Clinical Q & A: Dietary Advice for the Exercising Overweight Patient

摘要

I have overweight patients who have begun an exercisenregime. What should I tell them about their dietary choices,nspecifically what they need to eat? Some researchers have described our environment asn“obeseogenic,” referring to the fact that it promotesnpositive energy balance and compromises weight-lossnor weight-maintenance efforts. The two main componentsnthat were thought to lead to this problem were sedentary lifestylenand high-fat diets, and a number of very large clinicalntrials agree with this observation.nThere are definite benefits of weight loss even at ansmall range of 5 to 10% body weight if maintained overnthe long term. The goal in exercise, as in diet, is for smallnchanges that are maintained such that they become a permanentnlifestyle.