RESUMO
Prevalence of obesity and overweightness in different societies is increasing. Role of physical activity in weight loss and also prevention from some chronic diseases has been discussed previously. The objective of this study was to compare the effect of two different aerobic exercises [intermittent and continuous exercises] while prescribed with concurrent calorie-restrict diet on the weight loss and body fat of overweight and obese females. Fifteen individuals in intermittent group performed 40 min moderate Intensity exercise in 3 bouts per day for 5 days per week; the 15 participants of continuous group exercised a single 40 min bout per day, 5 days per week. Also, 15 participants were included in control group without exercise program. A self-monitoring calorie-restrict diet was recommended to all participants. The body fat percentage, waist circumference, and also skin fold thickness of all participants were assessed at baseline and 12[th] weeks. The reduction of weight and BMI of participants in intermittent group [-3.33 +/- 1.80 and -1.34 +/- 0.70, respectively] was significantly more than comparable changes in continuous group [-1.23 +/- 1.60 and 0.49 +/- 0.65, respectively] [P = 0.048 and 0.041, respectively]. After the intervention, there was no significant difference between case and controls in terms of body fat percentage, waist circumference, and sum of skin fold thickness. It seems that moderate intensity intermittent exercise for more than 150 min/ week is more efficient than continuous exercise in weight loss of obese and overweight women
RESUMO
Little information is available on the effects of monounsaturated fatty acid-rich [MUFA-rich] diets on the serum adipocytokine levels. The objective of this study was to determine the effects of a MUFA-rich diet on the serum levels of insulin, visfatin and IL-6 in overweight women [25.0 >/= BMI = 2.9.9]. This randomized cross-over clinical trial included 17 overweight women aged 20-50 years with a mean BMI of 27.6 +/- 2 kg/m[2]. The participants were randomly assigned to one of two groups consuming either a saturated fat-rich [SFA-rich; 16% SFA and 8% MUFA] or a MUFA-rich [16% MUFA and 8% SFA] diet for 6 weeks, with a 2-week washout period between the 2 periods. The percentages of energy derived from the other macronutrients were similar in the two diets. Biochemical assessments were done at the beginning and at the end of each period. Paired t-test was used for statistical analysis. The mean proportions of MUFA intakes were 13% and 7% of the total energy intake for MUFA- and SFA-rich diets, respectively, the corresponding values for SFA being 8.5% and 14%. The mean changes in the serum visfatin, insulin and IL-6 levels were not significantly different between the two diet periods; however, for serum visfatin levels, the difference [0.7 +/- 0.5 vs 0.4 +/- 0.4 nanogr/ml] was marginally significant [P=0.08]. Adjustment for potential confounders did not alter these findings [P=0.1]. The difference between the two diets as regards their effects on the serum insulin and adipocytokine levels did not reach statistical significanec [it was only marginal]. We recommend conducting long-term interventional studies with larger sample sizes to be able to draw more definite conclusions
Assuntos
Humanos , Feminino , Nicotinamida Fosforribosiltransferase/sangue , Insulina/sangue , Interleucina-6/sangue , Ácidos Graxos Monoinsaturados , Estudos Cross-Over , Distribuição AleatóriaRESUMO
Adiponectin is a novel adipose tissue-specific adipokine that can increase insulin sensitivity. Many studies have shown anti obesity and anti diabetic effects of green tea consumption. In this study we examined the effects of green tea extract on circulating adiponectin levels and insulin resistance status in patients with type 2 diabetes mellitus [T2DM]. In this double blind randomized clinical trial 58 type 2 diabetic patients with BMI >/= 25 were recruited from an unselected population from the outpatient clinic of Shariati hospital, Tehran, Iran. Patients were randomly divided into two groups; green tea extract and placebo. All the patients received the capsules for 8 weeks. Laboratory measurements including fasting serum adiponectin, insulin, HOMA-IR, FPG, OGTT, HbA1c and lipid profile and anthropometric were performed before and after the intervention. Nutrient intakes were obtained via 24-hour recall from each patient in three successive days. The data were analyzed using appropriate software. We found a significant effect of green tea extract on increasing the logarithm of serum adiponectin in diabetic patients [0.15 +/- 0.10 micro g/ ml, P<0.05]. A significant independent correlation between the logarithm of serum adiponectin and WHR [Waist to Hip Ratio] was found [P=0.009, t=-2.7]. The consumption of green tea extract had a significant effect in control the levels of HbA1C, weigh and also BMI in green tea group [P<0.05]. The results showed that consumption of green tea extract can be useful in the control of T2DM by increasing the levels of serum adiponectin and controlling the weight, BMI and HbA1C levels in patients with T2DM
Assuntos
Humanos , Extratos Vegetais , Diabetes Mellitus Tipo 2/dietoterapia , Resistência à Insulina , Adiponectina/sangue , Método Duplo-Cego , Ensaios Clínicos Controlados Aleatórios como AssuntoRESUMO
Recent studies indicate that Visfatin, a newly identified adipocytokine, may have potential proinflammatory effects. Since, the relationship between serum visfatin levels and metabolic syndrome [MetS] has not been established, the aim of this study was to explore the association between serum visfatin levels and anthropometric variables and the metabolic syndrome. Thirty-seven patients with MetS and 37 age matched controls [mean age 46.35 +/- 1.6 years] were included. Metabolic syndrome in patients was defined based on the 2005 criteria of the International Diabetes Federation, and anthropometric and biochemical profiles were documented. Serum Visfatin was measured using an enzyme immunoassay [EIA] kit. Using the t-test, data were compared between groups and Pearson's correlation coefficient was used to evaluate the relationship between continuous variables. P values <0.05 were considered as statistically significant. Serum Visfatin level was significantly lower in metabolic syndrome patients [P<0. 05] compared controls, log visfatin: 1.74 +/- 0.27 nanogram/ml vs. 1.86 +/- 0.13 nanogram/ml, respectively. There was no significant correlation between serum visfatin levels and any anthropometric or any metabolic parameters in patients with metabolic syndrome or the control group. The results of this study showed that serum visfatin level was decreased in patients with MetS, indicating that Visfatin cannot be considered as a new proinflammatory adipocytokine for the metabolic syndrome