Interpretation of the Consensus Statement Physical by American College of Sports Medicine on Adults Activity and Excess Body Weight and Adiposity

Excess body weight and adiposity are closely related to the pathogenesis of various chronic diseases. To address this health crisis, the American College of Sports Medicine released the Consensus Statement on Adult Physical Activity and Excess Body Weight and Adiposity in 2024. This consensus supports the inclusion of physical activity in the medical treatment of excess body weight and adiposity (drug therapy, metabolic and bariatric surgery) when medically deemed appropriate. And put forward insights on the application of physical activity in these treatments. This consensus particularly points out: (1) For weight loss and the prevention of weight gain, the effect may be most significant when engaging in at least 150 minutes of moderate-intensity physical activity per week. (2) High-intensity interval training is not superior to the physical activity effect of moderate to high-intensity continuous training in terms of weight regulation. (3) Low-intensity physical activities can be used as an alternative under the premise of ensuring energy consumption. (4) Various forms of exercise are equivalent in weight management. To achieve overall health benefits beyond weight control and fat loss, it is recommended to adopt multiple modes of physical activity. This consensus emphasizes the importance of physical activity in the prevention, treatment and management of overweight and obesity. This guideline interpretation aims to conduct an in-depth analysis of the core points of this consensus statement, provide new suggestions for the prevention and treatment of overweight/obesity through physical activity in our country, and help primary care doctors manage overweight/obesity patients more effectively.