EFFECTS OF THE EXERCISE AND DIET PROGRAMS ON BODY MASS INDEX AND FASTING BLOOD GLUCOSE LEVEL IN OVERWEIGHT AND OBESE SUBJECTS
DOI:
https://doi.org/10.15621/ijphy/2019/v6i4/185410Keywords:
BMI, Diet, Exercise, Fasting Blood Glucose Level, Obesity, OverweightAbstract
Background: Being overweight is a risk factor in developing many chronic diseases, and globally, the frequency of obesity rapidly increases. Our study aims to investigate the effects of an exercise program on Body Mass Index (BMI) and fasting blood glucose (FBG) level in overweight and obese subjects who have a diet program.
Methods: 61 overweight and obese women subjects were included in this study. The subjects were randomly divided into two groups. The Control Group (CG) was included 32 women and received only a diet program. And, Experimental Group (EG) was included 29 women and received both diet and exercise program. A dietitian recorded weight, height, and BMI, and fasting blood glucose levels were recorded by blood test asking from subjects before and after program.
Results: There was statistically significant decrease in BMI in both groups (p<0,05). When the CG and the EG group were compared, there was more decrease in the EG group. Fasting blood glucose level decreased statistically significantly in the exercise and diet groups (p <0.05). When the mean changes between the groups were compared, the difference in the FBG level in the exercise and diet groups was not statistically found even though it was higher than the dietary group.
Conclusion: The 6-week exercise program which was applied in addition to diet programs for overweight and obese people led to improvement in BMI and FBG level, we think that a multidisciplinary team should follow these people.
References
PANEL, NHLBI Obesity Education Initiative Expert, et al. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. Treatment guidelines. National Heart, Lung, and Blood Institute, 1998; Obes Res, 6(Suppl 2), 51S-209S.
Joint WHO/FAO Expert Consultation. Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser. 2003; 916.i-viii.
Bruce, Clinton R., et al. "Endurance training in obese humans improves glucose tolerance and mitochondrial fatty acid oxidation and alters muscle lipid content." American journal of physiology-endocrinology and metabolism. 2006; 291(1):E99-E107.
Snowling, N. J., Hopkins, W. G. Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: a meta-analysis. Diabetes care. 2006; 29(11):2518-2527.
Pi-Sunyer X, et al. Look AHEAD Research Group. Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes: one-year results of the Look AHEAD trial. Diabetes Care. 2007;30(6):1374-1383.
Sola E, et al. Plasminogen activator inhibitor-I levels in severe and morbid obesity. Effect of weight loss and influence of 4G/5G polymorphism. Thrombosis research. 2008;122(3):320-327.
Malik, Vasanti S., Frank B. Hu. Popular weight-loss diets: from evidence to practice. Nature Reviews Cardiology. 2007; 4.1:34.
Dulloo, Abdul G. Suppressed thermogenesis as a cause for resistance to slimming and obesity rebound: adaptation or illusion?. International Journal of Obesity. 2007; 201.
Anderssen, S. A., Hjermann, I., Urdal, P., Torjesen, P. A., Holme, I. Improved carbohydrate metabolism after physical training and dietary intervention in individuals with the ‘atherothrombogenic syndrome’. Oslo Diet and Exercise Study (ODES). A randomized trial. Journal of internal medicine. 1996; 240(4), 203-209.
Brekke, H. K., Jansson, P. A., Lenner, R. A. Long-term (1-and 2-year) effects of lifestyle intervention in type 2 diabetes relatives. Diabetes research and clinical practice. 2005; 70(3), 225-234.
Fogelholm, M., Kukkonen-Harjula, K., Nenonen, A., Pasanen, M. Effects of walking training on weight maintenance after a very-low-energy diet in premenopausal obese women: a randomized controlled trial. Archives of Internal Medicine. 2000; 160(14), 2177-2184.
Heilbronn, et al. Effect of 6-month calorie restriction on biomarkers of longevity, metabolic adaptation, and oxidative stress in overweight individuals: a randomized controlled trial. Jama. 2006; 295.13:1539-1548.
Wei, et al. Relationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men. Jama. 1999; 282.16:1547-1553.
Farrell S, et al. The relation of body mass index, cardiorespiratory fitness, and all‐cause mortality in women. Obesity Research. 2002; 10.6:417-423.
Ross R, et al. Exercise‐induced reduction in obesity and insulin resistance in women: a randomized controlled trial. Obesity research. 2004; 12.5:789-798.
Kraemer W, et al. Influence of exercise training on physiological and performance changes with weight loss in men. Medicine and science in sports and exercise. 1999; 31.9:1320-1329.
Marks B, et al. Fat-free mass is maintained in women following a moderate diet and exercise program. Medicine and science in sports and exercise. 1995; 27.9:1243-1251.
Bird, Marie-Louise, Keith D. Hill, James W. Fell. A randomized controlled study investigating static and dynamic balance in older adults after training with Pilates. Archives of physical medicine and rehabilitation. 2012; 93:43-49.
Cakmakçi, O. The effect of 8 week plates exercise on body composition in obese women. Collegium antropologicum. 2011. 35.4:1045-1050.
Rice, B., Janssen, I., Hudson, R., Ross, R. Effects of aerobic or resistance exercise and/or diet on glucose tolerance and plasma insulin levels in obese men. Diabetes care. 1999; 22(5), 684-691.
Hagner-Derengowska, et al. Effects of Nordic Walking and Pilates exercise programs on blood glucose and lipid profile in overweight and obese postmenopausal women in an experimental, nonrandomized, open-label, prospective controlled trial. Menopause. 2015; 22.11:1215-1223.
Arslan F, et al. Evaluatıon Of The Effects Of Pilates Mat Exercise Program On Some Fitness Parameters And Weight Loss Of Middle Aged Perimenopausal Sedentary Women. Journal of Physical Education & Sports Science/Beden Egitimi ve Spor Bilimleri Dergisi. 2012; 6.1.
Kloubec, June A. Pilates for improvement of muscle endurance, flexibility, balance, and posture. The Journal of Strength & Conditioning Research. 2010; 24.3:661-667.
Slentz, Cris A, et al. Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE—a randomized controlled study. Archives of internal medicine. 2004; 164.1:31-39.
Cruz-Ferreira, Ana Isabel C, Catarina Lino N P, Jorge Azevedo F. Effects Of Three Months Of Pilates-based Exercise In Women On Body Composition. Medicine & Science in Sports & Exercise. 2009; 41.5:16-17.
Pan, Xiao-Ren, et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: the Da Qing IGT and Diabetes Study. Diabetes care. 1997; 20.4:537-544.
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