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Review

Prescribing exercise to help your patients lose weight

John P. Higgins, MD, MBA, MPhil and Christopher L. Higgins, MCEP, BSHPE
Cleveland Clinic Journal of Medicine February 2016, 83 (2) 141-150; DOI: https://doi.org/10.3949/ccjm.83a.14139
John P. Higgins
Memorial Hermann Sports Medicine Institute, University of Texas Medical School at Houston
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  • For correspondence: [email protected]
Christopher L. Higgins
School of Human Movement Studies, University of Queensland, St. Lucia, Queensland, Australia
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    TABLE 1

    Typical aerobic exercise program for obese adults

    WeekFrequencyExerciseaDuration
    1–25 days per weekbWalking or stationary bicycle10 minutes per day total
    3–45 days per weekWalking or stationary bicycle20 minutes per day totalc
    5–65 days per weekWalking or stationary bicycle30 minutes per day totalc
    7–85 days per weekWalking or stationary bicycle40 minutes per day totalc
    9–105 days per weekWalking or stationary bicycle50 minutes per day totalc
    > 105 days per weekWalking or stationary bicycle60 minutes per day totalc
    • ↵a Continuous exercise of low to moderate intensity; if the patient prefers high-intensity interval training and can do this effectively, the duration can be halved. Other aerobic exercises that can be performed include low-impact aerobics, seated aerobics, water aerobics, swimming, treadmill, slow jogging, elliptical stepping, recumbent cycling, and seated stepping.

    • ↵b Preferably on days not doing resistance exercises.

    • ↵c Can be done in 10-minute increments.

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    TABLE 2

    Typical resistance exercise program for obese adults

    WeekFrequencyMuscle groupsSets and repetitions
    1–21 day per week101 set of 12 repetitions
    3–42 days per weeka101 set of 12 repetitions
    5–82 days per week102 sets of 12 repetitions
    9–122 days per week103 sets of 12 repetitions
    > 122 days per week104 sets of 12 repetitions
    • ↵a Done 3 days apart, preferably on days when aerobic exercises are not being done.

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    TABLE 3

    A comprehensive weekly exercise program for obese adults

    Day of weekType of exercise
    MondayAerobicaBalance
    TuesdayAerobicFlexibility
    WednesdayResistanceBalance
    ThursdayAerobic
    FridayAerobicFlexibility
    SaturdayResistanceBalance
    SundayAerobic
    • ↵a Continuous exercise of low to moderate intensity; if the patient prefers high-intensity interval training (anaerobic) and can do this effectively, that is a suitable substitute.

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Cleveland Clinic Journal of Medicine: 83 (2)
Cleveland Clinic Journal of Medicine
Vol. 83, Issue 2
1 Feb 2016
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Prescribing exercise to help your patients lose weight
John P. Higgins, Christopher L. Higgins
Cleveland Clinic Journal of Medicine Feb 2016, 83 (2) 141-150; DOI: 10.3949/ccjm.83a.14139

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Prescribing exercise to help your patients lose weight
John P. Higgins, Christopher L. Higgins
Cleveland Clinic Journal of Medicine Feb 2016, 83 (2) 141-150; DOI: 10.3949/ccjm.83a.14139
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Jump to section

  • Article
    • ABSTRACT
    • EXERCISE IMPROVES WEIGHT LOSS
    • ADDITIONAL BENEFITS OF EXERCISE
    • SETTING ‘SMART’ GOALS
    • EXERCISE RECOMMENDATIONS
    • BARIATRIC SURGERY AND LIFESTYLE MANAGEMENT FOR OBESITY
    • TREATMENT CONSIDERATIONS IN MORBID OBESITY
    • A LONG-TERM ENDEAVOR
    • REFERENCES
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