Cardio vs Weight Lifting for Weight Control

A Review of Human RCT Studies

The comparative effectiveness of steady-state cardio (aerobic exercise) versus resistance training for weight control and metabolic function has been a significant area of research in recent years. Randomized controlled trials (RCTs) have provided valuable insights into how these two forms of exercise impact body composition, metabolic health, and overall fitness. This review synthesizes findings from various RCTs to elucidate the relative benefits of steady-state cardio and resistance training in managing weight and improving metabolic function.

A study by Schroeder et al. demonstrated that aerobic training significantly improved body composition metrics, including reductions in body mass index (BMI), weight, fat mass, and body fat percentage compared to resistance training (Schroeder et al., 2019). This aligns with findings from Ho et al., which indicated that after 12 weeks of aerobic exercise, participants experienced notable improvements in cardiovascular risk factors, including reductions in body weight and waist circumference (Ho et al., 2012). Such results suggest that steady-state cardio may be more effective than resistance training in promoting fat loss and improving overall body composition.

Moreover, resistance training has been shown to play a crucial role in preserving lean muscle mass, particularly in populations at risk of sarcopenia, such as older adults. Seo et al. found that resistance training not only enhanced muscle quality but also contributed to improved metabolic markers in older women (Seo et al., 2021). This is particularly important as maintaining muscle mass is essential for metabolic health and can mitigate the risk of weight regain after weight loss interventions (Moreno‐Cabañas et al., 2021). The preservation of lean muscle mass through resistance training can help sustain a higher resting metabolic rate, which is beneficial for long-term weight management.

In terms of metabolic function, resistance training has been associated with improvements in insulin sensitivity and glycemic control. Egger et al. highlighted that while aerobic exercise is a cornerstone in managing type 2 diabetes, resistance training also significantly contributes to glycemic control and muscle mass preservation (Egger et al., 2012). This is particularly relevant for individuals with metabolic syndrome, where combined aerobic and resistance training has been shown to yield superior results compared to either modality alone (Egger et al., 2012). The synergistic effects of combining both forms of exercise may enhance overall metabolic health and weight control.

The impact of exercise on inflammatory markers is another critical aspect of metabolic function. Parhampour et al. found that both aerobic and resistance training significantly reduced pro-inflammatory markers in overweight individuals, suggesting that exercise can play a role in mitigating inflammation associated with obesity (Parhampour et al., 2019). This reduction in inflammation is vital, as chronic inflammation is often linked to metabolic disorders and can hinder weight loss efforts.

Furthermore, the psychological aspects of exercise should not be overlooked. Unick et al. reported that a structured exercise program significantly reduced disinhibited eating behaviors among participants, indicating that regular physical activity can enhance self-regulation in eating habits (Unick et al., 2021). This psychological benefit may further support weight control efforts, particularly in populations prone to emotional eating.

The duration and intensity of exercise also play a critical role in determining the effectiveness of weight control strategies. Larose et al. found that even short-term aerobic training led to significant weight loss compared to control groups, emphasizing the importance of consistent physical activity (Larose et al., 2010). Similarly, Duncan et al. noted that a multi-component intervention that included both aerobic and resistance training was effective in promoting weight loss and improving metabolic health in overweight adults (Duncan et al., 2020). These findings underscore the necessity of integrating both forms of exercise into weight management programs to maximize benefits.

Conclusion

The evidence from RCTs indicates that both steady-state cardio and resistance training have unique benefits for weight control and metabolic function. Aerobic exercise appears to be more effective for immediate fat loss and improving cardiovascular risk factors, while resistance training is essential for preserving muscle mass and enhancing metabolic health. The optimal approach for weight management may involve a combination of both modalities, leveraging the strengths of each to achieve comprehensive health benefits.

Updated: November 11, 2024 13:16

References

Duncan, M., Fenton, S., Brown, W., Collins, C., Glozier, N., Kolt, G., … & Burrows, T. (2020). Efficacy of a multi-component m-health weight-loss intervention in overweight and obese adults: a randomised controlled trial. International Journal of Environmental Research and Public Health, 17(17), 6200. https://doi.org/10.3390/ijerph17176200
Egger, A., Niederseer, D., Diem, G., Finkenzeller, T., Ledl-Kurkowski, E., Forstner, R., … & Niebauer, J. (2012). Different types of resistance training in type 2 diabetes mellitus: effects on glycaemic control, muscle mass and strength. European Journal of Preventive Cardiology, 20(6), 1051-1060. https://doi.org/10.1177/2047487312450132
Ho, S., Dhaliwal, S., Hills, A., & Pal, S. (2012). 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, 12(1). https://doi.org/10.1186/1471-2458-12-704
Larose, J., Sigal, R., Khandwala, F., Prud’homme, D., Boulé, N., & Kenny, G. (2010). Associations between physical fitness and hba1c in type 2 diabetes mellitus. Diabetologia, 54(1), 93-102. https://doi.org/10.1007/s00125-010-1941-3
Moreno‐Cabañas, A., Ortega, J., Morales-Palomo, F., Ramírez-Jiménez, M., Álvarez-Jimenez, L., & Mora-Rodríguez, R. (2021). Concurrent endurance and resistance training enhances muscular adaptations in individuals with metabolic syndrome. Scandinavian Journal of Medicine and Science in Sports, 31(7), 1440-1449. https://doi.org/10.1111/sms.13950
Parhampour, B., Dadgoo, M., Vasaghi‐Gharamaleki, B., Torkaman, G., Ravanbod, R., Mirzaii‐Dizgah, I., … & Saneii, S. (2019). The effects of six‐week resistance, aerobic and combined exercises on the pro‐inflammatory and anti‐inflammatory markers in overweight patients with moderate haemophilia a: a randomized controlled trial. Haemophilia, 25(4). https://doi.org/10.1111/hae.13764
Schroeder, E., Franke, W., Sharp, R., & Lee, D. (2019). Comparative effectiveness of aerobic, resistance, and combined training on cardiovascular disease risk factors: a randomized controlled trial. Plos One, 14(1), e0210292. https://doi.org/10.1371/journal.pone.0210292
Seo, M., Jung, S., Kim, S., Lee, J., Jung, H., & Song, J. (2021). Effects of 16 weeks of resistance training on muscle quality and muscle growth factors in older adult women with sarcopenia: a randomized controlled trial. International Journal of Environmental Research and Public Health, 18(13), 6762. https://doi.org/10.3390/ijerph18136762
Unick, J., Dunsiger, S., Leblond, T., Hahn, K., Thomas, J., Abrantes, A., … & Wing, R. (2021). Randomized trial examining the effect of a 12-wk exercise program on hedonic eating. Medicine & Science in Sports & Exercise, 53(8), 1638-1647. https://doi.org/10.1249/mss.0000000000002619

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