Effect of diet with or without exercise on abdominal fat in postmenopausal women - A randomised trial

Autor: Petra H.M. Peeters, Wouter B. Veldhuis, Maaike Stapper, Adriaan J H Doornbos, Job van der Palen, Sjoerd G. Elias, Willemijn A.M. van Gemert, Anne M. May, Jantine Schuit, Evelyn M. Monninkhof
Přispěvatelé: APH - Health Behaviors & Chronic Diseases, Prevention and Public Health
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Weight loss
Overweight
Gastroenterology
law.invention
0302 clinical medicine
Randomized controlled trial
MARKERS
law
Abdominal fat
030212 general & internal medicine
Netherlands
RISK
lcsh:Public aspects of medicine
Intra-abdominal fat
Middle Aged
Weight Reduction Programs
Postmenopause
OBESITY
Randomized Controlled Trial
Female
medicine.symptom
AEROBIC EXERCISE
Research Article
medicine.medical_specialty
Intra-Abdominal Fat
Abdominal Fat
WEIGHT-LOSS
030209 endocrinology & metabolism
Overweight/prevention & control
03 medical and health sciences
SDG 3 - Good Health and Well-being
Weight Reduction Programs/methods
Internal medicine
medicine
Journal Article
Aerobic exercise
Humans
Obesity
Exercise
Aged
Caloric Restriction
Postmenopausal women
business.industry
INTENSITY
Public Health
Environmental and Occupational Health
Subcutaneous fat
lcsh:RA1-1270
medicine.disease
business
RESISTANCE
Program Evaluation
Zdroj: BMC Public Health, 19:174, 1-9. BioMed Central
Van Gemert, W A, Peeters, P H, May, A M, Doornbos, A J H, Elias, S G, Van Der Palen, J, Veldhuis, W, Stapper, M, Schuit, J A & Monninkhof, E M 2019, ' Effect of diet with or without exercise on abdominal fat in postmenopausal women-A randomised trial ', BMC Public Health, vol. 19, 174, pp. 1-9 . https://doi.org/10.1186/s12889-019-6510-1
BMC public health, 19(1):174. BioMed Central
BMC Public Health, 19(1):174. BMC
BMC Public Health, Vol 19, Iss 1, Pp 1-9 (2019)
BMC Public Health
BMC Public Health, 19(1), 174. BioMed Central
ISSN: 1471-2458
DOI: 10.1186/s12889-019-6510-1
Popis: Background We assessed the effect of equivalent weight loss with or without exercise on (intra-) abdominal fat in postmenopausal women in the SHAPE-2 study. Methods The SHAPE-2 study is a three-armed randomised controlled trial conducted in 2012–2013 in the Netherlands. Postmenopausal overweight women were randomized to a diet (n = 97), exercise plus diet (n = 98) or control group (n = 48). Both intervention groups aimed for equivalent weight loss (6–7%) following a calorie-restricted diet (diet group) or a partly supervised intensive exercise programme (4 h per week) combined with a small caloric restriction (exercise plus diet group). Outcomes after 16 weeks are amount and distribution of abdominal fat, measured by magnetic resonance imaging (MRI) with the use of the three-point IDEAL Dixon method. Results The diet and exercise plus diet group lost 6.1 and 6.9% body weight, respectively. Compared to controls, subcutaneous and intra-abdominal fat reduced significantly with both diet (− 12.5% and − 12.0%) and exercise plus diet (− 16.0% and − 14.6%). Direct comparison between both interventions revealed that the reduction in subcutaneous fat was statistically significantly larger in the group that combined exercise with diet: an additional 10.6 cm2 (95%CI -18.7; − 2.4) was lost compared to the diet-only group. Intra-abdominal fat loss was not significantly larger in the exercise plus diet group (− 3.8 cm2, 95%CI -9.0; 1.3). Conclusions We conclude that weight loss of 6–7% with diet or with exercise plus diet reduced both subcutaneous and intra-abdominal fat. Only subcutaneous fat statistically significantly reduced to a larger extent when exercise is combined with a small caloric restriction. Trial register NCT01511276 (clinicaltrials.gov), prospectively registered. Electronic supplementary material The online version of this article (10.1186/s12889-019-6510-1) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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