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Lehmann, S.* ; Retschlag, U.* ; Oberbach, A.* ; Morgenroth, R.* ; Linder, N.* ; Schaudinn, A.* ; Garnov, N.* ; Busse, H.* ; Solty, K.* ; Prettin, C.* ; Köppe-Bauernfeind, N.* ; Flehmig, G.* ; Selig, L.* ; Trips, E.* ; Stumvoll, M. ; Petroff, D.* ; Blüher, M.

Visceral fat mass dynamics in a 2-year randomized STrength versus ENdurance training trial in people with obesity.

Diabetes Obes. Metab., DOI: 10.1111/dom.15767 (2024)
Verlagsversion DOI PMC
Open Access Gold (Paid Option)
Creative Commons Lizenzvertrag
AIM: To compare the effectiveness of strength versus endurance training on reducing visceral fat in individuals with obesity. MATERIALS AND METHODS: For the STrength versus ENdurance (STEN) 24-month randomized clinical trial, we assigned 239 participants with abdominal obesity to either strength or endurance training (two to three times a week, 60 min/training session) in addition to standard nutritional counselling to promote a healthy diet. Changes in abdominal visceral adipose tissue (VAT) area quantified by magnetic resonance imaging after 12 months were defined as a primary endpoint. RESULTS: Participants (aged 44 years, 74% women, body mass index: 37 kg/m2, mean VAT volume: 4050 cm3) had an approximately 50% retention rate and a 30% good training programme adherence at 12 months. There was no difference between strength and endurance training in VAT volume dynamics after 12 and 24 months (p = .13). Only in the good adherence group did we find a trend for reduced VAT volume in both training regimens. Independently of the exercise programme, there was a continuous trend for moderate loss of abdominal subcutaneous AT volume, body fat mass, body mass index and improved parameters of insulin sensitivity. Although parameters of physical fitness improved upon both exercise interventions, the dynamics of resting energy expenditure, glucose and lipid metabolism parameters were not different between the intervention groups and did not significantly improve during the 2-year trial (p > .05). CONCLUSIONS: Despite heterogeneous individual training responses, strength and endurance training neither affected VAT volume nor key secondary endpoints differently.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Korrespondenzautor
Schlagwörter Body Composition ; Clinical Trial ; Exercise Intervention ; Insulin Resistance ; Randomized Trial; Life-style Intervention; Physical-activity; Adipose-tissue; Aerobic Exercise; All-cause; Reduction; Mortality; Resistance; Phenotype; Muscle
ISSN (print) / ISBN 1462-8902
e-ISSN 1463-1326
Zeitschrift Diabetes, Obesity and Metabolism
Verlag Wiley
Verlagsort 111 River St, Hoboken 07030-5774, Nj Usa
Nichtpatentliteratur Publikationen
Begutachtungsstatus Peer reviewed
Institut(e) Helmholtz Institute for Metabolism, Obesity and Vascular Research (HI-MAG)
Förderungen German Federal Ministry of Education and Research (BMBF)