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Abstract
Background
Alternate day fasting combined with exercise is effective for weight loss.
Objective
The aim of this study was to examine the behavioral adaptations that occur when ADF is combined with exercise, and to determine how these changes affect weight loss.
Design
Obese subjects (n = 64) were randomized to 1 of 4 groups: 1) combination (ADF + endurance exercise), 2) ADF, 3) exercise, or 4) control, for 12 weeks.
Results
Body weight decreased (P < 0.05) in the combination group (6 ± 4 kg), ADF (3 ± 1 kg), exercise group (1 ± 0 kg), with no change in the control group (0 ± 0 kg). When given the choice, subjects chose to exercise the same amount (P = 0.790) on the fast days (48 ± 2%) as feed days (52 ± 2%). Percent of exercise sessions performed on fast day mornings (20 ± 6%) did not differ (P = 0.453) from fast day afternoons (28 ± 5%). Likeliness to cheat on the fast day was not higher if the subject exercised in the afternoon (17 ± 7%) versus the morning (10 ± 5%). Hunger decreased (P < 0.05) while satisfaction and fullness increased (P < 0.05) post-treatment in the ADF group only. Restrained eating increased (P < 0.05) and uncontrolled eating decreased (P < 0.05) in the combination and ADF groups.
Conclusion
These findings suggest that endurance exercise is an excellent adjunct therapy to ADF, as it leads to positive behavioral changes that may contribute to long-term steady weight loss.
Electronic supplementary material
The online version of this article (doi:10.1186/1550-2783-10-50) contains supplementary material, which is available to authorized users.
Copyright comment
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Electronic supplementary material
The online version of this article (doi:10.1186/1550-2783-10-50) contains supplementary material, which is available to authorized users.
Copyright comment
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Funding source
American Heart Association 12PRE8350000; University of Illinois, Chicago, Departmental funding.
Competing interests
The authors have no competing of interest to report.
Authors’ contributions
SB designed the experiment, conducted the clinical trial, analyzed the data, and wrote the manuscript. MCK and CMK assisted with the conduction of the clinical trial. EA, YC, JFT, KKH assisted with the data analysis. KAV assisted with the design of the experiment, and wrote the manuscript. All authors read and approved the final manuscript.
