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Working out to lose fat and working out to build muscle and strength require a different approach." In a study that followed 17 overweight or obese subjects (most of whom were women), the exercise groups did about one-third as much each workout, while the control subjects exercised less and did about one-third as much each workout. "It makes a difference," said study writer J. Michael Johnson, M.D., a professor at the University of Texas, San Antonio. "If participants were able to increase the amount they exercised, they were more likely to get results." In one study, participants with a BMI of 40 or higher exercised about 6 percent more a workout than did those of normal weight. An even greater difference occurred among men with the highest BMI. But in another study, the exercise group of men showed increased lean mass, suggesting they could build muscle. The study, published this month in the American Journal of Preventive Medicine, focused on the exercise and fat-loss benefits of a group of three strength- and endurance-training exercises in which you hold one leg up, press the other leg down and then sit back up again and repeat, for a total of 10 repetitions. The exercise sessions lasted roughly 45 minutes, and each leg was held for about 15 minutes, while another group performed a low-intensity exercise for two minutes. In the intervention group, men exercised 3.6 percent more than the control group. Among women, exercise resulted in a 2.8 percent gain. (For context, men average about 6.4 percent per year, while women average about 5.3 percent in a typical year.) "Our study is important because it shows that those with a healthy body mass index -- defined as 25 or lower -- can increase their exercise intensity by exercising in a more weight-specific fashion, as well as to build muscle and strength," Smith said. "It also demonstrates another advantage of a low-calorie diet." In the other two studies reported by the researchers, the control group exercised roughly the same amount on average as did the trained subjects, although the training group increased their weight by about 1.7 pounds. "If the weight loss in the control group was comparable to that in the training group, then most obese people would be advised to exercise as much as they are able to exercise if they want to lose weight," Johnson said. "But the researchers say more research is needed to validate this exercise intervention in a healthy population," Smith said. "I think the message for patients is to exercise, do some weight lifting Related Article: