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Article:
Comparison of the Effectiveness of Home- Based Workouts and
Gym Training according to Caloric Intake
Author(s):
Nashmia Habib, Faiza Kamal
*, Mubbasher Munir
Affiliation: University of Management and Technology, Lahore, Pakistan
Citation:
Habib N, Kamal F, Munir M. Comparison of the
effectiveness of home
-based workouts and gym
training
according to caloric intake.
Int
Health Revi. 2021;1(2):13−29.
https://doi.org/10.32350/ihr/0102/02
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This article is open access and is distributed under the
terms of Creative Commons Attribution 4.0 International
License
A publication of the
School of Health Sciences,
University of Management and Technology, Lahore, Pakistan
International Health Review (IHR)
Volume 1 Issue 2, Fall 2021
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0016
Journal DOI:
https://doi.org/10.32350/ih
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Issue DOI:
https://doi.org/10.32350/ihr/010
2
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International Health Review
Volume 1 Issue 2, Fall 2021
Comparison of the Effectiveness of Home-Based Workouts and
Gym Training according to Caloric Intake
Nashmia Habib, Faiza Kamal*, Mubbasher Munir
University of Management and Technology, Lahore, Pakistan
Abstract
With the advancement in technology and the growing sedentary lifestyle,
comorbidities related to obesity and overweight are also increasing. Every
other person complains of weight gain and is looking for ways to reduce
pounds on the scale. Most people have started working out at their homes
instead of going out to the gym due to the Coronavirus Pandemic, while
others have a proper routine of working out in the gym. Thus, our research
study compares the effectiveness of home-based workout programs and gym
workouts to analyze which type of workout will provide the most effective
results in the shortest time, keeping in view the participants' caloric intake.
This study aims to inspect the amount of fat loss, changes are seen on the
weight scale, changes in body composition (via BIA analysis), waist
circumference, waist-to-hip ratio, keeping in view the intensity and duration
of exercise parallel to their caloric intake. It was a four week (one month)
comparative study on 50 home-based exercisers and 50 adults working out
in the gym (ages 19 – 39) under the supervision of a trainer. The weight,
body and visceral fat percentages were assessed using a Body Impedance
Analysis (BIA) machine. Also, variables measured were waist
circumference, height, blood pressure, pulse rate, respiratory rate and
social status (through MacArthur's subjective social status ladder). There
was observed dietary history from every individual through a 24-hour
dietary recall for the past three days. Subjects had a follow-up after every
seven days (weekly), and all the data was entered and analyzed on SPSS.
Out of 100 participants, 68% study participants were males and 32%
participants were females. Most of the participants were not taking any diet
or were taking greater than equal to 1400 kcals per day. Comorbidity data
showed that, 86% participants did not have any comorbidities while
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remaining 14% had different types of comorbidities. 49% participants were
doing strength training, 34% were performing cardio, 12% were doing
aerobics and 5% opted for yoga. In the gym in higher social status, it is only
males that are working out while some females of low socio-economic status
also work out at the gym. Males of very low socioeconomic status also
prefer gym workout. In home-based work out there is equal number of males
and females in higher social status whereas only females of low
socioeconomic status prefer working out at home. Gender wise distribution
of type of exercise (TOE) and type of diet (TOD) data showed that most
males are strength training with ≥ 1400 kcal. Most females perform cardio
exercises with a caloric intake of 1100 to 1300 kcal per day. classification
of subjects according to body mass index (BMI) showed that 4% individuals
had lower BMI, 24% were normal, 14% and 22% were overweight and
obese respectively, however 28% had morbid obesity. Results showed that
people who do home based workout had significant difference with body fat
percentage, visceral fat percentage, waist circumference and body mass
index. However, there were no significant differences found in terms of
Waist to hip ratio, heart rate, and Respiratory Rate. The chi-square test
shows .001 significance which means there is a significant association
between BMI and gender. Gym and home-based workouts have their
benefits, and we cannot label one as more beneficial. But people who work
out in the gym had lesser body fat and lesser visceral fat, which gives it
more significance. Moreover, gym workouts proved to keep control of blood
pressure in individuals. Both gym and home workouts have similar effects
on the waist to hip ratio, heart rate and respiratory rate. The benefit of
home workouts is evident in reducing waist circumference.
Keywords: Overweight, workout, body composition, weight loss,
sedentary lifestyle, caloric intake
Introduction
A marked shift is seen in daily activities and eating patterns around the globe
with the changing time trends. People give preference to an easy and
sedentary lifestyle over a physically active one. The most vulnerable age
groups are teenagers who sit on technological devices all day long and
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donnot know the importance of physical activity in their lives. The World
Health Organization (WHO), in their study in 2014 worldwide, estimated
1.9 billion teenagers and adults suffering from overweight and over 600
million falling under the category of obesity [1].
Obesity is considered a serious health risk due to its association with
comorbid diseases like hypertension, diabetes mellitus, atherosclerosis,
coronary heart disease, liver disease, and cancer. The rise in obesity and
overweight is caused due to unhealthy eating habits seen among the
communities. Consumption of high-fat meals, increased sodium intake
through processed foods, sugary drinks combined with an inactive lifestyle
leads to an increase in weight and fat. Research shows that sitting in front
of the television for more than two hours a day puts television watchers at
risk of being overweight and obese [2]. The only way to accommodate or
utilize extra calories is through burning them.
Losing weight does not only depend on diet only but involves increasing
your movement throughout the day. This can be simply done by improving
your step count each day. That can be done by adding 30 minutes of walk
each day (7 days/week). A study by Eckel in 1998 has shown beneficial
effects from exercising, significantly majorly changing fat and lean body
mass [3]. Diabetic management programs have also declared exercise and
physical activity a crucial component to control type 2 diabetes and
minimizing its vascular complications [4]. Many dietitians have endorsed
that 10% weight loss is required to provide maximum health benefits and
minimize health risks to an individual. Other health researchers also suggest
that 3% to 5% weight loss can also be benefit [5].
The most appropriate method of assessing an individual's health is viewing
the composition of the human body. The lower the body fat levels, the lower
the risk of health diseases to an individual like cardiovascular issues,
diabetes, hypertension and other various bone-related diseases like
osteoarthritis, knee pain etc. There are numerous methods for evaluating
body composition like DXA (Dual X-ray Absorptiometry) scan, skinfold
measurement calipers, water weighing and many more. DXA scans are
pretty costly and not portable, while skin-fold calipers and BIA-machines
are portable, user-friendly and less costly.
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Bioelectrical Impedance Analysis (BIA) can estimate body composition
(e.g., quantities of fat mass and fat-free mass) by running a small electrical
current through the body. There is a possibility because different bodily
tissues (e.g., muscle, fat, bone, etc.) all have varying amounts of water
content. As a result, they all differ in terms of electrical conductivity [6].
Different studies have worked on finding the effectiveness of different types
of workouts. The major kinds of exercises are cardio, strength, flexibility,
balance and coordination exercises. The most common exercise types
include brisk walking, squats, pushups, lunges, deadlifts, planks, crunches
etc. There are no magic exercises that get the person a desired result
overnight but require effort and hard work to achieve goals. But the truth is
some workouts or exercises show quicker results than others and are called
to be more effective. People who lose weight have been seen to self-monitor
themselves by monitoring their eating habits with regular weight checks,
calorie counting, meal preparations etc., along with more than 30 minutes
of daily physical activity [7]. Home training is beneficial as they are
inexpensive, save time by eliminating travelling time to the gym, and a
person can perform workouts whenever the person feels like doing so. There
is an extensive range of home training equipment. Still, a person can start
their journey with basic and simple equipment or perform home training
without equipment simply by performing Cardio, Pilates, and Yoga. Home
workouts play an extensive role in physical fitness. Still, utmost dedication
is required, which can only be achieved through positive encouragement
otherwise individuals' doing home training simply drop out [8].
Diet and working out individually cannot create a difference until both are
combined to obtain desired results. From all the currently available methods
for weight loss in moderately overweight and obese individuals, diet and
exercise are the safest and more reliable methods for long term results.
Unfortunately, there are no permanent weight loss methods, and individuals
have to maintain a healthy diet and a physical activity to ensure weight loss
or maintenance. Combining diet and exercise resulted in 20% increased
weight loss in moderately obese individuals [9].
The most appropriate way is to consume a diet of approximately 1200 kcals
to 2000 kcals per week besides physical activity of 30 minutes 7 days a week
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or 150 to 250 minutes per week. To induce weight loss, it is recommended
to participate in increased physical activity, more daily activity and stick to
an up to 2000 calorie diet [10].
It varies from individual to individual about their preference to workout at
home or working out in a gymnasium [4]. Dogan, in his research, on the
other hand, explains that participants at the gym said that working out in the
gym made them feel more active, mentally healthy and productive. In
actuality, a gym gives a social environment and an opportunity to network
with people and helps them stay motivated for longer [3]. All the literature
available over the internet supports working out for better health and
improved body composition.
Methods
Research Design
This study was based on a comparative design in which each study subject
participated for 4 weeks. Each subject was evaluated after seven days (i.e.,
one week) for different variables: weight, height, socio-economic status,
Body Mass Index (BMI), waist circumference, waist to hip ratio, basal
energy expenditure, total energy expenditure, blood pressure, heart rate, and
respiratory rate. Subjects were informed about the study and verbal consent
was taken, including the volunteer's declaration and confidentiality of their
details. Participants were instructed for weekly follow-up and recording of
data. Variables that differ after and before the workout were recorded right
before the exercise session and after finishing the exercise program. Diet
was also analyzed through 24-hour dietary recall for three days a week. The
social status of the subjects was measured through the Macarthur Scale of
Subjective Social Status on the scale of 1 to 10, where one stands for lower
socio-economic status while ten ranks for the highest socio-economic status
in society.
Sampling
The sample for our study comprised 100 participants divided into two main
groups. Group I was people working out in the gym, and Group II was
people exercising at home. Both the groups were performing their workouts
under the supervision of a professional trainer. Next, both groups were
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divided into two areas, i.e., Valencia Town and Gulberg in Lahore, Pakistan.
To summarize, 25 participants were taken from "Shoaib Gym" in Gulberg
and 25 participants from "Workout Fitness Gym" in Valencia Town.
Similarly, 25 participants from Valencia worked out at home, and 25 from
Gulberg performed home-based exercises. The reason for this division was
to create a difference in socio-economic status among participants. Our
study subjects were from the age ranges of 19 to 39 years, both males and
females. Our emphasis was on collecting data from primarily overweight
and obese individuals, but we also included weight according to healthy
BMI ranges. Older population groups and people with any disabilities were
excluded.
Data Collection Tools
1.Body Impedance Analysis (BIA) machine of Omoron brand and model
number bf508.
2.Standard Inches Tape
3.Sphygmomanometer
4.3 Days Dietary Recall
5.Macarthur's subjective social status ladder
6.Harris-Benedict Equation for Basal Energy Expenditure
Data Collection Procedure
Four members of our research group divided the data collection task, and
each researcher was assigned, 25 participants. On the first day of data
collection, personal, demographic and social status was recorded, after
which waist circumference was noted using a standard inch’s tape.
Bodyweight, visceral fat%, general body fat% were recorded using the BIA
Omron machine. Participants' age, height and gender were added to the
machine. Then they were told to stand on it barefooted while holding its
handgrip at a right angle for 15 -20 seconds while the weight was recorded
and the body and visceral fat is analyzed. Each participant's form noted the
readings, weight, BMI, visceral fat percentage, and general body fat
percentage. Blood pressure was noted using a sphygmomanometer. Pulse
rate was counted using first and second fingertips over the subject's wrist
for 15 seconds and then multiplied by 4. The respiratory rate was calculated
by seating the subject on a chair and counting the inhalation and exhalation
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for 60 seconds. In the end, the subject was interviewed briefly and asked to
report a 3-day dietary recall accurately. After seven days, this data collection
procedure was repeated with every subject and noted down on forms to
minimize error.
Data Analysis
After collecting data, it was tabulated, analyzed, and interpreted for each
category of the respondent. Data were analyzed by MS. Excel and SPSS
(statistics) software.
Results
Figure 1. Gender Distribution in the Study
The pie chart shows the percentages of gender in our study sample. 68%
study
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Figure 2. Types of Diet Consumed by Participants
The bar chart showed the frequencies of different types of diet among
subjects. Mostly the participants were not taking any diet or were taking
greater than equal to 1400 kcals per day.
Figure 3. Comorbidities among Study Participants
The graph shows percentages of different comorbidities among study
participants. 86% of participants did not have any comorbidities, 4% had
PCOS, and 3% had hypertension.
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Figure 4. Comparison of Health Parameters with Gym and Hoe
Workout
There were significant differences in waist circumference in the gym vs.
home-based workouts, which showed that people who go to the gym have
more Waist circumference. Body fat percentage was significant, which
showed that people who do home-based workouts have more body fat.
Visceral fat percentage was significant, which showed that people who do
home-based workouts have more visceral fat. The Body Mass Index is
significantly greater for those who go to the gym. Blood Pressure
significance showed that people who do home-based workouts have Higher
Blood pressure. There were no significant differences in the waist to hip
ratio, heart rate, and Respiratory Rate.
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Figure 5. Gender-wise Distribution of Subjects according to Different
BMI Ranges
In the category of underweight, four females only fall. Out of 24 subjects
with normal BMI, there are fifteen males and nine females in total. Out of
14 subjects overweight, there are 11 males and three females. Out of 22
subjects of obesity Type I, there are 11 males, and 11 females exist. In the
obesity type II category, there are seven males and three females, making
10 participants. In the last category, obesity type III, there are 24 males and
two females with 26 participants in total. The results show that most male
subjects fall under type III obesity, and most females are in type I obesity.
The output is also shown in figure 11 below.
Table 1. Association of BMI and Gnder
Value
df
Asymptotic significance
(2sided)
Pearson Chi-Square
19.907a
5
.001
Likelihood Ratio
22.253
5
.000
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Linear-by-Linear
Association
8.641
1
.003
N of Valid Cases
100
The chi-square test shows .001 significance which means there is a
significant association between BMI and gender.
Figure 6. Comparison of Calories and Types of Diet Comsumed
For further multiple comparison tests were used to check pairwise
significance. The pairwise comparison results showed that the pair of less
than equal to 1000 kcal' and 1100 to 1300 kcal were found to be significantly
different. The total energy expenditure of those with less than equal to 1000
kcal of diet was higher than those with 1100 to 1300 kcal of diet.
Whereas the pair greater than equal to 1400 kcal and less than equal to 1000
kcal were negatively and significantly different. The total energy
expenditure of those with less than equal to 1000 kcal of diet was higher
than those with greater than equal to 1400 kcal of diet. Whereas, the pair of
No diet and less than equal to 1000 kcal was found to be negatively and
significantly different, which showed that the total energy expenditure of
those with No diet was lower than those with less than equal to 1000 kcal
of diet. Conclusively, the total energy expenditure of those with No diet,
1100 to 1300 kcal and greater than 1400 kcal was lower than those with
"less than equal to 1000 kcal".
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Figure 7. Relationship of BMI and Comorbidities
The results prove that there are associated comorbidities with increased
body mass index starting from being overweight. Underweight and
normalweight individuals do not show any comorbidities. It is concluded to
stay in the normal BMI range to prevent oneself from different diseases.
Table 2. Association of BMI with Socio-Economic Status
Value
df
Asymptotic significance
(2-sided)
Pearson Chi-Square
8.169a
5
.147
Likelihood Ratio
9.497
5
.091
Linear-by-Linear Association
1.303
1
.254
N of Valid Cases
100
The chi-square test results show an insignificant (2-sided) value of .147. We
interpret that there is no significance between body mass index (BMI) and
location, i.e., Gulberg and Valencia. Discussion
The purpose of our study was to focus on two main parts, i.e., which exercise
program gives better results, home workout or gym training and how caloric
intake impacts weight loss in overweight and obese individuals. Our study
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is the first of its kind in comparing the effectiveness of homebased workouts
with gym training. Our study has many strengths like sample size, dietary
recall with exercise, work out with a professional trainer, and social status
check, but we could get more precise results if we had more time to conduct
this study. The t-test carried out on the sample, as shown in results,
elaborates that working out in the gym reduces body fat percentage and
visceral fat percentage in the exerciser's body. The second most evident
benefit of working out in the gym is reducing blood pressure, which
suggests opting for a gym workout if you're suffering from hypertension.
Our findings also suggest that individuals who want to reduce waist
circumference and align their weight according to a healthy BMI range
should go for a home-based workout.
Jones, in his study, researched that weight training leaves more impact on
strength and improved muscle building rather than a fat reduction in the
body [11]. At the same time, our study concludes that weight training in the
gym lessens body and visceral fat levels.
A study in 2015 on weight training suggests that men who did weight
training three times per week and 25 minutes a day had a significant effect
on their waist circumference (WC). A marked decrease was seen in the waist
measurements of men who were weight trained [12]. On the other hand, our
research results show contrast that primarily weight-trained men had higher
waist circumference than those who performed home workouts.
A study conducted on obese people showed results, that obese people should
be recommended to do a combination of both jogging and circuit weight
training as jogging has an impact on waist-to-hip ratio, blood pressure
regulation and glucose metabolism. At the same time, CWT made flexible
changes in the body and improved lipid profile [13]. Our research proves
that weight training and home-based workouts have similar effects on the
waist to hip ratio, heart rate, and respiratory rate.
This study provides evidence that with being overweight and obese, there
are associated diseases that an individual is diagnosed. This finding of our
research agrees with one of a survey that was held in the city of Karachi,
Pakistan, which described the percentage of different diseases associated
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with being obese, like 32.91% shown diabetes, 30.43% shown hypertension,
14.28% shown cardiovascular diseases, 10.55% shown bonerelated
problems, 6.83% shown asthma, 6.21% shown migraine, 4.96% shown
arthritis and 1.86% shown anemic [14]. In our study, the two most common
diseases seen were polycystic ovarian syndrome (PCOS) and hypertension
(HTN).
Another possibility our research ensured was the association of body mass
index (BMI) with social status. There was no significant association found
between these two variables [15]. In contrast to this finding, a prospective
study on the association between socio-economic factors and obesity among
Males in Punjab, Pakistan showed that higher socio-economic status led to
higher body mass index because of more consumption of meals from outside
the home.
A study conducted to compare calories found that consuming a diet of 1200
kcals and physical activity five days a week produced greater weight loss in
individuals. Our study findings support this that individual consuming ≥
1000 had increased caloric expenditure than other higher caloric diets [16].
This finding reinforces the second objective of our study, i.e., how caloric
intake impacts weight loss. We conclude that consuming fewer calories or
going to a caloric deficit diet of approximately 1000 – 1200 kcal per day
with physical activity aids body fat loss and weight changes.
Study Limitations the first limitation is the minimal time frame to conduct
research. In addition, due to the Coronavirus pandemic, subjects were
hesitant in reporting data on follow-ups, especially those working out at
home. Furthermore, despite being popular in many commercial gyms and
within epidemiological research on group studies, body composition BIA
does not appear to provide a valid single or repeated measure of body
composition for athletes.
Conclusion
Our research concluded that both gym and home-based workouts have their
benefits, and we cannot label one as more beneficial. But people who work
out in the gym have lesser body fat and lesser visceral fat, which gives it
more significance. Moreover, gym workouts proved to lower blood pressure
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in individuals. Both gym and home workouts have almost similar effects on
the waist to hip ratio, heart rate and respiratory rate. The benefit of home
workouts is evident in waist circumference; people working out at home had
a smaller waist than people working out in gyms.
References
[1] World Health Organization. Fact Sheet: Obesity and Overweight,
2015. Accessed on 10 January 2015. http://www.who.int/mediacentre/
factsheets/fs311/en/
[2] Ling KW, Wong FS, Chan WK, Chan SY, Chan EP, Cheng YL, Yu
WY. Effect of a home exercise program based on tai chi in patients
with end-stage renal disease. Peri Dial Int. 2003;23(2_suppl):99-103.
[3] Doğan C. Training at the gym, training for life: Creating better versions
of the self through exercise. Euro J Psycho. 2015;11(3):442.
https://doi.org/10.5964/ejop.v11i3.951
[4] Ling KW, Wong FS, Chan WK, Chan SY, Chan EP, Cheng YL, Yu
WY. Effect of a home exercise program based on tai chi in patients
with end-stage renal disease. Perit Dial Int. 2003;23(2_suppl):99-103.
[5] Ferrer-García JC, López PS, Pablos-Abella C, et al. Beneficios de un
programa ambulatorio de ejercicio físico en sujetos mayores con
diabetes mellitus tipo 2. Endocrinología Y Nutrición.
2011;58(8):38794. https://doi.org/10.1016/j.endonu.2011.05.010
[6] Mialich MS, Sicchieri JF, Junior AJ. Analysis of body composition: a
critical review of the use of bioelectrical impedance analysis. Int J Clin
Nutr. 2014;2(1):1-0.
[7] Kruger J, Blanck HM, Gillespie C. Dietary and physical activity
behaviors among adults successful at weight loss maintenance. Int J
Behav Nutr Phy Activity. 2006;3(1):1-10. https://doi.org/10.1186/
1479-5868-3-17
[8] Lowry R, Wechsler H, Galuska DA, Fulton JE, Kann L. Television
viewing and its associations with overweight, sedentary lifestyle, and
insufficient consumption of fruits and vegetables among US high
school students: differences by race, ethnicity, and gender. J School
Kamal et al.
29
School of Health Sciences
Volume 1 Issue
2
, Fall
2021
Health. 2002;72(10):413-21. https://doi.org/10.1111/j.1746-1561.
2002.tb03551.x
[9] Curioni CC, Lourenco PM. Long-term weight loss after diet and
exercise: a systematic review. Int J Obesity. 2005;29(10):1168-74.
https://doi.org/10.1038/sj.ijo.0803015
[10] Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith
BK. Appropriate physical activity intervention strategies for weight
loss and prevention of weight regain for adults. Med Sci Sports
Exercise. 2009;41(2):459-71.
[11] Jones CS, Christensen C, Young M. Weight training injury trends: a
20-year survey. Phy Sportsmedicine. 2000;28(7):61-72. https://doi.org/
10.3810/psm.2000.07.1086
[12] Mekary RA, Grøntved A, Despres JP, De Moura LP, Asgarzadeh M,
Willett WC, Rimm EB, Giovannucci E, Hu FB. Weight training,
aerobic physical activities, and long term waist circumference change
in men. Obesity. 2015;23(2):461-7. https://doi.org/10.1002/oby.20949
[13] Maiorana A, O'Driscoll G, Cheetham C, Collis J, Goodman C, Rankin
S, Taylor R, Green D. Combined aerobic and resistance exercise
training improves functional capacity and strength in CHF. J Appl
Physiol. 2000;88(5):1565-70.
https://doi.org/10.1152/jappl.2000.88.5.1565
[14] Tanzil S, Jamali T. Obesity, an emerging epidemic in Pakistan-a review
of evidence. J Ayub Med Coll Abbottabad. 2016;28(3):597-600.
[15] Amjid S, Batool Z, Shabbir Chudhary M, Mahmood S. Prospect
Association between Socio-Economic Factors and Obesity among
Males in Punjab, Pakistan. European Online Journal of Natural and
Social Sciences: Proceedings. 2019;8(3): pp-11.
[16] Hagan RD, Upton SJ, Wong L, Whittam J. The effects of aerobic
conditioning and/or caloric restriction in overweight men and women.
Med Sci Sports Exerc. 1986;18(1):87-94.