Concurrent training and interindividual response in women with a high number of metabolic syndrome risk factors
Metadatos
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Frontiers
Materia
Morbid obesity Physical activity Exercise Sleep quality Quality of life
Fecha
2022-09-23Referencia bibliográfica
Delgado-Floody P... [et al.] (2022), Concurrent training and interindividual response in women with a high number of metabolic syndrome risk factors. Front. Physiol. 13:934038. doi: [10.3389/fphys.2022.934038]
Patrocinador
Recualificacion del Profesorado Universitario; University de La Frontera, Chile; Modalidad Maria Zambrano; Universidad de Granada/Ministerio de Universidades y Fondos Next Generation de la Union Europea DI21-0030 FRO1895Resumen
The non-responders (NRs) after exercise training have been poorly studied in
populations with morbid obesity. The purpose of this study was to determine
the NR prevalence after 20 weeks of concurrent training of morbidly obese
women with a high or low number of metabolic syndrome (MetS) risk factors.
Twenty-eight women with morbid obesity participated in an exercise training
intervention and were allocated into two groups distributed based on a high (≥3,
n = 11) or low number (<3, n = 17) of MetS risk factors. The main outcomes were
waist circumference (WC), fasting plasma glucose (FPG), high-density lipids
(HDL-c), triglycerides (Tg), and systolic (SBP) and diastolic (DBP) blood pressure,
and secondary outcomes were body composition, anthropometric and physical
fitness, determined before and after 20 weeks of concurrent training. NRs were defined as previously used technical error cut-off points for the MetS outcomes.
Significantly different (all p < 0.05) prevalences of NRs between the H-MetS vs.
L-MetS groups (respectively) in WC (NRs 18.2 % vs. 41.1 %, p < 0.0001), SBP (NRs
72.7 % vs. 47.0 %, p = 0.022), DBP (NRs 54.5 % vs. 76.4 %, p < 0.0001), FPG (NRs
100% vs. 64.8 %, p < 0.0001), and HDL-c (NRs 90.9 % vs. 64.7 %, p = 0.012) were
observed. In addition, the H-MetS group evidenced significant changes on ΔSBP
(−10.2 ± 11.4 mmHg), ΔFPG (−5.8 ± 8.2 mg/dl), ΔHDL-c (+4.0 ± 5.9 mg/dl), and
ΔTg (−8.8 ± 33.8 mg/dl), all p < 0.05. The L-MetS group only showed significant
changes in ΔWC (−3.8 ± 5.0 cm, p = 0.009). Comparing H-MetS vs. L-MetS
groups, significant differences were observed in ΔFPG (−5.8 ± 8.2 vs. +0.3 ±
3.2 mg/dl, p = 0.027), but not in other MetS outcomes. In conclusion, 20 weeks
of concurrent training promotes greater beneficial effects in morbidly obese
patients with a high number of MetS risk factors. However, the NR prevalence
for improving MetS outcomes was significantly superior in these more-diseased
groups in SBP, FPG, and HDL-c, independent of their major training-induced
effects.