Which Is More Important for Obesity: Exercise or Diet? Research Finds the Solution
You can't escape a poor diet, as we've all heard. Now, a ground-breaking new study truly puts the evidence on the table and validates the suspicions of wellness advocates.
Researchers looked at how different lifestyles—from hunter-gatherers to industrialized urbanites—use energy, and their findings were published this summer in the Proceedings of the National Academy of Sciences.
he message? Weight gain is caused by what we put on our plates, not by a lack of action.
Study: Exercise versus diet in obesity
The question of whether eating too much or moving too little causes weight gain has been hotly debated for decades.
Many of us have been taught that we may counteract the negative effects of overindulgent eating by just exercising more. However, this groundbreaking study is significantly altering that story.
Data from 4,213 adults from 34 different global populations—including farmers, pastoralists, hunter-gatherers, and contemporary city dwellers—were examined by an international team of researchers. The gold-standard doubly labeled water method was used by the investigators to assess energy expenditure. They tracked actual calorie burn (total, basal, and activity-related) and compared it to body mass index (BMI) and body fat %.
Using the doubly tagged water approach, the research team tracked how many calories people actually burnt each day in the largest study of its type.
By giving participants water that contains stable isotopes of oxygen and hydrogen, scientists are able to assess carbon dioxide production and overall energy consumption over time.
Researchers divided energy expenditure into three categories rather than focusing only on exercise:
- Calories burned during rest to sustain essential functions are known as basal energy expenditure, or BEE.
- Calories burned during movement and physical activity are known as activity energy expenditure, or AEE.
- The total number of calories burned each day when both are combined is called total energy expenditure, or TEE.
The researchers discovered the following:
- Economic development tended to boost overall calorie burn, but this was primarily due to people's increased physical size (i.e., greater lean mass and fat-free mass).
- In more developed populations, basal and total energy consumption actually decreased by roughly 6% to 11% when body size was taken into account, while activity energy expenditure remained relatively constant.
- Most remarkably, only around 10% of the rise in body fat and BMI observed in affluent populations could be explained by energy expenditure.
- In the groups for whose dietary data were available, there was a clear correlation between increased body fat percentages and dietary intake, particularly the use of ultra-processed foods.
- Larger bodies use more energy. As would be predicted, people in wealthy nations tended to have higher TEE, although this was primarily due to their larger stature (more body size and lean mass) rather than their increased level of physical activity.
- In contemporary society, basal metabolism has decreased. After adjusting for body size, BEE and TEE actually dropped in industrialized populations compared to subsistence groups.
- There was no significant difference in activity levels. Remarkably, AEE remained very constant across populations, indicating that hunter-gatherers did not significantly burn more calories from physical activity than office workers.
- Very little of the obesity was explained by energy expenditure. Just 10% of the rise in BMI and body fat in developed nations was explained by variations in energy expenditure.
- Much more was explained by diet quality. When data were available, there was a clear correlation between greater body fat and higher consumption of ultra-processed meals. Despite differing levels of activity, populations who relied on traditional foods (healthy grains, fresh produce, lean proteins) had far lower obesity rates.
- These results are consistent with the "constrained energy expenditure" concept, which holds that people typically burn calories within a very small daily range despite significant variations in physical activity.
Regardless of our level of activity, human calorie burn falls within a pretty restricted range. This implies that you can't just outwork bad eating habits.
The researchers came to the conclusion that eating habits—rather than physical activity—are the primary cause of obesity.
Experts increasingly stress that the main cause of obesity in developed nations is diets high in ultra-processed foods rather than insufficient exercise.
Nevertheless, exercise continues to be an essential component of overall health. It improves longevity, metabolism, mood, and cardiovascular health.
However, diet is the true game-changer if you want to control your weight.
Global obesity trends are instead being fueled by a move toward industrialized, ultra-processed diets that are poor in fiber, rich in harmful fats, refined sugars, and chemicals. Once individuals start eating these foods, even populations that continue to have active, traditional lifestyles start to acquire weight.
The consequences are obvious: food is the cornerstone of maintaining a healthy weight. Exercise promotes wellness, but body fat levels are determined by the quality of the food.
Here are a few strategies to help avoid obesity:
Select foods (fresh fruits, vegetables, nuts, seeds, legumes, pasture-raised meats, and whole grains) that are as close to their natural condition as you can. These foods support satiety and metabolism by offering fiber, protein, and micronutrients.
Ultra-processed meals and obesity showed the biggest correlation in the study. Reduce your intake of processed baked products, greasy fast food, sugary drinks, and packed snacks. These foods encourage overeating by overriding satiety cues.
While fiber enhances gut health and slows digestion to prolong feelings of fullness, protein helps control hunger and maintain lean muscle. Try to incorporate both throughout each meal.
6. Engage in physical activity for more than merely burning calories.
Exercise benefits not just your burn rate but also the health of your body and digestive system, so play, walk, stretch, and move. Frequent exercise promotes bone density, cardiovascular health, insulin sensitivity, and mental well-being.
Exercise is about building a resilient, healthy body, not about "burning off" food.
7. Encourage the microbiota in your gut
Recent studies show a connection between intestinal health and controlling weight. The gut microbiota can be safeguarded by a variety of plant foods, fermented foods (such as sauerkraut, kefir, and miso), and prebiotic fibers (found in garlic, onions, and bananas).
Conclusion
- This groundbreaking study makes it very evident that you cannot out-exercise a highly processed diet in the fast-paced world of today.
- Movement is still necessary for healthy health, but controlling your weight and metabolic health begins on your plate rather than on a treadmill.
- While complete, nutrient-rich diets continue to be beneficial, ultra-processed foods are a major contributor to the global rise in obesity.
- Make complete, nutrient-dense foods a priority, eat mindfully, and allow true nourishment—not tricks—direct your journey to wellbeing.
- Build a sustainable, satisfying diet based on actual foods for long-term health instead of focusing on calorie tracking and "working off" food.
- Diet becomes the most effective weapon we have for preventing obesity and fostering long-term wellness when paired with happy movement, mindful eating, and healthy lifestyle choices.
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