимущества занятий спортом, и если спортом пользоваться по назначению (а не для "снижения веса"), то он вас точно не разочарует.

Что касается веса, - более эффективный способ снижения веса - коррекция питания 🍴, и по желанию с коррекцией питания можно совмещать любой вид спорта подробнее о спорте и результатах в снижении веса вы можете посмотреть в этом видео. ⏯

ФАРМАКОЛОГИЯ

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На сегодняшний день разрешены два фармакологических препарата для снижения веса: сибутрамин и орлистат (это оригинальные названия действующего вещества, коммерческие названия другие и их множество, - Редуксин, Орлистат, Листата, Голдлайн, Блокатор Калорий, Ортосен и др., поэтому покупая таблетки обращайте внимание прежде всего на состав).

Оба вещества имеют противопоказания и побочные эффекты, поэтому назначаются только врачом. Оба препарата имеют относительно небольшой эффект в снижении веса (см. таблицу выше), поэтому рекомендованы только как дополнительный (к сниженному питанию 🍴), но не как единственный способ снижения веса.

Подробнее о фармакологии и результатах в снижении веса вы можете посмотреть в этом видео ⏯ (с 20:45 по 24:36).

БАДы, В ТОМ ЧИСЛЕ ЖИРОСЖИГАТЕЛИ

В большинстве исследований БАДы (включая пиколинат хрома, L- карнитин, экстракт гуараны, альфа-липоевая кислота) вообще не имеют эффекта в снижение веса и в некоторых исследованиях имеют краткосрочный (2-3 часа) эффект на энергетический баланс тела, в том числе на «ускорение метаболизма», в основном это касается кофеина.

Подробнее о БАДах и результатах в снижении веса вы можете посмотреть в этом видео. ⏯ (с 3:23 по 20:45)

ДРУГИЕ МЕТОДЫ

Другие методы, в том числе прием диуретиков и слабительных, солевые ванны и сауны, снижают не вес (то есть жировые и белковые ткани), а количество воды в теле 💧, приводя к кратковременному обезвоживанию, - в результате вода быстро возвращается (через 1-3 дня), а значит вместе с водой и весь «потерянный» вес. Эти способы ни в одном из исследований не относят к качественным способам снижениям веса.

ВЫВОД

Коррекция питания – был и остается наиболее эффективным методом снижения веса.

В следующих статьях посмотрим, как настроить свое питание 🍴, чтобы вес снижать регулярно, с нужной скоростью 📉 и без рисков для здоровья. ☀️

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Качественная информация с доказанной эффективностью об управлении весом: как снижать вес ежедневно, предсказуемо и сохранять результат.

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Ссылки на исследования и подробнее на тему -

Obesity: Preventing And Managing The Global Epidemic
Report of a WHO Consultation WHO, Geneva, 2000

The Practical Guide Identification, Evaluation, and Treatment of Overweight and Obesity in Adults
U.S. Department of Health and Human Services Public Health Service

National Institutes of Health
National Heart, Lung, and Blood Institute
2000

Obesity: Identification, assessment and management of overweight and obesity in children, young people and adults
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Commissioned By The National Institute For Health And Care Excellence
Managing Overweight And Obesity In Adults: Systematic Evidence Review From The Obesity Expert Panel, USA, National Heart, Lung, and Blood Institute, 2013
2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults

A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society, 2013
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Dietary Reference Intakes: The Essential Guide to Nutrient Requirements
Jennifer J. Otten, Jennifer Pitzi Hellwig, Linda D. Meyers,
USA, 2006

Opinion of the Scientific Committee on Food on the revision of reference values for nutrition labelling, European Commission Health & Consumer Protection Directorate-general, 2003

Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids / Panel on Macronutrients, Panel on the Definition of Dietary Fiber, Subcommittee on Upper Reference Levels of Nutrients, Subcommittee on Interpretation and Uses of Dietary Reference Intakes, and the Standing Committee on the Scientific Evaluation of Dietary Reference Intakes, Food and Nutrition Board.

Нормы физиологических потребностей в энергии и пищевых веществах для различных групп населения Российской Федерации
Методические рекомендации МР 2.3.1.2432 -08
Под рук. Тутельян В.А. РФ, 2008

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А.Н.Кокосов,В.М.Луфт,Е.И.Ткаченко,И.Е.Хорошилов

Санкт-Петербург, 1995

Collection of data on products intended for use in very-low-calorie-diets
Report of experts participating in Task 7.3 September 2002

Directorate-General Health and Consumer Protection
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Erin Fothergill, Juen Guo, Lilian Howard, Jennifer C. Kerns, Nicolas D. Knuth, Robert Brychta,Kong Y. Chen, Monica C. Skarulis, Mary Walter, Peter J. Walter,1 and Kevin D. Hall

First published: 02 May 2016
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Benefits and risks of an intensive very-low-calorie diet program for severe obesity.
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Dietary approaches to reducing body weight.
Astrup A.
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Predicting metabolic adaptation, body weight change, and energy intake in humans
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Desaturation of skeletal muscle structural and depot lipids in obese individuals during a very-low-calorie diet intervention.
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Høie LH, Bruusgaard D.
https://www.ncbi.nlm.nih.gov/pubmed/7777729

Year-long weight loss treatment for obese patients with type II diabetes: does including an intermittent very-low-calorie diet improve outcome?
Wing RR, Blair E, Marcus M, Epstein LH, Harvey J.
https://www.ncbi.nlm.nih.gov/pubmed/7942937

Weight loss with very-low-calorie diet and cardiovascular risk factors in moderately obese women: one-year follow-up study including ambulatory blood pressure monitoring.
Pekkarinen T, Takala I, Mustajoki P.
https://www.ncbi.nlm.nih.gov/pubmed/9705026

VLCD versus LCD in long-term treatment of obesity.
Rössner S, Flaten H.
https://www.ncbi.nlm.nih.gov/pubmed/9023596

Long-term effects of a very low calorie diet (Nutrilett) in obesity treatment. A prospective, randomized, comparison between VLCD and a hypocaloric diet+behavior modification and their combination.
Ryttig KR, Flaten H, Rössner S.
https://www.ncbi.nlm.nih.gov/pubmed/9226488

Weight maintenance after a very low calorie diet (VLCD) weight reduction period and the effects of VLCD supplementation. A prospective, randomized, comparative, controlled long-term trial.
Ryttig KR, Rössner S.
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Weight loss and dropout during a commercial weight-loss program including a very-low-calorie diet, a low-calorie diet, or restricted normal food: observational cohort study
Erik Hemmingsson Kari Johansson Jonas Eriksson Johan SundströmMartin Neovius Claude Marcus

The American Journal of Clinical Nutrition, Volume 96, Issue 5, 1 November 2012,
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The effect of rate of weight loss on long-term weight regain in adults with overweight and obesity.
Vink RG, Roumans NJ, Arkenbosch LA, Mariman EC, van Baak MA.
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Myths, Presumptions, and Facts about Obesity
Krista Casazza, Ph.D., etc.
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Treatment of obesity by moderate and severe caloric restriction. Results of clinical research trials.
Wadden TA.
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One-year behavioral treatment of obesity: comparison of moderate and severe caloric restriction and the effects of weight maintenance therapy.
Wadden TA, Foster GD, Letizia KA.
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Controlled trial of the metabolic effects of a very-low-calorie diet: short- and long-term effects.
Foster GD, Wadden TA, Feurer ID, Jennings AS, Stunkard AJ, Crosby LO, Ship J, Mullen JL.
https://www.ncbi.nlm.nih.gov/pubmed/2407096

Benefits and risks of an intensive very-low-calorie diet program for severe obesity.
Anderson JW, Hamilton CC, Brinkman-Kaplan V.
https://www.ncbi.nlm.nih.gov/pubmed/1728126

The effect of rate of weight loss on long‐term weight regain in adults with overweight and obesity
Roel G. Vink, etc., 2016
https://onlinelibrary.wiley.com/doi/full/10.1002/oby.21346

Prolonged re-feeding improves weight maintenance after weight loss with very-low-energy diets (VLEDs)
Lena Gripeteg, Jarl Torgerson, Jan Karlsson, and Anna Karin Lindroos5
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Intermittent vs continuous VLCD therapy in obesity treatment.
Rössner S.
https://www.ncbi.nlm.nih.gov/pubmed/9504328

Intermittent versus daily calorie restriction: which diet regimen is more effective for weight loss?
Varady KA
https://www.ncbi.nlm.nih.gov/pubmed/21410865

Long-term effects of a very low calorie diet (Nutrilett) in obesity treatment. A prospective, randomized, comparison between VLCD and a hypocaloric diet+behavior modification and their combination.
Ryttig KR, Flaten H, Rössner S.
https://www.ncbi.nlm.nih.gov/pubmed/9226488

Assessment of fat-mass loss during weight reduction in obese women.
Fogelholm GM, Sievänen HT, van Marken Lichtenbelt WD, Westerterp KR.
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https://www.ncbi.nlm.nih.gov/pubmed/8680460

Two year maintenance of weight loss after a VLCD and behavioural therapy for obesity: correlation to the scores of questionnaires measuring eating behaviour.
Pekkarinen T, Takala I, Mustajoki P.

VLCD plus dietary and behavioural support versus support alone in the treatment of severe obesity. A randomised two-year clinical trial.
Torgerson JS, Lissner L, Lindroos AK, Kruijer H, Sjöström L.
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Long-term weight maintenance after an intensive weight-loss program.
Anderson JW, Vichitbandra S, Qian W, Kryscio RJ.
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Very-low-calorie diets and sustained weight loss.
Saris WH.
https://www.ncbi.nlm.nih.gov/pubmed/11707557

The effect of rate of weight loss on long-term weight management: a randomised controlled trial.
Purcell K, Sumithran P, Prendergast LA, Bouniu CJ, Delbridge E, Proietto J.
https://www.ncbi.nlm.nih.gov/pubmed/25459211

The Association Between Rate of Initial Weight Loss and Long-Term Success in Obesity Treatment: Does Slow and Steady Win the Race?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3780395/
https://www.ncbi.nlm.nih.gov/pubmed/20443094

Strategies to Improve Adherence to Dietary Weight Loss Interventions in Research and Real-World Settings
Alice A. Gibson* and Amanda Sainsbury
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5618052/

Long-term weight-loss maintenance: a meta-analysis of US studies.
Anderson JW, Konz EC, Frederich RC, Wood CL.
https://www.ncbi.nlm.nih.gov/pubmed/11684524

Maintenance of weight loss after lifestyle interventions for overweight and obesity, a systematic review
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Systematic review of weight loss diets: role of dietary components
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Diet and body composition. Effect of very low calorie diets and exercise.
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Effect of the Holiday Season on Weight Gain: A Narrative Review
Rolando G. Díaz-Zavala, María F. Castro-Cantú, Mauro E. Valencia, Gerardo Álvarez-Hernández, Michelle M. Haby, and Julián Esparza-Romero
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Deliberate overfeeding in women and men: energy cost and composition of the weight gain*
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Negative energy balance in male and female rangers: effects of 7 d of sustained exercise and food deprivation
Reed W Hoyt Per Kristian Opstad Ann-Helen Haugen James P DeLanyAllen Cymerman Karl E Friedl
http://ajcn.nutrition.org/content/83/5/1068.long

The Look AHEAD Study: A Description of the Lifestyle Intervention and the Evidence Supporting It
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Do adaptive changes in metabolic rate favor weight regain in weight-reduced individuals? An examination of the set-point theory.
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Rosenbaum M, Leibel RL.
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Changes in Energy Expenditure with Weight Gain and Weight Loss in Humans
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Persistent metabolic adaptation 6 years after “The Biggest Loser” competition
Erin Fothergill, etc.
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How strongly does appetite counter weight loss? Quantification of the homeostatic control of human energy intake

David Polidori, Arjun Sanghvi, Randy Seeley, Kevin D Hall
https://www.biorxiv.org/content/early/2016/04/29/051045

Metabolic adaptation to caloric restriction and subsequent refeeding: the Minnesota Starvation Experiment revisited
Manfred James Müller Janna Enderle Maryam Pourhassan Wiebke BraunBenjamin Eggeling Merit Lagerpusch Claus-Christian Glüer Joseph J KehayiasDieter Kiosz Anja Bosy-Westphal
http://ajcn.nutrition.org/content/102/4/807.long
https://www.ncbi.nlm.nih.gov/pubmed/26399868

Long-term persistence of adaptive thermogenesis in subjects who have maintained a reduced body weight

Michael Rosenbaum Jules Hirsch Dympna A Gallagher Rudolph L Leibel
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http://ajcn.nutrition.org/content/88/4/906.long
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Models of energy homeostasis in response to maintenance of reduced body weight
Michael Rosenbaum and Rudolph L. Leibel
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4965234/
https://www.ncbi.nlm.nih.gov/pubmed/27460711

Issues in characterizing resting energy expenditure in obesity and after weight loss
Anja Bosy-Westphal, Wiebke Braun, Britta Schautz, and Manfred J. Müller
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3607079/
https://www.ncbi.nlm.nih.gov/pubmed/23532370

Metabolic slowing with massive weight loss despite preservation of fat-free mass.
Johannsen DL, Knuth ND, Huizenga R, Rood JC, Ravussin E, Hall KD.
https://www.ncbi.nlm.nih.gov/pubmed/22535969
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3387402/

Diet versus Exercise in “The Biggest Loser” Weight Loss Competition
Kevin D. Hall
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3660472/

Effects of weight cycling caused by intermittent dieting on metabolic rate and body composition in obese women.
Jebb SA, Goldberg GR, Coward WA, Murgatroyd PR, Prentice AM.
https://www.ncbi.nlm.nih.gov/pubmed/1885261

Effects of intentional weight cycling on non-obese young women.
Kajioka T, Tsuzuku S, Shimokata H, Sato Y.
https://www.ncbi.nlm.nih.gov/pubmed/11833040
http://www.metabolismjournal.com/article/S0026-0495(02)86882-2/pdf

Clinical significance of adaptive thermogenesis.
Major GC, Doucet E, Trayhurn P, Astrup A, Tremblay A.
https://www.nature.com/ijo/journal/v31/n2/full/0803523a.html
https://www.ncbi.nlm.nih.gov/pubmed/17260010

A weight reduction program preserves fat-free mass but not metabolic rate in obese adolescents.
Lazzer S, Boirie Y, Montaurier C, Vernet J, Meyer M, Vermorel M.
http://onlinelibrary.wiley.com/doi/10.1038/oby.2004.30/full
https://www.ncbi.nlm.nih.gov/pubmed/14981215

Energy metabolism after 2 y of energy restriction: the biosphere 2 experiment.
Weyer C, Walford RL, Harper IT, Milner M, MacCallum T, Tataranni PA, Ravussin E.
http://ajcn.nutrition.org/content/72/4/946.long
https://www.ncbi.nlm.nih.gov/pubmed/11010936

Energy Intake in Weight-Reduced Humans
Michael Rosenbaum, Harry R. Kissileff, Laurel E.S. Mayer, Joy Hirsch, and Rudolph L. Leibel
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2926239/
https://www.ncbi.nlm.nih.gov/pubmed/20595050

Effect of circadian variation in energy expenditure, within-subject variation and weight reduction on thermic effect of food.
Miles CW, Wong NP, Rumpler WV, Conway J.
https://www.ncbi.nlm.nih.gov/pubmed/?term=8491165

Controlled trial of the metabolic effects of a very-low-calorie diet: short- and long-term effects
G D Foster T A Wadden I D Feurer A S Jennings A J Stunkard L O Crosby J ShipJ L Mullen
http://ajcn.nutrition.org/content/51/2/167.abstract?sid=a5ae322a-7b9d-49d3-a222-dbae04417810

Effect of weight reduction on resting energy expenditure, substrate utilization, and the thermic effect of food in moderately obese women.
Nelson KM, Weinsier RL, James LD, Darnell B, Hunter G, Long CL.
https://www.ncbi.nlm.nih.gov/pubmed/1570799

Total and resting energy expenditure in obese women reduced to ideal body weight.
Amatruda JM, Statt MC, Welle SL.
https://www.ncbi.nlm.nih.gov/pubmed/8376583

Energy expenditure and free-living physical activity in black and white women: comparison before and after weight loss.
Weinsier RL, etc.
http://ajcn.nutrition.org/content/71/5/1138.long
https://www.ncbi.nlm.nih.gov/pubmed/10799376

Discrepancy between self-reported and actual caloric intake and exercise in obese subjects.
Lichtman SW, Pisarska K, Berman ER, Pestone M, Dowling H, Offenbacher E, Weisel H, Heshka S, Matthews DE, Heymsfield SB.
https://www.ncbi.nlm.nih.gov/pubmed/1454084
http://www.nejm.org/doi/10.1056/NEJM199212313272701?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dwww.ncbi.nlm.nih.gov&

Metabolic adaptation following massive weight loss is related to the degree of energy imbalance and changes in circulating leptin
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4236233/
https://www.ncbi.nlm.nih.gov/pubmed/25236175

Metabolic and Behavioral Compensations in Response to Caloric Restriction: Implications for the Maintenance of Weight Loss

Leanne M. Redman, Leonie K. Heilbronn, Corby K. Martin, Lilian de Jonge, Donald A. Williamson,James P. Delany, Eric Ravussin, * and for the Pennington CALERIE team
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2634841/

Role of nonexercise activity thermogenesis in resistance to fat gain in humans.
Levine JA, Eberhardt NL, Jensen MD.
https://www.ncbi.nlm.nih.gov/pubmed/9880251/

Regulation of Body Weight in Humans
Eric Jéquier, etc.
https://www.physiology.org/doi/10.1152/physrev.1999.79.2.451

Daily physical activity as determined by age, body mass and energy balance
Klaas R. Westerterp
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4429144/

Adaptive reduction in basal metabolic rate in response to food deprivation in humans: a role for feedback signals from fat stores.
Dulloo AG, Jacquet J.
https://www.ncbi.nlm.nih.gov/pubmed/9734736