Obese diabetic women CR -+ Exercise, Belly/Skin fat, IR



Interesting experiement and findings.

Randy

The effects of total energy expenditure from all levels of physical
activity
vs. physical activity energy expenditure from moderate-to-vigorous
activity
on visceral fat and insulin sensitivity in obese Type 2 diabetic
women.
Koo BK, Han KA, Ahn HJ, Jung JY, Kim HC, Min KW.
Diabet Med. 2010 Sep;27(9):1088-92.
PMID: 20722686
http://onlinelibrary.wiley.com/doi/10.1111/j.1464-5491.2010.03045.x/full
http://onlinelibrary.wiley.com/doi/10.1111/j.1464-5491.2010.03045.x/pdf

Abstract

AIMS: We examined the effects of physical activity with or without
dietary
restriction for 3 months on regional fat and insulin sensitivity and
compared the effect of total energy expenditure from all levels of
physical
activity with that of physical activity energy expenditure from
moderate-to-vigorous exercise in obese women with Type 2 diabetes.

METHODS: In this randomized, controlled trial, we assessed change of
body
weight, abdominal visceral fat area, subcutaneous fat area and
insulin
sensitivity, expressed as K(ITT), and monitored total energy
expenditure and
physical activity energy expenditure using an accelerometer during a
12-week
intervention in four groups: control, diet, exercise and diet plus
exercise.

RESULTS: The mean body mass index was 28.0 +/- 2.7 kg/m(2) and the
mean
duration of diabetes was 8 +/- 6 years. Both the diet and diet plus
exercise
groups showed significant body weight loss compared with the control
group
(P < 0.05). However, the visceral fat area was reduced only in the
diet and
exercise group (P = 0.017) and the subcutaneous fat area was reduced
only in
the diet group (P = 0.009). Mean energy intake was an independent
determinant of the change in subcutaneous fat area (P = 0.020) and
mean
total energy expenditure was an independent determinant of visceral
fat area
(P = 0.002). Insulin sensitivity K(ITT) was associated with physical
activity energy expenditure (P = 0.006), energy intake (P = 0.047) and
the
change in fructosamine level (P = 0.016) but not with changes in body
weight, subcutaneous fat area, visceral fat area or adipokine level.

CONCLUSIONS: Exercise had an additive effect to dietary restriction
on
visceral fat reduction. Visceral fat area was associated with total
energy
expenditure, but insulin sensitivity was associated with physical
activity
energy expenditure.

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Relevant Pages

  • Re: Obese diabetic women CR -+ Exercise, Belly/Skin fat, IR
    ... vs. physical activity energy expenditure from moderate-to-vigorous ... on visceral fat and insulin sensitivity in obese Type 2 diabetic ... moderate-to-vigorous exercise in obese women with Type 2 diabetes. ...
    (alt.support.diabetes)
  • Re: Obese diabetic women CR -+ Exercise, Belly/Skin fat, IR
    ... vs. physical activity energy expenditure from moderate-to-vigorous ... on visceral fat and insulin sensitivity in obese Type 2 diabetic ... moderate-to-vigorous exercise in obese women with Type 2 diabetes. ...
    (alt.support.diabetes)
  • Re: Obese diabetic women CR -+ Exercise, Belly/Skin fat, IR
    ... vs. physical activity energy expenditure from moderate-to-vigorous ... on visceral fat and insulin sensitivity in obese Type 2 diabetic ... So I was curious to see what kinds of exercise this study was based ... physical activity energy expenditure was ...
    (alt.support.diabetes)
  • Re: Obese diabetic women CR -+ Exercise, Belly/Skin fat, IR
    ... vs. physical activity energy expenditure from moderate-to-vigorous ... on visceral fat and insulin sensitivity in obese Type 2 diabetic ... They don't mention the type of exercise in the abstract. ... physical activity energy expenditure was ...
    (alt.support.diabetes)
  • Re: Obese diabetic women CR -+ Exercise, Belly/Skin fat, IR
    ... vs. physical activity energy expenditure from moderate-to-vigorous ... on visceral fat and insulin sensitivity in obese Type 2 diabetic ... weight, abdominal visceral fat area, subcutaneous fat area and ...
    (alt.support.diabetes)