Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2019; 29(04): 233-242
DOI: 10.1055/a-0896-6057
CME-Fortbildung
© Georg Thieme Verlag KG Stuttgart · New York

Adipositas und körperliche Aktivität bei Erwachsenen

Obesity and Physical Activity in Adults
Alfred Wirth
Further Information

Publication History

Publication Date:
19 August 2019 (online)

Zur Prävention und Therapie der Adipositas ist vermehrte Bewegung von großer Bedeutung. Die Datenlage zur Prävention ist unzureichend, vermehrte Bewegung scheint eine wichtige Rolle zu spielen. Eine Abnahme von Körpergewicht, Körperfett und viszeralem Fett gelingt durch ein Ausdauertraining mit mittlerer und hoher Intensität am besten. Ein Krafttraining vermindert Körpergewicht und Körperfett kaum, erhält und erhöht jedoch die Muskelmasse nach einem intensiven Training. Zur Gewichtsabnahme ist eine Kombination aus Ausdauer- und Krafttraining am effektivsten. Nach einer alimentär induzierten Gewichtsabnahme ist ein umfangreiches Training erforderlich, um einen Gewichtsanstieg zu verhindern. Neben Auswirkungen auf das Körpergewicht und die Körperzusammensetzung hat vermehrte körperliche Aktivität Auswirkungen auf eine Reihe von Risikofaktoren, Krankheiten und die Lebensqualität.

Abstract

Increased physical activity is of major importance for prevention and therapy of obesity. The database for prevention is insufficient, exercise is probably of major importance. Reduction of body weight, body fat, and visceral fat is best achieved by endurance exercise at moderate and high intensity. Resistance training reduces body weight and body fat minimal but preserves muscle mass following an intensive training programme. For weight loss a combination of endurance and resistance training is most effective. Following diet-induced weight loss a comprehensive training programme is necessary to prevent weight regain. Beside changes on body weight and body composition increased physical activity has positive effects on risk factors, diseases and quality of life.

 
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