Evidence map›Paper›PMID 34076949›Full record

ArticleObesity reviews : an official journal of the International Association for the Study of Obesity2021

Exercise training in the management of overweight and obesity in adults: Synthesis of the evidence and recommendations from the European Association for the Study of Obesity Physical Activity Working Group.

Jean-Michel Oppert, Alice Bellicha, Marleen A van Baak, Francesca Battista, Kristine Beaulieu, John E Blundell, Eliana V Carraça, Jorge Encantado, Andrea Ermolao, Adriyan Pramono and 4 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 138 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
138citing papers in PubMed, 18 pooled it
35.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

138 citing papers in PubMed, 18 syntheses or guidelines pooled it, 243 citations in OpenAlex.

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  9. Expert-based physical activity guidelines for metabolic and bariatric surgery patients: a systematic review of randomized controlled trials.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025
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78 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 7 countries.

Jean-Michel OppertAssistance Publique-Hôpitaux de Paris (AP-HP), Pitié-Salpêtrière hospital, Department of Nutrition, Institute of Cardiometabolism and Nutrition, Sorbonne University, Paris, France.ORCID 0000-0003-0324-4820
Alice BellichaINSERM, Nutrition and Obesities: Systemic Approaches, NutriOmics, Sorbonne University, Paris, France.ORCID 0000-0002-5572-487X
Marleen A van BaakDepartment of Human Biology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Francesca BattistaSport and Exercise Medicine Division, Department of Medicine, University of Padova, Padova, Italy.
Kristine BeaulieuAppetite Control and Energy Balance Group (ACEB), School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
John E BlundellAppetite Control and Energy Balance Group (ACEB), School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
Eliana V CarraçaFaculdade de Educação Física e Desporto, CIDEFES, Universidade Lusófona de Humanidades e Tecnologias, Lisbon, Portugal.
Jorge EncantadoAPPsyCI-Applied Psychology Research Center Capabilities and Inclusion, ISPA-University Institute, Lisbon, Portugal.
Andrea ErmolaoSport and Exercise Medicine Division, Department of Medicine, University of Padova, Padova, Italy.
Adriyan PramonoDepartment of Human Biology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Nathalie Farpour-LambertObesity Management Task Force (OMTF), European Association for the Study of Obesity (EASO), Middlesex, UK.ORCID 0000-0001-6478-7269
Euan WoodwardObesity Management Task Force (OMTF), European Association for the Study of Obesity (EASO), Middlesex, UK.
Dror DickerObesity Management Task Force (OMTF), European Association for the Study of Obesity (EASO), Middlesex, UK.
Luca BusettoObesity Management Task Force (OMTF), European Association for the Study of Obesity (EASO), Middlesex, UK.
University of Padua · ITMaastricht University Medical Centre · NLUniversity of Leeds · GBEuropean Association for the Study of Obesity · GBInserm · FRSorbonne Université · FRTel Aviv University · ILUniversidade Lusófona · PTUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a need for updated practice recommendations on exercise in the management of overweight and obesity in adults. We summarize the evidence provided by a series of seven systematic literature reviews performed by a group of experts from across Europe. The following recommendations with highest strength (Grade A) were derived. For loss in body weight, total fat, visceral fat, intra-hepatic fat, and for improvement in blood pressure, an exercise training program based on aerobic exercise at moderate intensity is preferentially advised. Expected weight loss is however on average not more than 2 to 3 kg. For preservation of lean mass during weight loss, an exercise training program based on resistance training at moderate-to-high intensity is advised. For improvement in insulin sensitivity and for increasing cardiorespiratory fitness, any type of exercise training (aerobic, resistance, and combined aerobic or resistance) or high-intensity interval training (after thorough assessment of cardiovascular risk and under supervision) can be advised. For increasing muscular fitness, an exercise training program based preferentially on resistance training alone or combined with aerobic training is advised. Other recommendations deal with the beneficial effects of exercise training programs on energy intake and appetite control, bariatric surgery outcomes, and quality of life and psychological outcomes in management of overweight and obesity.

Indexed as

Cardiorespiratory FitnessResistance TrainingAdultExerciseHumansObesityOverweightQuality of Lifeexerciseobesityphysical activityrecommendations

Identifiers

PMID34076949
PMCPMC8365734
OpenAlexW3165228781

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.