Int J Epidemiol：仅通过锻炼并不能减肥，限制热量才是王道！

2015-08-22 MedSci MedSci原创

仅通过锻炼并不能减肥，限制热量才是王道！体育运动对机体的健康有诸多益处，包括减小心脏病、糖尿病以及癌症的发病风险，改善机体的心理健康及情绪。但是与公众的看法相反，公共卫生科学家、医学博士Richard S. Cooper以及来自芝加哥洛约拉大学斯特里奇医学院的博士 Amy Luke则认为，锻炼并不能有助于减肥。“体育运动对改善整体的健康及健身水平至关重要，但是并没有足够的研究表明它可以帮助肥胖者减

体育运动对机体的健康有诸多益处，包括减小心脏病、糖尿病以及癌症的发病风险，改善机体的心理健康及情绪。但是与公众的看法相反，公共卫生科学家、医学博士Richard S. Cooper以及来自芝加哥洛约拉大学斯特里奇医学院的博士 Amy Luke则认为，锻炼并不能有助于减肥。

“体育运动对改善整体的健康及健身水平至关重要，但是并没有足够的研究表明它可以帮助肥胖者减肥，”芝加哥洛约拉大学斯特里奇医学院公共卫生学院主席Dr. Cooper及副主席Dr. Luke在国际《流行病学杂志》中写道。

Dr. Luke及Dr. Cooper已研究了数年体育运动与肥胖之间的关系。开始着手研究时，他们假定体力活动将会是减肥的关键。但是压倒性的证据表明他们的假设是错误的。

如果一个人增加体育运动的强度，那么相应的食欲也会增加，就会摄入更多地食物以弥补运动的消耗。所以，不论增不增加体育运动，控制热量才是减轻或保持体重的关键。

食品及饮料行业试图通过推广缺乏锻炼是导致肥胖的主要原因的观点来转移大众对热量消耗的注意。例如，近日《纽约时报》报道，世界上最大的含糖饮料生产商可口可乐公司正在支持一项新的“基于科学”的肥胖解决方案：为了保持健康的体重，则应多锻炼少担心减少热量的摄入。
Dr. Luke及Dr. Cooper在文中详细的解释道锻炼并不是减肥的关键。下面是一些例子：

1、一直以来我们认为非洲、印度和中国的肥胖率较低是由于其日常的繁重工作所致。但是研究结果并不支持这一看法。例如，非裔美国人往往比尼日利亚人体重要重。Dr. Luke及其同事发现，校正了个体大小后，尼日利亚人通过体育运动所燃烧的热量并不比非裔美国人多。

2、大量的临床试验已经发现，运动加热量限制几乎与仅通过热量限制所减轻的体重相同。

3、观察性研究表明，运动能量消耗与随后的体重改变之间并无关联。

4、极小比例的美国人的消耗足够大的运动能量可影响其长期的能量平衡。

总而言之，虽然体力活动对机体健康有诸多的益处，但是多方面证据表明，增加体力活动所消耗的能量可因热量的摄入而抵消，除非我们有意识的限制热量的摄入。

感谢微信朋友顺其自然指出文献错误，现在已修正，谢谢！

原始出处：

Luke A.Cooper RS,Physical activity does not influence obesity risk: time to clarify the public health message.Int. J. Epidemiol. (2013) 42 (6):1831-1836 doi: 10.1093/ije/dyt159

其它研究：

Shoham DA, Dugas LR, Bovet P, Forrester TE, Lambert EV, Plange-Rhule J, Schoeller DA, Brage S, Ekelund U, Durazo-Arvizu RA, Cooper RS, Luke A.Association of car ownership and physical activity across the spectrum of human development: Modeling the Epidemiologic Transition Study (METS). BMC Public Health. 2015 Feb 21;15:173.

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2015-10-21 wangyang7958

#限制热量#

44 0
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2015-10-06 段段

控制住自己的嘴

125 0
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2015-08-24 ms2536978994064944

#热量#

34 0
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2015-08-23 caierhong

原来这样，管好?是关键

133 0
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2015-08-23 2014lb3

真的是吗？

129 0
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2015-08-23 nina1125

明白了

116 0
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2015-08-23 lovetcm

走1万步就相当于吃一块面包。

186 0
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2015-08-23 Ada295

所谓循证

46 0
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2015-08-23 Ada295

所谓寻证

74 0
[GetPortalCommentsPageByObjectIdResponse(id=1980668, encodeId=2b46198066820, content=<a href='/topic/show?id=79c4982492d' target=_blank style='color:#2F92EE;'>#限制热量#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98249, encryptionId=79c4982492d, topicName=限制热量)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=267e204, createdName=wangyang7958, createdTime=Wed Oct 21 13:44:00 CST 2015, time=2015-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=37774, encodeId=b9c03e7744f, content=控制住自己的嘴, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d2ae1637749, createdName=段段, createdTime=Tue Oct 06 20:53:00 CST 2015, time=2015-10-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1613821, encodeId=bed31613821f3, content=<a href='/topic/show?id=d87e6e25687' target=_blank style='color:#2F92EE;'>#热量#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67256, encryptionId=d87e6e25687, topicName=热量)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bba919440409, createdName=ms2536978994064944, createdTime=Mon Aug 24 11:44:00 CST 2015, time=2015-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36005, encodeId=2b323600566, content=原来这样，管好?是关键, beContent=null, objectType=article, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=66c61628089, createdName=caierhong, createdTime=Sun Aug 23 15:29:00 CST 2015, time=2015-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36002, encodeId=c0d83600273, content=真的是吗？, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=40251618559, createdName=2014lb3, createdTime=Sun Aug 23 14:35:00 CST 2015, time=2015-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35997, encodeId=0b4d3599eee, content=明白了, beContent=null, objectType=article, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5iaecibYX9C8bibtETqRvxVQNud0LKVXWwpDY3GzJtHxWqTE33oKEBhoVuYmicqyt9EKbP8vuW5TkINg/0, createdBy=d3331644082, createdName=nina1125, createdTime=Sun Aug 23 13:32:00 CST 2015, time=2015-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35990, encodeId=9c21359906c, content=走1万步就相当于吃一块面包。, beContent=null, objectType=article, channel=null, level=null, likeNumber=186, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Sun Aug 23 09:41:00 CST 2015, time=2015-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35989, encodeId=440935989e3, content=所谓循证, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKqd2nj7ibcRG0C9WVt6BbFUqhicEALw84G5AfNLDdkJIIt91eBc2vnQh2ytwFA9GpQtsKqgfdhxgbw/132, createdBy=baca1644768, createdName=Ada295, createdTime=Sun Aug 23 09:38:00 CST 2015, time=2015-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35988, encodeId=ca1b35988b9, content=所谓寻证, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKqd2nj7ibcRG0C9WVt6BbFUqhicEALw84G5AfNLDdkJIIt91eBc2vnQh2ytwFA9GpQtsKqgfdhxgbw/132, createdBy=baca1644768, createdName=Ada295, createdTime=Sun Aug 23 09:37:00 CST 2015, time=2015-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35986, encodeId=952135986a8, content=呵呵, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e73d1605484, createdName=he408015781, createdTime=Sun Aug 23 08:50:00 CST 2015, time=2015-08-23, status=1, ipAttribution=)]
2015-08-23 he408015781

呵呵

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