Differential health benefits of weight loss in upper-body and lower-body obese women
Upper-body obesity (UB Ob) is more strongly associated with adverse health consequences; however, few obesity-treatment studies have examined outcome according to body-fat distribution. To examine whether diet and formal- or informal-exercise instruction causes differential changes in health and lip...
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| Veröffentlicht in: | The American journal of clinical nutrition 1993-01, Vol.57 (1), p.20-26 |
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| creator | Kanaley, JA Andresen-Reid, ML Oenning, L Kottke, BA Jensen, MD |
| description | Upper-body obesity (UB Ob) is more strongly associated with adverse health consequences; however, few obesity-treatment studies have examined outcome according to body-fat distribution. To examine whether diet and formal- or informal-exercise instruction causes differential changes in health and lipid profiles, ten LB Ob and nine UB Ob premenopausal women received dietary intervention (2.1 MJ-deficit/d for 16 wk) and were randomly assigned to either formal- or informal-exercise instruction. Weight loss was similar between groups (≈8 kg), and no change occurred in lean body mass or basal metabolic rate. Baseline cholesterol and triglycerides were greater (P < 0.01 ) in UB Ob than LB Ob women and decreased more (P < 0.01) in response to treatment in UB Ob women. Formal exercise instruction increased high-density-lipoprotein cholesterol (P < 0.05) especially in UB Ob women. Future studies on treatment of obesity should include consideration of regional fat distribution. |
| doi_str_mv | 10.1093/ajcn/57.1.20 |
| format | Article |
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To examine whether diet and formal- or informal-exercise instruction causes differential changes in health and lipid profiles, ten LB Ob and nine UB Ob premenopausal women received dietary intervention (2.1 MJ-deficit/d for 16 wk) and were randomly assigned to either formal- or informal-exercise instruction. Weight loss was similar between groups (≈8 kg), and no change occurred in lean body mass or basal metabolic rate. Baseline cholesterol and triglycerides were greater (P < 0.01 ) in UB Ob than LB Ob women and decreased more (P < 0.01) in response to treatment in UB Ob women. Formal exercise instruction increased high-density-lipoprotein cholesterol (P < 0.05) especially in UB Ob women. Future studies on treatment of obesity should include consideration of regional fat distribution.</description><identifier>ISSN: 0002-9165</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.1093/ajcn/57.1.20</identifier><identifier>PMID: 8416660</identifier><identifier>CODEN: AJCNAC</identifier><language>eng</language><publisher>Bethesda, MD: Elsevier Inc</publisher><subject>ACTIVIDAD FISICA ; ACTIVITE PHYSIQUE ; Adipose Tissue - pathology ; Adult ; Apolipoproteins - blood ; Basal Metabolism ; Biological and medical sciences ; Blood Pressure ; Body composition ; caloric restriction ; CHOLESTEROL ; Cholesterol - blood ; Cholesterol, HDL - blood ; COLESTEROL ; CONFORMATION ANIMALE ; CONSOMMATION D'OXYGENE ; CONSUMO DE OXIGENO ; CONTROL DE ENFERMEDADES ; CONTROLE DE MALADIES ; DIETA ; Exercise ; Female ; FEMME ; Follow-Up Studies ; Health ; Humans ; Insulin - blood ; LIPEMIA ; LIPEMIE ; Lipids ; LIPOPROTEINAS ; LIPOPROTEINE ; Medical research ; Medical sciences ; Metabolic diseases ; METABOLISME BASAL ; METABOLISMO BASAL ; MORFOLOGIA ANIMAL ; MUJERES ; NUTRICION HUMANA ; Nutrition ; NUTRITION HUMAINE ; Obesity ; Obesity - diet therapy ; Obesity - therapy ; Oxygen Consumption ; PESO ; plasma lipids and lipoproteins ; PLASMA SANGUIN ; PLASMA SANGUINEO ; POIDS ; Random Allocation ; REDUCCION DEL PESO ; REGIME ALIMENTAIRE ; REGIME POUR REDUCTION DE POIDS ; SOBREPESO ; SURPOIDS ; Treatment Outcome ; TRIGLICERIDOS ; TRIGLYCERIDE ; Triglycerides - blood ; Weight Loss ; Women</subject><ispartof>The American journal of clinical nutrition, 1993-01, Vol.57 (1), p.20-26</ispartof><rights>1993 American Society for Nutrition.</rights><rights>1993 INIST-CNRS</rights><rights>Copyright American Society for Clinical Nutrition, Inc. 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To examine whether diet and formal- or informal-exercise instruction causes differential changes in health and lipid profiles, ten LB Ob and nine UB Ob premenopausal women received dietary intervention (2.1 MJ-deficit/d for 16 wk) and were randomly assigned to either formal- or informal-exercise instruction. Weight loss was similar between groups (≈8 kg), and no change occurred in lean body mass or basal metabolic rate. Baseline cholesterol and triglycerides were greater (P < 0.01 ) in UB Ob than LB Ob women and decreased more (P < 0.01) in response to treatment in UB Ob women. Formal exercise instruction increased high-density-lipoprotein cholesterol (P < 0.05) especially in UB Ob women. Future studies on treatment of obesity should include consideration of regional fat distribution.</description><subject>ACTIVIDAD FISICA</subject><subject>ACTIVITE PHYSIQUE</subject><subject>Adipose Tissue - pathology</subject><subject>Adult</subject><subject>Apolipoproteins - blood</subject><subject>Basal Metabolism</subject><subject>Biological and medical sciences</subject><subject>Blood Pressure</subject><subject>Body composition</subject><subject>caloric restriction</subject><subject>CHOLESTEROL</subject><subject>Cholesterol - blood</subject><subject>Cholesterol, HDL - blood</subject><subject>COLESTEROL</subject><subject>CONFORMATION ANIMALE</subject><subject>CONSOMMATION D'OXYGENE</subject><subject>CONSUMO DE OXIGENO</subject><subject>CONTROL DE ENFERMEDADES</subject><subject>CONTROLE DE MALADIES</subject><subject>DIETA</subject><subject>Exercise</subject><subject>Female</subject><subject>FEMME</subject><subject>Follow-Up Studies</subject><subject>Health</subject><subject>Humans</subject><subject>Insulin - blood</subject><subject>LIPEMIA</subject><subject>LIPEMIE</subject><subject>Lipids</subject><subject>LIPOPROTEINAS</subject><subject>LIPOPROTEINE</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>METABOLISME BASAL</subject><subject>METABOLISMO BASAL</subject><subject>MORFOLOGIA ANIMAL</subject><subject>MUJERES</subject><subject>NUTRICION HUMANA</subject><subject>Nutrition</subject><subject>NUTRITION HUMAINE</subject><subject>Obesity</subject><subject>Obesity - diet therapy</subject><subject>Obesity - therapy</subject><subject>Oxygen Consumption</subject><subject>PESO</subject><subject>plasma lipids and lipoproteins</subject><subject>PLASMA SANGUIN</subject><subject>PLASMA SANGUINEO</subject><subject>POIDS</subject><subject>Random Allocation</subject><subject>REDUCCION DEL PESO</subject><subject>REGIME ALIMENTAIRE</subject><subject>REGIME POUR REDUCTION DE POIDS</subject><subject>SOBREPESO</subject><subject>SURPOIDS</subject><subject>Treatment Outcome</subject><subject>TRIGLICERIDOS</subject><subject>TRIGLYCERIDE</subject><subject>Triglycerides - blood</subject><subject>Weight Loss</subject><subject>Women</subject><issn>0002-9165</issn><issn>1938-3207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkM1vEzEQxS0EKqFw44SEtEKIE5t6vGt791iV8iFV4kB7tmbtceNoYwd706j_PRsl9IA4jWbeTzNvHmNvgS-B980Frm28kHoJS8GfsQX0TVc3guvnbME5F3UPSr5kr0pZcw6i7dQZO-taUErxBbv9ErynTHEKOFYrwnFaVQNF8mEqVfLVnsL9aqrGVEoVYrXbbinXQ3KPFUY3j_d_2zRQoWqfNhRfsxcex0JvTvWc3X29vr36Xt_8_Pbj6vKmthLEVKMGxFZ1TntHDXHuumFoB-V4Lz0ieFKoHQf0WtnOKXCtbFFJ7b1GJN6cs0_Hvducfu-oTGYTiqVxxEhpV4yWUmjo9Ax--Adcp12OszcjGuihb7Wcoc9HyOb52UzebHPYYH40wM0haXNI2khtwIjD8fennbthQ-4JPkU76x9POhaLo88YbShPWKu4EOpw9d0R85gM3ucZufvVNwK6BmZRHUWaU3wIlE2xgaIlFzLZybgU_m_uDw-7oes</recordid><startdate>199301</startdate><enddate>199301</enddate><creator>Kanaley, JA</creator><creator>Andresen-Reid, ML</creator><creator>Oenning, L</creator><creator>Kottke, BA</creator><creator>Jensen, MD</creator><general>Elsevier Inc</general><general>American Society for Clinical Nutrition</general><general>American Society for Clinical Nutrition, Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T7</scope><scope>7TS</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>199301</creationdate><title>Differential health benefits of weight loss in upper-body and lower-body obese women</title><author>Kanaley, JA ; Andresen-Reid, ML ; Oenning, L ; Kottke, BA ; Jensen, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-a71aa468d7fde3e00d8bb4b6d095faa1fe6a7d01af76c8d61d454a657ff7aae03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>ACTIVIDAD FISICA</topic><topic>ACTIVITE PHYSIQUE</topic><topic>Adipose Tissue - pathology</topic><topic>Adult</topic><topic>Apolipoproteins - blood</topic><topic>Basal Metabolism</topic><topic>Biological and medical sciences</topic><topic>Blood Pressure</topic><topic>Body composition</topic><topic>caloric restriction</topic><topic>CHOLESTEROL</topic><topic>Cholesterol - blood</topic><topic>Cholesterol, HDL - blood</topic><topic>COLESTEROL</topic><topic>CONFORMATION ANIMALE</topic><topic>CONSOMMATION D'OXYGENE</topic><topic>CONSUMO DE OXIGENO</topic><topic>CONTROL DE ENFERMEDADES</topic><topic>CONTROLE DE MALADIES</topic><topic>DIETA</topic><topic>Exercise</topic><topic>Female</topic><topic>FEMME</topic><topic>Follow-Up Studies</topic><topic>Health</topic><topic>Humans</topic><topic>Insulin - blood</topic><topic>LIPEMIA</topic><topic>LIPEMIE</topic><topic>Lipids</topic><topic>LIPOPROTEINAS</topic><topic>LIPOPROTEINE</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>METABOLISME BASAL</topic><topic>METABOLISMO BASAL</topic><topic>MORFOLOGIA ANIMAL</topic><topic>MUJERES</topic><topic>NUTRICION HUMANA</topic><topic>Nutrition</topic><topic>NUTRITION HUMAINE</topic><topic>Obesity</topic><topic>Obesity - diet therapy</topic><topic>Obesity - therapy</topic><topic>Oxygen Consumption</topic><topic>PESO</topic><topic>plasma lipids and lipoproteins</topic><topic>PLASMA SANGUIN</topic><topic>PLASMA SANGUINEO</topic><topic>POIDS</topic><topic>Random Allocation</topic><topic>REDUCCION DEL PESO</topic><topic>REGIME ALIMENTAIRE</topic><topic>REGIME POUR REDUCTION DE POIDS</topic><topic>SOBREPESO</topic><topic>SURPOIDS</topic><topic>Treatment Outcome</topic><topic>TRIGLICERIDOS</topic><topic>TRIGLYCERIDE</topic><topic>Triglycerides - blood</topic><topic>Weight Loss</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kanaley, JA</creatorcontrib><creatorcontrib>Andresen-Reid, ML</creatorcontrib><creatorcontrib>Oenning, L</creatorcontrib><creatorcontrib>Kottke, BA</creatorcontrib><creatorcontrib>Jensen, MD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kanaley, JA</au><au>Andresen-Reid, ML</au><au>Oenning, L</au><au>Kottke, BA</au><au>Jensen, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differential health benefits of weight loss in upper-body and lower-body obese women</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>1993-01</date><risdate>1993</risdate><volume>57</volume><issue>1</issue><spage>20</spage><epage>26</epage><pages>20-26</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><abstract>Upper-body obesity (UB Ob) is more strongly associated with adverse health consequences; however, few obesity-treatment studies have examined outcome according to body-fat distribution. To examine whether diet and formal- or informal-exercise instruction causes differential changes in health and lipid profiles, ten LB Ob and nine UB Ob premenopausal women received dietary intervention (2.1 MJ-deficit/d for 16 wk) and were randomly assigned to either formal- or informal-exercise instruction. Weight loss was similar between groups (≈8 kg), and no change occurred in lean body mass or basal metabolic rate. Baseline cholesterol and triglycerides were greater (P < 0.01 ) in UB Ob than LB Ob women and decreased more (P < 0.01) in response to treatment in UB Ob women. Formal exercise instruction increased high-density-lipoprotein cholesterol (P < 0.05) especially in UB Ob women. Future studies on treatment of obesity should include consideration of regional fat distribution.</abstract><cop>Bethesda, MD</cop><pub>Elsevier Inc</pub><pmid>8416660</pmid><doi>10.1093/ajcn/57.1.20</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The American journal of clinical nutrition, 1993-01, Vol.57 (1), p.20-26 |
| issn | 0002-9165 1938-3207 |
| language | eng |
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| subjects | ACTIVIDAD FISICA ACTIVITE PHYSIQUE Adipose Tissue - pathology Adult Apolipoproteins - blood Basal Metabolism Biological and medical sciences Blood Pressure Body composition caloric restriction CHOLESTEROL Cholesterol - blood Cholesterol, HDL - blood COLESTEROL CONFORMATION ANIMALE CONSOMMATION D'OXYGENE CONSUMO DE OXIGENO CONTROL DE ENFERMEDADES CONTROLE DE MALADIES DIETA Exercise Female FEMME Follow-Up Studies Health Humans Insulin - blood LIPEMIA LIPEMIE Lipids LIPOPROTEINAS LIPOPROTEINE Medical research Medical sciences Metabolic diseases METABOLISME BASAL METABOLISMO BASAL MORFOLOGIA ANIMAL MUJERES NUTRICION HUMANA Nutrition NUTRITION HUMAINE Obesity Obesity - diet therapy Obesity - therapy Oxygen Consumption PESO plasma lipids and lipoproteins PLASMA SANGUIN PLASMA SANGUINEO POIDS Random Allocation REDUCCION DEL PESO REGIME ALIMENTAIRE REGIME POUR REDUCTION DE POIDS SOBREPESO SURPOIDS Treatment Outcome TRIGLICERIDOS TRIGLYCERIDE Triglycerides - blood Weight Loss Women |
| title | Differential health benefits of weight loss in upper-body and lower-body obese women |
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