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Metabolically Guided Walking and Plant-Based Nutrition Enhance Body Composition and Weight Loss

Bibliographic Data

ID15464679
AuthorsHarold C Mayer (Southern Adventist University, corresponding author), Lucas G Valenca (Southern Adventist University), G W Heath (0000-0003-2864-5225, University of Tennessee at Chattanooga), Chris S Hansen (Southern Adventist University), Kristina Nelson Hall (Southern Adventist University), Cassie J White (Southern Adventist University)
Year2026
Volume23
Issue1
Pages136-136
Publication date2026-01-22
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph23010136
PMID41595931
OpenAlexW7125508199
LanguageEN
References cited29

Sedentary behavior contributes to obesity and metabolic dysfunction, yet few interventions individualize exercise intensity using fuel-based metrics such as the respiratory exchange ratio (RER; VCO 2 /VO 2 ). This study investigated the effects of metabolically guided walking combined with whole-food, plant-based nutrition on body composition and metabolic outcomes in sedentary overweight and obese women. Forty-four women mean age 43 years; BMI 30.1 kg·m -2 ) were randomized to low-intensity continuous training (LICT; RER ≈ 0.75), moderate-intensity intermittent training (MIIT; RER ≈ 0.85), or high-intensity continuous training (HICT; RER ≈ 0.95). Following a 2-week dietary lead-in with an individualized ~200 kcal·day -1 energy deficit, participants completed an 8-week RER-guided walking program (5 sessions·week -1 ; 15-50 min·session -1 ). Assessments included air-displacement plethysmography (BodPod) body composition, resting metabolic rate and substrate utilization, and oxygen uptake at the first ventilatory threshold (VT1). Data were analyzed using ANCOVA, mixed-factorial ANOVA, and Pearson correlations. Percent body fat decreased significantly across participants ( p 2 = 0.827), with MIIT demonstrating the most favorable integrated outcomes. MIIT elicited the largest reductions in total body mass (-11.2%), fat mass (-25.9%), and percent body fat (-17.1%), alongside improvements in VT1 VO 2 (Δ = 1.487 ± 0.895 L·min -1 ; p = 0.038). Resting respiratory quotient (RQ) declined in LICT and MIIT but increased in HICT, corresponding with increased fat oxidation in LICT and MIIT and reduced fat oxidation in HICT. Changes in RQ were significantly associated with changes in percent body fat (r = 0.316, p = 0.039). Metabolically guided moderate-intensity intermittent walking combined with whole-food, plant-based nutrition produced the most consistent improvements in adiposity, substrate utilization, and submaximal fitness, supporting the public-health feasibility of a community-deliverable, substrate-informed walking prescription

Basal metabolic rate · Body Fat Percentage · Body mass index · Exercise physiology · Obesity · Overweight · Respiratory exchange ratio · Respiratory quotient · VO2 max · Weight loss · Adipose Tissue and Metabolism · Agriculture Sustainability and Environmental Impact · Cardiovascular and exercise physiology

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Citation velocityhistorical
Highly citedNo
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