Overweight, obesity, and weight-loss practices in the adult population
Abstract
Despite the efforts of a portion of the overweight and obese population to reduce excess body weight, the prevalence of overweight and obesity continues to rise. Individuals employ various strategies to achieve weight reduction, many of which lack scientific validation regarding their efficacy. This study aimed to identify and analyze the most frequently adopted practices for weight reduction among adults. A total of 166 adults aged between 18 and 60 years of both sexes participated in the study. The participants completed a questionnaire comprising items related to socio-demographic characteristics, body weight variation over the past year, strategies employed for weight reduction, frequency of strategy use, physical activity habits, among other variables. The questionnaire was disseminated via social media platforms and completed online using Google Forms. The data revealed that 43.7% of participants were classified as obese (body mass index > 30 Kg/m2). Additionally, 63.3% reported weight gain ranging from 1 kg to more than 5 kg over the past year. The same proportion (63.3%) indicated engaging in physical exercise, while 31.3% reported following a calorie-restricted diet. In conclusion, approximately two-thirds of the adult population experienced an increase in body weight, even among those who reported engaging in physical exercise. One-third of participants adopted a calorie-restricted diet, and a significant portion recognized the combination of dietary restriction and physical exercise as the most effective strategy for reducing excess body weight.
References
-Aguiar, D.A.; Siqueira, M.C.; Queiroz, N.B.; Morbeck, T. Análise da intervenção nutricional e prática de exercício físico em adultos participantes de um programa de emagrecimento em uma academia de Goiânia-GO. Revista Brasileira de Nutrição Esportiva. São Paulo. Vol. 2. Núm. 12. 2008. p. 405-413.
-Bray, G.A.; Ryan, D.H. Evidence-based weight loss interventions: individualized treatment options to maximize patient outcomes. Diabetes Obesisty and Metabolism. Vol. 23. Núm. Suppl 1. 2021. p. 50-62. DOI: http://dx.doi.org/10.1111/dom.14200
-Celik, O.; Yildiz, B.O. Obesity and physical exercise. Minerva Endocrinology. Vol. 46. Núm. 2. 2021. p. 131-144. DOI: http://dx.doi.org/10.23736/S2724-6507.20.03361-1
-Chen, K.Y.; Brychta, R.J.; Abdul Sater, Z.; Cassimatis, T.M.; Cero, C.; Fletcher, L.A.; Cypess, A.M. Opportunities and challenges in the therapeutic activation of human energy expenditure and thermogenesis to manage obesity. The Journal of Biological Chemistry. Vol. 295. Núm. 7. 2020. p. 1926-1942. DOI: http://dx.doi.org/10.1074/jbc.REV119.007363
-Chetty, A.K.; Rafi, E.; Bellini, N.J.; Buchholz, N.; Isaacs, D. A review of incretin therapies approved and in late-stage development for overweight and obesity management. Endocr Pract. Vol. 30. Núm. 3. 2024. p. 292-303. http://dx.doi.org/10.1016/j.eprac.2023.12.010
-Christoffersen, B.Ø.; Sanchez-Delgado, G.; John, L.M.; Ryan, D.H.; Raun, K.; Ravussin, E. Beyond appetite regulation: targeting energy expenditure, fat oxidation, and lean mass preservation for sustainable weight loss. Obesity. Vol. 30. Núm. 4. 2022; p. 841-857. DOI: http://dx.doi.org/10.1002/oby.23374
-Elmaleh-Sachs, A.; Schwartz, J.L.; Bramante, C.T.; Nicklas, J.M.; Gudzune, K.A.; Jay, M. Obesity management in adults: a review. JAMA. Vol. 330. Núm. 20. 2023. p. 2000-2015. DOI: http://dx.doi.org/10.1001/jama.2023.19897
-Evangelista, A.L.; Braz, T.V.; Teixeira, C.V.L.S.; Rica, R.L.; Alonso, A.C.; Barbosa, W.A.; Reis, V.M.; Baker, J.S.; Schoenfeld, B.J.; Bocalini, D.S.; Greve, J.M.D.A. Split or full-body workout routine: which is best to increase muscle strength and hypertrophy? Einsten. Vol. 19. 2021. p. 1-8. DOI: https://doi.org/10.31744/einstein_journal/2021AO5781
-Fagherazzi, S.; Dias, R.D.L.; Bortolon, F. Impacto f isolated and combined with diet physical exercise on the HDL, LDL, total cholesterol and triglycerides plasma levels. Revista Brasileira de Medicina do Esporte. Vol. 14. Núm. 4. 2008. p. 381-386. DOI: https://doi.org/10.1590/S1517-86922008000400012
-Fasshauer, M.; Blüher, M. Adipokines in health and disease. Trends in Pharmacological Science. Vol. 36. Núm. 7. 2015. p. 461-470. DOI: http://dx.doi.org/10.1016/j.tips.2015.04.014
-Funcke, J.B.; Scherer, P.E. Beyond adiponectin and leptin: adipose tissue-derived mediators of inter-organ communication. Journal of Lipid Research. Vol. 60. Núm. 10. 2019. p. 1648-1684. DOI: http://dx.doi.org/10.1194/jlr.R094060
-Garvey, W.T.; Batterham, R.L.; Bhatta, M. Buscemi, S.; Christensen, L.N.; Frias, J.P.; Jódar, E.; Kandler, K.; Rigas, G.; Wadden, T.A.; Wharton, S.; STEP 5 Study Group. Two-year effects of semaglutide in adults with overweight or obesity: the STEP 5 trial. Nature Medicine. Vol. 28. 2022. p. 2083-2091. DOI: https://doi.org/10.1038/s41591-022-02026-4
-Greenway, F.L. Physiological adaptations to weight loss and factors favouring weight regain. International Journal of Obesity. Vol. 39. Núm. 8. 2015. p. 1188-1196. DOI: http://dx.doi.org/10.1038/ijo.2015.59
-Locatelli, J.C.; Costa, J.G.; Haynes, A.; Naylor, L.H.; Fegan, P.G.; Yeap, B.B.; Green, D.J. Incretin-based weight loss pharmacotherapy: can resistance exercise optimize changes in body composition? Diabetes Care. Vol. 47. Núm. 10. 2024. p. 1718-1730. DOI: https://doi.org/10.2337/dci23-0100
-Lundgren, J.R.; Janus, C.; Jensen, S.B.K.; Juhl, C.R.; Olsen, L.M.; Christensen, R.M.; Svane, M.S.; Bandholm, T.; Bojsen-Møller, K.N.; Blond, M.B.; Jensen, J.B.; Stallknecht, B.M.; Holst, J.J.; Madsbad, S.; Torekov, S.S. Healthy weight loss maintenance with exercise, liraglutide, or both combined. New England Journal of Medicine. Vol. 384. Núm. 18. 2021. p. 1719-1730. DOI: http://dx.doi.org/10.1056/NEJMoa2028198
-Luo, L.; Liu, M. Adipose tissue in control of metabolism. Journal of Endocrinology. Vol. 231. Núm. 3. 2016. p. R77-R99. DOI: http://dx.doi.org/10.1530/JOE-16-0211
-Martínez-Gómez, M.G.; Roberts, B.M. Metabolic adaptations to weight loss: a brief review. Journal of Strength Conditioning Research. Vol. 36. Núm. 10. 2022. p. 2970-2981. DOI: http://dx.doi.org/10.1519/JSC.0000000000003991
-Mediano, M.F.F.; Gonçalves, T.R.; Barbosa, J.S.D.O. Effects of physical exercise on body composition in obesity women submitted to a weight loss program. Brazilian Journal of Biomotricity. Vol. 3. Núm. 2. 2009. p. 139-145.
-Meldrum, D.R.; Morris, M.A.; Gambone, J.C. Obesity pandemic: causes, consequences, and solutions-but do we have the will? Fertility and Sterility. Vol. 107. Núm. 4. 2017. p. 833-839. DOI: http://dx.doi.org/10.1016/j.fertnstert.2017.02.104
-Obert, J.; Pearlman, M.; Obert, L.; Chapin, S. Popular weight loss strategies: a review of four weight loss techniques. Current Gastroenterology Report. Vol. 19. Núm. 12. 2017. p. 61. DOI: http://dx.doi.org/10.1007/s11894-017-0603-8
-Ramage, S.; Farmer, A.; Eccles, K.A.; McCargar, L. Healthy strategies for successful weight loss and weight maintenance: a systematic review. Applied Physiology, Nutrition, and Metabolism. Vol. 39. Núm. 1. 2014. p. 1-20. DOI: http://dx.doi.org/10.1139/apnm-2013-0026
-Rynders, C.A.; Thomas, E.A.; Zaman, A.; Pan, Z.; Catenacci, V.A.; Melanson, E.L. Effectiveness of intermittent fasting and time-restricted feeding compared to continuous energy restriction for weight loss. Nutrients. Vol. 11. Núm. 10. 2019. p. 2442. DOI: http://dx.doi.org/10.3390/nu11102442
- SBCBM. Sociedade Brasileira de Cirurgia Bariátrica e Metabólica. Obesidade atingiu a marca de 9 milhões de pessoas no Brasil em 2024. SBCBM. 2025. Disponível em: https://sbcbm.org.br/obesidade-atingiu-a-marca-de-9-milhoes-de-pessoas-no-brasil-em-2024/
-Tapavički, B.; Stantić, T.; Glišić, S.; Cvjetković, D.; Janjić, N.; Kostić, J.; Zubnar, A. The impact of well-planned training on changing sedentary lifestyle habits. Revista Brasileira de Medicina do Esporte. Vol. 28. Núm. 4. 2022. p. 337-341.
-TFAH. Trust for America’s Health. The State of Obesity 2020: Better Policies for a Healthier America. Washington, DC, 2020. Disponível em: https://www.tfah.org/report-details/state-of-obesity-2020/
-Unamuno, X.; Gómez-Ambrosi, J.; Rodríguez, A.; Becerril, S.; Frühbeck, G.; Catalán, V. Adipokine dysregulation and adipose tissue inflammation in human obesity. European Journal of Clinical Investigation. Vol. 48. Núm. 9. 2018. p. e12997. DOI: http://dx.doi.org/10.1111/eci.12997
-Willoughby, D.; Hewlings, S.; Kalman, D. Body composition changes in weight loss: strategies and supplementation for maintaining lean body mass, a brief review. Nutrients. Vol. 10. Núm. 12. 2018. p. 1876. DOI: http://dx.doi.org/10.3390/nu10121876
-WHO. World Health Organization. European Food and Nutrition Action Plan 2015-2020. Regional Committee for Europe, 64th session. Copenhagen, Denmark, 2014. Disponível em: https://www.euro.who.int/__data/assets/pdf_file/0008/253727/64wd14e_FoodNutAP_140426.pdf
Copyright (c) 2026 Marcelo Augusto Alves dos Santos, Jair Rodrigues Garcia Junior

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish in this journal agree to the following terms:
- Authors retain the copyright and grant the journal the right of first publication, with work simultaneously licensed under the Creative Commons Attribution License BY-NC which allows the sharing of the work with acknowledgment of the authorship of the work and initial publication in this journal.
- Authors are authorized to enter into additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, publishing in institutional repository or book chapter), with acknowledgment of authorship and initial publication in this journal.
- Authors are allowed and encouraged to post and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can bring about productive change as well as increase impact and impact. citation of published work (See The Effect of Free Access).
