Effects of combined aerobics and abdominal strengthening exercises on abdominal adiposity in sedentary adults

چکیده

Background: Excess abdominal adiposity has been associated with increased morbidity and mortality. Though aerobic exercises significantly reduce general adiposity, it has no effect on abdominal adiposity. However the effects of a combination of aerobic and abdominal strengthening exercises on abdominal adiposity are not known.

Objective: This study was designed to evaluate the effects of a 12-week aerobic and abdominal strengthening exercise programme on abdominal adiposity in sedentary adults.

Methods: A total of 105 consenting sedentary adults participated in this study. They were randomly recruited from the Ibadan metropolis. Participants went through exercise training which included aerobic and abdominal strengthening exercises. Exercise was carried out thrice weekly for 12 consecutive weeks. Abdominal adiposity indices of Waist Circumference (WC), Waist-to-Hip Ratio (WHR), Sum of Abdominal Skinfold (SAS) were measured at baseline, 4th, 8th and 12th weeks. Data were analyzed using descriptive statistics of mean and standard deviation and repeated measures ANOVA at p=0.05.

Results: 74 participants with mean age (34.8±9.1yrs) completed the study. At the end of the 12 –week exercise, there was significant reduction in WC (94.8±10.2 to 89.2±9.8cm), WHR (0.89±0.06 to 0.86±0.05) and SAS (88.9±10.9 to 77.3±13.5mm) among the female participants. Within the male participants, there was significant reduction in WC (88.5±7.4 to 83.8±4.7cm), and in SAS (60.1±8.4 to 54.5±8.5mm), but no statistically significant difference was observed in the WHR (0.88±0.04 to 0.87±0.06).

Conclusion: Twelve-week aerobic and abdominal strengthening exercise programme, without caloric restriction, reduced abdominal adiposity in apparently-healthy sedentary adults, hence it is recommended for its beneficial effects on abdominal adiposity.

Keywords: Aerobic exercises, abdominal strengthening exercise, abdominal adiposity

Résumé
Contexte: L’excès d’adiposité abdominale a été associé à une morbidité accrue. Bien que les exercices aérobies réduisent considérablement l’adiposité en général, il n’ y a pas d’effet sur l’adiposité abdominale. Cependant, les effets de la combinaison d’aérobies et d’exercices de renforcement abdominal sur l’adiposité abdominale sont négatifs.

Objectif: Cette étude a été faite pour évaluer les effets d’un aérobie de 12 semaines et un programme d’exercices de renforcement abdominal sur l’adiposité abdominal chez des adultes sédentaires.

Méthodes: Un total de 105 adultes considérés sédentaires ont pris part à cette étude. Ils ont été recrutés au hasard dans la ville d’Ibadan. Les participants ont pris part à l’entrainement d’aérobies, y compris des exercices de renforcement abdominal. L’exercice a été effectué trois fois par semaine pendant 12 semaines consécutives. Des indices d’adiposité abdominale (WC), les hanches (WHR), des plis cutanés abdominaux(SAS) ont été mesurés au départ, à la 4 e, 8 e et 12 e semaine. Les données ont été analysées à l’aide des statistiques descriptives à moyen et d’écart-type et à mesures ANOVA répétées à p = 0,05.

Résultats: 74 participants avec l’âge moyen de (34,8 ± de 9.1yrs) ont terminé l’étude. A la fin de l’exercice après 12 semaines, il y avait une réduction importante de WC (94,8 ± 10,2 à 89,2 ± 9,8 cm), RTH (0,89 ± 0,06 à 0,86 ± 0,05) et SAS (88,9 ± 10,9 à 77,3 ± 13,5 mm) chez les participants de sexe féminin. Il y avait également d’importante réduction de WC (88,5 ± 7,4 à 83,8 ± 4,7 cm de), et SAS (60,1 ± 8,4 à 54,5 ± 8,5 mm) chez les participants de sexe masculin. Mais aucune différence importante n’a été statiquement observée dans le WHR (0,88 ± 0,04 de 0,87 ± 0,06).

Conclusion: Douze semaines d’aérobie et de programme d’exercices de renforcement abdominal, sans restriction calorique, a réduit l’adiposité abdominale chez les adultes sédentaires, apparemment en bonne santé. Cette pratique est donc recommandée pour ses effets bénéfiques sur l’adiposité abdominale.

Correspondence: Mr. A.A. Akinremi, Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: ogooluwa2@yahoo.com.

pdf (انگلیسی)

مراجع

World Health Organization. Obesity: Preventing and managing the global epidemic. Report of a WHO Consultation on Obesity. 2000; Geneva, Switzerland.(http://www.who.int/ nutrition/publications/obesity/WHO_TRS_894/en/index.html accessed on the 11th of May 2012)

Calabro P and Yeh TH. Intra-abdominal adiposity, inflammation, and cardiovascular fitness in people at risk of type2 diabetes: early markers for insulin resistance. Curr Hypertens Rep. 2008; 32-38

Kuk JL. Visceral Fat Is An Independent Predictor of All-Cause Mortality In Men. Obes Res 2006; 14: 336–341.

World Health Organization. Report of Expert Consultation on waist circumference and waist-hip-ration.2008;Geneva,Switzerland. (http://www.who.int/nutrition/publications/obesity/WHO_report_waistcircumference_and_waisthip_ratio/en/index.html accessed on 26th September 2011.)

National Institutes for Health and Clinical Excellence 2006. Obesity-Identification and classification.www.nice.org.uk/download.aspx?o=CG43FullGuideline2 accessed on the 27th of August 2013;7:25pmý

Klein S, Allison DB, Heymsfield SB, et al, Waist circumference and cardiometabolic risk: a consensus statement from Shaping America’s Health: Association for Weight Management and Obesity Prevention; NAASO, The Obesity Society; the American Society for Nutrition; and the American Diabetes Association. American Journal of Clinical Nutrition 2007; 85:1197–202.

Ketel IJG, Volman MNM, Seidell JC, et al, Superiority of skinfold measurements and waist over waist-to-hip ratio for determination of body fat distribution in a population-based cohort of Caucasian Dutch adults. Eur J Endocrinol 2007; 156; 655–661

Ross R, Freeman J, Hudson R and Janssen I. Abdominal obesity, muscle composition, and insulin resistance in premenopausal women. J Clin Endocrinol Metab 2002; 87: 5044–5051.

Sanya, AO. Physiotherapy and Wellness: rungs of the ladder. An Inaugural Lecture at the University of Ibadan in the 25th of March, 2010. University of Ibadan. Ibadan.

King NA, Hopkins M, Caudwell P, et al. Individual variability following 12 weeks of supervised exercise: identification and characterization of compensation for exercise-induced weight loss. Int J Obes Relat Metab Disord 2008; 32: 177–184.

Williams PT. Changes in body weight and waist circumference affect incident hypercholesterolemia during 7 years of follow-up. Obesity 2008; 16: 2163–2168.

Nicklas BJ, Wang X, You T, et al. Effect of exercise intensity on abdominal fat loss during calorie restriction in overweight and obese postmenopausal women: a randomized, controlled trial. Am J Clin Nutr 2009; 89: 1043–1052.

Kay SJ, Fiatarone HN and Singh MA. The influence of physical activity on abdominal fat: a systematic review of the literature. Obes Rev 2006; 7: 183–200.

Thorogood A, Mottillo S, Shimony A, et al. Isolated Aerobic Exercise and Weight Loss: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Am. J. Med. 2011; 124: 747-755

Ross R and Janssen I. Physical activity, total and regional obesity: dose-response considerations. Med Sci Sports Exerc 2001; 33. Suppl 6: S521–S527.

Donnelly JE, Hill JO, Jacobsen DJ, et al. Effects of a 16-month randomized controlled exercise trial on body weight and composition in young, overweight men and women: the Midwest Exercise Trial. Arch Intern Med 2003; 163: 1343–1350.

Ross R, Janssen I, Dawson J, et al. Exercise-induced reduction in obesity and insulin resistance in women: A randomized controlled trial. Obes Res 2004; 12: 789–798.

Okura T, Nakata Y, Lee DJ, et al. Effects of aerobic exercise and obesity phenotype on abdominal fat reduction in response to weight loss. Int J Obes Relat Metab Disord 2005; 29: 1259–1266

Okura T, NakataY, Ohkawara K, et al. Effects of aerobic exercise on metabolic syndrome improvement in response to weight reduction. Obesity 2007; 15. 10: 2478-2484

Slentz CA, Braun DD, Johnson JL, et al. Effects of the amount of exercise on body weight, body composition and measures of central obesity- STRRIDE: Arch Intern Med 2004; 164: 31-39

Donnelly JE and Smith BK. Is exercise effective for weight loss with ad libitum diet? Energy balance, compensation, and gender differences. Exerc Sport Sci Rev 2005; 33: 169–174.

Church TS, Earnest CP, Skinner JS and Blair SN. Effects of different doses of physical activity on cardiorespiratory fitness among sedentary, overweight or obese postmenopausal women with elevated blood pressure: a randomized controlled trial. JAMA 2007; 297: 2081–2091.

Siconofi SF, Garbe CE, Lasater TM and Carleton RA.: A simple, valid step test for estimating maximal oxygen uptake in epidemiologic studies. Am J Epidemiol, 1985; 121: 382 – 90.

Albright AFM, Hornsby G, Kriska A, et al. Exercise and type 2 diabetes. Med Sci Sports Exerc 2000; 32: 1345–1360.

Watts K, Beye P, Siafarikas A, Davis EA, et al. Exercise training normalizes vascular dysfunction and improves central adiposity in obese adolescents. J Am Coll Cardiol 2004; 43. 10: 1823 – 1827

National institutes of Health National Heart Lung and Blood Institute. Clinical guidelines on the identification, evaluation and treatment of overweight and obesity in adults: the evidence report. Obes Res1998; 6: S51-S210

Davis SN, Shavers C and Costa F. Gender-related differences in counter-regulatory responses to antecedent hypoglycemia in normal humans. J Clin Endocrinol Metab 2000; 85: 2148–2157.

Horowitz JF, Leone TC, Feng W, et al. Effect of endurance training on lipid metabolism in women: a potential role for PPARalpha in the metabolic response to training. Am J Physiol Endocrinol Metab 2000; 279: E348–55.

Janssen I, Katzmarzyk PT and Ross R. Body mass index, waist circumference, and health risk: evidence in support of current National Institutes of Health guidelines. Arch Intern Med 2002; 162: 2074-2079.

Ross R, Aru J, Freeman J, et al. Abdominal adiposity and insulin resistance in obese men. Am J Physiol Endocrinol Metab 2002; 282: E657–663.

Kraus, W., Houmard, J., Duscha, B.,et al, Exercise training amount and intensity effects on plasma lipoproteins: a randomized, controlled trial N Engl J Med 2002; 347: 1483–1492.

Slentz CA, Aiken LB, Houmard JA, et al. Inactivity, exercise, and visceral fat. STRRIDE: A randomized, controlled study of exercise intensity and amount. J Appl Physiol 2005; 99: 1613–1618.

Schutte JE, Townsend EJ, Hugg J, et al.. Density of lean body mass is greater in blacks than in whites. J Appl Physiol 2005; 56: 1647–1649.

Houmard J, Tanner C, Slentz C, et al. Effect of the volume and intensity of exercise training on insulin sensitivity. J Appl Physiol 2004; 96: 101–106.