Exercise and Adipose Tissue Redistribution in Overweight and Obese Adults

Hammond, Brittany; Brennan, Andrea M.; Ross, Robert

doi:10.1201/9781351260008-7

Cited by 5 publications

(10 citation statements)

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“…The evidence is mixed on the issue of whether a doseresponse relation exists between exercise and reduction in VAT and SAT. 41,42,90,93,100,101 Studies that have examined the effect of exercise dose generally support the conclusion that increasing exercise-induced energy expenditure is positively associated with corresponding reductions in VAT and SAT. 42,90,94 Of particular interest to clinicians, several studies have shown clinically significant VAT reduction in response to exercise in the absence of substantial weight loss.…”

Section: Do Visceral and Ectopic Fat Respond To Treatment?mentioning

confidence: 91%

“…41,42,90,93,100,101 Studies that have examined the effect of exercise dose generally support the conclusion that increasing exercise-induced energy expenditure is positively associated with corresponding reductions in VAT and SAT. 42,90,94 Of particular interest to clinicians, several studies have shown clinically significant VAT reduction in response to exercise in the absence of substantial weight loss. 91,96 Gepner and colleagues reported the results of an 18-month randomised controlled trial among 278 sedentary adults with abdominal obesity or dyslipidaemia in a single workplace setting in Israel.…”

Section: Do Visceral and Ectopic Fat Respond To Treatment?mentioning

confidence: 91%

“…Evidence from several reviews and meta-analyses suggests that a decrease in energy intake or an increase in energy expenditure is associated with a reduction in VAT and SAT. [89][90][91][92][93][94][95][96] A meta-analysis by Sabag and colleagues, 95 showed that aerobic type exercise was associated with a significant reduction in VAT in adults with type 2 diabetes. Similarly, Verheggen and colleagues 96 did a meta-analysis wherein eight studies compared a hypocaloric diet with exercise.…”

Section: Do Visceral and Ectopic Fat Respond To Treatment?mentioning

confidence: 99%

“…Although both strategies were associated with significant reductions in VAT, a 5% loss in bodyweight was associated with a 21% reduction in VAT after exercise, whereas only a 13% reduction in VAT was observed with a hypocaloric diet. A review by Hammond and colleagues 90 concludes that exercise of moderate to high intensity (50-70% VO 2 peak) in adults is associated with substantial reductions in VAT and SAT.…”

Section: Do Visceral and Ectopic Fat Respond To Treatment?mentioning

confidence: 99%

“…Irrespective of age, sex, or race, a negative energy balance induced by diet or exercise is generally associated with reductions in both VAT and SAT. 90,91,93,99 However, the response of VAT and SAT depends on how their changes are expressed. If the reduction in either depot is expressed in absolute measures (eg, reduction in cm³), generally men lose more VAT than do women, because men have more VAT at baseline.…”

Section: Do Visceral and Ectopic Fat Respond To Treatment?mentioning

confidence: 99%

See 4 more Smart Citations

Visceral and ectopic fat, atherosclerosis, and cardiometabolic disease: a position statement

Neeland

Ross

Després

et al. 2019

The Lancet Diabetes & Endocrinology

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895

600

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Findings from epidemiological studies over the past 30 years have shown that visceral adipose tissue, accurately measured by CT or MRI, is an independent risk marker of cardiovascular and metabolic morbidity and mortality. Emerging evidence also suggests that ectopic fat deposition, including hepatic and epicardial fat, might contribute to increased atherosclerosis and cardiometabolic risk. This joint position statement from the International Atherosclerosis Society and the International Chair on Cardiometabolic Risk Working Group on Visceral Obesity summarises the evidence for visceral adiposity and ectopic fat as emerging risk factors for type 2 diabetes, atherosclerosis, and cardiovascular disease, with a focus on practical recommendations for health professionals and future directions for research and clinical practice. We discuss the measurement of visceral and ectopic fat, pathophysiology and contribution to adverse health outcomes, response to treatment, and lessons from a public health programme targeting visceral and ectopic fat. We identify knowledge gaps and note the need to develop simple, clinically applicable tools to be able to monitor changes in visceral and ectopic fat over time. Finally, we recognise the need for public health messaging to focus on visceral and ectopic fat in addition to excess bodyweight to better combat the growing epidemic of obesity worldwide. Measurement of visceral and ectopic fatThe development of medical imaging has been a remarkable advance that has revolutionised the study of human body composition, including visceral fat. [18][19][20] Cross-sectional

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Section: Do Visceral and Ectopic Fat Respond To Treatment?mentioning

confidence: 91%

Section: Do Visceral and Ectopic Fat Respond To Treatment?mentioning

confidence: 91%

Section: Do Visceral and Ectopic Fat Respond To Treatment?mentioning

confidence: 99%

Section: Do Visceral and Ectopic Fat Respond To Treatment?mentioning

confidence: 99%

Section: Do Visceral and Ectopic Fat Respond To Treatment?mentioning

confidence: 99%

See 3 more Smart Citations

Visceral and ectopic fat, atherosclerosis, and cardiometabolic disease: a position statement

Neeland

Ross

Després

et al. 2019

The Lancet Diabetes & Endocrinology

Self Cite

895

600

View full text Add to dashboard Cite

show abstract

Overweight, Obesity, and CVD Risk: a Focus on Visceral/Ectopic Fat

Chartrand

Murphy-Després

Alméras

et al. 2022

Curr Atheroscler Rep

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Effect of aerobic exercise on waist circumference in adults with overweight or obesity: A systematic review and meta‐analysis

et al. 2022

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Summary Excess visceral adiposity contributes to elevated cardiometabolic risk, and waist circumference is commonly used as a surrogate measure of visceral adipose tissue. Although regular aerobic exercise is known to improve abdominal obesity, its effect on waist circumference is unclear. A systematic review and meta‐analysis was performed to determine (1) the effect of aerobic exercise on waist circumference in adults with overweight or obesity; (2) the association between any change in waist circumference and change in visceral adipose tissue and/or bodyweight with aerobic exercise interventions; and (3) if reductions in waist circumference with exercise are moderated by clinical characteristics or components of aerobic exercise prescription. Twenty‐five randomized controlled trials (1686 participants) were included. Regular aerobic exercise significantly reduced waist circumference by 3.2 cm (95% confidence interval [CI] −3.86, −2.51, p ≤ 0.001) versus control. Change in waist circumference was associated with change in visceral adipose tissue (β = 4.02; 95% CI 1.37, 6.66, p = 0.004), and vigorous intensity produced superior reduction (−4.2 cm, 95% CI −4.99, −3.42, p < 0.0001) in waist circumference compared with moderate intensity (−2.50 cm, 95% CI −3.22, −1.79, p = 0.058). These findings suggest regular aerobic exercise results in modest reductions in waist circumference and associated visceral adipose tissue and that higher intensity exercise may offer superior benefit to moderate intensity.

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Exercise and Adipose Tissue Redistribution in Overweight and Obese Adults

Cited by 5 publications

References 0 publications

Visceral and ectopic fat, atherosclerosis, and cardiometabolic disease: a position statement

Visceral and ectopic fat, atherosclerosis, and cardiometabolic disease: a position statement

Overweight, Obesity, and CVD Risk: a Focus on Visceral/Ectopic Fat

Effect of aerobic exercise on waist circumference in adults with overweight or obesity: A systematic review and meta‐analysis

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