In Practice Though, This Isn't Usually So

Exercise may not be a powerful weight-loss tool on its own, but it appears to play a much bigger role in preventing lost weight from returning. By preserving muscle, supporting metabolism, improving fat burning, and regulating appetite and blood sugar, regular activity can make long-term weight maintenance easier. The basic principle of weight loss is straightforward: if you consume fewer calories than you burn, you'll lose weight.

In practice though, this isn't usually so easy or simple. Alongside counting calories or eating smaller portions, many people add exercise into the equation when trying to lose weight to help tip the balance. Yet research shows that exercise may only have modest effects on weight loss.

But before you ditch your workouts, it's important to note that exercise still plays a really important role when it comes to health – perhaps especially in keeping the pounds off after reaching your goal weight. There are several processes that help explain why exercise doesn't always result in huge amounts of weight loss. Exercise can stimulate appetite, leading to increased food intake.

People may also subconsciously move less throughout the rest of the day after doing a workout, which means exercise may have less impact on their overall calorie deficit. The body also becomes more efficient over time – burning fewer calories while doing the same activity. This process, sometimes called "metabolic adaptation", reflects the body's tendency to defend against weight loss.

From an evolutionary perspective, conserving energy during periods of intense physical activity probably protected our ancestors from starvation. But in today's world, metabolic adaptation is one of many factors that can make weight loss difficult. Although exercise may not be the main driver of weight loss, it seems it might play a role in maintaining weight loss.

In a study of over 1,100 people, physical activity was shown to have little effect on the amount of weight a person initially lost. However, doing higher levels of activity after losing weight was strongly linked to maintaining the weight loss. It's worth noting that exercise was also associated with measurable health improvements – including better cholesterol, lower inflammation, better blood sugar control and insulin sensitivity, all of which are associated with lower risk of health problems, such as heart disease and type 2 diabetes.

These many health benefits show just how important it is to exercise both while losing weight and maintaining weight loss. Evidence also suggests that combining exercise with weight loss drugs (such as Saxenda), may help people maintain their weight loss better than using the drug alone. It may seem confusing that exercise isn't especially effective for losing weight but can help prevent regain.

The reasons behind this paradox aren't fully understood, but several mechanisms may offer an explanation. The first has to do with our resting energy expenditure (the amount of calories our body burns when doing nothing). When we lose weight, our resting energy expenditure decreases by more than you would expect for the amount of weight lost.

This is thought to contribute to weight regain. But exercise raises total daily energy expenditure, which can help to partially offset this. Weight loss usually results in the loss of both fat and muscle.

Losing muscle lowers resting energy expenditure, which can contribute to weight regain. But exercise, especially resistance training (such as Pilates or lifting weights), can help preserve or even rebuild muscle mass. This can boost our metabolism, which may aid in long-term weight maintenance.

Physical activity also helps our body to maintain its ability to burn fat. After losing weight, the body often becomes less efficient at using fat for energy. But intense exercise can improve fat burning and metabolic flexibility – the ability to switch between burning carbohydrates and fat depending on what's available.

This helps the body continue burning fat even when calorie intake is low or weight is lost. Exercise improves insulin sensitivity as well. This reduces the amount of insulin required to regulate blood sugar.

This is beneficial as higher insulin levels can promote fat storage and reduce fat breakdown. Exercise has many indirect effects on us that can aid in weight maintenance. For instance, exercise can improve sleep, mood and reduce stress levels.