Effect of diet-induced weight loss on muscle strength in adults with overweight or obesity - a systematic review and meta-analysis of clinical trials

We conducted a systematic review and meta-analysis to identify how diet-induced weight loss in adults with overweight or obesity impacts on muscle strength. Twenty-seven publications, including 33 interventions, most of which were 8–24 weeks in duration, were included. Meta-analysis of seven interve...

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Main Authors: Zibellini, J., Seimon, R., Lee, Crystal, Gibson, A., Hsu, M., Sainsbury, A.
Format: Journal Article
Published: Wiley-Blackwell Publishing Ltd. 2016
Online Access:http://hdl.handle.net/20.500.11937/15174
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author Zibellini, J.
Seimon, R.
Lee, Crystal
Gibson, A.
Hsu, M.
Sainsbury, A.
author_facet Zibellini, J.
Seimon, R.
Lee, Crystal
Gibson, A.
Hsu, M.
Sainsbury, A.
author_sort Zibellini, J.
building Curtin Institutional Repository
collection Online Access
description We conducted a systematic review and meta-analysis to identify how diet-induced weight loss in adults with overweight or obesity impacts on muscle strength. Twenty-seven publications, including 33 interventions, most of which were 8–24 weeks in duration, were included. Meta-analysis of seven interventions measuring knee extensor strength by isokinetic dynamometry in 108 participants found a significant decrease following diet-induced weight loss (−9.0 [95% confidence interval: −13.8, −4.1] N/m, P < 0.001), representing a 7.5% decrease from baseline values. Meta-analysis of handgrip strength from 10 interventions in 231 participants showed a non-significant decrease (−1.7 [−3.6, 0.1] kg, P = 0.070), with significant heterogeneity (I2 = 83.9%, P < 0.001). This heterogeneity may have been due to diet type, because there was a significant decrease in handgrip strength in seven interventions in 169 participants involving moderate energy restriction (−2.4 [−4.8, −0.0] kg, P = 0.046), representing a 4.6% decrease from baseline values, but not in three interventions in 62 participants involving very-low-energy diet (−0.4 [−2.0, 1.2] kg, P =  0.610). Because of variability in methodology and muscles tested, no other data could be meta-analyzed, and qualitative assessment of the remaining interventions revealed mixed results. Despite varying methodologies, diets and small sample sizes, these findings suggest a potential adverse effect of diet-induced weight loss on muscle strength. While these findings should not act as a deterrent against weight loss, due to the known health benefits of losing excess weight, they call for strategies to combat strength loss – such as weight training and other exercises – during diet-induced weight loss.
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spelling curtin-20.500.11937-151742017-09-13T15:04:06Z Effect of diet-induced weight loss on muscle strength in adults with overweight or obesity - a systematic review and meta-analysis of clinical trials Zibellini, J. Seimon, R. Lee, Crystal Gibson, A. Hsu, M. Sainsbury, A. We conducted a systematic review and meta-analysis to identify how diet-induced weight loss in adults with overweight or obesity impacts on muscle strength. Twenty-seven publications, including 33 interventions, most of which were 8–24 weeks in duration, were included. Meta-analysis of seven interventions measuring knee extensor strength by isokinetic dynamometry in 108 participants found a significant decrease following diet-induced weight loss (−9.0 [95% confidence interval: −13.8, −4.1] N/m, P < 0.001), representing a 7.5% decrease from baseline values. Meta-analysis of handgrip strength from 10 interventions in 231 participants showed a non-significant decrease (−1.7 [−3.6, 0.1] kg, P = 0.070), with significant heterogeneity (I2 = 83.9%, P < 0.001). This heterogeneity may have been due to diet type, because there was a significant decrease in handgrip strength in seven interventions in 169 participants involving moderate energy restriction (−2.4 [−4.8, −0.0] kg, P = 0.046), representing a 4.6% decrease from baseline values, but not in three interventions in 62 participants involving very-low-energy diet (−0.4 [−2.0, 1.2] kg, P =  0.610). Because of variability in methodology and muscles tested, no other data could be meta-analyzed, and qualitative assessment of the remaining interventions revealed mixed results. Despite varying methodologies, diets and small sample sizes, these findings suggest a potential adverse effect of diet-induced weight loss on muscle strength. While these findings should not act as a deterrent against weight loss, due to the known health benefits of losing excess weight, they call for strategies to combat strength loss – such as weight training and other exercises – during diet-induced weight loss. 2016 Journal Article http://hdl.handle.net/20.500.11937/15174 10.1111/obr.12422 Wiley-Blackwell Publishing Ltd. restricted
spellingShingle Zibellini, J.
Seimon, R.
Lee, Crystal
Gibson, A.
Hsu, M.
Sainsbury, A.
Effect of diet-induced weight loss on muscle strength in adults with overweight or obesity - a systematic review and meta-analysis of clinical trials
title Effect of diet-induced weight loss on muscle strength in adults with overweight or obesity - a systematic review and meta-analysis of clinical trials
title_full Effect of diet-induced weight loss on muscle strength in adults with overweight or obesity - a systematic review and meta-analysis of clinical trials
title_fullStr Effect of diet-induced weight loss on muscle strength in adults with overweight or obesity - a systematic review and meta-analysis of clinical trials
title_full_unstemmed Effect of diet-induced weight loss on muscle strength in adults with overweight or obesity - a systematic review and meta-analysis of clinical trials
title_short Effect of diet-induced weight loss on muscle strength in adults with overweight or obesity - a systematic review and meta-analysis of clinical trials
title_sort effect of diet-induced weight loss on muscle strength in adults with overweight or obesity - a systematic review and meta-analysis of clinical trials
url http://hdl.handle.net/20.500.11937/15174