Elements structurant les programmes d'activite physique dans la lutte contre le surpoids et l'obesite : etat des lieux et suggestions

• Published in: Applied physiology, nutrition, and metabolism nutrition, and metabolism, 2020-10, Vol.45 (10), p.1099-1106
• Main Authors: Dumoulin, Coralie, Reynes, Eric, Berthouze, Sophie E
• Format: Article
• Language: eng ; fre
• Subjects: Analysis; Exercise; Fatigue; Health education; Motivation; Obesity; Overweight; Physical fitness; Stigma; Strategic planning (Business)
• ISSN: 1715-5312; 1715-5320
• DOI: 10.1139/apnm-2019-0890

To date, physical activity (PA) programs for overweight and obese people are built around recommendations established for the general population. However, these people have special characteristics that require adapted coaching. In order to begin this work of recommendations, the objective of this article was to list the criteria usually used to describe and study PA programs for overweight and obese people and its associated postprogram follow-up. A systematic review of both meta-analyses and systematic reviews related to PA programs in the management of overweight and obesity has highlighted that few descriptive elements of programs are systematically reported, and that PA programs are rarely sufficiently detailed to be able to calculate a PA dose or to compare the different programs. These convergences, disparities or gaps in the description of PA programs, led us to initiate a reflection on the interest of these criteria as well as on the interest of their systematization in weight management program design, including PA. We hope that will be a first step towards facilitating the development of recommendations for PA management of overweight and obesity. Novelty * Objective: to identify criteria used to describe PA programs in the management of overweight and obesity. * Criteria to systematize: data to calculate PA dose; description of program individualization strategy. * Criteria to develop: drop-out rate as an indicator of program adaptation; description of fatigue management strategy. Key words: physical activity, program, long-term, follow-up, overweight, obesity, systematic review. A ce jour, les programmes d'activite physique (AP) visant les personnes atteintes de surpoids et d'obesite s'organisent autour des recommandations erigees pour la population generale. Toutefois, ces personnes presentent des caracteristiques particulieres qui necessitent un accompagnement adapte. Afin de pouvoir amorcer un travail de recommandation, l'objectif de cet article etait de repertorier les criteres utilises pour decrire et etudier les programmes d'AP a destination des personnes atteintes de surpoids et d'obesite et les suivis post-programmes. Une revue systematique des meta-analyses et revues systematiques portant sur la prise en charge du surpoids et de l'obesite adulte a permis, notamment, de mettre en evidence que peu d'elements descriptifs des programmes sont rapportes de maniere systematique, et que les programmes sont rarement suffisamment detailles pour