DÄ internationalArchive3/2019Creating Associations With Positive Experiences Is Key
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Kesztyüs et al. in their excellent review article confirm that for abdominal obesity, among others, a disciplined, long-term adaptation of dietary habits and lifestyle (365 days/year) is the method of choice (1). In terms of the organismic required muscle activity, allow me to add a recent French meta-analysis to the authors’ reference list. The working group of Maillard et al. confirmed high intensity interval training (HIIT) as a time efficient strategy for reducing abdominal-visceral fat especially in overweight or obese persons, independent of sex (2). In view of the difficulties that many people experience with committing to exercise, we should not underestimate the degree to which overweight/obese persons associate HIIT with positive experiences and perceive it as a feasible and enjoyable form of physical activity (3, 4). For this reason, combined lifestyle interventions in abdominal obesity should—as far as the individual training/health status of the patient permits—integrate into everyday life frequently repeated, short intensive exercise elements with realistic implementation steps.

DOI: 10.3238/arztebl.2019.0039b

Dr. oec. troph. Martin Hofmeister

Verbraucherzentrale Bayern e. V.

Referat Lebensmittel und Ernährung

München

hofmeister@vzbayern.de

1.
Kesztyüs D, Erhardt J, Schönsteiner D, Kesztyüs T: Treatment options for abdominal obesity in adults—a meta-analysis and systematic review of randomized controlled trials. Dtsch Arztebl Int 2018; 115: 487–93 VOLLTEXT
2.
Maillard F, Pereira B, Boisseau N: Effect of high-intensity interval training on total, abdominal and visceral fat mass: a meta-analysis. Sports Med 2018; 48: 269–88 CrossRef MEDLINE
3.
Kong Z, Fan X, Sun S, Song L, Shi Q, Nie J: Comparison of high-intensity interval training and moderate-to-vigorous continuous training for cardiometabolic health and exercise enjoyment in obese young women: a randomized controlled trial. PLoS One 2016; 11: e0158589 CrossRef MEDLINE PubMed Central
4.
Smith-Ryan AE: Enjoyment of high-intensity interval training in an overweight/obese cohort: a short report. Clin Physiol Funct Imaging 2017; 37: 89–93 CrossRef MEDLINE PubMed Central
1.Kesztyüs D, Erhardt J, Schönsteiner D, Kesztyüs T: Treatment options for abdominal obesity in adults—a meta-analysis and systematic review of randomized controlled trials. Dtsch Arztebl Int 2018; 115: 487–93 VOLLTEXT
2. Maillard F, Pereira B, Boisseau N: Effect of high-intensity interval training on total, abdominal and visceral fat mass: a meta-analysis. Sports Med 2018; 48: 269–88 CrossRef MEDLINE
3. Kong Z, Fan X, Sun S, Song L, Shi Q, Nie J: Comparison of high-intensity interval training and moderate-to-vigorous continuous training for cardiometabolic health and exercise enjoyment in obese young women: a randomized controlled trial. PLoS One 2016; 11: e0158589 CrossRef MEDLINE PubMed Central
4.Smith-Ryan AE: Enjoyment of high-intensity interval training in an overweight/obese cohort: a short report. Clin Physiol Funct Imaging 2017; 37: 89–93 CrossRef MEDLINE PubMed Central

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