Management of the Obese Patient

Braunstein, Jonathan J.

doi:10.1016/s0025-7125(16)32527-5

Cited by 9 publications

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Middle-aged persons are usually confronted with various physiological, physical, cognitive, and social changes that make them vulnerable to chronic disease. Women have particularly high morbidity rates in midlife, as menopause changes their hormonal profile, blood pressure, blood lipid levels, and body fat distribution in ways that may increase the risk of metabolic syndrome and atherosclerosis [ 9 , 10 ]. Indeed, in middle-aged women, the risk of cardiovascular disease increases by 50% after menopause, making it of the utmost importance to live a healthy lifestyle and eliminate risk factors such as physical inactivity [ 11 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of prolonged exercise versus multiple short exercise sessions on risk for metabolic syndrome and the atherogenic index in middle-aged obese women: a randomised controlled trial

et al. 2017

View full text Add to dashboard Cite

BackgroundMany people, although they may recognise the positive effects of exercise, do not exercise regularly owing to lack of time. This study aimed to investigate the effects of prolonged single-session exercise and multiple short sessions of exercise on the risk of metabolic syndrome and the atherogenic index in middle-aged obese women.MethodsThirty-six participants were divided into the single-session group, multiple-session group, and control group. The single-session group engaged in one session of treadmill exercise for 30 min a day; the multiple-session group had three sessions of 10 min a day. Both groups exercised 3 days/week for 12 weeks. The control group did not perform any exercise.ResultsThe single-session group showed decreases in weight (0.97 kg [95% C.I. = 0.09–1.83], p < .05), body mass index (0.43 kg/m2 [95% C.I. = 0.03–0.81], p < .05), and fat mass (1.65 kg, [95% C.I. = 0.78–2.51], p < .01). Systolic blood pressure dropped in the single-session group (6.66 mmHg, [95% C.I. = 1.44–11.88], p < .05), and diastolic blood pressure dropped in the multiple-session group (3.38 mmHg, [95% C.I. = 1.44–5.88], p < .01). High-density lipoprotein cholesterol rose in the single-session group (4.08 mg/dL, [95% C.I. = −8.08–(−)0.07], p < .05) and dropped in the control group (10.75 mg/dL [95% C.I. = 1.95–19.54], p < .01). According to post hoc analysis, high-density lipoprotein cholesterol increased more in the single-session group than the control group (95% C.I. = 0.61–21.88, p < .05). Glucose levels decreased in both the single-session group (16 mg/dL [95% C.I. = 5.64–26.35], p < .01) and the multiple-session group (12.16 mg/dL, [95% C.I. = 2.18–22.14], p < .05). Waist circumference decreased in the single-session group (2.65 cm [95% C.I. = 1.46–3.83], p < .001) and multiple-session group (2.04 cm, [95% C.I. = 1.51–2.73], p < .001). Low-density lipoprotein cholesterol levels rose in both the multiple-session group (−15.79 mg/dL [95% C.I. = −34.24–(−)3.78], p < .05) and the control group (−22.94 mg/dL [95% C.I. = −44.63–(−)1.24], p < .05). The atherogenic index increased in the control group (−1.06 [95% C.I. = −1.69–(−)0.41], p < .01).ConclusionsThe findings indicate that prolonged exercise is superior to multiple short sessions for improving the risk of metabolic syndrome and the atherogenic index in middle-aged obese women. However, multiple short sessions can be recommended as an alternative to prolonged exercise when the goal is to decrease blood glucose or waist circumference.

show abstract

Section: Introductionmentioning

confidence: 99%