Aerobic plus resistance training was more effective in improving the visceral adiposity, metabolic profile and inflammatory markers than aerobic training in obese adolescents

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2014-01-01
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Dâmaso, Ana Raimunda [UNIFESP]
Campos, Raquel Munhoz da Silveira [UNIFESP]
Caranti, Danielle Arisa [UNIFESP]
Piano, Aline de [UNIFESP]
Fisberg, Mauro [UNIFESP]
Foschini, Denis [UNIFESP]
Sanches, Priscila de Lima [UNIFESP]
Tock, Lian
Lederman, Henrique Manoel [UNIFESP]
Tufik, Sergio [UNIFESP]
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The purpose of this study was to determine whether aerobic plus resistance training (AT + RT) is more effective than aerobic training (AT) at reducing inflammatory markers and cardiovascular risk in obese adolescents. A total of 139 obese adolescents were enrolled, aged 15-19 years, body mass index (BMI) >= 95th percentile and participated in 1 year of interdisciplinary intervention. They were randomised into two groups: AT (n = 55), AT + RT (n = 61). Blood samples were collected to analyse glycaemia, insulin, the lipid profile, leptin and adiponectin concentrations. Insulin resistance was measured by homeostasis model assessment of insulin resistance index (HOMA-IR). the AT + RT group showed better results with regard to decreased body fat mass, low-density lipoprotein concentration (LDL-c) levels, subcutaneous and visceral fat and increased body lean mass. Indeed, a reduction of hyperleptinaemia and an increase in adiponectin concentrations, promoting an improvement in the leptin/adiponectin ratio, was observed. Important clinical parameters were improved in both types of exercise; however, AT + RT was more effective in improving the visceral adiposity, metabolic profile and inflammatory markers than AT alone, suggesting clinical applications for the control of intra-abdominal obesity and cardiovascular risk in the paediatric population.
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Journal of Sports Sciences. Abingdon: Taylor & Francis Ltd, v. 32, n. 15, p. 1435-1445, 2014.
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