CYBERMED LIFE - ORGANIC  & NATURAL LIVING

Abdominal Obesity (Midsection Fat)

Abdominal obesity, also known as central obesity, occurs when excessive abdominal fat around the stomach and abdomen has built up to the extent that it is likely to have a negative impact on health. There is a strong correlation between central obesity and cardiovascular disease. Abdominal obesity is not confined only to the elderly and obese subjects. Abdominal obesity has been linked to Alzheimer's disease as well as other metabolic and vascular diseases.

Visceral and central abdominal fat and waist circumference show a strong association with type 2 diabetes.

Visceral fat, also known as organ fat or intra-abdominal fat, is located inside the peritoneal cavity, packed in between internal organs and torso, as opposed to subcutaneous fat, which is found underneath the skin, and intramuscular fat, which is found interspersed in skeletal muscle. Visceral fat is composed of several adipose depots including mesenteric, epididymal white adipose tissue (EWAT) and perirenal fat. An excess of visceral fat is known as central obesity, the "pot belly" or "beer belly" effect, in which the abdomen protrudes excessively. This body type is also known as "apple shaped", as opposed to "pear shaped", in which fat is deposited on the hips and buttocks.

Researchers first started to focus on abdominal obesity in the 1980s when they realized it had an important connection to cardiovascular disease, diabetes, and dyslipidemia. Abdominal obesity was more closely related with metabolic dysfunctions connected with cardiovascular disease than was general obesity. In the late 1980s and early 1990s insightful and powerful imaging techniques were discovered that would further help advance the understanding of the health risks associated with body fat accumulation. Techniques such as computed tomography and magnetic resonance imaging made it possible to categorize mass of adipose tissue located at the abdominal level into intra-abdominal fat and subcutaneous fat.

  • Obesity: What It Really Is, The Risks, and How to Combat It

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    What exactly is obesity? Is it just having a little tummy fat? And what are the risks associated with obesity? And how can you combat it? We lay out everything you need to know

    It’s common knowledge that the obesity rates and trends in the United States are grim. So grim, in fact, that according to the Centers for Disease and Control Prevention, more than one-third of U.S. adults are dealing with obesity (that’s about 36.5 percent of adults in america).

    Even worse, the national childhood obesity rate is a whopping 18.5 percent. This includes a breakdown of rates at about:

    • 13.9 percent of children 2-to-5
    • 18.4 percent of 6-to-11
    • 20.6 percent for 12-to-19

    As a nation, the United States is aware that obesity is a mega-problem in our country, but many people, both obese and not, are left with plenty of unanswered questions about the condition.

    For example, what does being obese actually mean? What constitutes obesity and how can you know if you’re dealing with the risks associated with being obese? Is being overweight different than being obese?

    Further, what are the risks that go hand-in-hand with obesity. Does it mean your heart is less healthy? Does it mean that you’re facing the possibility of a shorter life?

    More importantly, how can you combat obesity and what are the best ways to treat it? How can a person fight obesity and the risk that are associated with it?

    We’re here to break it down for you. Read our guide below answers to any questions you might have about obesity, tips for how to treat and fight obesity, and even more helpful information that you might be unaware of.

    What Constitutes Obesity?

    When it comes down to actually defining obesity, a lot of people have a fuzzy idea on where they fall within that category. An overweight person, for example, doesn’t necessarily qualify as an obese person, but often, people will interchange these two terms.

    Are you obese if you have a little extra belly fat? Likely, this is not the case. Are you obese if your clothes are fitting a little tighter than usual?

    Being overweight and being obese are two different conditions. Determining obesity has a lot to do with what’s known as the Body Mass Index, which  is a statistical measurement that’s derived from your height and weight. Typically, if your BMI is between 25 and 29.9, you’re considered overweight, and if your BMI is 30 or over, you’re likely considered obese.

    It’s important to note, though, that BMI can be misleading. For the average person, the BMI will work fine, but the BMI indicator will not measure your body fat percentage. Someone who is incredibly muscular for their height will have a higher weight, but a lot more muscle than fat.

    They might have a higher-than-normal BMI, but that doesn’t mean that they’re obese. According to the CDC, there are a different classes of obesity, too:

    - Class 1 is a BMI of 30 - 34
    - Class 2 includes BMIs of 35 to 39
    - Class 3 includes ranges of 40 and higher.

    One of the simplest ways to define obesity is a condition in which a person has accumulated enough body fat that will have a negative effect on their health. When it comes down to it, the best way to determine obesity is to have a direct, frank talk with your doctor about your weight.

    The Risks of Obesity

    Unfortunately, being obese is far more than just a cosmetic issue - it’s a verified, guaranteed health hazard and can, without a doubt, shorten your lifespan, lower your quality of life, and present real, threatening health issues.

    Someone is obese is twice as likely to die prematurely than an average-weight person.  It’s unlikely that you’ll meet a doctor who won’t agree that an obese person is more likely to have health issues, too.

    An obese person faces both general and specific health risks. If you are obese, your entire body will feel it. Your heart, your joints, your blood pressure, your blood sugar -- all of your systems are going to have to work harder to support you and keep you running like normal, often resulting in serious or chronic issues.

    Additionally, the extra fat cells your body is carrying around will likely produce inflammation and various hormones which can also contribute to chronic medical conditions.

    Obese people have a much higher risk of dealing with life-threatening issues like heart disease, strokes, high blood pressure, and high blood sugar. Because of the excess weight and body fat, an obese person’s heart will have to work overtime to support them, putting extra strain on their system.

    Further, you’re at a much greater risk of other conditions like diabetes (a condition where your body’s ability to respond to or produce insulin is impaired, resulting in an abnormal metabolism of glucose), gallstones, cancer, osteoarthritis, and gout.

    Certain facets of life will also be more difficult when you’re obese. Simple things like sleeping can be strongly affected when you’re dealing with obesity. Those who are dealing with obesity, are prone to breathing issues such as sleep apnea, where a person stops breathing for a short time during sleep.

     

    Strategies for Reducing Obesity

    It might seem like the odds are stacked against you, but don’t panic. There are small ways to start attacking these obstacles and battling obesity. To understand how to combat obesity, it’s important to understand what causes obesity in the first place.

    One of the biggest causes of obesity is simple: consuming too many calories. People are unaware that the amount of food they’re consuming (and the types of food they’re consuming) are contributing to their weight gain.

    To combat this, you must have a thorough idea on what you’re eating, how many calories are in it, and how it fuels your body.

    Consider eating more fruits and vegetables, cutting out certain foods that don’t serve your body (sodas and foods high in fat content). Additionally, try to work with your doctor to get a strict grasp on what you should be eating, specific meal plans, what foods you should be cutting out.

    Additionally, obesity is common when someone leads a sedentary lifestyle. The less you move around, the fewer calories you burn. That, combined with overindulging on your calories, can lead to rapid weight gain. But it’s not only about the calories.

    Moving around, and physical activity in general, have a huge effect on how your hormones work, and often, those hormones have a huge effect on how your body processes and digests food.

    Studies indicate that physical activity has a beneficial effect on insulin levels and are more likely help keep them stable. A sedentary life spent sitting still or in front of a television can easily lead to unwanted pounds, so to combat this, try incorporating movement and physical activity into your daily life.

    Start small, shooting for about 30 minutes of cardio-intensive activity every day. Talk with your doctor about gradually increasing your physical activity and discuss what kind of activities might best benefit you.

    Instead of driving the half-mile to work, take a walk! Swap out an hour of TV time for an hour on your bike. There are plenty of options for a more active lifestyle!

    Many people aren’t aware, but sleep is also huge factor when it comes to maintaining a healthy weight. Research suggests that people who don’t sleep enough have double the risk of becoming obese than those who do.

    A study from The University of Warwick stated that sleep deprivation could lead to obesity because of the increased appetite people have as a result of hormonal changes. In layman’s terms, if you don’t sleep enough, you’re going to produce more Ghrelin (a hormone that stimulates your appetite) and less leptin (a hormone that suppresses your appetite).

    To combat this? It’s simple! Get more sleep. Make getting your 8 hours an absolute must. Not only will you feel far more rested, you won’t run the risk of overproducing Ghrelin or increasing your appetite because of your lack of sleep.

    Finally, a lack of familiarity or awareness about factors that could affect your weight -  hormonal imbalances, digestive issues, medications, endocrine disruptors, and even smoking - can play a significant role in obesity.

    Determining any genetic issues your body might have, discussing digestive or hormonal imbalances that could cause you to gain weight, and discussing all of your medicines with your doctor is one of the first steps toward combating obesity.  

    Overall, the key steps toward combating obesity revolve around making the choice to eat a healthy, nutritious, and calorically-appropriate  diet, working at maintaining an active lifestyle, getting enough sleep, and working with your doctor to determine any genetic, medicinal, hormonal, or digestive imbalances that could cause weight gain.

     

    Obesity: Final Thoughts

    The risks of obesity go far past any sort of physical appearance or cosmetic ideal. The simple truth is, being obese puts people at much bigger health risks and can, ultimately, lead to a much shorter life.

    Obesity is a dangerous condition that’s plaguing the United States, and unfortunately, it’s a slippery slope. Simple parts of your lifestyle can build up, and if you’re not careful, your sedentary way-of-living, over-indulgence of calories, lack of sleep, or ignorance about your personal metabolism issues could lead to an obesity condition.

    Don’t let obesity ruin your life. Make changes today. Your body will thank you.

     

     SOURCE: https://doublewoodsupplements.com/pages/obesity-what-it-really-is-the-risks-and-how-to-combat-it

  • Abdominal Obesity (Midsection Fat)

    Abdominal obesity, also known as central obesity, occurs when excessive abdominal fat around the stomach and abdomen has built up to the extent that it is likely to have a negative impact on health. There is a strong correlation between central obesity and cardiovascular disease. Abdominal obesity is not confined only to the elderly and obese subjects. Abdominal obesity has been linked to Alzheimer's disease as well as other metabolic and vascular diseases.

    Visceral and central abdominal fat and waist circumference show a strong association with type 2 diabetes.

    Visceral fat, also known as organ fat or intra-abdominal fat, is located inside the peritoneal cavity, packed in between internal organs and torso, as opposed to subcutaneous fat, which is found underneath the skin, and intramuscular fat, which is found interspersed in skeletal muscle. Visceral fat is composed of several adipose depots including mesenteric, epididymal white adipose tissue (EWAT) and perirenal fat. An excess of visceral fat is known as central obesity, the "pot belly" or "beer belly" effect, in which the abdomen protrudes excessively. This body type is also known as "apple shaped", as opposed to "pear shaped", in which fat is deposited on the hips and buttocks.

    Researchers first started to focus on abdominal obesity in the 1980s when they realized it had an important connection to cardiovascular disease, diabetes, and dyslipidemia. Abdominal obesity was more closely related with metabolic dysfunctions connected with cardiovascular disease than was general obesity. In the late 1980s and early 1990s insightful and powerful imaging techniques were discovered that would further help advance the understanding of the health risks associated with body fat accumulation. Techniques such as computed tomography and magnetic resonance imaging made it possible to categorize mass of adipose tissue located at the abdominal level into intra-abdominal fat and subcutaneous fat.

  • Acupuncture treatment of abdominal obesity patients by"belt vessel (Daimai) regulating method"

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    Abstract Title:

    [Acupuncture treatment of abdominal obesity patients by"belt vessel (Daimai) regulating method"].

    Abstract Source:

    Zhen Ci Yan Jiu. 2012 Dec ;37(6):493-6. PMID: 23383460

    Abstract Author(s):

    Cui-Mei Liang, Hui Hu, Yuan-Yuan Li

    Article Affiliation:

    Beijing University of Chinese Medicine, Beijing 100029, China.

    Abstract:

    OBJECTIVE:To observe the clinical effect of acupuncture intervention on abdominal obesity by stimulation of"Belt Vessel (Daimai) Regulation Acupoint Recipe".

    METHODS:A total of 35 abdominal obesity outpatients were recuited in the present study. The"Belt Vessel (Daimai) Regulation Acupoint Recipe"was composed of Daimai (GB 26), Tianshu (ST25), Daheng (SP 15), Zhongwan (CV 12), Liangmen (ST 21), Shuidao (ST 28), Zusanli (ST 36), Shangjuxu (ST 37), Fenglong (ST 40) and Zulinqi (GB 41, both sides except CV 12). In addition, electroacupuncture was also applied to bilateral GB 26 and ST 25. The treatment was conducted once every other day, 8 weeks altogether. The body weight, body mass index (BMI), waist circumference (WC), hip circumference (HC), Waist-to-hip ratio (WHR), waist-to-height ratio (WHtR) and body fat rate [ = 1.2 x BMI + 0.23 x age-5.4-10.8 x sex (male = 1, female = 0)] were measured or calculated. The thickness of abdominal adipose layer (i.e.; S1 = distance from the interface of the skin and subcutaneous fat to the linea alba abdominis at the midpoint between the xiphoid-process and the umbilicus; S2 = distance from the interface of the skin and subcutaneous fat to the anterior bounder of the external oblique muscle of abdomen on the right side closely to the umbilicus center) and visceral fat layer thickness (V 1 = distance from the midpoint of the linea alba abdominis to the anterior bounder of the vertebra body; V 2 = distance from the peritoneum to the right bounder of the vertebra body at the umbilicus level) were measured for calculating ultrasound viscerofatty index [UVI = (V 1 + V2)/(S 1 + S 2)] by using a color Doppler ultrasonography.

    RESULTS:After 8 weeks' treatment, the body weight, BMI, waist and hips circumferences, WHtR and percentage of body fat were declined significantly (P<0.05, P<0.001). The WHR was decreased compared to that of pre-treatment, but without statistical significance (P>0.05). The thickness of abdominal subcutaneous adipose and visceral adipose layers and UVI were decreased significantly following the treatment (P<0.05, P<0.001). The reduction of visceral adipose layer was superior to that of the abdominal subcutaneous one (P<0.001).

    CONCLUSION:Acupuncture intervention has a significant effect on reducing abdominal obesity in abdominal obesity patients.

  • Acupuncture treatment of abdominal obesity patients by"belt vessel (Daimai) regulating method"

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    Abstract Title:

    [Acupuncture treatment of abdominal obesity patients by"belt vessel (Daimai) regulating method"].

    Abstract Source:

    Zhen Ci Yan Jiu. 2012 Dec ;37(6):493-6. PMID: 23383460

    Abstract Author(s):

    Cui-Mei Liang, Hui Hu, Yuan-Yuan Li

    Article Affiliation:

    Beijing University of Chinese Medicine, Beijing 100029, China.

    Abstract:

    OBJECTIVE:To observe the clinical effect of acupuncture intervention on abdominal obesity by stimulation of"Belt Vessel (Daimai) Regulation Acupoint Recipe".

    METHODS:A total of 35 abdominal obesity outpatients were recuited in the present study. The"Belt Vessel (Daimai) Regulation Acupoint Recipe"was composed of Daimai (GB 26), Tianshu (ST25), Daheng (SP 15), Zhongwan (CV 12), Liangmen (ST 21), Shuidao (ST 28), Zusanli (ST 36), Shangjuxu (ST 37), Fenglong (ST 40) and Zulinqi (GB 41, both sides except CV 12). In addition, electroacupuncture was also applied to bilateral GB 26 and ST 25. The treatment was conducted once every other day, 8 weeks altogether. The body weight, body mass index (BMI), waist circumference (WC), hip circumference (HC), Waist-to-hip ratio (WHR), waist-to-height ratio (WHtR) and body fat rate [ = 1.2 x BMI + 0.23 x age-5.4-10.8 x sex (male = 1, female = 0)] were measured or calculated. The thickness of abdominal adipose layer (i.e.; S1 = distance from the interface of the skin and subcutaneous fat to the linea alba abdominis at the midpoint between the xiphoid-process and the umbilicus; S2 = distance from the interface of the skin and subcutaneous fat to the anterior bounder of the external oblique muscle of abdomen on the right side closely to the umbilicus center) and visceral fat layer thickness (V 1 = distance from the midpoint of the linea alba abdominis to the anterior bounder of the vertebra body; V 2 = distance from the peritoneum to the right bounder of the vertebra body at the umbilicus level) were measured for calculating ultrasound viscerofatty index [UVI = (V 1 + V2)/(S 1 + S 2)] by using a color Doppler ultrasonography.

    RESULTS:After 8 weeks' treatment, the body weight, BMI, waist and hips circumferences, WHtR and percentage of body fat were declined significantly (P<0.05, P<0.001). The WHR was decreased compared to that of pre-treatment, but without statistical significance (P>0.05). The thickness of abdominal subcutaneous adipose and visceral adipose layers and UVI were decreased significantly following the treatment (P<0.05, P<0.001). The reduction of visceral adipose layer was superior to that of the abdominal subcutaneous one (P<0.001).

    CONCLUSION:Acupuncture intervention has a significant effect on reducing abdominal obesity in abdominal obesity patients.

  • Adherence to the Mediterranean diet is associated with lower abdominal adiposity in European men and women📎

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    Abstract Title:

    Adherence to the Mediterranean diet is associated with lower abdominal adiposity in European men and women.

    Abstract Source:

    J Nutr. 2009 Sep;139(9):1728-37. Epub 2009 Jul 1. PMID: 19571036

    Abstract Author(s):

    Dora Romaguera, Teresa Norat, Traci Mouw, Anne M May, Christina Bamia, Nadia Slimani, Noemie Travier, Herve Besson, Jian'an Luan, Nick Wareham, Sabina Rinaldi, Elisabeth Couto, Françoise Clavel-Chapelon, Marie-Christine Boutron-Ruault, Vanessa Cottet, Domenico Palli, Claudia Agnoli, Salvatore Panico, Rosario Tumino, Paolo Vineis, Antonio Agudo, Laudina Rodriguez, Maria Jose Sanchez, Pilar Amiano, Aurelio Barricarte, Jose Maria Huerta, Timothy J Key, Elisabeth A Spencer, H Bas Bueno-de-Mesquita, Frederike L Büchner, Philippos Orfanos, Androniki Naska, Antonia Trichopoulou, Sabine Rohrmann, Rudolf Kaaks, Manuela Bergmann, Heiner Boeing, Ingegerd Johansson, Veronica Hellstrom, Jonas Manjer, Elisabet Wirfält, Marianne Uhre Jacobsen, Kim Overvad, Anne Tjonneland, Jytte Halkjaer, Eiliv Lund, Toni Braaten, Dragun Engeset, Andreani Odysseos, Elio Riboli, Petra H M Peeters

    Abstract:

    Given the lack of consistent evidence of the relationship between Mediterranean dietary patterns and body fat, we assessed the cross-sectional association between adherence to a modified Mediterranean diet, BMI, and waist circumference (WC). A total of 497,308 individuals (70.7% women) aged 25-70 y from 10 European countries participated in this study. Diet was assessed at baseline using detailed validated country-specific questionnaires, and anthropometrical measurements were collected using standardized procedures. The association between the degree of adherence to the modified-Mediterranean Diet Score (mMDS) (including high consumption of vegetables, legumes, fruits and nuts, cereals, fish and seafood, and unsaturated:saturated fatty acids ratio; moderate alcohol intake; and low consumption of meat and meat products and dairy products) and BMI (kg.m(-2)) or WC (cm) was modeled through mixed-effects linear regression, controlling for potential confounders. Overall, the mMDS was not significantly associated with BMI. Higher adherence to the Mediterranean diet was significantly associated with lower WC, for a given BMI, in both men (-0.09; 95% CI -0.14 to -0.04) and women (-0.06; 95% CI -0.10 to -0.01). The association was stronger in men (-0.20; 95% CI -0.23 to -0.17) and women (-0.17; 95% CI -0.21 to -0.13) from Northern European countries. Despite the observed heterogeneity among regions, results of this study suggest that adherence to a modified Mediterranean diet, high in foods of vegetable origin and unsaturated fatty acids, is associated with lower abdominal adiposity measured by WC in European men and women.

  • Close adherence to a Mediterranean diet improves endothelial function in subjects with abdominal obesity📎

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    Abstract Title:

    Close adherence to a Mediterranean diet improves endothelial function in subjects with abdominal obesity.

    Abstract Source:

    Am J Clin Nutr. 2009 Aug;90(2):263-8. Epub 2009 Jun 10. PMID: 19515732

    Abstract Author(s):

    Loukianos S Rallidis, John Lekakis, Anastasia Kolomvotsou, Antonios Zampelas, Georgia Vamvakou, Stamatis Efstathiou, George Dimitriadis, Sotirios A Raptis, Dimitrios T Kremastinos

    Abstract:

    BACKGROUND: Abdominal obesity (AO) is associated with increased risk of cardiovascular disease and type 2 diabetes, whereas the Mediterranean diet exerts a cardioprotective effect.

    OBJECTIVE: We examined whether a close adherence to a Mediterranean-style diet improves endothelial function in individuals with AO.

    DESIGN: We recruited 90 subjects with AO without cardiovascular disease or type 2 diabetes. Participants were randomly assigned to the intervention or control group. Both groups were instructed to follow a Mediterranean-style diet for 2 mo. Subjects in the intervention group additionally had to follow a specific relevant daily and weekly food plan with close supervision by a dietitian and provision of basic foods. Flow-mediated dilatation (FMD), lipids, C-reactive protein (CRP), and insulin resistance with the homeostasis model assessment (HOMA-IR) were measured.

    RESULTS: After 2 mo, subjects in the intervention group increased their intake of total fat due to higher consumption of monounsaturated fatty acids as well as intakes of dietary fiber, vitamin C, and alcohol compared with the control group (all P<0.05). The intervention group also increased FMD ( 2.05%; 95% CI: 0.97, 3.13%), whereas no effect was found in the control group (-0.32%; 95% CI: -1.31, 0.67%). Changes in lipids and CRP concentrations did not differ between the 2 groups, whereas diastolic blood pressure decreased in the intervention group (-6.44 mm Hg; 95% CI: -8.57, -4.31 mm Hg) compared with the control group (-0.76 mm Hg; 95% CI: -2.83, 1.31 mm Hg). Finally, there was a trend for a reduction in HOMA-IR in the intervention group compared with the control group (P = 0.072).

    CONCLUSION: Close adherence to a Mediterranean-style diet achieved by close dietetic supervision improves endothelial function in subjects with AO.

  • Effect of a high monounsaturated fatty acids diet and a Mediterranean diet on serum lipids and insulin sensitivity in adults with mild abdominal obesity.

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    Abstract Title:

    Effect of a high monounsaturated fatty acids diet and a Mediterranean diet on serum lipids and insulin sensitivity in adults with mild abdominal obesity.

    Abstract Source:

    Nutr Metab Cardiovasc Dis. 2009 Aug 17. Epub 2009 Aug 17. PMID: 19692213

    Abstract Author(s):

    M B Bos, J H M de Vries, E J M Feskens, S J van Dijk, D W M Hoelen, E Siebelink, R Heijligenberg, L C P G M de Groot

    Abstract:

    BACKGROUND AND AIMS: Diets high in monounsaturated fatty acids (MUFA) such as a Mediterranean diet may reduce the risk of cardiovascular diseases by improving insulin sensitivity and serum lipids. Besides being high in MUFA, a Mediterranean diet also contains abundant plant foods, moderate wine and low amounts of meat and dairy products, which may also play a role. We compared the effects of a high MUFA-diet with a diet high in saturated fatty acids (SFA) and the additional effect of a Mediterranean diet on insulin sensitivity and serum lipids.

    METHODS AND RESULTS: A randomized parallel controlled-feeding trial was performed, in 60 non-diabetics (40-65y) with mild abdominal obesity. After a two week run-in diet high in SFA (19 energy-%), subjects were allocated to a high MUFA-diet (20 energy-%), a Mediterranean diet (MUFA 21 energy-%), or the high SFA-diet, for eight weeks. The high MUFA and the Mediterranean diet did not affect fasting insulin concentrations. The high MUFA-diet reduced total cholesterol (-0.41mmol/L, 95% CI -0.74, -0.09) and LDL-cholesterol (-0.38mmol/L, 95% CI -0.65, -0.11) compared with the high SFA-diet, but not triglyceride concentrations. The Mediterranean diet increased HDL-cholesterol concentrations (+0.09mmol/L, 95% CI 0.0, 0.18) and reduced the ratio of total cholesterol/HDL-cholesterol (-0.39, 95% CI -0.62, -0.16) compared with the high MUFA-diet.

    CONCLUSION: Replacing a high SFA-diet with a high MUFA or a Mediterranean diet did not affect insulin sensitivity, but improved serum lipids. The Mediterranean diet was most effective, it reduced total and LDL-cholesterol, and also increased HDL-cholesterol and reduced total cholesterol/HDL-cholesterol ratio.

  • Effect of aromatherapy massage on abdominal fat and body image in post-menopausal women. 📎

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    Abstract Title:

    [Effect of aromatherapy massage on abdominal fat and body image in post-menopausal women].

    Abstract Source:

    Taehan Kanho Hakhoe Chi. 2007 Jun;37(4):603-12. PMID: 17615482

    Abstract Author(s):

    Hee Ja Kim

    Abstract:

    PURPOSE: The purpose of this study was to verify the effect of aromatherapy massage on abdominal fat and body image in post-menopausal women. METHOD: A Non-equivalent control group pre-post test Quasi-experimental design of random assignment was applied. All subjects received one hour of whole body massage as treatment by the same researcher every week for 6 weeks. Participants also massaged their own abdomen two times everyday for 5 days each week for 6 weeks. The two groups used different kinds of oil. The experimental group used 3% grapefruit oil, cypress and three other kinds of oil. The control group used grapeseed oil. Data was collected before and after the treatment using Siemens Somatom Sensation 4, a tape measure and MBSRQ. Data was analyzed by ANCOVA using the SPSS/PC+Win 12 Version. RESULT: Abdominal subcutaneous fat and waist circumference in the experimental group significantly decreased after aromatherapy massage compared to the control group. Body image in the experimental group was significantly better after aromatherapy massage than in the control group. CONCLUSION: These results suggest that Aromatherapy massage could be utilized as an effective intervention to reduce abdominal subcutaneous fat, waist circumference, and to improve body image in post-menopausal women.

  • Effect of exercise training intensity on abdominal visceral fat and body composition📎

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    Abstract Title:

    Effect of exercise training intensity on abdominal visceral fat and body composition.

    Abstract Source:

    Med Sci Sports Exerc. 2008 Nov;40(11):1863-72. PMID: 18845966

    Abstract Author(s):

    Brian A Irving, Christopher K Davis, David W Brock, Judy Y Weltman, Damon Swift, Eugene J Barrett, Glenn A Gaesser, Arthur Weltman

    Abstract:

    The metabolic syndrome is a complex clustering of metabolic defects associated with physical inactivity, abdominal adiposity, and aging. PURPOSE: To examine the effects of exercise training intensity on abdominal visceral fat (AVF) and body composition in obese women with the metabolic syndrome. METHODS: Twenty-seven middle-aged obese women (mean +/- SD; age = 51 +/- 9 yr and body mass index = 34 +/- 6 kg x m(-2)) with the metabolic syndrome completed one of three 16-wk aerobic exercise interventions: (i) no-exercise training (Control): seven participants maintained their existing levels of physical activity; (ii) low-intensity exercise training (LIET): 11 participants exercised 5 d x wk(-1) at an intensity < or = lactate threshold (LT); and (iii) high-intensity exercise training (HIET): nine participants exercised 3 d x wk(-1) at an intensity > LT and 2 d x wk(-1) < or = LT. Exercise time was adjusted to maintain caloric expenditure (400 kcal per session). Single-slice computed tomography scans obtained at the L4-L5 disc space and midthigh were used to determine abdominal fat and thigh muscle cross-sectional areas. Percent body fat was assessed by air displacement plethysmography. RESULTS: HIET significantly reduced total abdominal fat (P < 0.001), abdominal subcutaneous fat (P = 0.034), and AVF (P = 0.010). There were no significant changes observed in any of these parameters within the Control or the LIET conditions. CONCLUSIONS: The present data indicate that body composition changes are affected by the intensity of exercise training with HIET more effectively for reducing total abdominal fat, subcutaneous abdominal fat, and AVF in obese women with the metabolic syndrome.

  • Effects of a moderate low-carbohydrate diet on preferential abdominal fat loss and cardiovascular risk factors in patients with type 2 diabetes📎

    Abstract Title:

    Effects of a moderate low-carbohydrate diet on preferential abdominal fat loss and cardiovascular risk factors in patients with type 2 diabetes.

    Abstract Source:

    Diabetes Metab Syndr Obes. 2011 ;4:167-74. Epub 2011 Apr 29. PMID: 21779148

    Abstract Author(s):

    Tae Sasakabe, Hajime Haimoto, Hiroyuki Umegaki, Kenji Wakai

    Article Affiliation:

    Department of Clinical Nutrition, Haimoto Clinic, Yayoi, Kasugai, Aichi, Japan;

    Abstract:

    BACKGROUND:Reports have shown that visceral adipose tissue (VAT) is more closely linked to cardiovascular risk factors (CRFs) than subcutaneous adipose tissue (SAT). We aimed to elucidate preferential abdominal fat loss and the correlations between abdominal fat reductions and changes in CRFs achieved with a moderate low-carbohydrate diet (LCD) in patients with type 2 diabetes (T2DM).

    PATIENTS AND METHODS:Fifty-two outpatients (28 men and 24 women, mean age± SD: 60.0 ± 10.5 years) with hemoglobin A(1c) (HbA(lc)) levels ≥ 6.5% were on an LCD for 6 months. Over a 6-month period, we measured their abdominal fat distribution (using CT) and assessed CRFs, including body mass index (BMI), HbA(1c), fasting blood glucose (FBG), serum insulin, high-densitylipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and triglyceride levels.

    RESULTS:The patients showed good compliance with the LCD (1812± 375 kcal/day, % carbohydrate:fat:protein = 35:40:19 for men; 1706 ± 323 kcal/day, % carbohydrate:fat:protein = 41:36:21 for women). Significant decreases (P = 0.05) in BMI and HbA(1c) levels were observed, along with an increase in HDL-C (P = 0.021) in men and a decrease in LDL-C (P = 0.001) inwomen. VAT (-21.6 cm(2), P<0.001 in men; -19.6 cm(2), P<0.001 in women) and SAT (-13.5 cm(2), P = 0.004 in men; -19.1 cm(2), P = 0.003 in women) significantly decreased. The loss of VAT (%ΔVAT) was greater than that of SAT (%ΔSAT) in women (P = 0.022). A similar but not significant predominance of VAT loss was detected in men (P = 0.111). In women, the %ΔSAT significantly correlated with changes in FBG (ΔFBG) (r = 0.417) and HDL-C (ΔHDL) (r = -0.720), as was %ΔVAT with changesin triglyceride (ΔTG) (r = 0.591).

    CONCLUSION:Six months of a moderate LCD resulted in preferential VAT loss only in women, with significant correlations between %ΔSAT and both ΔHDL and ΔFBG, as well as between %ΔVAT and ΔTG. Our results suggest that an LCD has the potential to reduce abdominal fat in patients with T2DM and deterioration of serum lipid profiles.

  • Green tea catechin consumption enhances exercise-induced abdominal fat loss in overweight and obese adults📎

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    Abstract Title:

    Green tea catechin consumption enhances exercise-induced abdominal fat loss in overweight and obese adults.

    Abstract Source:

    J Nutr. 2009 Feb;139(2):264-70. Epub 2008 Dec 11. PMID: 19074207

    Abstract Author(s):

    Kevin C Maki, Matthew S Reeves, Mildred Farmer, Koichi Yasunaga, Noboru Matsuo, Yoshihisa Katsuragi, Masanori Komikado, Ichiro Tokimitsu, Donna Wilder, Franz Jones, Jeffrey B Blumberg, Yolanda Cartwright

    Abstract:

    This study evaluated the influence of a green tea catechin beverage on body composition and fat distribution in overweight and obese adults during exercise-induced weight loss. Participants (n = 132 with 107 completers) were randomly assigned to receive a beverage containing approximately 625 mg of catechins with 39 mg caffeine or a control beverage (39 mg caffeine, no catechins) for 12 wk. Participants were asked to maintain constant energy intake and engage in>or=180 min/wk moderate intensity exercise, including>or=3 supervised sessions per week. Body composition (dual X-ray absorptiometry), abdominal fat areas (computed tomography), and clinical laboratory tests were measured at baseline and wk 12. There was a trend (P = 0.079) toward greater loss of body weight in the catechin group compared with the control group; least squares mean (95% CI) changes, adjusted for baseline value, age, and sex, were -2.2 (-3.1, -1.3) and -1.0 (-1.9, -0.1) kg, respectively. Percentage changes in fat mass did not differ between the catechin [5.2 (-7.0, -3.4)] and control groups [-3.5 (-5.4, 1.6)] (P = 0.208). However, percentage changes in total abdominal fat area [-7.7 (-11.7, -3.8) vs. -0.3 (-4.4, 3.9); P = 0.013], subcutaneous abdominal fat area [-6.2 (-10.2, -2.2) vs. 0.8 (-3.3, 4.9); P = 0.019], and fasting serum triglycerides (TG) [-11.2 (-18.8, -3.6) vs. 1.9 (-5.9, 9.7); P = 0.023] were greater in the catechin group. These findings suggest that green tea catechin consumption enhances exercise-induced changes in abdominal fat and serum TG.

  • Lifestyle Factors and 5-Year Abdominal Fat Accumulation in a Minority Cohort: The IRAS Family Study📎

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    Abstract Title:

    Lifestyle Factors and 5-Year Abdominal Fat Accumulation in a Minority Cohort: The IRAS Family Study.

    Abstract Source:

    Obesity (Silver Spring). 2011 Jun 16. Epub 2011 Jun 16. PMID: 21681224

    Abstract Author(s):

    Kristen G Hairston, Mara Z Vitolins, Jill M Norris, Andrea M Anderson, Anthony J Hanley, Lynne E Wagenknecht

    Article Affiliation:

    Section of Endocrinology and Metabolism, Department of Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.

    Abstract:

    The objective of this study was to examine whether lifestyle factors were associated with 5-year change in abdominal fat measured by computed tomography (CT) in the Insulin Resistance and Atherosclerosis (IRAS) Family Study. We obtained abdominal CT scans at baseline and at 5 years, from African Americans (AA) (N = 339) and Hispanic Americans (N = 775), aged 18-81 years. Visceral (VAT) and subcutaneous (SAT) adipose tissue was measured at the L4/L5 vertebral level. Physical activity was documented by self-report of vigorous activity and a 1-year recall instrument. Dietary intake was assessed at follow-up using a semi-quantitative food frequency questionnaire referencing the previous year. Generalized linear models, accounting for family structure, were used to assess the associations between percent change in fat accumulation and smoking, physical activity, total calories, polyunsaturated, monounsaturated, protein, and saturated fat intake, percent of calories from sweets, and soluble and insoluble fiber. Soluble fiber intake and participation in vigorous activity were inversely related to change in VAT, independent of change in BMI. For each 10 g increase in soluble fiber, rate of VAT accumulation decreased by 3.7% (P = 0.01). Soluble fiber was not associated with change in SAT (0.2%, P = 0.82). Moderately active participants had a 7.4% decrease in rate of VAT accumulation and a 3.6% decrease in rate of SAT accumulation versus less active participants (P = 0.003 and P = 0.01, respectively). Total energy expenditure was also inversely associated with accumulation of VAT. Soluble fiber intake and increased physical activity were related to decreased VAT accumulation over 5 years.

  • Long-term intermittent feeding, but not caloric restriction, leads to redox imbalance, insulin receptor nitration, and glucose intolerance📎

    Abstract Title:

    Long-term intermittent feeding, but not caloric restriction, leads to redox imbalance, insulin receptor nitration, and glucose intolerance.

    Abstract Source:

    Free Radic Biol Med. 2011 Jul 21. Epub 2011 Jul 21. PMID: 21816219

    Abstract Author(s):

    Fernanda M Cerqueira, Fernanda M da Cunha, Camille C Caldeira da Silva, Bruno Chausse, Renato L Romano, Camila C M Garcia, Pio Colepicolo, Marisa H G Medeiros, Alicia J Kowaltowski

    Abstract:

    Calorie restriction is a dietary intervention known to improve redox state, glucose tolerance, and animal life span. Other interventions have been adopted as study models for caloric restriction, including nonsupplemented food restriction and intermittent, every-other-day feedings. We compared the short- and long-term effects of these interventions to ad libitum protocols and found that, although all restricted diets decrease body weight, intermittent feeding did not decrease intra-abdominal adiposity. Short-term calorie restriction and intermittent feeding presented similar results relative to glucose tolerance. Surprisingly, long-term intermittent feeding promoted glucose intolerance, without a loss in insulin receptor phosphorylation. Intermittent feeding substantially increased insulin receptor nitration in both intra-abdominal adipose tissue and muscle, a modification associated with receptor inactivation. All restricted diets enhanced nitric oxide synthase levels in the insulin-responsive adipose tissue and skeletal muscle. However, whereas calorie restriction improved tissue redox state, food restriction and intermittent feedings did not. In fact, long-term intermittent feeding resulted in largely enhanced tissue release of oxidants. Overall, our results show that restricted diets are significantly different in their effects on glucose tolerance and redox state when adopted long-term. Furthermore, we show that intermittent feeding can lead to oxidative insulin receptor inactivation and glucose intolerance.

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