The Effect of Aerobic Training on Weight Loss in Middle-Aged and Older Adults: Is It a Sufficient Form of Exercise?
DOI:
https://doi.org/10.12775/JEHS.2025.77.56778Keywords
obesity, overweight, older adults, middle aged adults, aerobic, resistance trainingAbstract
Introduction: Obesity is a serious health problem that affects a very large percentage of the population, including middle-aged and senior people. Overweight and obesity are risk factors for many diseases, including cardiovascular diseases and diabetes. Many papers have been produced investigating the effects of different types of training and diet on body fat levels in overweight and obese populations. One of the best studied forms of exercise is aerobic training. In this article, we will discuss the effects of aerobic training or its combination with resistance training on weight loss and fat burning in an elderly population, including those suffering from sarcopenic obesity.
Aim of the study: To demonstrate the effects of aerobic training and the combination of aerobic training and resistance training on weight loss, body fat reduction and other relevant health parameters in a middle-aged and older population.
Methods: A review of the literature available in PubMed and Google Scholar databases conducted using key words such as obesity, older adults, overweight, aerobic, resistance training. The review of available publications mainly focused on studies with the strongest scientific evidence such as randomised controlled trials and meta-analyses.
Conclusion: Physical exercise is a crucial part of the fight against obesity. The implementation of training supports weight reduction and, at the same time, has a positive impact on fitness and physical performance. Aerobic training has a positive effect on weight loss, but the best results are obtained when aerobic training is accompanied by resistance training, as it has a positive effect on muscle strength and muscle tissue quality and has a positive effect on bone mineral density (BMD). However, it should be noted that significant fat reduction requires the implementation of a calorie deficit.
References
World Health Organization. Regional Office for Europe. (2022). WHO European Regional Obesity Report 2022. World Health Organization. Regional Office for Europe. Accessed on Dec. 6, 2024 Available form: https://iris.who.int/handle/10665/353747.
WHO Acceleration Plan to Stop Obesity; World Health Organization: Geneva, Switzerland, 2023; ISBN 978-92-4-007563-4. (Electronic Version). Accessed on Dec. 6, 2024 Available form: https://www.who.int/publications/i/item/9789240075634
Ostrowska L., Zyśk B. Definicja, epidemiologia i diagnostyka choroby otyłościowej In. Ostrowska L., Bogdański P., Mamcarz A.[eds.] Otyłość i jej powikłania. PZWL Wydawnictwo Lekarskie, 2021, 1056 s. ISBN 978-83-200-6584-8, doi: https://doi.org/10.53270/2021.022
NCD Risk Factor Collaboration (NCD-RisC). “Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults.” Lancet (London, England) vol. 403,10431 (2024): 1027-1050. doi:10.1016/S0140-6736(23)02750-2
Brzeziński M., Puzianowska-Kuźnicka M., Błeszyńska E., Kujawska-Danecka H., Bandosz P., Zdrojewski T. Nadwaga i Otyłość, część III, rozdział 16 In Błędowski P., Grodzicki T., Mossakowska M., Zdrojewski T. [eds.] PolSenior2 - Badanie poszczególnych obszarów stanu zdrowia osób starszych w tym jakości życia związanej ze zdrowiem. Gdański Uniwersytet Medyczny, Gdańsk, 2022, ISBN 978-83-67147-04-0, Accessed on Dec. 6, 2024 Available form: https://polsenior2.gumed.edu.pl/66095.html
Wei, Shibo et al. “Sarcopenic obesity: epidemiology, pathophysiology, cardiovascular disease, mortality, and management.” Frontiers in endocrinology vol. 14 1185221. 30 Jun. 2023, doi:10.3389/fendo.2023.1185221
Batsis, John A, and Dennis T Villareal. “Sarcopenic obesity in older adults: aetiology, epidemiology and treatment strategies.” Nature reviews. Endocrinology vol. 14,9 (2018): 513-537. doi:10.1038/s41574-018-0062-9
Koliaki, Chrysi et al. “Sarcopenic Obesity: Epidemiologic Evidence, Pathophysiology, and Therapeutic Perspectives.” Current obesity reports vol. 8,4 (2019): 458-471. doi:10.1007/s13679-019-00359-9
Gao, Qianqian et al. “Global prevalence of sarcopenic obesity in older adults: A systematic review and meta-analysis.” Clinical nutrition (Edinburgh, Scotland) vol. 40,7 (2021): 4633-4641. doi:10.1016/j.clnu.2021.06.009
Villareal, Dennis T et al. “Weight loss, exercise, or both and physical function in obese older adults.” The New England journal of medicine vol. 364,13 (2011): 1218-29. doi:10.1056/NEJMoa1008234
Ryan, A S et al. “Aerobic exercise + weight loss decreases skeletal muscle myostatin expression and improves insulin sensitivity in older adults.” Obesity (Silver Spring, Md.) vol. 21,7 (2013): 1350-6. doi:10.1002/oby.20216
Hugenschmidt, Christina E et al. “Cognitive Effects of Adding Caloric Restriction to Aerobic Exercise Training in Older Adults with Obesity.” Obesity (Silver Spring, Md.) vol. 27,8 (2019): 1266-1274. doi:10.1002/oby.22525
Ho, Suleen S et al. “The effect of 12 weeks of aerobic, resistance or combination exercise training on cardiovascular risk factors in the overweight and obese in a randomized trial.” BMC public health vol. 12 704. 28 Aug. 2012, doi:10.1186/1471-2458-12-704
Park, Jinkee et al. “Effects of 24-Week Aerobic and Resistance Training on Carotid Artery Intima-Media Thickness and Flow Velocity in Elderly Women with Sarcopenic Obesity.” Journal of atherosclerosis and thrombosis vol. 24,11 (2017): 1117-1124. doi:10.5551/jat.39065
Zhang, Wang et al. “Effects of aerobic and combined aerobic-resistance exercise on motor function in sedentary older adults: A randomized clinical trial.” Journal of back and musculoskeletal rehabilitation vol. 37,1 (2024): 25-36. doi:10.3233/BMR-220414
Armamento-Villareal, Reina et al. “Effect of Aerobic or Resistance Exercise, or Both, on Bone Mineral Density and Bone Metabolism in Obese Older Adults While Dieting: A Randomized Controlled Trial.” Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research vol. 35,3 (2020): 430-439. doi:10.1002/jbmr.3905
Waters, Debra L et al. “Effect of Aerobic or Resistance Exercise, or Both, on Intermuscular and Visceral Fat and Physical and Metabolic Function in Older Adults With Obesity While Dieting.” The journals of gerontology. Series A, Biological sciences and medical sciences vol. 77,1 (2022): 131-139. doi:10.1093/gerona/glab111
Beavers, Kristen M et al. “Change in Bone Mineral Density During Weight Loss with Resistance Versus Aerobic Exercise Training in Older Adults.” The journals of gerontology. Series A, Biological sciences and medical sciences vol. 72,11 (2017): 1582-1585. doi:10.1093/gerona/glx048
Villareal, Dennis T et al. “Aerobic or Resistance Exercise, or Both, in Dieting Obese Older Adults.” The New England journal of medicine vol. 376,20 (2017): 1943-1955. doi:10.1056/NEJMoa1616338
Batsis, John A et al. “Weight Loss Interventions in Older Adults with Obesity: A Systematic Review of Randomized Controlled Trials Since 2005.” Journal of the American Geriatrics Society vol. 65,2 (2017): 257-268. doi:10.1111/jgs.14514
Beavers, Kristen M et al. “Effect of Exercise Type During Intentional Weight Loss on Body Composition in Older Adults with Obesity.” Obesity (Silver Spring, Md.) vol. 25,11 (2017): 1823-1829. doi:10.1002/oby.21977
Lee, Duck-Chul et al. “Aerobic, resistance, or combined exercise training and cardiovascular risk profile in overweight or obese adults: the CardioRACE trial.” European heart journal vol. 45,13 (2024): 1127-1142. doi:10.1093/eurheartj/ehad827
Batsis, John A et al. “A Community-Based Feasibility Study of Weight-Loss in Rural, Older Adults with Obesity.” Journal of nutrition in gerontology and geriatrics vol. 39,3-4 (2020): 192-204. doi:10.1080/21551197.2020.1817226
Shen, Yanjiao et al. “Exercise for sarcopenia in older people: A systematic review and network meta-analysis.” Journal of cachexia, sarcopenia and muscle vol. 14,3 (2023): 1199-1211. doi:10.1002/jcsm.13225
da Silva Gonçalves, L et al. “The Effects of Different Exercise Training Types on Body Composition and Physical Performance in Older Adults with Sarcopenic Obesity: A Systematic Review and Meta-Analysis.” The journal of nutrition, health & aging vol. 27,11 (2023): 1076-1090. doi:10.1007/s12603-023-2018-6
Chen, Hung-Ting et al. “Effects of Different Types of Exercise on Body Composition, Muscle Strength, and IGF-1 in the Elderly with Sarcopenic Obesity.” Journal of the American Geriatrics Society vol. 65,4 (2017): 827-832. doi:10.1111/jgs.14722
Brennan, Andrea M et al. “Weight Loss and Exercise Differentially Affect Insulin Sensitivity, Body Composition, Cardiorespiratory Fitness, and Muscle Strength in Older Adults With Obesity: A Randomized Controlled Trial.” The journals of gerontology. Series A, Biological sciences and medical sciences vol. 77,5 (2022): 1088-1097. doi:10.1093/gerona/glab240
Miranda-Tueros, Mercedes et al. “Effects of aerobic exercise on components of the metabolic syndrome in older adults with type 2 diabetes mellitus: systematic review and meta-analysis.” “Efectos del ejercicio aeróbico sobre los componentes del síndrome metabólico en adultos mayores con diabetes mellitus tipo 2: revisión sistemática y metaanálisis.” Revista peruana de medicina experimental y salud publica vol. 41,2 146-155. 19 Aug. 2024, doi:10.17843/rpmesp.2024.412.12751
Kitzman, Dalane W et al. “Effect of Caloric Restriction or Aerobic Exercise Training on Peak Oxygen Consumption and Quality of Life in Obese Older Patients With Heart Failure With Preserved Ejection Fraction: A Randomized Clinical Trial.” JAMA vol. 315,1 (2016): 36-46. doi:10.1001/jama.2015.17346
Brubaker, Peter H et al. “A Randomized, Controlled Trial of Resistance Training Added to Caloric Restriction Plus Aerobic Exercise Training in Obese Heart Failure With Preserved Ejection Fraction.” Circulation. Heart failure vol. 16,2 (2023): e010161. doi:10.1161/CIRCHEARTFAILURE.122.010161
Beavers, Kristen M et al. “Effect of Exercise Modality During Weight Loss on Bone Health in Older Adults With Obesity and Cardiovascular Disease or Metabolic Syndrome: A Randomized Controlled Trial.” Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research vol. 33,12 (2018): 2140-2149. doi:10.1002/jbmr.3555
Gorostegi-Anduaga, Ilargi et al. “Effects of different aerobic exercise programmes with nutritional intervention in sedentary adults with overweight/obesity and hypertension: EXERDIET-HTA study.” European journal of preventive cardiology vol. 25,4 (2018): 343-353. doi:10.1177/2047487317749956
Stewart, Kerry J et al. “Exercise and risk factors associated with metabolic syndrome in older adults.” American journal of preventive medicine vol. 28,1 (2005): 9-18. doi:10.1016/j.amepre.2004.09.006
Park, Wonil et al. “Effects of Moderate Combined Resistance- and Aerobic-Exercise for 12 Weeks on Body Composition, Cardiometabolic Risk Factors, Blood Pressure, Arterial Stiffness, and Physical Functions, among Obese Older Men: A Pilot Study.” International journal of environmental research and public health vol. 17,19 7233. 3 Oct. 2020, doi:10.3390/ijerph17197233
Montero, David et al. “Effect of aerobic exercise training on arterial stiffness in obese populations : a systematic review and meta-analysis.” Sports medicine (Auckland, N.Z.) vol. 44,6 (2014): 833-43. doi:10.1007/s40279-014-0165-y
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Anita Ptak, Michał Szyc
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 24
Number of citations: 0