Preventing metabolic syndrome in morbid obesity with resistance training: Reporting interindividual variability

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2020-05-19

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http://hdl.handle.net/11634/23346

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https://doi.org/10.1016/j.numecd.2019.07.002

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Background and aims: Resistant training (RT) improves health markers in obesity, but its effects in morbid obesity are unknown. We aimed to determine the effects of a RT-program in preventing/attenuating the metabolic syndrome (MetS) in patients with morbid obesity. A second aim was to report the interindividual variability in terms of improvements in MetS markers and other related co-variables. Methods and results: Twenty-one adults with obesity or morbid obesity were divided into two groups based on body mass index (BMI): a control obesity (CO, n Z 7, BMI 35 < 40.0 kg/m2 ) and a morbid obese group (MO, n Z 14, BMI 40 kg/m2 ). Participants completed a 20-week RT-program (3 sessions/week, 4e8 exercise) using free weights. Participants were assessed for MetS markers (waist circumference, systolic and diastolic blood pressure [BP], fasting glucose, high-density lipoproteins, and triglycerides) and other co-variables (total cholesterol, lowdensity lipoprotein, one-maximum repetition of biceps curl, and handgrip strength, 6 min walking test). Significant reductions in MetS markers were observed in both CO and MO groups (P < 0.05 to P < 0.0001), but significant reductions in diastolic BP and increases in HDL-C were noted only in the MO group (P < 0.0001). Changes in waist circumference, and systolic and diastolic BP were significantly greater only in the MO group (P < 0.001), but the CO group presented a greater fasting glucose decreases (P < 0.0001). The prevalence of non-responders between CO and MO groups was similar in the MetS outcomes. Conclusions: RT promotes greater improvements in overall MetS outcomes waist circumference, BP, and plasma triglycerides in patients with morbid obesity than in obese peers, with no overall differences in the prevalence of non-responders. Clinical trial number: NCT03921853 at www.clinicaltrials.gov. ª 2019 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.

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Delgado-Floody, P., Álvarez, C., Lusa Cadore, E., Flores-Opazo, M., Caamaño-Navarrete, F., & Izquierdo, M. (2019). Preventing metabolic syndrome in morbid obesity with resistance training: Reporting interindividual variabilityhttps://doi.org/https://doi.org/10.1016/j.numecd.2019.07.002

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Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
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